Trial Outcomes & Findings for Safety and Efficacy Study of Fentanyl Iontophoretic Transdermal System (ITS) for Management of Moderate to Severe Acute Pain in Participants Who Have Undergone Elective Spine or Orthopedic Surgery (NCT NCT00779038)

NCT ID: NCT00779038

Last Updated: 2014-05-05

Results Overview

Total number of participants who required intravenous administration (when medicine is given directly into a vein) postoperatively, for treating study treatment related side effect or for additional pain control, during treatment with fentanyl ITS was assessed.

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

13 participants

Primary outcome timeframe

Hour 24

Results posted on

2014-05-05

Participant Flow

Participant milestones

Participant milestones
Measure
Fentanyl ITS
Participants received 40 microgram (mcg) per 10 minutes of fentanyl dose up to a maximum of 240 mcg (6 doses each of 10 minutes duration) per hour but not more than a maximum of 3.2 milligram (80 doses) within a 24 hour period from an Iontophoretic Transdermal System (ITS \[a device which uses an electric current to move drug through the skin into the blood\]), applied on the intact, non-irritated skin on the chest or upper arm. Duration of study treatment was 72 hours.
Overall Study
STARTED
13
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
13

Reasons for withdrawal

Reasons for withdrawal
Measure
Fentanyl ITS
Participants received 40 microgram (mcg) per 10 minutes of fentanyl dose up to a maximum of 240 mcg (6 doses each of 10 minutes duration) per hour but not more than a maximum of 3.2 milligram (80 doses) within a 24 hour period from an Iontophoretic Transdermal System (ITS \[a device which uses an electric current to move drug through the skin into the blood\]), applied on the intact, non-irritated skin on the chest or upper arm. Duration of study treatment was 72 hours.
Overall Study
Study Prematurely Terminated
13

Baseline Characteristics

Safety and Efficacy Study of Fentanyl Iontophoretic Transdermal System (ITS) for Management of Moderate to Severe Acute Pain in Participants Who Have Undergone Elective Spine or Orthopedic Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fentanyl ITS
n=13 Participants
Participants received 40 microgram (mcg) per 10 minutes of fentanyl dose up to a maximum of 240 mcg (6 doses each of 10 minutes duration) per hour but not more than a maximum of 3.2 milligram (80 doses) within a 24 hour period from an Iontophoretic Transdermal System (ITS), applied on the intact, non-irritated skin on the chest or upper arm. Duration of study treatment was 72 hours.
Age, Categorical
<=18 years
0 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=93 Participants
Age, Categorical
>=65 years
7 Participants
n=93 Participants
Sex: Female, Male
Female
6 Participants
n=93 Participants
Sex: Female, Male
Male
7 Participants
n=93 Participants

PRIMARY outcome

Timeframe: Hour 24

Population: Data was not analyzed because there were insufficient participants to perform a meaningful efficacy analysis due to premature study termination.

Total number of participants who required intravenous administration (when medicine is given directly into a vein) postoperatively, for treating study treatment related side effect or for additional pain control, during treatment with fentanyl ITS was assessed.

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Hour 48

Population: Data was not analyzed because there were insufficient participants to perform a meaningful efficacy analysis due to premature study termination.

Total number of participants who required intravenous administration postoperatively, for treating study treatment related side effect or for additional pain control, during treatment with fentanyl ITS was assessed.

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: End of Study treatment (Hour 72)

Population: Data was not analyzed because there were insufficient participants to perform a meaningful efficacy analysis due to premature study termination.

Total number of participants who required intravenous administration postoperatively, for treating study treatment related side effect or for additional pain control, during treatment with fentanyl ITS was assessed.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Hour 72 or early withdrawal

Population: Data was not analyzed because there were insufficient participants to perform a meaningful efficacy analysis due to premature study termination.

The PGA was based on categorical evaluation (poor, fair, good or excellent) for the method of pain control by asking following question from the participants: "Overall, would you rate this method of pain control as being poor, fair, good, or excellent?"

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Hour 72 or early withdrawal

Population: Data was not analyzed because there were insufficient participants to perform a meaningful efficacy analysis due to premature study termination.

The nurse global assessment was based on categorical evaluation (poor, fair, good or excellent) for the method of pain control by asking following question from the nurses: "Overall, would you rate this method of pain control as being poor, fair, good, or excellent?"

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Hour 72 or early withdrawal

Population: Data was not analyzed because there were insufficient participants to perform a meaningful efficacy analysis due to premature study termination.

The physician global assessment was based on categorical evaluation (poor, fair, good or excellent) for the method of pain control by asking following question from the Physicians: "Overall, would you rate this method of pain control as being poor, fair, good, or excellent?"

Outcome measures

Outcome data not reported

Adverse Events

Fentanyl ITS

Serious events: 1 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Fentanyl ITS
n=13 participants at risk
Participants received 40 microgram (mcg) per 10 minutes of fentanyl dose up to a maximum of 240 mcg (6 doses each of 10 minutes duration) per hour but not more than a maximum of 3.2 milligram (80 doses) within a 24 hour period from an Iontophoretic Transdermal System (ITS), applied on the intact, non-irritated skin on the chest or upper arm. Duration of study treatment was 72 hours.
Nervous system disorders
Peroneal nerve palsy (severe)
7.7%
1/13 • From start of study treatment upto Day 14

Other adverse events

Other adverse events
Measure
Fentanyl ITS
n=13 participants at risk
Participants received 40 microgram (mcg) per 10 minutes of fentanyl dose up to a maximum of 240 mcg (6 doses each of 10 minutes duration) per hour but not more than a maximum of 3.2 milligram (80 doses) within a 24 hour period from an Iontophoretic Transdermal System (ITS), applied on the intact, non-irritated skin on the chest or upper arm. Duration of study treatment was 72 hours.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
7.7%
1/13 • From start of study treatment upto Day 14
Vascular disorders
Hypotension
7.7%
1/13 • From start of study treatment upto Day 14
General disorders
Application site reaction
15.4%
2/13 • From start of study treatment upto Day 14
General disorders
Application site discolouration
7.7%
1/13 • Number of events 2 • From start of study treatment upto Day 14
General disorders
Application site swelling
7.7%
1/13 • From start of study treatment upto Day 14
General disorders
Application site pruritus (left side)
7.7%
1/13 • From start of study treatment upto Day 14
General disorders
Application site pruritus (right side)
7.7%
1/13 • From start of study treatment upto Day 14
Psychiatric disorders
Euphoric mood
7.7%
1/13 • From start of study treatment upto Day 14
Gastrointestinal disorders
Nausea
15.4%
2/13 • From start of study treatment upto Day 14
Nervous system disorders
Headache
7.7%
1/13 • From start of study treatment upto Day 14
Injury, poisoning and procedural complications
Inadequate analgesia
15.4%
2/13 • From start of study treatment upto Day 14
Nervous system disorders
Peroneal nerve palsy (moderate)
7.7%
1/13 • From start of study treatment upto Day 14
General disorders
Pyrexia
7.7%
1/13 • From start of study treatment upto Day 14
Renal and urinary disorders
Urinary retension
23.1%
3/13 • From start of study treatment upto Day 14
General disorders
Application site reaction (left side)
7.7%
1/13 • From start of study treatment upto Day 14
General disorders
Application site reaction (right side)
7.7%
1/13 • From start of study treatment upto Day 14
Gastrointestinal disorders
Constipation
7.7%
1/13 • From start of study treatment upto Day 14

Additional Information

Study Responsible Physician

Janssen-Cilag Belgium

Phone: 003214649584

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place