Dosing Intervals of Opioid Medication for Chronic Pain

NCT ID: NCT04132011

Last Updated: 2020-03-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE4

Study Classification

INTERVENTIONAL

Study Start Date

2019-05-01

Study Completion Date

2020-03-08

Brief Summary

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This study is to determine the feasibility of an n-of-1, randomized, double blind, placebo controlled case series to examine effects of extended release opioids when used at intervals shorter than recommended by the manufacturer by people with chronic pain.

Detailed Description

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Conditions

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Chronic Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Feasibility study of an n-of-1, within-subject, crossover, randomized, double blind, placebo controlled case series
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Shortened interval extended release opioid

Extended release opioid, individualized total daily dose, dosing intervals less than every 12 hours.

Group Type ACTIVE_COMPARATOR

Extended Release Opioid Formulation, Shortened Intervals

Intervention Type DRUG

Extended release opioid, individualized total daily dose, dosing interval is less than every 12 hours

Placebo oral tablet

Intervention Type DRUG

Lactose pill manufactured to mimic extended release opioid formulation

Standard interval extended release opioid

Extended release opioid, individualized total daily dose, dosing intervals every 12 hours

Group Type ACTIVE_COMPARATOR

Extended Release Opioid Formulation, Standard intervals

Intervention Type DRUG

Extended release opioid, individualized total daily dose, dosing interval is every 12 hours

Placebo oral tablet

Intervention Type DRUG

Lactose pill manufactured to mimic extended release opioid formulation

Interventions

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Extended Release Opioid Formulation, Shortened Intervals

Extended release opioid, individualized total daily dose, dosing interval is less than every 12 hours

Intervention Type DRUG

Extended Release Opioid Formulation, Standard intervals

Extended release opioid, individualized total daily dose, dosing interval is every 12 hours

Intervention Type DRUG

Placebo oral tablet

Lactose pill manufactured to mimic extended release opioid formulation

Intervention Type DRUG

Other Intervention Names

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Hydromorphone extended release HydromorphContin Oxycodone controlled release morphine sulphate sustained release morphine slow release Hydromorphone extended release HydromorphContin Oxycodone controlled release Morphine sulphate sustained release morphine slow release Placebo (for Extended release opioid)

Eligibility Criteria

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Inclusion Criteria

* \>18 years old
* willing and capable to give written informed consent
* diagnosis of chronic pain (\> 3 months)
* current prescription for oxycodone controlled release or hydromorphone controlled release or morphine sustained release for pain
* Using extended release opioids at intervals less than 12 hours/ more than twice daily

Exclusion Criteria

* ongoing acute pain episode
* use of immediate release opioids that contribute to more than 20% of their total daily opioid dose
* total daily morphine equivalent dose \>400mg
* actively tapering their opioid dose
* use of multiple extended release opioid products
* unstable psychological diagnosis (using the Psychosocial Screening Interview Guide)
* outstanding or planned litigation related to pain
* pregnancy or lactation in women
* history of coronary artery disease
* active tapering or titration of benzodiazepines or cannabinoids
* positive urine drug screen for amphetamines, barbiturates, cocaine, methamphetamine, methadone, phencyclidine, propoxyphene or unexpected opioids or benzodiazepines
* using M-Eslon
* using long acting hydromorphone
* using Kadian
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Canadian Society of Hospital Pharmacists

OTHER

Sponsor Role collaborator

University Health Network, Toronto

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Andrea Furlan, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Principal Investigator

Locations

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University Health Network

Toronto, Ontario, Canada

Site Status

Countries

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Canada

Other Identifiers

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17-6180

Identifier Type: -

Identifier Source: org_study_id

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