Evaluate the Efficacy and Safety of ACTIQ in Patients With Cancer and Breakthrough Pain

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00236145
Recruitment Status : Completed
First Posted : October 12, 2005
Last Update Posted : January 29, 2013
Information provided by (Responsible Party):
Teva Pharmaceutical Industries ( Cephalon )

Brief Summary:
The primary objective of the study is to determine whether a test titration regimen of ACTIQ treatment will reduce the number of inadequately managed episodes of breakthrough pain for an individual patient by attaining a successful dose of ACTIQ treatment more quickly. The successful ACTIQ dose provides a satisfactory combination of efficacy and tolerability after a single administration, as assessed by the patient.

Condition or disease Intervention/treatment Phase
Breakthrough Pain Drug: ACTIQ (Oral transmucosal fentanyl citrate) Phase 3

Study Type : Interventional  (Clinical Trial)
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Randomised, Open-label, Parallel-group Study to Evaluate the Efficacy and Safety of ACTIQ (Oral Transmucosal Fentanyl Citrate) Titrated According to 2 Regimens in Patients With Cancer and Breakthrough Pain
Study Start Date : June 2004
Actual Primary Completion Date : August 2005

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Primary Outcome Measures :
  1. to determine if ACTIQ treatment will reduce the number of inadequately managed episodes of breakthrough pain

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria: Patients are included in the study if all of the following criteria are met:

  • the patient is at least 18 years old
  • women must be surgically sterile, 2 years postmenopausal, or if of child-bearing potential, must use a medically accepted method of birth control (ie, barrier method with spermicide, steroidal contraceptive [oral, implanted, and Depo-Provera contraceptives must be used in conjunction with a barrier method], or intrauterine device)
  • the patient experiences persistent pain associated with cancer or cancer treatment
  • for at least 7 days before enrolment, the patient has taken either the equivalent of 60 to 1000 mg/day of oral morphine around-the-clock (ATC) or 25 to 300 micrograms/hr of transdermal fentanyl to treat persistent pain
  • the patient regularly experiences between 1 and 4 episodes of cancer-related BTP per day while taking ATC opioid therapy
  • the patient experiences at least partial relief of cancer related BTP by administering conventional opioid BTP medication at a dose approximately in the range of one-fifth to one-sixth the 24-hour sustained release dose
  • the patient is capable of self-administering ACTIQ by sucking lozenge, producing sufficient saliva to dissolve the lozenge over 15 minutes, and swallowing the saliva
  • a responsible adult caregiver is available to assist the patient in case of emergency if the patient will be taking ACTIQ at home
  • the patient willingly provides informed consent to participate in this study

Exclusion Criteria: Patients are excluded from participating in this study if 1 or more of the following criteria are met:

  • the patient experiences uncontrolled or rapidly escalating pain, as determined by the investigator, such that ATC administration of pain medication might be expected to change between the first and last administrations of ACTIQ.
  • the patient has known or suspected hypersensitivities and/or allergies to fentanyl
  • the patient has a recent history or current evidence or abuse of alcohol or any other drug substance, licit or collection
  • the patient has neurological or psychiatric disease sufficient, in the investigator's opinion, to compromise data collection
  • the patient received strontium-89 therapy within 6o days prior to entering the study
  • the patient received any other therapy (eg, radiotherapy) within a 1 week period prior to entering the study that, in the investigator's opinion, could alter pain or response to pain medication
  • the patient has moderate to severe oral mucositis
  • the patient is pregnant, nursing, or is of child-bearing potential or not taking adequate contraceptive measures
  • the patient has previously been treated with ACTIQ
  • the patient has participated in a trial of an unapproved drug in the previous 8 weeks
  • the patient has been diagnosed with either severe respiratory depression or severe obstructive lung conditions
  • the patient has used monoamine-oxidase inhibitors (MAOI's) within the 2-week period prior to entering the study

Responsible Party: Cephalon Identifier: NCT00236145     History of Changes
Other Study ID Numbers: C8278A/302/ON/MN
First Posted: October 12, 2005    Key Record Dates
Last Update Posted: January 29, 2013
Last Verified: October 2005

Keywords provided by Teva Pharmaceutical Industries ( Cephalon ):
Break through pain
breakthrough pain

Additional relevant MeSH terms:
Breakthrough Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms
Citric Acid
Analgesics, Opioid
Central Nervous System Depressants
Physiological Effects of Drugs
Sensory System Agents
Peripheral Nervous System Agents
Adjuvants, Anesthesia
Anesthetics, Intravenous
Anesthetics, General
Calcium Chelating Agents
Chelating Agents
Sequestering Agents
Molecular Mechanisms of Pharmacological Action