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A Safety and Efficacy Study of Sufentanil Transdermal System in Patients With Chronic Pain Due to Cancer

Primary Purpose

Chronic Pain

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Sufentanil
Sustained Release Morphine Sulfate
Sponsored by
Labtec GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Pain focused on measuring Pain, Cancer, Morphine

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female patients aged 18 to 75 with a diagnosis of cancer;
  2. If female, is non-pregnant (negative pregnancy test at Visit 1) and non-lactating;
  3. If female, is not of childbearing potential
  4. Documented history of moderate to severe chronic cancer pain requiring around-the-clock therapy and are likely to benefit from WHO step III opioid analgesics for the duration of the study;
  5. Has been informed of the nature of the study and has provided written informed consent;
  6. Is willing, able, and competent to complete the entire study and comply with study instructions

Exclusion Criteria:

  1. Patient is a pregnant or lactating female (serum pregnancy test conducted at the Screening Visit);
  2. Any ongoing serious adverse events (SAEs) at screening and at baseline;
  3. Has scheduled elective surgery or other invasive procedures during the period of study participation;
  4. Patients with a known intolerance to opioid analgesics or any excipient of the Investigational Product;
  5. Patients with respiratory depression with hypoxia and/or hypercapnia, sever chronic obstructive pulmonary disease, cor pulmonale, severe bronchial asthma, paralytic ileus, (obstructive) sleep apnea syndrome;
  6. Evidence of clinically significant cardiovascular, renal, hepatic or psychiatric disease, as determined by medical history, clinical laboratory tests, ECG results, and physical examination, that would place the patient at risk upon exposure to the study medication or that may confound the analysis and/or interpretation of the results;
  7. Abnormal aspartate aminotransferase (AST; SGOT), alanine aminotransferase (ALT; SGPT), or alkaline phosphatase levels (> 3 times the upper level of normal) or an abnormal total bilirubin level (> 1.5 times the upper level of normal) or creatinine clearance < 50 ml/min (calculated using the Cockcroft-Gault formula);
  8. Patients with uncontrolled seizures;
  9. Patients with increased intracranial pressure;
  10. Patients who are receiving hypnotics or other central nervous system (CNS) depressants that, in the opinion of the investigator, may pose a risk of additional CNS depression with opioid medication;
  11. Patients with myxoedema, inadequately controlled hypothyroidism or Addisons disease;
  12. History of alcohol and/or drug abuse (or a positive urine drug screen at Visit 1) within one year preceding the Screening Visit;
  13. Active skin disease;
  14. Patients suffering from diarrhea and/or opioid withdrawal;
  15. Known positive Hepatitis B or C or HIV status;
  16. Has participated in another clinical study of drugs or devices parallel to or < 1 month before study entry, or previous participation in this study;
  17. Is an employee of the investigator or study site with direct involvement in the proposed study or other studies under the direction of that investigator or study site, or is a family member of the employees or the investigator.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Sufentanil Transdermal Delivery System

    Control

    Arm Description

    Experimental drug

    Sustained release morphine sulfate

    Outcomes

    Primary Outcome Measures

    The consumption (in mg) of rescue analgesia (normal release morphine sulfate tablets) per day after the administration of either sufentanil TDS or SR morphine sulfate.

    Secondary Outcome Measures

    Adverse events
    Pharmacokinetic data

    Full Information

    First Posted
    July 21, 2009
    Last Updated
    September 14, 2015
    Sponsor
    Labtec GmbH
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00943566
    Brief Title
    A Safety and Efficacy Study of Sufentanil Transdermal System in Patients With Chronic Pain Due to Cancer
    Official Title
    A Multicenter, Open-label, Randomized, Parallel Group Study to Compare the Efficacy and Safety of Sufentanil Transdermal System (TDS) With Sustained-Release Morphine Sulfate in Patients With Chronic Pain Due to Cancer
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2011
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    funding for project discontinued
    Study Start Date
    January 2010 (undefined)
    Primary Completion Date
    December 2010 (Anticipated)
    Study Completion Date
    February 2011 (Anticipated)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Labtec GmbH

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The study hypothesis is that the safety and efficacy of sufentanil following transdermal application is comparable to sustained release morphine sulphate tablets in patients with chronic pain due to cancer.
    Detailed Description
    The primary objective of this study is to compare the consumption, in milligrams, of rescue analgesia (normal release morphine sulfate tablets) after the administration of sufentanil TDS or sustained release morphine sulfate. The secondary efficacy objectives of this study are to evaluate: Pharmacokinetic data Adverse events

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Chronic Pain
    Keywords
    Pain, Cancer, Morphine

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Sufentanil Transdermal Delivery System
    Arm Type
    Experimental
    Arm Description
    Experimental drug
    Arm Title
    Control
    Arm Type
    Active Comparator
    Arm Description
    Sustained release morphine sulfate
    Intervention Type
    Drug
    Intervention Name(s)
    Sufentanil
    Intervention Description
    Transdermal Delivery System; Apply up to six 3 cm2 sufentanil TDS patches every 3 days for 12 days of observation. The 12 days of observation begin after a 7 day conversion to sustained release morphine sulfate. If the subject continues on the pharmacokinetic portion of the study, an additional 6 days of intervention will be evaluated (at the same dose as the primary efficacy study).
    Intervention Type
    Drug
    Intervention Name(s)
    Sustained Release Morphine Sulfate
    Intervention Description
    Sustained Release Morphine Sulfate tablets every 12 hours; up to 400 mg every day for 19 days (7 days of conversion to sustained release morphine sulfate and 12 days of observation)
    Primary Outcome Measure Information:
    Title
    The consumption (in mg) of rescue analgesia (normal release morphine sulfate tablets) per day after the administration of either sufentanil TDS or SR morphine sulfate.
    Time Frame
    6 days
    Secondary Outcome Measure Information:
    Title
    Adverse events
    Time Frame
    18 days
    Title
    Pharmacokinetic data
    Time Frame
    6 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Male or female patients aged 18 to 75 with a diagnosis of cancer; If female, is non-pregnant (negative pregnancy test at Visit 1) and non-lactating; If female, is not of childbearing potential Documented history of moderate to severe chronic cancer pain requiring around-the-clock therapy and are likely to benefit from WHO step III opioid analgesics for the duration of the study; Has been informed of the nature of the study and has provided written informed consent; Is willing, able, and competent to complete the entire study and comply with study instructions Exclusion Criteria: Patient is a pregnant or lactating female (serum pregnancy test conducted at the Screening Visit); Any ongoing serious adverse events (SAEs) at screening and at baseline; Has scheduled elective surgery or other invasive procedures during the period of study participation; Patients with a known intolerance to opioid analgesics or any excipient of the Investigational Product; Patients with respiratory depression with hypoxia and/or hypercapnia, sever chronic obstructive pulmonary disease, cor pulmonale, severe bronchial asthma, paralytic ileus, (obstructive) sleep apnea syndrome; Evidence of clinically significant cardiovascular, renal, hepatic or psychiatric disease, as determined by medical history, clinical laboratory tests, ECG results, and physical examination, that would place the patient at risk upon exposure to the study medication or that may confound the analysis and/or interpretation of the results; Abnormal aspartate aminotransferase (AST; SGOT), alanine aminotransferase (ALT; SGPT), or alkaline phosphatase levels (> 3 times the upper level of normal) or an abnormal total bilirubin level (> 1.5 times the upper level of normal) or creatinine clearance < 50 ml/min (calculated using the Cockcroft-Gault formula); Patients with uncontrolled seizures; Patients with increased intracranial pressure; Patients who are receiving hypnotics or other central nervous system (CNS) depressants that, in the opinion of the investigator, may pose a risk of additional CNS depression with opioid medication; Patients with myxoedema, inadequately controlled hypothyroidism or Addisons disease; History of alcohol and/or drug abuse (or a positive urine drug screen at Visit 1) within one year preceding the Screening Visit; Active skin disease; Patients suffering from diarrhea and/or opioid withdrawal; Known positive Hepatitis B or C or HIV status; Has participated in another clinical study of drugs or devices parallel to or < 1 month before study entry, or previous participation in this study; Is an employee of the investigator or study site with direct involvement in the proposed study or other studies under the direction of that investigator or study site, or is a family member of the employees or the investigator.

    12. IPD Sharing Statement

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    A Safety and Efficacy Study of Sufentanil Transdermal System in Patients With Chronic Pain Due to Cancer

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