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Immediate-Release Oxycodone Capsules Study in Cancer Pain

Primary Purpose

Cancer

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Oxycodone
Morphine
Sponsored by
Mundipharma (China) Pharmaceutical Co. Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients of either sex aged 18 to 80 years inclusive, who with cancers of all type.
  2. Patients with moderate to severe cancer pain, whose pain intensity Numeric Rating Scale ≥4.
  3. Patients who can understand and are able to complete Numeric Rating Scale and Brief Pain Inventory assessment.
  4. Patients who have given written informed consent to participate in the study.

Exclusion Criteria:

  1. Patients who are pregnant, or lactating.
  2. Patients who are unable to manage their pain effectively with opioids.
  3. Patient who need ≥120mg morphine or equivalent for treatment of pain at time of study entry;
  4. Patients who are receiving chemotherapy, or still under the responsive period of chemotherapy (patients who are at the interval period of chemotherapy can be enrolled into study. That is to say, patients who completed chemotherapy for more than 2 weeks can enrolled, or patients has completed chemotherapy for at least one week could be enrolled at the discretion of the investigator).
  5. Patients who have received radio-therapy for bony metastasis, patients receiving radiotherapy within the 4 week period before study entry (patient receiving radiotherapy for area other than pain area can be enrolled) , or patients who were scheduled to receive radiotherapy for pain area during study period.
  6. Patients are receiving or should receive anti-convulsion drugs/anti- depression drugs considered by investigator for the treatment of neuropathy pain. Patients are receiving or should receive any analgesic other than study medicine, which including NSAIDs.
  7. Patients with other unstable disease, or with dysfunction of important organ.
  8. Patients with an ongoing infection, abscess or fever.
  9. Patient with serious abnormal liver/ renal function (ALT/Aspartate Transaminase/creatinine/urea nitrogen) which is higher than 3 times of upper limit;
  10. Paralytic or mechanical ileus;
  11. Persistent asthma, chronic obstructive diseases, and cor pulmonary;
  12. Intracranial neoplasms, and intracranial hypertension with central respiratory depression risk.
  13. Monoamine oxidase inhibitors (MAOIs) or same type drugs have been administered in last 2 weeks;
  14. Patients who are currently taking active treatment for epilepsy or arrhythmias.
  15. Patients with known sensitivity or record of specific or allergic reaction to oxycodone or morphine.
  16. Patients excluded by the contra-indications, adverse drug reaction (ADRs) and drug interactions of oxycodone or morphine as detailed in the data sheet, summary of product characteristics or investigator's brochure.
  17. Patients with a history of drug or alcohol abuse.
  18. Patients who participated in another clinical research study involving a new chemical entity within one month prior to study entry.
  19. Patients whose concomitant medication is likely to be changed within the study period, with the exception of treatment for opioid side effects.
  20. Patients who, in the opinion of the investigator, are unsuitable to participate in the study for any other reason not mentioned in the inclusion and exclusion criteria.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Oxycodone Capsules for cancer pain

    Morphine tablets for cancer pain

    Arm Description

    Outcomes

    Primary Outcome Measures

    Numerical Rating Scale (NRS)
    The numerical rating scale is the tool to assess pain level using a numerical rating scale. The primary outcome measurement is the average change of NRS score after double blind treatment between the two treatment groups. The NRS evaluates the pain level using number scale from 0 to 10. 0 means not painful and 10 means extremely painful. 1 to 3 is lightly pain, 4-6 is moderate pain and 7 to 10 is severe pain. There is no subscales used for NRS reporting.

    Secondary Outcome Measures

    The Average Dose of Study Medicine Used During Double Blind Treatment Period
    the average dose of study medicine used during double blind treatment period between the two treatment groups.
    Brief Pain Inventory (BPI) Change From Baseline to After Double Blind Period
    The secondary outcome measurement is the change between BPI score at baseline and after completion of double blind treatment between the two treatment groups. The Brief Pain Inventory (BPI) rapidly assesses the severity of pain and its impact on functioning. This tool measures the worst/least pain in the passed 24 hours, and the average/current pain in last 24 hours. The scale is numerically from 0 to 10. 0 means not painful, 10 means extremely painful. The BPI is the average number of above 4 BPI Pain Items.
    Times of Breakthrough Pain Occurrence
    the times of breakthrough pain occurrence during double blind treatment phase between the two treatment groups
    Patient Assessments of Satisfaction for Pain Management
    the number of patients of satisfaction for pain management between the two treatment groups at the end of double blind treatment and the open label treatment period.
    Average Number of Titrations
    the average times to change the dose in order to find the proper dose between two treatment groups
    Brief Pain Inventory (BPI) Change From Baseline to Open Label Treatment
    The secondary outcome measurement is the change of BPI score from baseline to the end of open label treatment between the two treatment groups. The Brief Pain Inventory (BPI) rapidly assesses the severity of pain and its impact on functioning. This tool measures the worst/least pain in passed 24 hours, and the average/current pain in last 24 hours. The scale is numerically from 0 to 10. 0 means not painful, 10 means extremely painful. The BPI is the average number of above 4 BPI Pain Items.
    the Total Dose of Rescue Medicine for Breakthrough Pain.
    the total dose of rescue medicine for breakthrough pain during double blind phase between the two treatment groups
    Degree of Pain Relief Within 24hrs After Treatment
    Brief Pain Inventory (BPI) Change From Baseline to After Double Blind Period. The BPI is the average number of above 4 BPI Pain Items. For the degree of pain relief within 24hrs after treatment, 0 means zero relief and 100 means completely relief with unit of percentage(%).
    Brief Pain Inventory (BPI) Change From Baseline to Open Label Treatment
    For the degree of pain relief within 24hrs after treatment, 0 means zero relief and 100 means completely relief with unit of percentage(%).

    Full Information

    First Posted
    April 25, 2012
    Last Updated
    April 19, 2018
    Sponsor
    Mundipharma (China) Pharmaceutical Co. Ltd
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01675622
    Brief Title
    Immediate-Release Oxycodone Capsules Study in Cancer Pain
    Official Title
    A Comparative Study of Immediate-Release Oxycodone Capsules Versus Immediate-Release Morphine Tablets for the Treatment of Chinese Patients With Cancer Pain.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2018
    Overall Recruitment Status
    Completed
    Study Start Date
    January 2011 (Actual)
    Primary Completion Date
    June 2012 (Actual)
    Study Completion Date
    July 2012 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Mundipharma (China) Pharmaceutical Co. Ltd

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The efficacy of dose titration of OxyNorm™(Oxycodone) immediate-release capsules versus morphine immediate-release tablets in the treatment of cancer pain.
    Detailed Description
    To compare the efficacy of dose titration of OxyNorm™(Oxycodone) immediate-release capsules versus morphine immediate-release tablets in the treatment of cancer pain.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    242 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Oxycodone Capsules for cancer pain
    Arm Type
    Experimental
    Arm Title
    Morphine tablets for cancer pain
    Arm Type
    Active Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    Oxycodone
    Other Intervention Name(s)
    No other name in this study
    Intervention Description
    dosage: 5mg, l0mg and 20mg dosage form: capsule frequency: every 6h, duration: 5-8 days
    Intervention Type
    Drug
    Intervention Name(s)
    Morphine
    Other Intervention Name(s)
    No other name
    Intervention Description
    Morphine tablets 10mg and 20mg, oral every 4-6 hours
    Primary Outcome Measure Information:
    Title
    Numerical Rating Scale (NRS)
    Description
    The numerical rating scale is the tool to assess pain level using a numerical rating scale. The primary outcome measurement is the average change of NRS score after double blind treatment between the two treatment groups. The NRS evaluates the pain level using number scale from 0 to 10. 0 means not painful and 10 means extremely painful. 1 to 3 is lightly pain, 4-6 is moderate pain and 7 to 10 is severe pain. There is no subscales used for NRS reporting.
    Time Frame
    baseline up to 5-8 days (double blind period)
    Secondary Outcome Measure Information:
    Title
    The Average Dose of Study Medicine Used During Double Blind Treatment Period
    Description
    the average dose of study medicine used during double blind treatment period between the two treatment groups.
    Time Frame
    baseline up to 5-8 days (double blind period)
    Title
    Brief Pain Inventory (BPI) Change From Baseline to After Double Blind Period
    Description
    The secondary outcome measurement is the change between BPI score at baseline and after completion of double blind treatment between the two treatment groups. The Brief Pain Inventory (BPI) rapidly assesses the severity of pain and its impact on functioning. This tool measures the worst/least pain in the passed 24 hours, and the average/current pain in last 24 hours. The scale is numerically from 0 to 10. 0 means not painful, 10 means extremely painful. The BPI is the average number of above 4 BPI Pain Items.
    Time Frame
    baseline up to 5-8 days (double blind period)
    Title
    Times of Breakthrough Pain Occurrence
    Description
    the times of breakthrough pain occurrence during double blind treatment phase between the two treatment groups
    Time Frame
    Within 8 days after baseline
    Title
    Patient Assessments of Satisfaction for Pain Management
    Description
    the number of patients of satisfaction for pain management between the two treatment groups at the end of double blind treatment and the open label treatment period.
    Time Frame
    baseline up to 19-22 days (open label treatment)
    Title
    Average Number of Titrations
    Description
    the average times to change the dose in order to find the proper dose between two treatment groups
    Time Frame
    baseline up to 1-3 days(double blind period)
    Title
    Brief Pain Inventory (BPI) Change From Baseline to Open Label Treatment
    Description
    The secondary outcome measurement is the change of BPI score from baseline to the end of open label treatment between the two treatment groups. The Brief Pain Inventory (BPI) rapidly assesses the severity of pain and its impact on functioning. This tool measures the worst/least pain in passed 24 hours, and the average/current pain in last 24 hours. The scale is numerically from 0 to 10. 0 means not painful, 10 means extremely painful. The BPI is the average number of above 4 BPI Pain Items.
    Time Frame
    baseline up to 19-22 days (open label treatment)
    Title
    the Total Dose of Rescue Medicine for Breakthrough Pain.
    Description
    the total dose of rescue medicine for breakthrough pain during double blind phase between the two treatment groups
    Time Frame
    baseline up to 22 days (double blind period)
    Title
    Degree of Pain Relief Within 24hrs After Treatment
    Description
    Brief Pain Inventory (BPI) Change From Baseline to After Double Blind Period. The BPI is the average number of above 4 BPI Pain Items. For the degree of pain relief within 24hrs after treatment, 0 means zero relief and 100 means completely relief with unit of percentage(%).
    Time Frame
    baseline up to 5-8 days (double blind period)
    Title
    Brief Pain Inventory (BPI) Change From Baseline to Open Label Treatment
    Description
    For the degree of pain relief within 24hrs after treatment, 0 means zero relief and 100 means completely relief with unit of percentage(%).
    Time Frame
    baseline up to 19-22 days (open label treatment)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patients of either sex aged 18 to 80 years inclusive, who with cancers of all type. Patients with moderate to severe cancer pain, whose pain intensity Numeric Rating Scale ≥4. Patients who can understand and are able to complete Numeric Rating Scale and Brief Pain Inventory assessment. Patients who have given written informed consent to participate in the study. Exclusion Criteria: Patients who are pregnant, or lactating. Patients who are unable to manage their pain effectively with opioids. Patient who need ≥120mg morphine or equivalent for treatment of pain at time of study entry; Patients who are receiving chemotherapy, or still under the responsive period of chemotherapy (patients who are at the interval period of chemotherapy can be enrolled into study. That is to say, patients who completed chemotherapy for more than 2 weeks can enrolled, or patients has completed chemotherapy for at least one week could be enrolled at the discretion of the investigator). Patients who have received radio-therapy for bony metastasis, patients receiving radiotherapy within the 4 week period before study entry (patient receiving radiotherapy for area other than pain area can be enrolled) , or patients who were scheduled to receive radiotherapy for pain area during study period. Patients are receiving or should receive anti-convulsion drugs/anti- depression drugs considered by investigator for the treatment of neuropathy pain. Patients are receiving or should receive any analgesic other than study medicine, which including NSAIDs. Patients with other unstable disease, or with dysfunction of important organ. Patients with an ongoing infection, abscess or fever. Patient with serious abnormal liver/ renal function (ALT/Aspartate Transaminase/creatinine/urea nitrogen) which is higher than 3 times of upper limit; Paralytic or mechanical ileus; Persistent asthma, chronic obstructive diseases, and cor pulmonary; Intracranial neoplasms, and intracranial hypertension with central respiratory depression risk. Monoamine oxidase inhibitors (MAOIs) or same type drugs have been administered in last 2 weeks; Patients who are currently taking active treatment for epilepsy or arrhythmias. Patients with known sensitivity or record of specific or allergic reaction to oxycodone or morphine. Patients excluded by the contra-indications, adverse drug reaction (ADRs) and drug interactions of oxycodone or morphine as detailed in the data sheet, summary of product characteristics or investigator's brochure. Patients with a history of drug or alcohol abuse. Patients who participated in another clinical research study involving a new chemical entity within one month prior to study entry. Patients whose concomitant medication is likely to be changed within the study period, with the exception of treatment for opioid side effects. Patients who, in the opinion of the investigator, are unsuitable to participate in the study for any other reason not mentioned in the inclusion and exclusion criteria.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Shiying Yu, Prof.
    Organizational Affiliation
    Wuhan TongJi Hospital
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Immediate-Release Oxycodone Capsules Study in Cancer Pain

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