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
About this trial
This is an interventional treatment trial for Cancer focused on measuring Cancer Pain
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.
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
NCT ID
NCT01675622
First Posted
April 25, 2012
Last Updated
April 19, 2018
Sponsor
Mundipharma (China) Pharmaceutical Co. Ltd
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
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Immediate-Release Oxycodone Capsules Study in Cancer Pain
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