Pain Clinical Trial
Official title:
Evaluation of the Efficacy and Safety of Transdermal Fentanyl in Patients Suffering From Chronic Cancer Pain in an Ambulatory Setting
The purpose of this study is to determine the safety and efficacy of pain control by fentanyl, administered via adhesive skin patches, at doses of 25 to 100 micrograms per hour in 80 out-patients with intense chronic cancer pain. Higher doses are allowed by permission of the investigator and rescue oral morphine medication is allowed.
Patients with cancer pain are frequently under-medicated with morphine. This is a 56-day
open-label study of the efficacy and safety of self-administered fentanyl skin patches for
cancer pain control in patients in the home-care setting not previously using morphine. The
first 15 days of the study are for dose stabilization and the rest of the study assesses
pain control and quality of life at stable doses of medication. The dose is determined by
the patient with oversight by the investigator, and rescue oral morphine medication can be
used when necessary. The patient records all medication use in a diary and fills out
questionnaires concerning pain control, intestinal function (constipation) and overall
quality of life. The hypothesis is that patients will be able to control their cancer pain
by self-administering transdermal fentanyl at home and that they will well tolerate the
medication.
Individualized doses, with a target dose of 25 to 100 micrograms per hour of fentanyl for 56
days via skin patches applied every 3 days to deliver 25 to 100 micrograms of fentanyl per
hour per patch; oral morphine as rescue medication for pain.
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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