A Prospective Safety Surveillance Study of Fentanyl Iontophoretic Transdermal System (40 Mcg)

A Prospective Safety Surveillance Study of IONSYS (Fentanyl HCl)

The purpose of the study is to document the use of fentanyl HCl 40 mcg system under routine conditions and obtain a more comprehensive understanding of the safety of the system and complications that may not be spontaneously reported.

Study Overview

• Status: Terminated
• Conditions: Pain
• Intervention / Treatment: Drug: fentanyl iontophoretic transdermal system (40mcg) No Placebo; Drug: IV PCA with standard of care opioid analgesia

Detailed Description

The safety of fentanyl HCl 40 mcg system has been evaluated in a number of research studies. Although this research included patients with acute moderate to severe pain after particular types of surgery, including abdominal, pelvic, and orthopedic procedures, the safety associated with use under conditions of routine post-operative clinical care may not have been completely characterized by the study database. This study will be a surveillance study on the risks associated with the usage of fentanyl HCl 40 mcg system under such conditions. Approximately 3,000 patients who have scheduled surgery and need treatment of acute moderate to severe post-operative pain and are treated with fentanyl HCl 40 mcg system in the hospital setting will be evaluated. In addition, a group of approximately 1,500 patients treated with opioid intravenous patient-controlled analgesia (IV PCA) will be matched to fentanyl HCl 40 mcg system patients with respect to (1) country (match will first be sought within the same research center, and extended to patients in the same country if no match is found), (2) pre-surgical physical condition and (3) surgery risk (high risk versus low risk). Patients at multiple research centers in multiple countries will be included. Patients with planned surgery and anticipated use of opioid pain management for post-operative care who are candidates for treatment with fentanyl HCl 40 mcg system or IV PCA opioid treatment will have the study explained and may participate after giving informed consent if they meet the study entry criteria. Enrollment in the study begins prior to their surgical procedure. Patients will receive treatment and care according to the standard practices at the study center, including: treatment choice, pain management set-up, and operation. Data collection in this observational (non-interventional) study will begin after informed consent is obtained and admission to the study center for the surgical procedure and will continue until discontinuation of fentanyl HCl 40 mcg system or IV PCA opioid treatment. Any significant changes in medical condition will be followed until they have resolved or have become medically stable. Patients will receive fentanyl iontophoretic transdermal system 40 mcg (fentanyl HCl 40 mcg delivered by patient activation over 10 minutes for a maximum of 6 doses/hour for up to 24 hrs or 80 total doses) or Intravenous Patient-Controlled Analgesia (IV PCA) opioid (medication choice, treatment regimen, and operation of the PCA pump to be consistent with standard practice at participating centers). Treatment duration to be determined by the treating physician.

• Study Type: Observational
• Enrollment (Actual): 218

Contacts and Locations

Study Locations

• Austria
  • Feldkirch, Austria
  • Graz, Austria
  • Klagenfurt, Austria
  • Linz, Austria
  • Salzburg, Austria
  • Wels N/A, Austria
  • Wien, Austria
  • Wr Neustadt N/A, Austria
• Finland
  • Helsinki, Finland
  • Kuopio N/A, Finland
• Germany
  • Aachen, Germany
  • Bad Dürkheim, Germany
  • Bergisch Gladbach, Germany
  • Berlin, Germany
  • Bonn, Germany
  • Hamburg N/A, Germany
  • Hannover, Germany
  • Kaiserslautern, Germany
  • Koblenz, Germany
  • Köln, Germany
  • München, Germany
  • Neubrandenburg, Germany
  • Sinsheim, Germany
  • Speyer, Germany
  • Wÿrzburg, Germany
• Netherlands
  • Sneek, Netherlands

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 16 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

Approximately 3,000 patients who have scheduled surgery and need treatment of acute moderate to severe post-operative pain and are treated with fentanyl HCl 40 mcg system in the hospital setting will be evaluated. In addition, a group of approximately 1,500 patients treated with opioid intravenous patient-controlled analgesia (IV PCA) will be matched to fentanyl HCl 40 mcg system patients with respect to (1) country (match will first be sought within the same research center, and extended to patients in the same country if no match is found), (2) pre-surgical physical condition and (3) surgery risk (high risk versus low risk). Patients at multiple research centers in multiple countries will be included.

Description

Inclusion Criteria:

• Adult patients
• Planned surgery
• Planned use of fentanyl HCl 40 mcg system or IV Patient-Controlled Analgesia opioid treatment for postoperative pain

Exclusion Criteria:

- Pain resulting from emergency surgery

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
001; fentanyl iontophoretic transdermal system (40mcg) No Placebo 40 mcg per dose maximum of 6 doses/hourtotal maximum 80 doses/24 hours	Drug: fentanyl iontophoretic transdermal system (40mcg) No Placebo; 40 mcg per dose, maximum of 6 doses/hour
002; IV PCA with standard of care opioid analgesia per 24 hour period	Drug: IV PCA with standard of care opioid analgesia; total maximum 80 doses/24 hours

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
The purpose of the study is to document the use of fentanyl HCl 40 mcg system under routine conditions and obtain a more comprehensive understanding of the safety of the system and complications that may not be spontaneously reported.	Patients will receive treatment and care according to the standard practices at the study center, including: treatment choice, pain management set-up, and operation.

Collaborators and Investigators

• Sponsor: Alza Corporation, DE, USA

Publications and helpful links

Helpful Links

• A Prospective Safety Surveillance Study of IONSYS (Fentanyl HCl)

Study record dates

Study Major Dates

• Study Start: December 1, 2007
• Primary Completion (Actual): September 1, 2008
• Study Completion (Actual): September 1, 2008

Study Registration Dates

• First Submitted: April 22, 2008
• First Submitted That Met QC Criteria: April 22, 2008
• First Posted (Estimate): April 24, 2008

Study Record Updates

• Last Update Posted (Estimate): April 10, 2015
• Last Update Submitted That Met QC Criteria: April 9, 2015
• Last Verified: April 1, 2015

More Information

Terms related to this study

• Keywords: Pain; Postoperative Analgesia; Patient-Controlled Opioids
• Additional Relevant MeSH Terms: Physiological Effects of Drugs; Central Nervous System Depressants; Peripheral Nervous System Agents; Analgesics; Sensory System Agents; Anesthetics, Intravenous; Anesthetics, General; Anesthetics; Analgesics, Opioid; Narcotics; Adjuvants, Anesthesia; Fentanyl
• Other Study ID Numbers: CR013201; C-2006-001