Efficacy and Safety Study of Fentanyl Transdermal Patch for Treatment of Chronic Pain

August 27, 2014 updated by: Janssen Korea, Ltd., Korea

Evaluation in Efficacy and Safety of Fentanyl-TTS (Durogesic® D-Trans) for Treatment of Chronic Pain

The purpose of this study is to confirm effectiveness and safety of fentanyl transdermal patch Durogesic® D-Trans for treatment of chronic pain in participants with chronic non-cancer pain.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

This trial is a Phase 4, prospective, open-label (meaning that both the research physician and study participants will know which medication is being administered) study of fentanyl transdermal patch-type system (TTS) Durogesic® D-Trans in patients with non-cancer pain. The patch is designed to systematically release the adsorbed fentanyl percutaneously, in a constant rate for three days (72 hours). The study will be conducted for 12 weeks. The efficacy and safety will be evaluated at week 1, week 4, week 8 and week 12 visits. All participants will use the patch at least once during the study. The drug efficacy will be evaluated by the percent change in pain intensity before and after treatment and by improvements in the following activities: daily life, walking, meal intake, mood regulation. The overall safety will be assessed based on the adverse events reporting.

Study Type

Interventional

Enrollment (Actual)

65

Phase

  • Phase 4

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

19 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • spine related and extremity pain lasting for 3 months or longer
  • pain with Numeric Rating Scale (NRS) at 4 or higher in the past 72 hours
  • good overall health condition based on the medical history and clinical laboratory tests
  • participants using appropriate contraception in case of childbearing potential during the study period.

Exclusion Criteria:

  • history of hypersensitive reaction to narcotic analgesics
  • history of narcotic abuse
  • serious psychotic disorder
  • unable to use transdermal analgesics due to a dermatological condition
  • history of CO2 retention (e.g., chronic obstructive pulmonary disease)
  • surgery in the area with pain within 7 days prior to initiation of the clinical study.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Fentanyl-TTS
Study drug administered in a form of one patch, either 21.0 cm2 or 10.5 cm2.
All of the participants will receive the study drug at least once transdermally, administration dosage starts at 12.5 microgram/hour.
Other Names:
  • fentanyl

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The change in pain intensity
Time Frame: Baseline, 12 weeks
The percent change in Pain Intensity Difference (PID) after study treatment (Week 12) compared to Day 0, prior to study treatment.
Baseline, 12 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Daily dose of prescribed medication
Time Frame: 12 weeks
Change in daily dose of study medication prescribed at Day 0 and after 1, 4, 8 weeks.
12 weeks
Change in functionality
Time Frame: 12 weeks
Satisfaction in functionality by participants evaluated at day 0 and after 1, 4, 8 and 12 weeks of treatment, measured as improvements in change of scores from 0 (not disturbing) to 10 (completely disturbing).
12 weeks
Change in sleep
Time Frame: 12 weeks
Change in the frequency of waking up due to pain during the sleep.
12 weeks
Satisfaction in study medication
Time Frame: 12 weeks
Satisfaction in study medication by participants and investigators summarized at Week 4, 8 and 12 visits.
12 weeks
The number of participants reporting adverse events (AEs)
Time Frame: 12 weeks
All AEs during the study period will be reported.
12 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Director: Janssen Korea, Ltd., Korea Clinical Trials, Janssen Korea, Ltd., Korea

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

October 1, 2005

Primary Completion (Actual)

November 1, 2006

Study Completion (Actual)

November 1, 2006

Study Registration Dates

First Submitted

July 15, 2013

First Submitted That Met QC Criteria

July 15, 2013

First Posted (Estimate)

July 18, 2013

Study Record Updates

Last Update Posted (Estimate)

August 28, 2014

Last Update Submitted That Met QC Criteria

August 27, 2014

Last Verified

August 1, 2014

More Information

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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