- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02426697
Pain Management With Pecfent in the Prevention of Pain Induced by Position in Radiotherapy (PARABONE)
Phase 3 Study Evaluating Fentanyl Transmucosal in the Prevention of Pain Induced by Mobilization During Radiotherapy in Patients With Bone Metastasis
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Participation to the trial will be proposed to the patient by the investigator in charge of the analgesic irradiation during the preliminary scanner session that will be held before radiotherapy session(s). Patients with a VAS≤ 3 will be excluded.
PecFent and Placebo will be delivered by Archimedes Pharma When starting the radiotherapy session(s) (2 days after the preliminary scanner session), the medic will collect the patient signed informed consent, will deliver the treatment 1 dose of fentanyl transmucosal (Pecfent® ) 100µg in naive patients or 1 dose of Pecfent® 200µg in patient with a stable opioid background pain treatment or placebo) and will collect pain intensity value with a patient VAS collected before and at the end of the radiotherapy session. Finally patient & radiotherapists global satisfaction will be collected An assessment a week the end of the radiotherapy session will be assessed by investigator consisting in a Patient global satisfaction
Study follow up:
Patients will receive a phone call a week after the radiotherapy session to collect patient global satisfaction score related with the global management of the radiotherapy session
Study Type
Enrollment (Anticipated)
Phase
- Phase 3
Contacts and Locations
Study Contact
- Name: Sébastien Thureau, MD
- Phone Number: +33232082992
- Email: sebastien.thureau@chb.unicancer.fr
Study Locations
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-
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Rouen, France, 76038
- Recruiting
- Centre Henri Becquerel
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Contact:
- Sebastien Thureau, Md
- Phone Number: 0232082992
- Email: sebastien.thureau@chb.unicancer.fr
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male or female
- More than 18 years old
- Proven histological cancer with bone metastasis
- SignedInform consent form
- Patient with pain assed as VAS Superior to 3 when positioning the patient in the preliminary scanner session
Exclusion Criteria:
- VAS>3 before radiotherapy treatment (establishment of an appropriate analgesic treatment) (session
- Any SAO treatment on going
- Pregnant or lactating woman
- Hypersensitivity or safety issues to any opioïd treatment
- Poor nasal mucosa (defined on clinical doctor assessment)
- Severe obstructive lung conditions or respiratory depression
- Renal insufficiency with creatinine clearance inferior to 45 ml/min
- Hepatic insufficiency
- Patient misunderstanding of the content and objective of the trial
- Patient under supervision or guardianship
- SAO intake 4 hours before the radiotherapy session
- Patient participating to any other pain management trial
- Morphine pump usage
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: TRIPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Pecfent
Patients will receive 100 µg of transmucosal Pecfent before radiotherapy session (or 200 µg in patients with a stable opioid background pain treatment)
|
Participation to the trial will be proposed to the patient by the investigator in charge of the analgesic irradiation during preliminary scanner session.
When starting the radiotherapy session, investigator will collect the signed inform consent form, deliver the treatment, will collect pain intensity value using VAS (before and after the radiotherapy session).
Other Names:
|
Placebo Comparator: Placebo
Patients will receive 100 µg of transmucosal placebo before radiotherapy session or 200 µg in patients with a stable opioid background pain treatment)
|
Participation to the trial will be proposed to the patient by the investigator in charge of the analgesic irradiation during preliminary scanner session.
When starting the radiotherapy session, investigator will collect the signed inform consent form, deliver the treatment, will collect pain intensity value using VAS (before and after the radiotherapy session).
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Drug efficacy
Time Frame: 30 minutes
|
Pain Intensity Difference (PID) with the VAS considering the higher Pain Intensity (PI) score notified by the patient during the scanner and radiotherapy session
|
30 minutes
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient global satisfaction
Time Frame: one week
|
- Patient Global Satisfaction Score [0 (not satisfied) to 5 (very satisfied) one week after the radiotherapy session.
Patients will receive a phone call a week after the radiotherapy session to collect patient global satisfaction score related with the global management of the radiotherapy session
|
one week
|
Adverse event of Pecfent
Time Frame: one week
|
Percentage of patient with side effects due to Pecfent
|
one week
|
Rescue medication
Time Frame: 30 minutes
|
Percentage of patients needing rescue medication during radiotherapy session
|
30 minutes
|
Radiotherapy session duration
Time Frame: one hour
|
Duration of the session between the patient is discharged from the cabin until his return in the cabin
|
one hour
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Neoplasms
- Neoplasms by Site
- Hematologic Diseases
- Musculoskeletal Diseases
- Neoplastic Processes
- Bone Diseases
- Neoplasm Metastasis
- Bone Neoplasms
- Bone Marrow Diseases
- 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
- CHB14.03
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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