- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03564548
Inhaled Cannabinoids Versus Immediate-release Oral Opioids for the Management of Breakthrough Cancer Pain (REBORN)
July 21, 2021 updated by: Tetra Bio-Pharma
Inhaled PPP001 Versus Immediate-release Oral Opioids for the Management of Breakthrough Pain in Cancer Subjects: a Randomized, Open Label, Crossover, Comparison Study
Breakthrough cancer pain (BTcP) is a rapid onset, high intensity and short duration pain episode, which takes place within stable background pain control.
It significantly affects the quality of life of patients with cancer and their ability to function normally.
Rapid onset opioids and immediate-release oral opioids (e.g.
morphine sulfate, hydromorphone, and oxycodone) are the standard treatment for BTcP.
Because of the limited availability, high cost, complicated titration and the high risks of overdosing with rapid-onset opioids, most often the preferred choice of treatment is immediate-release oral opioids.
However, this approach might not always offer optimal speed for onset of action and duration to match the rapid nature of an episode of BTcP.
In order to seek a potential alternative to immediate-release oral opioids, we are proposing to test the onset of action of PPP001 to rapidly alleviate breakthrough pain in patients with cancer.
We will also examine the safety and the efficacy on pain intensity of PPP001 within this population.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
The study is a randomized, open-label crossover comparison study: This will be a 10-week open-label randomized study to evaluate the effect of inhaled PPP001 as compared to morphine sulfate or hydromorphone or oxycodone to improve for the treatment of BTcP.
After proper screening and verified inclusion/exclusion criteria, 20 consecutive subjects will be recruited.
Study Type
Interventional
Enrollment (Anticipated)
20
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Tetra Bio Pharma
- Phone Number: 438 899 7575
Study Locations
-
-
New Jersey
-
Berlin, New Jersey, United States, 08009
- Recruiting
- HRI
-
Contact:
- Mitchell Hassman, MBA
-
-
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
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Written informed consent.
- Adult male and female subjects at least 18 years of age.
- Subject agrees to follow the protocol.
- Confirmed diagnosis of cancer with life expectancy of more than 3 months; Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2.
- If currently receiving chemotherapy and/or radiotherapy treatment, subjects must be on a stable regimen for at least one month (30 days ± 2 days) prior to screening.
- Background cancer pain stable (pain <4/10 on numeric rating scale) and adequately controlled with long-acting oral morphine, oxycodone, hydromorphone, hydrocodone, or meperidine.
- Subject receiving at least 30 mg of oral morphine equivalent daily doses (MEDD) for both background and breakthrough cancer pain.
- The subject is currently taking chronic treatment with opiod analgesic but still has a clinical diagnosis of breakthrough cancer pain with <3 episodes per day but >3 episodes per week.
- The subject is using only oral morphine sulfate for breakthrough opioid analgesia.
- Normal cognitive status according to MiniCog.
- The subject is able to perform deep inhalations with FEV1 more than 60%.
- Ability to read and respond to questions in English.
A female subject must meet one of the following criteria:
If of childbearing potential - agrees to use one of the accepted contraceptive regimens from at least 28 days prior to the first drug administration, during the study and for at least 60 days after the last dose.
If of non-childbearing potential - should be surgically sterile or in a menopausal state
- A male subject with sexual partners who are pregnant, possibly pregnant, or who could become pregnant must be surgically sterile or agrees to use one of the accepted contraceptive regimens from first drug administration until 3 months after the last drug administration.
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: RANDOMIZED
- Interventional Model: CROSSOVER
- Masking: TRIPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: PPP001
Inhaled cannabinoids (PPP001)
|
Group assigned to PPP001
|
ACTIVE_COMPARATOR: Morphine sulfate or Hydromorphone or Oxycodone
Oral morphine sulfate or hydromorphone or oxycodone at the previous stabilized dosage
|
Group assigned to morphine sulfate or hydromorphone or oxycodone
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Time weighted Sum of Pain Intensity Differences from 0 to 30 minutes (SPID30).
Time Frame: change between 0 min (before starting treatment) and 30 minutes after dosing
|
SPID30 score after PPP001 administration or immediate-release oral opioids (morphine sulfate or hydromorphone or oxycodone) administration.
The SPID30 calculation is based on a 100 mm pain intensity VAS were 0 mm is the minimum and 100 mm the maximum with higher score representing a worse outcome.
|
change between 0 min (before starting treatment) and 30 minutes after dosing
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
SPID at 10, 15, and 60 minutes
Time Frame: 10, 15, and 60 minutes after dosing
|
SPID score after PPP001 administration or immediate-release oral opioids (morphine sulfate or hydromorphone or oxycodone) administration.
The SPID calculation is based on a 100 mm pain intensity VAS were 0 mm is the minimum and 100 mm the maximum with higher score representing a worse outcome.
|
10, 15, and 60 minutes after dosing
|
Pain intensity difference (PID)
Time Frame: 5, 10, 15, 30 and 60 minutes after dosing
|
PID score after PPP001 administration or immediate-release oral opioids (morphine sulfate or hydromorphone or oxycodone) administration.
The PID calculation is based on a 100 mm pain intensity VAS were 0 mm is the minimum and 100 mm the maximum with higher score representing a worse outcome.
|
5, 10, 15, 30 and 60 minutes after dosing
|
Pain relief at 5, 10, 15, 30 and 60 minutes
Time Frame: 5, 10, 15, 30 and 60 minutes after dosing
|
Subjective pain relief evaluated with a self-administered scale.
The pain relief is measured with a five-point scale (0 = none to 4 = complete relief) with a higher score representing a better outcome.
|
5, 10, 15, 30 and 60 minutes after dosing
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Mitchell Hassman, Hassman Research Institute
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 (ACTUAL)
May 26, 2021
Primary Completion (ANTICIPATED)
March 1, 2022
Study Completion (ANTICIPATED)
April 1, 2022
Study Registration Dates
First Submitted
May 22, 2018
First Submitted That Met QC Criteria
June 8, 2018
First Posted (ACTUAL)
June 21, 2018
Study Record Updates
Last Update Posted (ACTUAL)
July 28, 2021
Last Update Submitted That Met QC Criteria
July 21, 2021
Last Verified
July 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- PPP001-Ph2-03
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
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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