Study Stopped
Lack of patients
The Pain Pen for Breakthrough Cancer Pain
Breakthrough Cancer Pain: A Randomized Trial Comparing Oral Morphine Immediate Release and Self-Administration of Subcutaneous Hydromorphone Using an Injection Pen
1 other identifier
interventional
50
1 country
1
Brief Summary
The purpose of this study is to see whether injection of hydromorphone through a subcutaneous injection device is more effective in treating breakthrough cancer pain than oral morphine.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Aug 2005
Typical duration for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 1, 2005
CompletedStudy Start
First participant enrolled
August 1, 2005
CompletedFirst Posted
Study publicly available on registry
August 2, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2008
CompletedOctober 15, 2008
October 1, 2008
2.8 years
August 1, 2005
October 13, 2008
Conditions
Outcome Measures
Primary Outcomes (1)
Pain intensity difference (PID) at t=15 minutes
t=15 minutes
Secondary Outcomes (6)
PID 5'
5 min
PID 30'
30 min
PID 45'
45 min
PID 60'
60 minutes
time to onset of meaningful pain relief
time to onset
- +1 more secondary outcomes
Interventions
Subcutaneous hydromorphone delivered by pain pen during breakthrough pain episodes, at max 4 daily. Dose established by opioid conversion from baseline opioids.
Eligibility Criteria
You may qualify if:
- Stable cancer pain requiring the equivalent of 60-1000 mg oral morphine/day
- breakthrough pain episodes/day
- Patients must be able, in the opinion of the investigator, to fully comply with trial requirements
- Patients who have given written informed consent
You may not qualify if:
- Uncontrolled pain
- Women who are pregnant, lactating or intend to become pregnant
- Cardiopulmonary disease that would increase the risk of opioids
- Neurologic or psychiatric disease that would compromise data collection
- Recently started chemotherapy or radiotherapy in as far as it would be effective in lowering breakthrough pain
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Dept. Neurology, Erasmus MC
Rotterdam, 3015 GD, Netherlands
Related Publications (1)
Enting RH, Mucchiano C, Oldenmenger WH, Fritzon M, Wallen A, Goslinga-van der Gaag S, Sillevis Smitt PA, Delhaas E. The "pain pen" for breakthrough cancer pain: a promising treatment. J Pain Symptom Manage. 2005 Feb;29(2):213-7. doi: 10.1016/j.jpainsymman.2004.05.010.
PMID: 15733812BACKGROUND
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Joost L. Jongen, MD
Dept. Neurology, Erasmus MC
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
August 1, 2005
First Posted
August 2, 2005
Study Start
August 1, 2005
Primary Completion
May 1, 2008
Study Completion
May 1, 2008
Last Updated
October 15, 2008
Record last verified: 2008-10