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CompletedNCT00378937Updated Aug 2, 2013

Oxycodone or Standard Pain Therapy in Treating Patients With Cancer Pain

A Phase 4 interventional study of acetaminophen and codeine phosphate in Pain and Unspecified Adult Solid Tumor, Protocol Specific, sponsored by University Hospitals Bristol and Weston NHS Foundation Trust. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-08-02.

Sponsored by University Hospitals Bristol and Weston NHS Foundation Trust · Phase 4, Interventional, and Supportive care

Phase
Phase 4
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

RATIONALE: Oxycodone helps lessen pain caused by cancer and may improve quality of life. It is not yet known whether oxycodone works better and is more cost effective than standard therapy in treating patients with cancer pain.

PURPOSE: This randomized phase IV trial is studying oxycodone to see how well it works compared with standard pain therapy in treating patients with cancer pain and if it is more cost effective than standard pain therapy.

Read the detailed description

OBJECTIVES:

Primary

  • Compare overall pain management in patients with cancer-related pain treated with oxycodone hydrochloride vs standard three-step analgesic therapy.
  • Compare the health economics of these regimens in these patients.

Secondary

  • Explore the factors that inform patients' decisions about commencing opioid analgesia.

OUTLINE: This is an open-label, multicenter, randomized, parallel group, pilot study. Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive an analgesic regimen, according to their level of pain, for up to 18 weeks.

    • Step 1: Patients in mild pain receive oral acetaminophen 4 times daily.
    • Step 2: Patients in mild-to-moderate pain receive oral codeine or oral dextropropoxyphene hydrochloride 4 times daily and oral acetaminophen 4 times daily.
    • Step 3: Patients in moderate-to-severe pain receive oral morphine or oral oxycodone hydrochloride 6 times daily (every 4 hours) with or without a non-opioid analgesic.

Patients may also receive an adjuvant drug (i.e., for side effects or for primary indication other than pain management that is analgesic in selected circumstances).

  • Arm II: Patients receive oral oxycodone hydrochloride twice daily for up to 18 weeks. Patients may receive a different opioid analgesic or analgesia or adjuvant medication as in arm I, if needed.

Patients in both arms may also receive additional medication for breakthrough pain.

Patients complete a patient-assessment booklet (PAB) daily which includes a Box-Scale (BS)-11 rating for average pain; questions regarding contact (e.g., telephone or visit) with healthcare professionals on that day; and information regarding the number of times escape medication is used.

Quality of life and levels of cancer pain are assessed using the short form of the Brief Pain Inventory (BPI).

After completion of study treatment, patients are followed at 4 weeks.

Peer Reviewed and Funded or Endorsed by Cancer Research UK

PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study.

02

Conditions studied

  • Pain
  • Unspecified Adult Solid Tumor, Protocol Specific

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Keywords

  • unspecified adult solid tumor, protocol specific
  • pain
03

In context

Cancer Pain

338 studies on the registry are indexed under Cancer Pain; 71 are open to participants now.

This study's planned enrollment of 30 is below the median of 60 across 254 interventional studies indexed under Cancer Pain.

Browse Cancer Pain studies →

Lead sponsor

University Hospitals Bristol and Weston NHS Foundation Trust is the lead sponsor of 24 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of cancer
  • Requires regular step-2 analgesia for the management of cancer-related pain

PATIENT CHARACTERISTICS:

  • Not pregnant or nursing
  • Fertile patients must use effective contraception
  • Must be able to take oral medication
  • Must be willing and able to complete a daily patient assessment booklet (PAB)
  • No history of the following conditions:

    • Depression
    • Personality disorders that may lead to self-harm
    • Admission to the hospital for psychiatric reasons
    • Any other psychological disorder that, in the opinion of the investigator, would preclude study treatment
  • Not at risk of additional CNS depressant effects due to study drugs
  • No known history of alcohol or drug abuse or, in the opinion of the investigator, tendency towards drug abuse or addiction
  • No current abuse of alcohol or drugs
  • No known sensitivity to oxycodone hydrochloride or other opioids
  • No history of a specific or allergic reaction to study drugs
  • No contraindications as a result of adverse drug reaction or drug interactions of oxycodone or other opioid drugs
  • No other condition that, in the opinion of the investigator, would make the patient unsuitable for study participation

PRIOR CONCURRENT THERAPY:

  • More than 30 days since prior and no concurrent chemotherapy or radiotherapy
  • At least 2 weeks since prior regular (i.e., 4 times per day) step-2 analgesics
  • More than 3 months since prior regular use of opioids, defined as having a regular prescription of an opioid medication
  • Not planning to undergo cancer-related surgery
  • No other concurrent opioid-based medication other than oxycodone hydrochloride capsules as escape medication (arm II)
  • No concurrent participation in another clinical trial involving a new chemical entity
05

Study design

Phase
Phase 4
Primary purpose
Supportive care
Allocation
Randomized
Masking
None (open label)
Enrollment
30 participants (estimated)

Interventions

  • Drugacetaminophen
  • Drugcodeine phosphate
  • Drugdextropropoxyphene hydrochloride
  • Drugmorphine sulfate
  • Drugoxycodone hydrochloride
  • Proceduremanagement of therapy complications
  • Procedurequality-of-life assessment
06

What researchers measure

Primary outcomes

  1. Percentage of time in assessment periods 1 and 2 (i.e., first 4 weeks) with a Box-Scale (BS)-11 pain score of ≤ 4 (i.e., mild pain)

Secondary outcomes

  1. Percentage of time in assessment periods 3 and 4 with a BS-11 pain score of ≤ 4

  2. Mean BS-11 pain scores

  3. Time to reach stable pain control

  4. Mean escape medication use

  5. Quality of sleep

  6. Global assessment of pain relief with study drugs

  7. Mean pain intensity, pain interference, and pain relief scores as measured by the Brief Pain Inventory

  8. Overall number of phone calls, home visits by a nurse, home visits by a doctor, and unscheduled visits to a healthcare provider, related to pain control or analgesic medication during study treatment

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 2, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00378937
Lead sponsor
University Hospitals Bristol and Weston NHS Foundation Trust
First posted
Sep 21, 2006
Start date
Jan 2004
Completion
Feb 2006
Last update
Aug 2, 2013

Study contacts

Geoff Hanks, MD
study chair · University Hospitals Bristol and Weston NHS Foundation Trust
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2007. You cannot join it, but the record below documents what was studied.

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