ClinicalTrials.gg
TerminatedNCT00387010Updated Oct 22, 2012Results posted

Open-Label Study to Evaluate the Effect of Treatment With Fentanyl Buccal Tablets on Pain Anxiety Symptoms When Used for the Management of Breakthrough Pain

A Phase 3 interventional study of Fentanyl Buccal Tablets in Pain, Chronic Pain and Breakthrough Pain, sponsored by Cephalon. Terminated at 33 sites in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2012-10-22.

Sponsored by Cephalon (part of Teva Pharmaceutical Industries, Ltd.) · Phase 3, Interventional, and Treatment

Why this study was terminated
The sponsor felt enough information was available for the exploratory assessment of the effect of treatment with FBT on pain anxiety
Phase
Phase 3
Study type
Interventional
Enrollment
218
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The primary purpose of the study is to evaluate the impact of treatment with fentanyl buccal tablets on the anxiety symptoms commonly associated with chronic pain in patients with breakthrough pain (BTP). Other purposes are to assess the management of BTP, to evaluate patient functioning, and to determine any influences on the successful dose achieved.

02

Conditions studied

  • Pain
  • Chronic Pain
  • Breakthrough Pain
03

In context

Pain

10,054 studies on the registry are indexed under Pain; 1,649 are open to participants now.

This study's enrollment of 218 is above the median of 66 across 8,493 interventional studies indexed under Pain.

Browse Pain studies →

Lead sponsor

Cephalon is the lead sponsor of 75 studies on the registry; none are open to participants now.

First submitted before Cephalon became part of Teva Pharmaceutical Industries, Ltd..

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • The patient is willing to provide written to participate in this study.
  • The patient is 18 through 80 years of age.
  • Women must be surgically sterile, 2 years , or, if of , using a medically accepted method of (i.e., barrier method with spermicide, steroidal contraceptive [oral, transdermal, implanted, and injected contraceptives must be used in conjunction with the barrier method], or intrauterine device [IUD]) and agree to continued use of this method for the duration of the study.
  • The patient has chronic pain of at least 3 months duration associated with any of the following conditions: cancer, diabetic peripheral neuropathy, postherpetic neuralgia, traumatic injury, complex regional pain syndrome, back pain, neck pain, fibromyalgia (patient has met diagnostic criteria), chronic pancreatitis, or osteoarthritis. Other chronic painful conditions may be evaluated for entry upon discussion with and written approval from the Cephalon medical expert.
  • The patient is currently using 1 of the following: at least 60 mg of oral morphine/day, or at least 25 mcg of transdermal fentanyl/hour, or at least 30 mg of oxycodone/day, or at least 8 mg of hydromorphone/day, or an equianalgesic dose of another opioid/day as a stable dose of around-the-clock (ATC) therapy for at least 7 days prior to enrollment in the study.
  • The patient reports an average pain intensity score, over the prior 24 hours, of 6 or less (0=no pain through 10=worst pain) for the chronic pain.
  • The patient experiences, on average, 1 to 4 BTP episodes per day while taking around-the-clock (ATC) opioid therapy, and on average, the duration of each breakthrough pain (BTP) episode is less than 3 hours.
  • The patient currently uses opioid therapy for alleviation of BTP episodes occurring at the location of the chronic pain, and achieves at least partial relief.
  • The patient must be willing and able to successfully self-administer the study drug, comply with study restrictions, and return to the clinic for scheduled study visits and a follow-up evaluation as specified in this protocol.

Exclusion criteria

Exclusion Criteria:

  • The patient has uncontrolled or rapidly escalating pain as determined by the investigator (ie, the ATC therapy may be expected to change between the first and last treatments with study drug), or has pain uncontrolled by therapy that could adversely impact the safety of the patient or that could be compromised by treatment with study drug.
  • The patient has known or suspected , allergies, or other to any ingredient in the study drug.
  • The patient has a recent history (within 5 years) or current evidence of alcohol or other substance abuse.
  • The patient has cardiopulmonary disease that, in the opinion of the investigator, would significantly increase the risk of treatment with potent synthetic opioids.
  • The patient has medical or psychiatric disease that, in the opinion of the investigator, would compromise collected data.
  • The patient's primary painful condition is headache, including migraine.
  • The patient is expected to have surgery during the study, and it is anticipated that the surgery will alleviate the patient's pain.
  • The patient has had therapy before study drug treatment that, in the opinion of the investigator, could alter pain or response to pain medication.
  • The patient is pregnant or lactating.
  • The patient has participated in a previous study with fentanyl buccal tablets.
  • The patient has participated in a study involving an drug in the previous 30 days.
  • The patient has received a monoamine oxidase inhibitor (MAOI) within 14 days before the first treatment with study drug.
  • The patient has any other medical condition or is receiving concomitant medication/therapy (e.g., regional nerve block) that, in the opinion of the investigator, would compromise the patient's safety or compliance with the study protocol, or compromise collected data.
  • The patient is involved in active litigation in regard to chronic pain currently being treated.
  • The patient has a positive urine drug screen (UDS) for an illicit substance or a medication not legitimately prescribed to the patient.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
218 participants (actual)

Study arms

  • Experimental
    fentanyl buccal tablets

    Successful dose strength for each participant was determined during a titration period of no more than 10 days. Participants used the successful dose of 100, 200, 400, 600, or 800 mcg during the four week open-label treatment period.

    Drug: Fentanyl Buccal Tablets

Interventions

  • Fentanyl buccal tablets (FBT) placed in the buccal cavity above a rear molar until disintegrated, approximately 14-25 minutes. Dose titration: Participants self-administered FBT, starting at 100, 200 or 400 mcg (depending on analgesic used pre-study) and titrated to 600 and 800 mcg as needed. For each breakthrough pain (BTP) episode, participants took a dose, and did not take further study drug if adequate pain relief was achieved. If pain was not controlled within 30 minutes, the same dose level was repeated. If pain relief was inadequate 30 minutes after the second dose, usual rescue medication was taken for that BTP episode. Doses were adjusted until pain relief was adequate and side effects were tolerated. Open-label: Once the successful dose of FBT was identified (100, 200, 400, 600, or 800 mcg), participants were dispensed a 4-week supply at the successful dose. Participants were not to use FBT for more than 6 BTP episodes or take more than 8 FBT daily.

    Also known as: Fentora, CEP-25608, Fentanyl citrate

06

What researchers measure

Primary outcomes

  1. Change From Baseline in the Pain Anxiety Symptoms Scale (PASS) Total Score at Approximately Week 5

    The change from baseline to approximately week 5 in the PASS total score. PASS asks participants to indicate how often they engage in each of the 40 thoughts or activities that represent anxiety symptoms on a scale of 0=never to 5=always. The total score has a range of 0-200.

    Time frame: Day 0 (baseline), approximately week 5

Secondary outcomes

  1. Change From Baseline in the Pain Anxiety Symptoms Scale (PASS) Subscale Scores at Approximately Week 5

    The change from baseline to approximately week 5 in the PASS subscale scores. PASS asks participants to indicate how often they engage in each of the 40 thoughts or activities that represent anxiety symptoms on a scale of 0=never to 5=always. Those 40 questions are organized into four subscales: fear, cognitive anxiety, somatic anxiety, and escape/avoidance. Each subscale score is obtained by summing the answers to the ten items in the subscore resulting in a range of 0-50.

    Time frame: Day 0 (baseline), approximately week 5

  2. Change From Baseline in the Beck Depression Inventory at Approximately Week 5

    Change from baseline to endpoint (week 4 of Treatment period or last post baseline visit) in the Beck Depression Inventory (BDI). The BDI is a self-reporting instrument that asks 21 questions regarding how the participant felt in the past few days. Answers are in sentence form, and offer a scale where the first answer (worth 0 points) indicates no depression and the fourth answer (worth 3 points) indicates significant depression. Totals (0-63) are grouped so that totals of 1-10 are interpreted as 'These ups and downs are considered normal' and scores \>40 indicate extreme depression.

    Time frame: Day 0 (baseline), approximately week 5

  3. Change From Baseline in the West Haven-Yale Multidimensional Pain Inventory Subscales at Approximately Week 5

    Change from baseline to endpoint (week 4 of Treatment period or last post baseline visit) in the Multidimensional Pain Inventory Subscales. Answers to questions in the MPI are captured on a 7-point scale, with 0=most positive answer and 6= least positive answer. Twenty questions focus on pain, fourteen on a significant other's response when participant is in pain, and eighteen questions about daily activities. There are a total of 13 subscales with variable ranges. Subscales and corresponding ranges are listed in the results table. The General Activity category combines the Household Chores, Outdoor Work, Activities Away from Home, and Social Activities categories.

    Time frame: Day 0 (baseline), approximately week 5

  4. Medication Preference From the Pain Flare Treatment Satisfaction Questionnaire at Approximately Week 5

    The summary question from the Pain Flare Treatment Satisfaction Questionnaire asked participants which medication they preferred to use for their break-through pain. Options were 1) Prior medication 2) Study medication 3) no preference

    Time frame: approximately week 5

  5. Patient Assessment of Ability to Go to Work at Approximately Week 5

    At the endpoint of the study (week 4 of Treatment period or last post baseline visit) participants completed the Patient Assessment of Function Scale which asks 7 questions about the effect of study treatment on the patient's ability to function. This question asks about the ability to go to work.

    Time frame: approximately week 5

  6. Patient Assessment of Ability to Perform at Work at Approximately Week 5

    At the endpoint of the study (week 4 of Treatment period or last post baseline visit) participants completed the Patient Assessment of Function Scale which asks 7 questions about the effect of study treatment on the patient's ability to function. This question asks about the ability to perform at work and includes both work outside the home and housework.

    Time frame: approximately week 5

  7. Patient Assessment of Ability to Walk at Approximately Week 5

    At the endpoint of the study (week 4 of Treatment period or last post baseline visit) participants completed the Patient Assessment of Function Scale which asks 7 questions about the effect of study treatment on the patient's ability to function. This question asks about the ability to walk.

    Time frame: approximately week 5

  8. Patient Assessment of Ability to Exercise at Approximately Week 5

    At the endpoint of the study (week 4 of Treatment period or last post baseline visit) participants completed the Patient Assessment of Function Scale which asks 7 questions about the effect of study treatment on the patient's ability to function. This question asks about the ability to exercise.

    Time frame: approximately week 5

  9. Patient Assessment of Ability to Participate in Social Events at Approximately Week 5

    At the endpoint of the study (week 4 of Treatment period or last post baseline visit) participants completed the Patient Assessment of Function Scale which asks 7 questions about the effect of study treatment on the patient's ability to function. This question asks about the ability to participate in social events.

    Time frame: approximately week 5

  10. Patient Assessment of Ability to Have Sex at Approximately Week 5

    At the endpoint of the study (week 4 of Treatment period or last post baseline visit) participants completed the Patient Assessment of Function Scale which asks 7 questions about the effect of study treatment on the patient's ability to function. This question asks about the ability to have sex.

    Time frame: approximately week 5

  11. Patient Assessment of Ability to Enjoy Life at Approximately Week 5

    At the endpoint of the study (week 4 of Treatment period or last post baseline visit) participants completed the Patient Assessment of Function Scale which asks 7 questions about the effect of study treatment on the patient's ability to function. This question asks about the ability to enjoy life.

    Time frame: approximately week 5

  12. Clinical Assessment of Patient Function - General Activities - at Approximately Week 5

    At the endpoint of the study (week 4 of Treatment period or last post baseline visit) investigators completed the Clinical Assessment of Patient Function Scale which asks 5 questions about the effect of study treatment on the patient's ability to function. This question asks about the patient's general activities.

    Time frame: approximately week 5

  13. Clinical Assessment of Patient Function - Patient's Walking Ability - at Approximately Week 5

    At the endpoint of the study (week 4 of Treatment period or last post baseline visit) investigators completed the Clinical Assessment of Patient Function Scale which asks 5 questions about the effect of study treatment on the patient's ability to function. This question asks about the patient's walking ability.

    Time frame: approximately week 5

  14. Clinical Assessment of Patient Function - Patient's Ability to Work/Perform Activities of Daily Living - at Approximately Week 5

    At the endpoint of the study (week 4 of Treatment period or last post baseline visit) investigators completed the Clinical Assessment of Patient Function Scale which asks 5 questions about the effect of study treatment on the patient's ability to function. This question asks about the patient's ability to work and perform activities of daily living.

    Time frame: approximately week 5

  15. Clinical Assessment of Patient Function - Patient's Relationship With Others - at Approximately Week 5

    At the endpoint of the study (week 4 of Treatment period or last post baseline visit) investigators completed the Clinical Assessment of Patient Function Scale which asks 5 questions about the effect of study treatment on the patient's ability to function. This question asks about the patient's relationship with others.

    Time frame: approximately week 5

  16. Clinical Assessment of Patient Function - Patient's Enjoyment of Life - at Approximately Week 5

    At the endpoint of the study (week 4 of Treatment period or last post baseline visit) investigators completed the Clinical Assessment of Patient Function Scale which asks 5 questions about the effect of study treatment on the patient's ability to function. This question asks about the patient's enjoyment of life.

    Time frame: approximately week 5

  17. Summary of Participants' Successful Dosing Levels of Fentanyl Buccal Tablets to Control Episodes of Breakthrough Pain (BTP)

    During the dose titration period, participants self-administered FBT, starting at 100, 200 or 400 mcg (depending on analgesic used pre-study) and titrated to 600 and 800 mcg if needed. For each breakthrough pain (BTP) episode, participants took a dose, and did not take further study drug if adequate pain relief was achieved. If pain was not controlled within 30 minutes, the same dose level was repeated. If pain relief was inadequate 30 minutes after the second dose, usual rescue medication was taken for that BTP episode. Doses were adjusted until pain relief was adequate and side effects were tolerated. This outcome summarizes the successful dose levels identified during the titration period.

    Time frame: up to 10 days

07

Results

Posted Oct 22, 2012
Limitations and caveats
This study was terminated early. Additional research is recommended to develop a valid measure of anxiety, specifically related to breakthrough pain.

Participant flow

A total of 327 patients with chronic pain and breakthrough pain (BTP) were screened for enrollment into this study. Of the 327 patients screened, 218 patients at 31 centers in the US met entry criteria and were considered eligible for enrollment into the study.

Dose Titration Period
Participant flow — Dose Titration Period
MilestoneFentanyl Buccal Tablets
Started218
Completed180
Not completed38
Withdrew: Adverse event12
Withdrew: Lack of efficacy5
Withdrew: Withdrawal by subject3
Withdrew: Protocol violation1
Withdrew: Lost to follow-up2
Withdrew: Noncompliance with study medication8
Withdrew: Noncompliance with study procedures7
Treatment Period
Participant flow — Treatment Period
MilestoneFentanyl Buccal Tablets
Started180
Full analysis set175
Completed169
Not completed11
Withdrew: Adverse event4
Withdrew: Withdrawal by subject1
Withdrew: Noncompliance with study medication2
Withdrew: Noncompliance with study procedures3
Withdrew: Participant reported study drug stolen1

Outcome measures

PrimaryChange From Baseline in the Pain Anxiety Symptoms Scale (PASS) Total Score at Approximately Week 5

The change from baseline to approximately week 5 in the PASS total score. PASS asks participants to indicate how often they engage in each of the 40 thoughts or activities that represent anxiety symptoms on a scale of 0=never to 5=always. The total score has a range of 0-200.

Time frame:
Day 0 (baseline), approximately week 5
Reported as:
Mean · units on a scale
Change From Baseline in the Pain Anxiety Symptoms Scale (PASS) Total Score at Approximately Week 5
units on a scaleFentanyl Buccal Tablets
Change From Baseline in the Pain Anxiety Symptoms Scale (PASS) Total Score at Approximately Week 5-1.6 ± 20.71
Statistical analysis
  • Fentanyl Buccal Tablets · t-test, 2 sided · p = 0.3223 · Mean difference (net): -1.6 · 95% CI -4.64 to 1.54
SecondaryChange From Baseline in the Pain Anxiety Symptoms Scale (PASS) Subscale Scores at Approximately Week 5

The change from baseline to approximately week 5 in the PASS subscale scores. PASS asks participants to indicate how often they engage in each of the 40 thoughts or activities that represent anxiety symptoms on a scale of 0=never to 5=always. Those 40 questions are organized into four subscales: fear, cognitive anxiety, somatic anxiety, and escape/avoidance. Each subscale score is obtained by summing the answers to the ten items in the subscore resulting in a range of 0-50.

Time frame:
Day 0 (baseline), approximately week 5
Reported as:
Mean · units on a scale
Change From Baseline in the Pain Anxiety Symptoms Scale (PASS) Subscale Scores at Approximately Week 5
units on a scaleFentanyl Buccal Tablets
Fear-0.5 ± 6.14
Cognitive anxiety-1.1 ± 7.20
Somatic anxiety0.4 ± 7.39
Escape/avoidance-0.4 ± 5.87
SecondaryChange From Baseline in the Beck Depression Inventory at Approximately Week 5

Change from baseline to endpoint (week 4 of Treatment period or last post baseline visit) in the Beck Depression Inventory (BDI). The BDI is a self-reporting instrument that asks 21 questions regarding how the participant felt in the past few days. Answers are in sentence form, and offer a scale where the first answer (worth 0 points) indicates no depression and the fourth answer (worth 3 points) indicates significant depression. Totals (0-63) are grouped so that totals of 1-10 are interpreted as 'These ups and downs are considered normal' and scores \>40 indicate extreme depression.

Time frame:
Day 0 (baseline), approximately week 5
Reported as:
Mean · units on a scale
Change From Baseline in the Beck Depression Inventory at Approximately Week 5
units on a scaleFentanyl Buccal Tablets
Change From Baseline in the Beck Depression Inventory at Approximately Week 5-1.1 ± 6.98
SecondaryChange From Baseline in the West Haven-Yale Multidimensional Pain Inventory Subscales at Approximately Week 5

Change from baseline to endpoint (week 4 of Treatment period or last post baseline visit) in the Multidimensional Pain Inventory Subscales. Answers to questions in the MPI are captured on a 7-point scale, with 0=most positive answer and 6= least positive answer. Twenty questions focus on pain, fourteen on a significant other's response when participant is in pain, and eighteen questions about daily activities. There are a total of 13 subscales with variable ranges. Subscales and corresponding ranges are listed in the results table. The General Activity category combines the Household Chores, Outdoor Work, Activities Away from Home, and Social Activities categories.

Time frame:
Day 0 (baseline), approximately week 5
Reported as:
Mean · units on a scale
Change From Baseline in the West Haven-Yale Multidimensional Pain Inventory Subscales at Approximately Week 5
units on a scaleFentanyl Buccal Tablets
Interference (0-54)-0.2 ± 0.90
Support (0-18)-0.0 ± 1.02
Pain Severity (0-18)-0.3 ± 0.97
Life-Control (0-12)0.1 ± 1.25
Affective Distress (0-18)-0.1 ± 1.24
Negative Responses (0-24)-0.1 ± 1.01
Solicitous Responses (0-24)0.1 ± 1.03
Distracting Responses (0-36)0.2 ± 1.02
Household Chores (0-30)0.1 ± 1.05
Outdoor Work (0-30)-0.0 ± 0.74
Activities Away from Home (0-24)0.1 ± 0.87
Social Activities (0-24)0.0 ± 0.86
General Activity (0-108)0.0 ± 0.67
SecondaryMedication Preference From the Pain Flare Treatment Satisfaction Questionnaire at Approximately Week 5

The summary question from the Pain Flare Treatment Satisfaction Questionnaire asked participants which medication they preferred to use for their break-through pain. Options were 1) Prior medication 2) Study medication 3) no preference

Time frame:
approximately week 5
Reported as:
Number · participants
Medication Preference From the Pain Flare Treatment Satisfaction Questionnaire at Approximately Week 5
participantsFentanyl Buccal Tablets
Prior medication38
Study medication115
No preference21
SecondaryPatient Assessment of Ability to Go to Work at Approximately Week 5

At the endpoint of the study (week 4 of Treatment period or last post baseline visit) participants completed the Patient Assessment of Function Scale which asks 7 questions about the effect of study treatment on the patient's ability to function. This question asks about the ability to go to work.

Time frame:
approximately week 5
Reported as:
Number · participants
Patient Assessment of Ability to Go to Work at Approximately Week 5
participantsFentanyl Buccal Tablets
Very much worsened2
Much worsened0
Slightly worsened2
Unchanged51
Slightly improved14
Much improved13
Very much improved6
SecondaryPatient Assessment of Ability to Perform at Work at Approximately Week 5

At the endpoint of the study (week 4 of Treatment period or last post baseline visit) participants completed the Patient Assessment of Function Scale which asks 7 questions about the effect of study treatment on the patient's ability to function. This question asks about the ability to perform at work and includes both work outside the home and housework.

Time frame:
approximately week 5
Reported as:
Number · participants
Patient Assessment of Ability to Perform at Work at Approximately Week 5
participantsFentanyl Buccal Tablets
Very much worsened4
Much worsened1
Slightly worsened6
Unchanged69
Slightly improved41
Much improved45
Very much improved9
SecondaryPatient Assessment of Ability to Walk at Approximately Week 5

At the endpoint of the study (week 4 of Treatment period or last post baseline visit) participants completed the Patient Assessment of Function Scale which asks 7 questions about the effect of study treatment on the patient's ability to function. This question asks about the ability to walk.

Time frame:
approximately week 5
Reported as:
Number · participants
Patient Assessment of Ability to Walk at Approximately Week 5
participantsFentanyl Buccal Tablets
Very much worsened3
Much worsened1
Slightly worsened5
Unchanged76
Slightly improved42
Much improved36
Very much improved11
SecondaryPatient Assessment of Ability to Exercise at Approximately Week 5

At the endpoint of the study (week 4 of Treatment period or last post baseline visit) participants completed the Patient Assessment of Function Scale which asks 7 questions about the effect of study treatment on the patient's ability to function. This question asks about the ability to exercise.

Time frame:
approximately week 5
Reported as:
Number · participants
Patient Assessment of Ability to Exercise at Approximately Week 5
participantsFentanyl Buccal Tablets
Very much worsened3
Much worsened1
Slightly worsened5
Unchanged90
Slightly improved46
Much improved21
Very much improved9
SecondaryPatient Assessment of Ability to Participate in Social Events at Approximately Week 5

At the endpoint of the study (week 4 of Treatment period or last post baseline visit) participants completed the Patient Assessment of Function Scale which asks 7 questions about the effect of study treatment on the patient's ability to function. This question asks about the ability to participate in social events.

Time frame:
approximately week 5
Reported as:
Number · participants
Patient Assessment of Ability to Participate in Social Events at Approximately Week 5
participantsFentanyl Buccal Tablets
Very much worsened1
Much worsened3
Slightly worsened6
Unchanged80
Slightly improved46
Much improved34
Very much improved5
SecondaryPatient Assessment of Ability to Have Sex at Approximately Week 5

At the endpoint of the study (week 4 of Treatment period or last post baseline visit) participants completed the Patient Assessment of Function Scale which asks 7 questions about the effect of study treatment on the patient's ability to function. This question asks about the ability to have sex.

Time frame:
approximately week 5
Reported as:
Number · participants
Patient Assessment of Ability to Have Sex at Approximately Week 5
participantsFentanyl Buccal Tablets
Very much worsened4
Much worsened2
Slightly worsened3
Unchanged129
Slightly improved18
Much improved12
Very much improved5
SecondaryPatient Assessment of Ability to Enjoy Life at Approximately Week 5

At the endpoint of the study (week 4 of Treatment period or last post baseline visit) participants completed the Patient Assessment of Function Scale which asks 7 questions about the effect of study treatment on the patient's ability to function. This question asks about the ability to enjoy life.

Time frame:
approximately week 5
Reported as:
Number · participants
Patient Assessment of Ability to Enjoy Life at Approximately Week 5
participantsFentanyl Buccal Tablets
Very much worsened2
Much worsened1
Slightly worsened6
Unchanged66
Slightly improved48
Much improved38
Very much improved14
SecondaryClinical Assessment of Patient Function - General Activities - at Approximately Week 5

At the endpoint of the study (week 4 of Treatment period or last post baseline visit) investigators completed the Clinical Assessment of Patient Function Scale which asks 5 questions about the effect of study treatment on the patient's ability to function. This question asks about the patient's general activities.

Time frame:
approximately week 5
Reported as:
Number · participants
Clinical Assessment of Patient Function - General Activities - at Approximately Week 5
participantsFentanyl Buccal Tablets
Very much worsened0
Much worsened1
Slightly worsened4
Unchanged58
Slightly improved57
Much improved46
Very much improved9
SecondaryClinical Assessment of Patient Function - Patient's Walking Ability - at Approximately Week 5

At the endpoint of the study (week 4 of Treatment period or last post baseline visit) investigators completed the Clinical Assessment of Patient Function Scale which asks 5 questions about the effect of study treatment on the patient's ability to function. This question asks about the patient's walking ability.

Time frame:
approximately week 5
Reported as:
Number · participants
Clinical Assessment of Patient Function - Patient's Walking Ability - at Approximately Week 5
participantsFentanyl Buccal Tablets
Very much worsened0
Much worsened0
Slightly worsened4
Unchanged81
Slightly improved48
Much improved31
Very much improved10
SecondaryClinical Assessment of Patient Function - Patient's Ability to Work/Perform Activities of Daily Living - at Approximately Week 5

At the endpoint of the study (week 4 of Treatment period or last post baseline visit) investigators completed the Clinical Assessment of Patient Function Scale which asks 5 questions about the effect of study treatment on the patient's ability to function. This question asks about the patient's ability to work and perform activities of daily living.

Time frame:
approximately week 5
Reported as:
Number · participants
Clinical Assessment of Patient Function - Patient's Ability to Work/Perform Activities of Daily Living - at Approximately Week 5
participantsFentanyl Buccal Tablets
Very much worsened0
Much worsened1
Slightly worsened5
Unchanged63
Slightly improved55
Much improved39
Very much improved12
SecondaryClinical Assessment of Patient Function - Patient's Relationship With Others - at Approximately Week 5

At the endpoint of the study (week 4 of Treatment period or last post baseline visit) investigators completed the Clinical Assessment of Patient Function Scale which asks 5 questions about the effect of study treatment on the patient's ability to function. This question asks about the patient's relationship with others.

Time frame:
approximately week 5
Reported as:
Number · participants
Clinical Assessment of Patient Function - Patient's Relationship With Others - at Approximately Week 5
participantsFentanyl Buccal Tablets
Very much worsened0
Much worsened0
Slightly worsened1
Unchanged98
Slightly improved35
Much improved32
Very much improved9
SecondaryClinical Assessment of Patient Function - Patient's Enjoyment of Life - at Approximately Week 5

At the endpoint of the study (week 4 of Treatment period or last post baseline visit) investigators completed the Clinical Assessment of Patient Function Scale which asks 5 questions about the effect of study treatment on the patient's ability to function. This question asks about the patient's enjoyment of life.

Time frame:
approximately week 5
Reported as:
Number · participants
Clinical Assessment of Patient Function - Patient's Enjoyment of Life - at Approximately Week 5
participantsFentanyl Buccal Tablets
Very much worsened0
Much worsened2
Slightly worsened1
Unchanged69
Slightly improved45
Much improved43
Very much improved15
SecondarySummary of Participants' Successful Dosing Levels of Fentanyl Buccal Tablets to Control Episodes of Breakthrough Pain (BTP)

During the dose titration period, participants self-administered FBT, starting at 100, 200 or 400 mcg (depending on analgesic used pre-study) and titrated to 600 and 800 mcg if needed. For each breakthrough pain (BTP) episode, participants took a dose, and did not take further study drug if adequate pain relief was achieved. If pain was not controlled within 30 minutes, the same dose level was repeated. If pain relief was inadequate 30 minutes after the second dose, usual rescue medication was taken for that BTP episode. Doses were adjusted until pain relief was adequate and side effects were tolerated. This outcome summarizes the successful dose levels identified during the titration period.

Time frame:
up to 10 days
Reported as:
Number · participants
Summary of Participants' Successful Dosing Levels of Fentanyl Buccal Tablets to Control Episodes of Breakthrough Pain (BTP)
participantsFentanyl Buccal Tablets
100 mcg18
200 mcg49
400 mcg41
600 mcg31
800 mcg41
None (no successful dose)38

Adverse events

Collected over Treatment emergent adverse events: Day 1 to approximately 5 weeks.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Fentanyl Buccal Tablets—4/218 (1.8%)21/218 (9.6%)
Most frequent serious events
Most frequent serious events
EventFentanyl Buccal Tablets
BronchitisInfections and infestations1/218
Radius fractureInjury, poisoning and procedural complications1/218
Diabetic ketoacidosisMetabolism and nutrition disorders1/218
Suicide attemptPsychiatric disorders1/218
Most frequent other events
Most frequent other events
EventFentanyl Buccal Tablets
NauseaGastrointestinal disorders21/218

Baseline characteristics

Age Continuous
Age Continuous(years)Fentanyl Buccal Tablets
Mean49.9 ± 11.03
Sex: Female, Male
Sex: Female, Male(Participants)Fentanyl Buccal Tablets
Female124
Male94
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Fentanyl Buccal Tablets
Hispanic or Latino4
Not Hispanic or Latino203
Unknown or Not Reported11
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)Fentanyl Buccal Tablets
American Indian or Alaska Native2
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American7
White208
Unknown or Not Reported1
Primary chronic painful condition
Primary chronic painful condition(participants)Fentanyl Buccal Tablets
Back pain136
Neck pain14
Fibromyalgia13
Traumatic injury12
Osteoarthritis11
Complex regional pain syndrome9
Diabetic peripheral neuropathy3
Cancer3
Chronic pancreatitis2
Other15
08

Study locations

33 sites
  • Birmingham Pain Center
    Birmingham, Alabama 35244, United States
  • Arizona Research Center
    Phoenix, Arizona 85023, United States
  • Orange County Clinical Trials
    Anaheim, California 92801, United States
  • Vertex Clinical Research
    Bakersfield, California 93311, United States
  • Lovelace Scientific Resources, Inc.
    Beverly Hills, California 90211, United States
  • Synergy Clinical Research Center
    National City, California 91950, United States
  • Pain Institute of Santa Monica
    Santa Monica, California 90404, United States
  • Integrative Pain Manage Centers
    Westminster, Colorado 80021, United States
  • Advanced Diagnostic Pain Treatment Center
    New Haven, Connecticut 06511, United States
  • Alliance Medical Research Group
    Clearwater, Florida 33761, United States
  • Innovative Research of West Florida
    Largo, Florida 33770, United States
  • Lovelace Scientific Resources, Inc.
    Sarasota, Florida 34233, United States
  • Stedman Clinical Trials
    Tampa, Florida 33647, United States
  • Dawsonville Family Medicine
    Dawsonville, Georgia 30534, United States
  • Millennium Pain Center
    Bloomington, Illinois 61701, United States
  • Pain and Rehabilitation Clinic of Chicago
    Chicago, Illinois 60610, United States
  • Elkhart Clinic, LLC
    Elkhart, Indiana 46514, United States
  • Rehabilitation Associates of Indiana
    Indianapolis, Indiana 46250, United States
  • Northwest Indiana Center for Clinical Research, PC
    Valparaiso, Indiana 46383, United States
  • ICRI, Inc.
    Overland Park, Kansas 66211, United States
  • Willis-Knighton Pain Management Center
    Shreveport, Louisiana 71103, United States
  • Montana Cancer Specialists
    Missoula, Montana 59802, United States
  • Lovelace Scientific Resources Center
    Henderson, Nevada 89014, United States
  • Clinical Research Center of Nevada
    Las Vegas, Nevada 89104, United States
  • SUNY - Stonybrook
    Stony Brook, New York 11794, United States
  • Pain Consultants of Oregon
    Eugene, Oregon 97401, United States
  • Allegheny Pain Management, PC
    Altoona, Pennsylvania 16602, United States
  • Altoona Center for Clinical Research
    Duncansville, Pennsylvania 16635, United States
  • DeGarmo Institute of Medical Research
    Greer, South Carolina 29651, United States
  • Comprehensive Pain Specialists, PLLC
    Hendersonville, Tennessee 37075, United States
  • KRK Medical Research
    Richardson, Texas 75080, United States
  • BeXar Clinical Trials, LLC
    Richardson, Texas 75082, United States
  • Lifetree Clinical Research
    Salt Lake City, Utah 84106, United States
09

References and documents

Publications

  • Webster LR, Messina J, Xie F, Nalamachu S. Effect of fentanyl buccal tablet on pain-related anxiety: a 4-week open-label study among opioid-tolerant patients with chronic and breakthrough pain. J Opioid Manag. 2011 Jul-Aug;7(4):297-308. PubMed 21957829 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 22, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00387010
Lead sponsor
Cephalon
Responsible party
Sponsor
First posted
Oct 12, 2006
Start date
Dec 2006
Primary completion
Oct 2007
Completion
Oct 2007
Results posted
Oct 22, 2012
Last update
Oct 22, 2012

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Fentanyl

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