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CompletedNCT00458510Updated Jul 11, 2013

Long Term Safety Study of Nasalfent (Fentanyl Citrate Nasal Spray) for Treatment of Breakthrough Cancer Pain

A Phase 3 interventional study of Fentanyl (Nasalfent, Fentanyl Citrate Nasal Spray) in Cancers, Pain, sponsored by Archimedes Development Ltd. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-07-11.

Sponsored by Archimedes Development Ltd · Phase 3, Interventional, and Supportive care

Phase
Phase 3
Study type
Interventional
Enrollment
403
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

Cancer patients taking regular medication for their pain often still have episodes of severe pain that 'break through' despite their background pain treatment. Fentanyl is a strong, short-acting pain killer often used to treat this 'breakthrough' pain. Nasalfent contains fentanyl in a patented drug delivery system called PecSys and is given via a simple nasal spray. This study will examine the long-term safety of Nasalfent in the treatment of breakthrough cancer pain.

Read the detailed description

Current treatments for breakthrough cancer pain (BTCP) work too slowly to meet the fast onset of most BTCP episodes, they continue to act longer than the episode of pain lasts and so can have unwanted side effects due to this 'over treatment' of the pain episode. In addition most cancer patients have oral problems which make taking pain relief medication by mouth uncomfortable for the patient. Nasalfent is administered via the nose as a simple spray and can be taken by patients or given by their carers. The nasal route is a common way to administer medication for example in the treatment of migraine or allergy. At any time during the study the patient may take their regular treatment for BTCP should they so wish.

This study will examine the long-term safety of Nasalfent treatment for breakthrough cancer pain.

After the study is completed, patients may continue to take medication if their doctor feels it is in the patient's best interest to do so. Safety information will continue to be collected during this period. Treatment may continue on study for as long as the patient requires treatment or until Nasalfent becomes commercially available.

02

Conditions studied

  • Cancers, Pain

Keywords

  • Pain
  • Cancer
  • Breakthrough
03

In context

Lead sponsor

Archimedes Development Ltd is the lead sponsor of 3 studies on the registry; none are 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

Inclusion criteria

  • Able and willing to give consent
  • Women of childbearing potential must have a) negative urine pregnancy test b) not be breast feeding c) agree to practice a reliable form of contraception
  • Diagnosis of cancer
  • Taking at least 60mg oral morphine or equivalent as 24 hour treatment for cancer-related pain
  • Experiencing on average 1 - 4 episodes of breakthrough cancer pain per day usually controlled by rescue pain medication
  • Able (or via caregiver) to evaluate and record pain relief, assess medication performance at set times after dosing, record adverse events, record each use of the study drug or rescue medication in a diary
  • Able to be up and about for 50% of the day or greater

Exclusion criteria

Exclusion Criteria:

  • Intolerance to opioids or fentanyl
  • rapidly increasing/uncontrolled pain
  • pain that is not cancer related
05

Study design

Phase
Phase 3
Primary purpose
Supportive care
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
403 participants (actual)

Study arms

  • Experimental
    Fentanyl, Open-Label treatment

    All patients take NasalFent at effective dose to treat up to four episodes of breakthrough cancer pain per day

    Drug: Fentanyl (Nasalfent, Fentanyl Citrate Nasal Spray)

Interventions

  • DrugFentanyl (Nasalfent, Fentanyl Citrate Nasal Spray)

    treatment of up to 4 episodes of pain per day

    Also known as: FCNS

06

What researchers measure

Primary outcomes

  1. Long term Safety, tolerability and acceptability

    Time frame: End of study

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Taylor D, Radbruch L, Revnic J, Torres LM, Ellershaw JE, Perelman MS. Long-term use of fentanyl pectin nasal spray in patients with breakthrough pain in cancer [abstract]. J Clin Oncol. 2013:31(15 Suppl);9563
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 11, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00458510
Lead sponsor
Archimedes Development Ltd
Responsible party
Sponsor
First posted
Apr 11, 2007
Start date
Jan 2007
Primary completion
Oct 2011
Completion
Jul 2012
Last update
Jul 11, 2013

Study contacts

Russell K Portenoy, MD
principal investigator · Beth Israel Medical Center, New York, United States

Oversight

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

Not currently enrolling

This study is completed, as verified in Jul 2013. You cannot join it, but the record below documents what was studied.

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