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CompletedNCT00459277Updated Jan 25, 2012

Efficacy & Safety Study of Nasalfent (Fentanyl Citrate Nasal Spray) for Treatment of Breakthrough Cancer Pain in Patients Taking Regular Opioids

A Phase 3 interventional study of Fentanyl (Nasalfent, Fentanyl Citrate Nasal Spray) in Cancer Pain, sponsored by Archimedes Development Ltd. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2012-01-25.

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

Phase
Phase 3
Study type
Interventional
Enrollment
73
Allocation
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 test the efficacy and 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 compare the time of onset and degree of pain relief of Nasalfent to that of Placebo. The safety of the two treatments groups (Nasalfent, Placebo) will also be examined.

02

Conditions studied

  • Cancer Pain

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Keywords

  • Pain
  • Cancer
03

In context

Cancer Pain

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

This study's enrollment of 73 is above the median of 60 across 254 interventional studies indexed under Cancer Pain.

Browse Cancer Pain studies →

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
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
73 participants (actual)

Study arms

  • Experimental
    Nasalfent, Fentanyl Citrate Nasal Spray

    Drug: Fentanyl (Nasalfent, Fentanyl Citrate Nasal Spray)

  • Placebo comparator
    Placebo Spray

    Drug: Fentanyl (Nasalfent, Fentanyl Citrate Nasal Spray)

Interventions

  • DrugFentanyl (Nasalfent, Fentanyl Citrate Nasal Spray)
06

What researchers measure

Primary outcomes

  1. Summed pain intensity difference at 30 min

    Time frame: 30 min after dosing

Secondary outcomes

  1. SPID, Pain intensity, Pain intensity difference, Pain relief and Total pain relief

    Time frame: Various timepoints

07

Study locations

1 site
  • Beth Israel Medical Center
    New York, New York 10003, United States
08

References and documents

Publications

  • Taylor D, Galan V, Weinstein SM, Reyes E, Pupo-Araya AR, Rauck R; Fentanyl Pectin Nasal Spray 043 Study Group. Fentanyl pectin nasal spray in breakthrough cancer pain. J Support Oncol. 2010 Jul-Aug;8(4):184-90. Erratum In: J Support Oncol. 2010 Sep-Oct;8(5):201. PubMed 20822038 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 25, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00459277
Lead sponsor
Archimedes Development Ltd
Responsible party
Sponsor
First posted
Apr 11, 2007
Start date
Dec 2006
Primary completion
Jul 2008
Completion
Aug 2008
Last update
Jan 25, 2012

Study contacts

Russell K Portenoy, MD
principal investigator · Beth Israel Medical Center

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2010. You cannot join it, but the record below documents what was studied.

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