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CompletedNCT01842893ETHYFYLUpdated May 3, 2013

Efficacy and Safety of Fentanyl ETHYPHARM for Breakthrough Pain in Opioid-treated Patients With Cancer

A Phase 3 interventional study of Fentanyl Ethypharm in Breakthrough Pain and Cancer, sponsored by Ethypharm. Completed at 1 site in Czech Republic. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-05-03.

Sponsored by Ethypharm · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
91
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of the study is to assess the clinical effectiveness of Fentanyl ETHYPHARM when used to relieve breakthrough pain (BTP) in opioid-treated cancer patients.

02

Conditions studied

  • Breakthrough Pain
  • Cancer

Keywords

  • fentanyl
  • breakthrough pain
  • opioid treated cancer patients
03

In context

Breakthrough Pain

34 studies on the registry are indexed under Breakthrough Pain; 4 are open to participants now.

This study's enrollment of 91 is close to the median of 91 across 21 interventional studies indexed under Breakthrough Pain.

Browse Breakthrough Pain studies →

Lead sponsor

Ethypharm is the lead sponsor of 3 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

Inclusion criteria:

  1. Written
  2. Malignant solid tumor or a hematological causing cancer-related pain
  3. Background opioid treatment at a stable dose for at least a week
  4. One to four episodes of breakthrough pain per day

Main exclusion criteria:

  1. to fentanyl or to any of the
  2. Intrathecal opioids
  3. Recent history of substance abuse
  4. Recent or planned therapy that would alter pain
  5. Moderate or severe hepatic or renal disease
Terms in these criteria, in plain language(4)

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
91 participants (actual)

Study arms

  • Experimental
    Fentanyl / Placebo

    After an open-label titration to identify an optimal dose, patients were randomized to 1 of 13 prespecified sequences of 9 tablets (6 fentanyl and 3 placebo)

    Drug: Fentanyl Ethypharm

Interventions

  • DrugFentanyl Ethypharm

    After an open-label titration to identify an optimal dose, patients were randomized to 1 of 13 prespecified sequences of 9 tablets (6 fentanyl and 3 placebo)

06

What researchers measure

Primary outcomes

  1. Summed Pain Intensity Difference at 30 minutes (SPID30).

    Time frame: 30 minutes post dose

Secondary outcomes

  1. SPID at 3, 6, 10, 15 and 60 minutes post-dosing

    Time frame: 3, 6, 10, 15 and 60 minutes post-dosing

  2. SPID at 15 and 30 minutes according to the pathophysiology of the pain (neuropathic, nociceptive)

    Time frame: 15 and 30 minutes post dose

  3. Pain Intensity Difference at 3, 6, 10, 15, 30 and 60 minutes after dosing

    Time frame: 3, 6, 10, 15, 30 and 60 minutes after dosing

  4. Pain Relief at 3, 6, 10, 15, 30 and 60 minutes after dosing

    Time frame: 3, 6, 10, 15, 30 and 60 minutes after dosing

  5. The proportion of episodes of BTP that required rescue medication

    Time frame: 15 and 30 minutes post dose

  6. the proportion of episodes with more than 33% and 50% of improvement in Pain Intensity scores

    Time frame: 15 and 30 minutes post dose

  7. Recording of safety data

    Adverse events, vital signs, urinary pregnancy test

    Time frame: During all the study duration, an expected average of 8 weeks

07

Study locations

1 site
  • Pain Care Units
    Prague, Czech Republic
08

References and documents

Publications

  • Novotna S, Valentova K, Fricova J, Richterova E, Harabisova S, Bullier F, Trinquet F; ETHYFYL Study Group. A randomized, placebo-controlled study of a new sublingual formulation of fentanyl citrate (fentanyl ethypharm) for breakthrough pain in opioid-treated patients with cancer. Clin Ther. 2014 Mar 1;36(3):357-67. doi: 10.1016/j.clinthera.2014.01.006. Epub 2014 Feb 5. PubMed 24508417 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 3, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01842893
Lead sponsor
Ethypharm
Responsible party
Sponsor
First posted
Apr 30, 2013
Start date
Nov 2011
Primary completion
Jul 2012
Completion
Jul 2012
Last update
May 3, 2013

Oversight

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

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

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