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CompletedNCT02050503CP073Updated Mar 17, 2015

Intranasal Transmucosal Fentanyl Pectin for Breakthrough Cancer Pain in Radiation-induced Oropharyngeal Mucositis

An observational study in Breakthrough Pain, Mucositis and Radiotherapy, sponsored by Grupo de Investigación Clínica en Oncología Radioterapia. Completed at 1 site in Spain. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2015-03-17.

Sponsored by Grupo de Investigación Clínica en Oncología Radioterapia · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
33
Ages
18 Years to 75 Years
Sex
All
01

Study summary

An open-label, non-randomized study to assess the titration, safety and efficacy of intranasal fentanyl pectin nasal spray for the treatment of secondary breakthrough pain secondary to radiation-induced mucositis in patients with confirmed tolerance of opioid therapy for chronic pain.

Study objectives include assessment of breakthrough pain episodes related with food intake in patients with mucositis secondary to radiotherapy or radio-chemotherapy for head and neck tumors

Read the detailed description

An open, non-randomized study design was used to assess the titration, safety and efficacy of intranasal fentanyl in pectin for the treatment of secondary breakthrough pain in patients with confirmed tolerance of opioid therapy for chronic pain secondary to radiation-induced mucositis. The study plans to include 30 evaluable patients from multiple centers throughout the country. The trial comprises a screening period, an open titration period, and an open-label treatment period in which at least 12 breakthrough pain episodes are to be treated.

02

Conditions studied

  • Breakthrough Pain
  • Mucositis
  • Radiotherapy
  • Chemotherapy
  • Head and Neck Cancer

Keywords

  • Mucositis
  • Breakthrough pain
  • Head Nad neck cancer
  • Intranasal transmucosal fentanyl in pectin
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 33 is below the median of 125 across 10 observational studies indexed under Breakthrough Pain.

Browse Breakthrough Pain studies →

Lead sponsor

Grupo de Investigación Clínica en Oncología Radioterapia is the lead sponsor of 11 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 to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

adults of either sex and over 18 and under 75 years of age, receiving continued treatment with long half-life or controlled release opioids, experiencing breakthrough pain secondary to mucositis in the context of radiotherapy or radio-chemotherapy for head and neck tumors.

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

A confirmed diagnosis of head and neck carcinoma Treatment in the form of radiotherapy or radio-chemotherapy Breakthrough pain related to swallowing (one to four daily episodes) Treatment with controlled release opioids at the time of inclusion: at least 60 mg of morphine sulfate daily, at least 25 microg of transdermal fentanyl per hour, at least 30 mg of oral oxycodone daily, at least 8 mg of oral hydromorphone daily

Exclusion criteria

Exclusion Criteria:

  • Patients without controlled release opioid treatment.
Terms in these criteria, in plain language(1)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
33 participants (actual)
Patient registry
No

Groups and cohorts

  • intranasal transmucosal fentanyl pectin

    intranasal transmucosal fentanyl in pectin (100, 200, 400 or 800 microg) intranasal route titration phase 7 days treatment phase until completing treatment of 12 consecutive episodes of breakthrough pain

06

What researchers measure

Primary outcomes

  1. Pain Intensity Difference

    Pain Intensity difference: Pain Intensity will be measured 30 min after starting food intake during the screening phase and 30 min after intranasal transmucosal fentanyl in pectin administration/food intake during the treatment phase

    Time frame: 30 minutes after PecFent administration

Secondary outcomes

  1. number of episodes of breakthrough pain requiring additional (rescue) analgesic treatment after administration of the study medication

    The number of episodes of breakthrough pain requiring additional (rescue) analgesic treatment after administration of the study medication. Patient rating of drug efficacy measured on a scale from 0 to 10 (0 = ineffective, 10 = totally effective). Quality of life assessed with the European Organization for Research and Treatment of Cancer quality of life questionnaire -INF025 in its validated Spanish version, administered on the screening visit and at the end of the study. Patient rating of drug ease of use measured on a scale from 1 to 4 (1 = very complicated, 4 = very simple).

    Time frame: 12 episodes of breakthrough pain presenting within a maximum of 7 days.

Other outcomes

  1. safety of intranasal transmucosal fentanyl

    The appearance of adverse effects during the study Physical examination at each visit Vital signs: blood pressure, pulse Concomitant medication for breakthrough pain Reasons for patient study withdrawal (in the event of withdrawal)

    Time frame: 7 days

07

Study locations

1 site
  • Alejandro de la Torre. Hospital Puerta de Hierro
    Majadahonda, Madrid 28220, Spain
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 17, 2015, 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
NCT02050503
Lead sponsor
Grupo de Investigación Clínica en Oncología Radioterapia
Responsible party
Sponsor
First posted
Jan 30, 2014
Start date
Dec 2012
Primary completion
Jun 2014
Completion
Jun 2014
Last update
Mar 17, 2015

Study contacts

Alejandro De la Torre, MD
principal investigator · GICOR & Hospital Puerta de Hierro

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2015. You cannot join it, but the record below documents what was studied.

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