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CompletedNCT02840500CAVIDIOPALUpdated Mar 5, 2018

Quality of Life Study in Patients With Cancer Breakthrough Pain Treated in Palliative Care Units

An observational study in Breakthrough Pain, sponsored by Angelini Farmacéutica. Completed at 10 sites in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-03-05.

Sponsored by Angelini Farmacéutica (part of Angelini Pharma) · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
101
Ages
18 Years and older
Sex
All
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Study summary

Patients treated in Palliative Care Units are potentially fragile patients, especially in our case, which are cancer patients. The management of these patients is usually done from experience, because these patients rarely meet criteria for clinical trials, as their inclusion could affect results obtained in the trial.

There is insufficient clinical information on the quality of life of cancer patients with breakthrough pain treated in palliative care units according to routine clinical practice. For this reason we consider it is appropriate to prospectively evaluate the quality of life of cancer patients with cancer breakthrough pain treated in palliative care units as well as the characteristics of these patients.

This post-authorization observational study will assess the quality of life of patients with breakthrough cancer pain treated in Palliative Care Units in Spanish hospitals.

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Conditions studied

  • Breakthrough Pain

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Keywords

  • Breakthrough Cancer Pain
  • Quality of life
  • Palliative Care Units
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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 101 is below the median of 125 across 10 observational studies indexed under Breakthrough Pain.

Browse Breakthrough Pain studies →

Lead sponsor

Angelini Farmacéutica is the lead sponsor of 6 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with breakthrough cancer pain attended in Palliative Care Units will be included

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

  • Patients > 18 years
  • Patients with advanced cancer
  • Patients attended in Palliative Care Units
  • > 3 months
  • Written
  • Patients with baseline controlled cancer pain with opioids who are diagnosed of breakthrough cancer pain by Davies algorithm

Exclusion criteria

Exclusion Criteria:

  • Serious psychiatric disorder, cognitive impairment or any disease or condition that prevents the collection of data
  • Patients with evidence of opioid addiction or history of drug or alcohol abuse
Terms in these criteria, in plain language(2)

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

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.

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Study design

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

Groups and cohorts

  • Breakthrough Cancer Pain

    No intervention (Non-interventional study)

    Other: No intervention

Interventions

  • OtherNo intervention

    No intervention

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What researchers measure

Primary outcomes

  1. Change in quality of life according EORTC QLQ-C30 questionnaire

    Change in punctuation of the EORTC QLQ-C30 questionnaire between week 4 and baseline.

    Time frame: Baseline and 4 weeks

Secondary outcomes

  1. Percentage of patients with neuropathic, visceral, somatic and mixed pain

    Percentage of patients with neuropathic, visceral, somatic and mixed pain

    Time frame: Baseline (the day that patient sign the informed consent form)

  2. Comorbidities associated with patients

    Percentage of patients with each comorbidity

    Time frame: Baseline (the day that patient sign the informed consent form)

  3. Change in mean Intensity of breakthrough cancer pain at each study visit

    Intensity of breakthrough cancer pain assessed with a Visual Analog Scale (VAS). VAS will be compared at each study visit.

    Time frame: Up to 4 weeks, from date of inclusion until week 4

  4. Mean time to relief of breakthrough pain

    Time from the start of the episode until the relief of breakthrough pain

    Time frame: Up to 4 weeks, from date of inclusion until week 4

  5. Mean duration of the episodes of breakthrough pain

    Time from the start of the episode until the pain ends

    Time frame: Up to 4 weeks, from date of inclusion until week 4

  6. Patient Global improvement

    Number of patients indicating each of the possible answers of the Patient Global Impression of improvement scale (7-points Likert scale)

    Time frame: Week 4

  7. Percentage of fragile patients at study entry

    Frailty of patients will be assessed by Edmonton Symptom Assessment System (ESAS). It is considered that a patient is fragile when the symptom score is greater than 4 (moderate intensity) in five or more symptoms.

    Time frame: Baseline

  8. Cognitive impairment

    Cognitive impairment (Pfeiffer test): 0-2 errors: intact cognition; 3-4 errors: mild impairment; 5-7 errors: moderate impairment; 8-10 errors: severe impairment. Percentage of patients in each category

    Time frame: Baseline

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Study locations

10 sites
  • Hospital de Mollet
    Mollet del Vallès, Barcelona 08100, Spain
  • Hospital Sant Joan de Deu
    Palma, Illes Baleares 07007, Spain
  • Hospital Clínic
    Barcelona, 08036, Spain
  • Hospital Virgen de las Nieves
    Granada, 18014, Spain
  • Hospital Arnau de Vilanova
    Lleida, 25198, Spain
  • Hospital Gregorio Marañón
    Madrid, 28007, Spain
  • Fundación Jiménez Díaz
    Madrid, 28040, Spain
  • Complejo Hospitalario de Ourense
    Ourense, 32005, Spain
  • Hospital Virgen del Rocío
    Sevilla, 41013, Spain
  • Hospital Virgen de la Salud
    Toledo, 45005, Spain
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References and documents

Publications

  • Rodriguez AT, Viejo MN, Maradey P, Canal-Sotelo J, Mancilla PG, Rivero SG, Casillas IR, Abian MH, Bermudo CL. Low-dose sublingual fentanyl improves quality of life in patients with breakthrough cancer pain in palliative care. Future Oncol. 2022 May;18(14):1717-1731. doi: 10.2217/fon-2021-1639. Epub 2022 Feb 9. PubMed 35137627 ↗
  • Tuca Rodriguez A, Nunez Viejo M, Maradey P, Canal-Sotelo J, Guardia Mancilla P, Gutierrez Rivero S, Raja Casillas I, Herrera Abian M, Lopez Bermudo C. Impact of individualized management of breakthrough cancer pain on quality of life in advanced cancer patients: CAVIDIOPAL study. Support Care Cancer. 2021 Aug;29(8):4799-4807. doi: 10.1007/s00520-021-06006-1. Epub 2021 Feb 3. PubMed 33533986 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2018, 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
NCT02840500
Responsible party
Sponsor
First posted
Jul 21, 2016
Start date
Jun 27, 2016
Primary completion
Dec 2017
Completion
Mar 2018
Last update
Mar 5, 2018

Study contacts

Albert Tuca, MD
study director · Hospital Clinic de Barcelona, Palliative Care Unit

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2018. You cannot join it, but the record below documents what was studied.

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