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CompletedNCT05037539Updated Aug 31, 2022

Efficacy of Injectable Fentanyl in Sublingual Route Versus Oral Morphine Syrup for Breakthrough Pain

A Phase 1/2 interventional study of Fentanyl Citrate 50Mcg/Ml Inj_#1 and Morphine in Pain, Breakthrough, sponsored by Department of Medical Services Ministry of Public Health of Thailand. Completed at 1 site in Thailand. Open to female participants. Per ClinicalTrials.gov, last updated 2022-08-31.

Sponsored by Department of Medical Services Ministry of Public Health of Thailand · Phase 1/2, Interventional, and Supportive care

Phase
Phase 1/2
Study type
Interventional
Enrollment
20
Allocation
Randomized
Sex
Female
01

Study summary

Randomized control trial that to comparison the efficacy of injectable fentanyl in sublingual route versus oral morphine syrup for breakthrough pain in gynecologic cancer patients with chronic cancer pain Primary outcome : to measure pain score after drug is given

Read the detailed description

objective; To comparison the efficacy of injectable fentanyl in sublingual route versus oral morphine syrup for breakthrough pain in gynecologic cancer patients with chronic cancer pain Population : gynecologic cancer patients with chronic cancer pain that use opioid drug for basal pain and had experienced of breakthrough pain cancer in Rajavithi hospital sample size : 20 person/group Method ; Randomized control trial , Prospective Intervention : group A : injectable fentanyl in sublingual , group B : oral morphine syrup Primary outcome : to measure pain score after drug is given at 5, 15, 30, 45, 60 and 120 min secondary outcome : to record side effect of drug is given at 5, 15, 30, 45, 60 and 120 min Statistical method

  • Categorical data = Chi-square test or Fishers' exact test
  • Continuous data : comparison with Student t-test in normal deviation data and Man-Whitney U- test in abnormal deviation data • Analytical data with Pearson's correlation, Linear regression or Binary Logistic regression, Repeated Measures ANOVA with OR (95%CI) and p-value \<0.05
02

Conditions studied

  • Pain, Breakthrough

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Keywords

  • breakthrough pain
  • Injectable Fentanyl in Sublingual Route
  • gynecologic cancer
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 20 is below the median of 91 across 21 interventional studies indexed under Breakthrough Pain.

Browse Breakthrough Pain studies →

Lead sponsor

Department of Medical Services Ministry of Public Health of Thailand is the lead sponsor of 39 studies on the registry; 10 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Female
Accepts healthy volunteers
No

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

  • Gynecologic cancer patients with chronic cancer pain that use opioid drug for basal pain

Exclusion criteria

Exclusion Criteria:

  • allergy in fentanyl or morphine
  • abnormal cognitive function patient
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Single group
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Injectable Fentanyl in Sublingual Route

    Injectable Fentanyl in Sublingual Route that given after the first time Breakthrough Pain is occurred 50 mcg in sublingual route

    Drug: Fentanyl Citrate 50Mcg/Ml Inj_#1

  • Active comparator
    Oral Morphine Syrup

    Oral Morphine Syrup 2.5 ml ( 5 mg) in oral router that first time given after Breakthrough Pain is occurred

    Drug: Morphine

Interventions

  • DrugFentanyl Citrate 50Mcg/Ml Inj_#1

    Drug page: Fentanyl

    Injectable Fentanyl in Sublingual Route 50 mcg

    Also known as: Fentanyl

  • Oral Morphine Syrup 2.5 ml ( 5 mg)

    Also known as: morphine syrup

06

What researchers measure

Primary outcomes

  1. Pain score

    measure with numeric score from 0-10 point (maximum pain= 10 point)

    Time frame: after drug is given at 5 minutes

Secondary outcomes

  1. Neausea and vomiting

    measure by asking symptom from patient

    Time frame: after drug is given at 5 minutes

  2. Ithching

    measure by asking symptom from patient

    Time frame: after drug is given at 5 minutes

  3. Respiratory distress

    measure by respiratory rate parametor

    Time frame: after drug is given at 5 minutes

07

Study locations

1 site
  • Rajavithi Hospital
    Bangkok, Thailand
08

References and documents

Publications

  • Lennernas B, Hedner T, Holmberg M, Bredenberg S, Nystrom C, Lennernas H. Pharmacokinetics and tolerability of different doses of fentanyl following sublingual administration of a rapidly dissolving tablet to cancer patients: a new approach to treatment of incident pain. Br J Clin Pharmacol. 2005 Feb;59(2):249-53. doi: 10.1111/j.1365-2125.2004.02264.x. PubMed 15676050 ↗
  • Portenoy RK, Payne D, Jacobsen P. Breakthrough pain: characteristics and impact in patients with cancer pain. Pain. 1999 May;81(1-2):129-34. doi: 10.1016/s0304-3959(99)00006-8. PubMed 10353500 ↗
  • Zeppetella G. Opioids for cancer breakthrough pain: a pilot study reporting patient assessment of time to meaningful pain relief. J Pain Symptom Manage. 2008 May;35(5):563-7. doi: 10.1016/j.jpainsymman.2007.06.012. Epub 2008 Feb 6. PubMed 18258412 ↗
  • Mercadante S. The use of rapid onset opioids for breakthrough cancer pain: the challenge of its dosing. Crit Rev Oncol Hematol. 2011 Dec;80(3):460-5. doi: 10.1016/j.critrevonc.2010.12.002. Epub 2011 Jan 6. PubMed 21215653 ↗
  • Jandhyala R, Fullarton JR, Bennett MI. Efficacy of rapid-onset oral fentanyl formulations vs. oral morphine for cancer-related breakthrough pain: a meta-analysis of comparative trials. J Pain Symptom Manage. 2013 Oct;46(4):573-80. doi: 10.1016/j.jpainsymman.2012.09.009. Epub 2013 Feb 4. PubMed 23380337 ↗
  • Velazquez Rivera I, Munoz Garrido JC, Garcia Velasco P, Espana Ximenez de Enciso I, Velazquez Clavarana L. Efficacy of sublingual fentanyl vs. oral morphine for cancer-related breakthrough pain. Adv Ther. 2014 Jan;31(1):107-17. doi: 10.1007/s12325-013-0086-4. Epub 2014 Jan 3. PubMed 24385406 ↗
  • Bushnaq M, Al-Shoubaki M, Milhem M. The feasibility of using intravenous fentanyl as sublingual drops in the treatment of incidental pain in patients with cancer. J Palliat Med. 2009 Jun;12(6):511-4. doi: 10.1089/jpm.2009.9618. No abstract available. PubMed 19508134 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2021 to primary completion in Dec 2021, 6 months.

How these figures are worked out, and which studies are left out of them.

Registered
May 24, 2021
First posted
Sep 8, 2021
StartActual
Jun 15, 2021
Primary completionActual
Dec 30, 2021
CompletionActual
Jun 30, 2022
Last update
Aug 31, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 31, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05037539
Lead sponsor
Department of Medical Services Ministry of Public Health of Thailand
Responsible party
Sponsor
First posted
Sep 8, 2021
Start date
Jun 15, 2021
Primary completion
Dec 30, 2021
Completion
Jun 30, 2022
Last update
Aug 31, 2022

Study contacts

Thanvarat Tilagul
study director · Department of Medical Services Ministry of Public Health of Thailand

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Fentanyl

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