ClinicalTrials.gg
WithdrawnNCT05053308Updated Aug 7, 2023

Proportional Dose of Sublingual Fentanyl Tablet Based on Daily Opioid Requirement

An interventional study of Intravenous Infusion and Sublingual Tablet in Cancer Pain and Breakthrough Pain, sponsored by Seoul National University. Withdrawn. Open to participants aged 19 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-08-07.

Sponsored by Seoul National University · Not applicable, Interventional, and Treatment

Why this study was withdrawn
The supply of IP is disrupted
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
19 Years to 80 Years
Sex
All
01

Study summary

Proportional dose of sublingual fentanyl tablet (Narco®) based on daily opioid requirement versus intravenous PCA for breakthrough cancer pain: A prospective, randomized, open-label, noninferiority trial.

Read the detailed description

Based on the previous around-the-clock analgesic demand compared to IV PCA in cancer pain patients to prepare the basis for the administration of fentanyl sublingual tablets with an initial dose.

02

Conditions studied

  • Cancer Pain
  • Breakthrough Pain
03

In context

Cancer Pain

310 studies on the registry are indexed under Cancer Pain; 73 are open to participants now.

Browse Cancer Pain studies →

Lead sponsor

Seoul National University is the lead sponsor of 32 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
19 Years to 80 Years
Sexes eligible
All
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

  • Age 19-80
  • Cancer pain
  • Admission for the control of cancer pain or consultation for the treatment of cancer pain
  • Stable vital sign
  • status ≤ 3 for more than 1 or 2 months
  • Opioid-tolerant state
  • No history of using sublingual fentanyl

Exclusion criteria

Exclusion Criteria:

  • Noncancer pain
  • Opioid naive
  • baseline NRS pain score> 4
  • Current using sublingual fentanyl
  • Difficult to assess cancer pain
  • no evidence of disease(cancer)
  • Planned surgical resection of cancer
  • Allergy to fentanyl
  • Severe renal and/or liver function
  • Severe respiratory depression or uncontrolled
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.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    IV PCA (proportional dosage)

    Breakthrough pain control by bolus based IV patient-controlled anagesia Fentanyl bolus = MME \* 15%

    Drug: Intravenous Infusion

  • Experimental
    SL-FTN (equivalent dose for PCA bolus)

    Breakthrough pain control by sublingual fentanyl Fentanyl 100mcg/200mcg/300mcg according to the around-the-clock opioid requirement.

    Drug: Sublingual Tablet

Interventions

  • DrugIntravenous Infusion

    IV PCA(fentanyl) Fentanyl bolus = MME \* 15%

    Also known as: PCA

  • DrugSublingual Tablet

    subligual fentanyl(Narco®) Fentanyl 100mcg/200mcg/300mcg according to the around-the-clock opioid requirement.

    Also known as: sublingual

06

What researchers measure

Primary outcomes

  1. Change in 11-point scale NRS pain score

    Change in pain score compared to baseline Score '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable"

    Time frame: 30 minutes after administration

Secondary outcomes

  1. Change in 11-point scale NRS pain score

    Change in pain score compared to baseline Score '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable"

    Time frame: 15, 45, 60 minutes after administration

  2. sum of pain intensity difference(SPID)

    sum of pain intensity change compared to baseline difference

    Time frame: 60 minutes after administration

  3. number of additional doses

    number of additional doses fentanyl bolus or subligual

    Time frame: immediately after the intervention

  4. Pain interference

    Pain interference using BPI-SF

    Time frame: immediately after the intervention

  5. Insomnia

    The severity of insomnia using ISI

    Time frame: immediately after the intervention

  6. Depression

    The severity of depression using Beck Depression Inventory(BDI) 1-10: These ups and downs are considered normal 11-16: Mild mood disturbance 17-20: Borderline clinical depression 21-30: Moderate depression 31-40: Severe depression over 40: Extreme depression

    Time frame: immediately after the intervention

  7. Satisfaction scale

    Satisfaction check using 5 Likert-scale (1) Very dissatisfied; (2) Not satisfied; (3) Neutral; (4) Satisfied; (5) Very satidfied

    Time frame: immediately after the intervention

07

Study locations

No study locations are listed for this record.

08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Dec 2022; primary completion for May 2023, 5 months later.

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

Registered
Aug 30, 2021
First posted
Sep 22, 2021
StartEst.
Dec 1, 2022
Primary completionEst.
May 31, 2023
CompletionEst.
Dec 31, 2023
Last update
Aug 7, 2023
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 7, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05053308
Lead sponsor
Seoul National University
Responsible party
Jeeyoun Moon (Associate Professor, Seoul National University) — Principal investigator
First posted
Sep 22, 2021
Start date
Dec 1, 2022 (estimated)
Primary completion
May 31, 2023 (estimated)
Completion
Dec 31, 2023 (estimated)
Last update
Aug 7, 2023

Study contacts

Jee Youn Moon, MD, PhD
study chair · Seoul National University Hospital

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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