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RecruitingNCT07616648Updated Jun 1, 2026

Effects of Opioid Drugs on Sleep and Emotion in Patients With Moderate to Severe Cancer Pain

An observational study in Moderate to Severe Cancer Pain, sponsored by First Affiliated Hospital of Zhejiang University. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-06-01.

Sponsored by First Affiliated Hospital of Zhejiang University · Observational

From the registry’s dates

  • Started Apr 2026; still recruiting 5 months later.
Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
200
Ages
18 Years to 75 Years
Sex
All
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Study summary

This study is a multicenter cross-sectional observational study, aiming to include approximately 200 patients aged 18-75 years who are using hydrocodone sustained-release tablets or oxycodone sustained-release tablets for pain management of moderate to severe cancer pain. Baseline information, tumor history, and comorbidities of the subjects will be collected through electronic patient-reported outcomes (ePRO), and the pain condition will be evaluated using BPI, acute pain assessment tools, etc. Sleep-related indicators will be collected using Huawei smart wearable devices and PSQI, ISI scales. Psychological emotional states will be assessed using NCCN psychological distress thermometer, HAMA, HAMD, etc. Blood samples will also be collected for relevant tests. The study sets up a screening baseline assessment period, a 1-week assessment period, and 1-month and 3-month follow-up periods after enrollment. The changes in relevant indicators will be tracked throughout the process, aiming to quantify the association between pain and insomnia, anxiety and depression, and to verify the potential mediating role of sleep disorders between pain and emotional disorders, providing a basis for optimizing the comprehensive symptom management of cancer pain patients.

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Conditions studied

  • Moderate to Severe Cancer Pain

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Keywords

  • cancer pain
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In context

Cancer Pain

338 studies on the registry are indexed under Cancer Pain; 71 are open to participants now.

This study's planned enrollment of 200 is above the median of 140 across 68 observational studies indexed under Cancer Pain.

Browse Cancer Pain studies →

Lead sponsor

First Affiliated Hospital of Zhejiang University is the lead sponsor of 255 studies on the registry; 139 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 to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The subjects included patients with moderate to severe cancer pain who meet the inclusion and exclusion criteria for this study.

Inclusion criteria

  1. Aged 18-75 years.
  2. Histopathologically or cytologically confirmed diagnosis of malignancy, with moderate to severe cancer-related pain (NRS ≥ 4 points), meeting the WHO three-step analgesic ladder principle, having received opioid analgesic therapy for at least one week with a stable dose and well-controlled pain.
  3. ECOG performance status score ≤ 3.
  4. Possess basic cognitive function and ability to complete questionnaire-based assessments and wristband-based sleep monitoring.
  5. Voluntarily sign the informed consent form and agree to comply with the study follow-up procedures.

Exclusion criteria

Exclusion Criteria:

  1. Severe cognitive impairment, history of psychiatric disorder, or language/communication barriers that precludes completion of the assessments.
  2. History of opioid abuse or dependence; history of alcohol or non-opioid substance abuse.
  3. Severe hepatic or renal insufficiency (Child-Pugh Class C or eGFR \< 30 mL/min).
  4. Life expectancy \< 3 months.
  5. Women of childbearing age without effective contraception, or who are pregnant or breastfeeding.
  6. Presence of other serious diseases or special conditions that, in the investigator's judgment, may interfere with the study outcomes.
  7. Presence of contraindications to the study drug, such as paralytic ileus, chronic obstructive respiratory disease, or cor pulmonale.
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Study design

Observational model
Case-only
Time perspective
Cross-sectional
Enrollment
200 participants (estimated)
Target follow-up
3 Months
Patient registry
Yes

Interventions

  • OtherNo intervention

    No intervention

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What researchers measure

Primary outcomes

  1. Numeric Rating Scale (NRS) Pain Score

    Pain intensity was assessed using the 11-point Numeric Rating Scale (NRS). The scale ranges from 0 (no pain) to 10 (worst imaginable pain). Higher scores indicate greater severity of pain. The assessment was performed from day 1 to day 7 of the treatment phase.

    Time frame: Treatment day 1 to day 7,1-month follow-up, 3-month follow-up

Secondary outcomes

  1. Hamilton Anxiety Rating Scale (HAM-A) Score

    Anxiety levels were assessed using the Hamilton Anxiety Rating Scale (HAM-A). The HAM-A is a clinician-rated scale with a total score range of 0 to 56 points. Higher scores indicate greater severity of anxiety symptoms. The assessment was performed on day 7 of the treatment phase.

    Time frame: Treatment day 7,1-month follow-up, 3-month follow-up

  2. Hamilton Depression Rating Scale (HAM-D) Score

    Depression levels were assessed using the Hamilton Depression Rating Scale (HAM-D). The HAM-D is a clinician-rated scale with a total score range of 0 to 52 points (17-item version). Higher scores indicate greater severity of depressive symptoms. The assessment was performed on day 7 of the treatment phase.

    Time frame: Treatment day 7,1-month follow-up, 3-month follow-up

  3. Pittsburgh Sleep Quality Index (PSQI) Score

    Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). The total score ranges from 0 to 21 points. Higher scores indicate poorer sleep quality. The assessment was performed from day 1 to day 7 of the treatment phase.

    Time frame: Treatment day 7,1-month follow-up, 3-month follow-up

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Study locations

1 of 1 sites recruiting
  • First Affiliated Hospital of Zhejiang University
    Hangzhou, China
    Recruiting
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 1, 2026, 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
NCT07616648
Lead sponsor
First Affiliated Hospital of Zhejiang University
Responsible party
Zhiying Feng (Director of the Pain Department, First Affiliated Hospital of Zhejiang University) — Principal investigator
First posted
Jun 1, 2026
Start date
Apr 15, 2026
Primary completion
Mar 15, 2028 (estimated)
Completion
Mar 15, 2028 (estimated)
Last update
Jun 1, 2026

Study contacts

Zhiying Feng, MD
Contact
fzy1972@zju.edu.cn
+86 13989881666
Zhiying
principal investigator · The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang

Oversight

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

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