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Trial ยท NCT00842829

Study of Breakthrough Cancer Pain: Assessment of Fentanyl Buccal Tablets Titration and Treatment in Opioid-Tolerant Patients

NCT00842829, Phase 4, Terminated, Cephalon; results first posted 2012-09-20

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of Breakthrough Cancer Pain: Assessment of Fentanyl Buccal Tablets Titration and Treatment in Opioid-Tolerant Patients. Trials, record NCT00842829. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00842829

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of Breakthrough Cancer Pain: Assessment of Fentanyl Buccal Tablets Titration and Treatment in Opioid-Tolerant Patients
NCT number
NCT00842829
Status
Terminated
Phases
Phase 4
Enrollment
330 participants, actual
Lead sponsor
Cephalon
Conditions
Cancer Pain, Breakthrough Pain
Interventions
Fentanyl Buccal Tablet (FBT)
First posted
2009-02-12
Last updated
2012-10-01
Other registries' IDs
eudract:2008-001841-24
Results first posted
2012-09-20

Source ClinicalTrials.gov

Registered outcomes24

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants Reaching an Effective Fentanyl Buccal Tablet (FBT) Dose As Assessed by the Participant During the Titration PeriodDay 1 up to Day 7
The effective dose was the dose that, for 2 consecutive break-through pain (BTP) episodes, provided adequate analgesia within the first 30 minutes after administration of study drug and that minimized undesirable effects. The assessment was performed by the participant and was reported in the titration-period diary. The next BTP episode was used to confirm the effective dose, and if confirmed, the effective dose was used for all following BTP episodes.
SecondaryKaplan-Meier Estimates for Time to Meaningful Pain Relief As Assessed by Participants During the Treatment Period For Overall Breakthrough Pain (BTP) Episodesapproximately Day 8-15
Overall episode data analyzed all values of time to meaningful pain relief taken over all BTP episodes during the treatment period. If meaningful pain relief was not achieved within 60 minutes of FBT intake, or if rescue medication was taken, the event was censored. Meaningful pain relief was left to the judgment of participants, who used a stopwatch and recorded the time from treatment until pain relief in a patient diary.
SecondaryNumber of Participants Reaching An Effective Dose As Assessed by the Participant During the Titration PeriodDay 1 up to Day 7
Number of participants for which an effective dose of FBT was reached as judged by each participant. The effective dose was the dose that, for 2 consecutive break-through pain (BTP) episodes, provided adequate analgesia within the first 30 minutes after administration of study drug and that minimized undesirable effects. The assessment was performed by the participant and was reported in the titration-period diary. The next BTP episode was used to confirm the effective dose, and if confirmed, the effective dose was used for all following BTP episodes.
SecondaryBreakthrough Pain (BTP) Episodes Requiring the Use of Rescue Medication During the Titration Period and the Treatment PeriodDays 1 to up to Day 7 (Titration Period); approximately Day 8 up to Day 15 (Treatment Period)The number of breakthrough pain (BTP) episodes in which the participant did not obtain effective pain relief from study medication and took a rescue medication.
SecondaryParticipant Assessment of Medication Performance During the Treatment Periodapproximately Day 8-15
Participants assessed the performance of FBT at 30 minutes and 60 minutes after dosing each episode during the treatment period. For each episode, the participant answered the question 'How well did your study medication perform in controlling the breakthrough pain episode?' on a 5-point Likert-type scale (poor=0, fair=1, good=2, very good=3, and excellent=4).
SecondaryChange From Baseline to End of Treatment Period (Approximately Day 15) in the Brief Pain Inventory 7-item (BPI-7S) Questionnaire Subscale: General ActivityDay 0 (baseline), approximately Day 15 (end of Treatment Period)
Participants completed the BPI-7S questionnaire to indicate their quality of life and functional status between study time points. For each subscale, the participant rated their responses from 0=Does not interfere through to 10=Completely interferes. A negative change from baseline represents an improvement. This subscale assesses general activity.
SecondaryChange From Baseline to End of Treatment Period (Approximately Day 15) in the Brief Pain Inventory 7-item (BPI-7S) Questionnaire Subscale: MoodDay 0 (baseline), approximately Day 15 (end of Treatment Period)
Participants completed the BPI-7S questionnaire to indicate their quality of life and functional status between study time points. For each subscale, the participant rated their responses from 0=Does not interfere through to 10=Completely interferes. A negative change from baseline represents an improvement. This subscale assesses mood.
SecondaryChange From Baseline to End of Treatment Period (Approximately Day 15) in the Brief Pain Inventory 7-item (BPI-7S) Questionnaire Subscale: Walking AbilityDay 0 (baseline), approximately Day 15 (end of Treatment Period)
Participants completed the BPI-7S questionnaire to indicate their quality of life and functional status between study time points. For each subscale, the participant rated their responses from 0=Does not interfere through to 10=Completely interferes. A negative change from baseline represents an improvement. This subscale assesses walking ability.
SecondaryChange From Baseline to End of Treatment Period (Approximately Day 15) in the Brief Pain Inventory 7-item (BPI-7S) Questionnaire Subscale: Normal WorkDay 0 (baseline), approximately Day 15 (end of Treatment Period)
Participants completed the BPI-7S questionnaire to indicate their quality of life and functional status between study time points. For each subscale, the participant rated their responses from 0=Does not interfere through to 10=Completely interferes. A negative change from baseline represents an improvement. This subscale assesses normal work.
SecondaryChange From Baseline to End of Treatment Period (Approximately Day 15) in the Brief Pain Inventory 7-item (BPI-7S) Questionnaire Subscale: Relations With Other PeopleDay 0 (baseline), approximately Day 15 (end of Treatment Period)
Participants completed the BPI-7S questionnaire to indicate their quality of life and functional status between study time points. For each subscale, the participant rated their responses from 0=Does not interfere through to 10=Completely interferes. A negative change from baseline represents an improvement. This subscale assesses relations with other people.

Outcomes24

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants Reaching an Effective Fentanyl Buccal Tablet (FBT) Dose As Assessed by the Participant During the Titration PeriodDay 1 up to Day 7Titration safety analysis set consisting of participants who took at least one dose of study medication.percentage of treated participantsNUMBER
SECONDARYKaplan-Meier Estimates for Time to Meaningful Pain Relief As Assessed by Participants During the Treatment Period For Overall Breakthrough Pain (BTP) Episodesapproximately Day 8-15Safety analysis set consisting of participants who received at least one dose of study drug during the Treatment Period, and who recorded the time to pain relief in the patient diary.minutesMEDIAN
SECONDARYNumber of Participants Reaching An Effective Dose As Assessed by the Participant During the Titration PeriodDay 1 up to Day 7Titration safety analysis set consisting of participants who took at least one dose of study medication.participantsNUMBER
SECONDARYBreakthrough Pain (BTP) Episodes Requiring the Use of Rescue Medication During the Titration Period and the Treatment PeriodDays 1 to up to Day 7 (Titration Period); approximately Day 8 up to Day 15 (Treatment Period)Safety analysis set consisting of participants who took at least one dose of study drug during the relevant study period.BTP episodesNUMBER
SECONDARYParticipant Assessment of Medication Performance During the Treatment Periodapproximately Day 8-15Safety analysis set of participants with a response at the time point (30 or 60 minutes) post dose.BTP episodesNUMBER
SECONDARYChange From Baseline to End of Treatment Period (Approximately Day 15) in the Brief Pain Inventory 7-item (BPI-7S) Questionnaire Subscale: General ActivityDay 0 (baseline), approximately Day 15 (end of Treatment Period)Safety analysis set of participants with both baseline and Treatment Period responsesunits on a scaleMEAN
SECONDARYChange From Baseline to End of Treatment Period (Approximately Day 15) in the Brief Pain Inventory 7-item (BPI-7S) Questionnaire Subscale: MoodDay 0 (baseline), approximately Day 15 (end of Treatment Period)Safety analysis set of participants with both baseline and Treatment Period responsesunits on a scaleMEAN
SECONDARYChange From Baseline to End of Treatment Period (Approximately Day 15) in the Brief Pain Inventory 7-item (BPI-7S) Questionnaire Subscale: Walking AbilityDay 0 (baseline), approximately Day 15 (end of Treatment Period)Safety analysis set of participants with both baseline and Treatment Period responsesunits on a scaleMEAN
SECONDARYChange From Baseline to End of Treatment Period (Approximately Day 15) in the Brief Pain Inventory 7-item (BPI-7S) Questionnaire Subscale: Normal WorkDay 0 (baseline), approximately Day 15 (end of Treatment Period)Safety analysis set of participants with both baseline and Treatment Period responsesunits on a scaleMEAN
SECONDARYChange From Baseline to End of Treatment Period (Approximately Day 15) in the Brief Pain Inventory 7-item (BPI-7S) Questionnaire Subscale: Relations With Other PeopleDay 0 (baseline), approximately Day 15 (end of Treatment Period)Safety analysis set of participants with both baseline and Treatment Period responsesunits on a scaleMEAN

Results by group110

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants Reaching an Effective Fentanyl Buccal Tablet (FBT) Dose As Assessed by the Participant During the Titration PeriodFBT 100 Mcg - Dose Titration Period75.2percentage of treated participants
Percentage of Participants Reaching an Effective Fentanyl Buccal Tablet (FBT) Dose As Assessed by the Participant During the Titration PeriodFBT 200 Mcg - Dose Titration Period81.2percentage of treated participants
Kaplan-Meier Estimates for Time to Meaningful Pain Relief As Assessed by Participants During the Treatment Period For Overall Breakthrough Pain (BTP) EpisodesFBT - Treatment Period19.00Inter-Quartile Range 12.00 to 30.00minutes
Number of Participants Reaching An Effective Dose As Assessed by the Participant During the Titration PeriodFBT 100 Mcg - Dose Titration Period100 mcg34participants
Number of Participants Reaching An Effective Dose As Assessed by the Participant During the Titration PeriodFBT 200 Mcg - Dose Titration Period100 mcg7participants
Number of Participants Reaching An Effective Dose As Assessed by the Participant During the Titration PeriodFBT 100 Mcg - Dose Titration Period200 mcg38participants
Number of Participants Reaching An Effective Dose As Assessed by the Participant During the Titration PeriodFBT 200 Mcg - Dose Titration Period200 mcg61participants
Number of Participants Reaching An Effective Dose As Assessed by the Participant During the Titration PeriodFBT 100 Mcg - Dose Titration Period300 mcg (evaluated by mistake)1participants
Number of Participants Reaching An Effective Dose As Assessed by the Participant During the Titration PeriodFBT 200 Mcg - Dose Titration Period300 mcg (evaluated by mistake)1participants
Number of Participants Reaching An Effective Dose As Assessed by the Participant During the Titration PeriodFBT 100 Mcg - Dose Titration Period400 mcg23participants

Participant flow36

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Dose Titration PeriodSTARTEDFBT 100 Mcg - Dose Titration Period156
Dose Titration PeriodSTARTEDFBT 200 Mcg - Dose Titration Period174
Dose Titration PeriodSTARTEDFBT - Treatment and Continuation Periods0
Dose Titration PeriodTitration Safety Analysis SetFBT 100 Mcg - Dose Titration Period145
Dose Titration PeriodTitration Safety Analysis SetFBT 200 Mcg - Dose Titration Period167
Dose Titration PeriodTitration Safety Analysis SetFBT - Treatment and Continuation Periods0
Dose Titration PeriodCOMPLETEDFBT 100 Mcg - Dose Titration Period130
Dose Titration PeriodCOMPLETEDFBT 200 Mcg - Dose Titration Period151
Dose Titration PeriodCOMPLETEDFBT - Treatment and Continuation Periods0
Dose Titration PeriodNOT COMPLETEDFBT 100 Mcg - Dose Titration Period26

Adverse events83

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNauseaGastrointestinal disordersFBT - All Doses and Study Periods30312
otherVomitingGastrointestinal disordersFBT - All Doses and Study Periods23312
otherSomnolenceNervous system disordersFBT - All Doses and Study Periods16312
seriousAnaemiaBlood and lymphatic system disordersFBT - All Doses and Study Periods3312
seriousAnaemia of chronic diseaseBlood and lymphatic system disordersFBT - All Doses and Study Periods1312
seriousLymphadenopathyBlood and lymphatic system disordersFBT - All Doses and Study Periods1312
seriousPancytopeniaBlood and lymphatic system disordersFBT - All Doses and Study Periods1312
seriousCardio-respiratory arrestCardiac disordersFBT - All Doses and Study Periods2312
seriousTachyarrhythmiaCardiac disordersFBT - All Doses and Study Periods1312
seriousCardiovascular insufficiencyCardiac disordersFBT - All Doses and Study Periods1312

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityFBT - All Doses and Study Periods
Total, other adverse eventsFBT - All Doses and Study Periods52312
Total, serious adverse eventsFBT - All Doses and Study Periods67312

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00842829

GET https://conductscience.org/api/trials/v1/NCT00842829/registered?page=2