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Trial · NCT01809106

RCT Comparing the Analgesic Efficacy of 4 Therapeutic Strategies Based on 4 Different Major Opioids (Fentanyl, Oxycodone, Buprenorphine vs Morphine) in Cancer Patients With Moderate/Severe Pain, at the Moment of Starting 3rd Step of WHO Analgesic Ladder.

NCT01809106, Phase 4, Completed, Mario Negri Institute for Pharmacological Research; results first posted 2015-11-20

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. RCT Comparing the Analgesic Efficacy of 4 Therapeutic Strategies Based on 4 Different Major Opioids (Fentanyl, Oxycodone, Buprenorphine vs Morphine) in Cancer Patients With Moderate/Severe Pain, at the Moment of Starting 3rd Step of WHO Analgesic Ladder. Trials, record NCT01809106. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01809106

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Trial

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

Title
RCT Comparing the Analgesic Efficacy of 4 Therapeutic Strategies Based on 4 Different Major Opioids (Fentanyl, Oxycodone, Buprenorphine vs Morphine) in Cancer Patients With Moderate/Severe Pain, at the Moment of Starting 3rd Step of WHO Analgesic Ladder.
NCT number
NCT01809106
Status
Completed
Phases
Phase 4
Enrollment
518 participants, actual
Lead sponsor
Mario Negri Institute for Pharmacological Research
Conditions
Cancer, Cancer Pain
Interventions
Morphine, Fentanyl, Buprenorphine, Oxycodone
First posted
2013-03-12
Last updated
2015-12-24
Results first posted
2015-11-20

Source ClinicalTrials.gov

Registered outcomes3

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

ListOutcomeTime frameDescription
PrimaryProportion of Non-Responder (NR) Participants28 days
Evaluation of the proportion of Non-Responder (NR) participants. NR correspond to the subjects who do not report any analgesic effects, with a P.I.D. (pain intensity difference) from visit 6 and visit 1 =/\< 0%, (using a 0-10 NRS ). It includes the situations of average pain intensity "stable" or "worsened" at day 28 compared with baseline values.
SecondaryProportion of Full-responder28 daysEvaluation of the proportion of subjects who report full analgesia (full responders: FR). FR is operationally defined as a patient with a P.I.D. =/\> 30% from visit 6 and visit 1 (NRS 0 to 10).
OtherThe Opioid Escalation Index28 daysThe proportion of subjects with an increase of opioid daily dose \> 5% compared with the basal dosage (OEI%).

Outcomes3

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProportion of Non-Responder (NR) Participants28 daysIntention-to-treatparticipantsNUMBER
SECONDARYProportion of Full-responder28 daysparticipantsNUMBER
OTHER_PRE_SPECIFIEDThe Opioid Escalation Index28 daysparticipantsNUMBER

Results by group12

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

OutcomeGroupCategoryValueSpreadUnits
Proportion of Non-Responder (NR) ParticipantsMorphine14participants
Proportion of Non-Responder (NR) ParticipantsOxycodone18participants
Proportion of Non-Responder (NR) ParticipantsBuprenorphine14participants
Proportion of Non-Responder (NR) ParticipantsFentanyl11participants
Proportion of Full-responderMorphine89participants
Proportion of Full-responderOxycodone90participants
Proportion of Full-responderBuprenorphine95participants
Proportion of Full-responderFentanyl88participants
The Opioid Escalation IndexMorphine13participants
The Opioid Escalation IndexOxycodone24participants

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDMorphine130
Overall StudySTARTEDOxycodone130
Overall StudySTARTEDBuprenorphine130
Overall StudySTARTEDFentanyl128
Overall StudyCOMPLETEDMorphine122
Overall StudyCOMPLETEDOxycodone125
Overall StudyCOMPLETEDBuprenorphine127
Overall StudyCOMPLETEDFentanyl124
Overall StudyNOT COMPLETEDMorphine8
Overall StudyNOT COMPLETEDOxycodone5

Adverse events48

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherdrowsinessGeneral disordersMorphine7912279
otherdrowsinessGeneral disordersOxycodone7412574
otherdrowsinessGeneral disordersBuprenorphine8112781
otherdrowsinessGeneral disordersFentanyl7012470
otherConfusionGeneral disordersMorphine5912259
otherConfusionGeneral disordersOxycodone5512555
otherConfusionGeneral disordersBuprenorphine6112761
otherConfusionGeneral disordersFentanyl4612446
seriousbowel occlusionGastrointestinal disordersMorphine11221
seriousbowel occlusionGastrointestinal disordersOxycodone01250

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityMorphine
Total, all-cause mortalityOxycodone
Total, all-cause mortalityBuprenorphine
Total, all-cause mortalityFentanyl
Total, other adverse eventsMorphine103122
Total, other adverse eventsOxycodone98125
Total, other adverse eventsBuprenorphine108127
Total, other adverse eventsFentanyl95124
Total, serious adverse eventsMorphine5122
Total, serious adverse eventsOxycodone1125

Papers8

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
16457716BACKGROUNDPubMed
19401688BACKGROUNDPubMed
20842024BACKGROUNDPubMed
22323375BACKGROUNDPubMed
22680789BACKGROUNDPubMed
26940689DERIVEDPubMed
29220110DERIVEDPubMed
41948194DERIVEDPubMed

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/NCT01809106

GET https://conductscience.org/api/trials/v1/NCT01809106/events?page=2