Phase 3
N=258
A Confirmatory Study of Fentanyl in Participants With Post-herpetic Neuralgia, Complex Regional Pain Syndrome or Postoperative Pain Syndrome
Postherpetic Neuralgia · Complex Regional Pain Syndromes (CRPS) · Postoperative Pain
Bottom Line
View on ClinicalTrials.gov: NCT01008553 ↗Enrolled (actual)
258
Serious AEs
5.9%
Results posted
Jul 2013
Primary outcome: Primary: Time From the Initial Day of Application in Double-Blind Period to Withdrawal Because of Insufficient Analgesic Efficacy — NA; 45.0 Days — p=0.0003
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Fentanyl (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 20+ yrs
- Sex
- All
- Sponsor
- Janssen Pharmaceutical K.K.
- Primary completion
- Mar 2010
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Time From the Initial Day of Application in Double-Blind Period to Withdrawal Because of Insufficient Analgesic Efficacy |
NA; 45.0 | 0.0003 sig |
| SECONDARY Pain Visual Analog Scale (VAS) Score - Titration Period |
73.5; 39.5 | — |
| SECONDARY Pain Visual Analog Scale (VAS) Score - Double-Blind Period |
30.1; 27.5; 29.6; 37.1 | — |
| SECONDARY Number of Participants Evaluated as Per Participant's Overall Assessment - Titration Period |
85; 15; 220; 146 | — |
| SECONDARY Number of Participants Evaluated as Per Participant's Overall Assessment - Double-Blind Period |
82; 79; 61; 67; 69; 56 | — |
| SECONDARY Number of Doses of Rescue Treatment Per Day - Titration Period |
0.1; 0.5 | — |
| SECONDARY Number of Doses of Rescue Treatment Per Day - Double-Blind Period |
0.1; 0.1; 0.4; 0.7 | — |
| SECONDARY Brief Pain Inventory Short Form (BPI-sf) Score - Titration Period |
5.8; 3.9 | — |
| SECONDARY Brief Pain Inventory Short Form (BPI-sf) Score - Double-Blind Period |
3.3; 3.1; 3.5; 3.7 | — |
| SECONDARY Short-Form 36-Item Health Survey Version 2.0 (SF-36v2) Score - Titration Period |
23.1; 41.7; 26.0; 45.8 | — |
| SECONDARY Short-Form 36-Item Health Survey Version 2.0 (SF-36v2) Score - Double-Blind Period |
28.0; 29.4; 47.3; 47.7; 29.9; 27.6 | — |
| SECONDARY Number of Participants Evaluated as Per Physician's Overall Assessment - Titration Period |
214; 44 | — |
| SECONDARY Number of Participants Evaluated as Per Physician's Overall Assessment - Double-Blind Period |
84; 79; 0; 0; 70; 47 | — |
Summary
The purpose of this study is to evaluate the efficacy and safety of fentanyl in opioid-naive participants with post-herpetic neuralgia, complex regional pain syndrome or post-operative pain syndrome who cannot obtain a sufficient analgesic effect by the treatment of non-opioid analgesics (drug used to control pain).
Eligibility Criteria
Inclusion Criteria
- Participants whose pain because of post-herpetic neuralgia, Complex Regional Pain Syndrome (CRPS) or post-operative pain syndrome is continuing for at least 12 weeks prior to informed consent
- Participants who are continuously taking a non-opioid analgesic at the normal highest dose or more for at least 14 consecutive days prior to informed consent, or at a certain dose (except the use on an as-needed base) on consecutive days or participants who are continuously taking an analgesic adjuvant with a certain dosage and administration (except the use on an as-needed base) for at least 14 consecutive days prior to informed consent
- Participants showing insufficient therapeutic efficacy of the non-opioid analgesic currently being used, and to requiring a continuous opioid analgesic as per the Investigator or Sub-investigator
- Participants with an average pain intensity of 50 millimeter or more on the Visual Analog Scale in 24-hour daily living prior to informed consent
- Participants who can be hospitalized to the 4th day after the initiation of titration period
Exclusion Criteria
- Participants who had an operation that may affect the assessment within 30 days before informed consent
- Participants whose main cause of the pain to be assessed is considered attributable to psychogenic pain (physical pain that is caused, increased, or prolonged by mental, emotional, or behavioral factors)
- Participants with asthma, bradyarrhythmia (slow irregular heart beat) and severe respiratory function disorders
- Participants complicated with hepatic dysfunction such as fulminant hepatitis (inflammation of the liver) and liver cirrhosis (serious liver disorder in which connective tissue replaces normal liver tissue, and liver failure often occurs), or renal impairment such as nephritic syndrome, acute renal failure, and chronic renal failure
- Participants with a history of hypersensitivity to fentanyl and other opioid analgesics
Data sourced from ClinicalTrials.gov (NCT01008553). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.