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Trial Title: Optimizing Subcutaneous FEntanyl titRation: RApid Achievement of Adequate Exposure When Treating Cancer-Related paIn.

NCT ID: NCT06498037

Condition: Cancer Pain

Conditions: Official terms:
Cancer Pain
Fentanyl

Study type: Interventional

Study phase: Phase 4

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Intervention model description: a single-arm PK-study design

Primary purpose: Supportive Care

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Fentanyl
Description: Administration of subcutaneously administered fentanyl loading boluses
Arm group label: Intervention arm

Summary: The primary objective is to evaluate the effect of loading boluses when dose incresaing treatment with SC fentanyl in patients with cancer. The primary endpoint of this study is to prove the non-inferiority of fentanyl plasma concentrations 12 hours after dose augmentation compared to 48 hours after dose augmentation within each patient. Patients will be treated with additional loading boluses and plasma-PK samples will be obtained.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Age ≥18 years; - Able to understand the written information and able to give informed consent. - Current or planned treatment with SC fentanyl for cancer-related pain Exclusion Criteria: - Pregnancy or/ and breastfeeding - Other ways of using fentanyl (sublingual, nasal spray and oromucosal) - Liver function CPS B or C - The use of strong CYP3A4 inhibitors of inducers [9] - Presence of somnolence, respiratory depression or CTCAE grade 2 adverse events.

Gender: All

Minimum age: 18 Years

Maximum age: 120 Years

Healthy volunteers: No

Locations:

Facility:
Name: Erasmus Medical Center

Address:
City: Rotterdam
Zip: 3015 GD
Country: Netherlands

Status: Recruiting

Contact:
Last name: Bram C Agema

Phone: +31107040704
Email: b.agema@erasmusmc.nl

Start date: February 23, 2024

Completion date: December 2, 2025

Lead sponsor:
Agency: Erasmus Medical Center
Agency class: Other

Source: Erasmus Medical Center

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06498037

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