Evidence map›Paper›PMID 19940014›Full record

Trial reportAnnals of oncology : official journal of the European Society for Medical Oncology2010

Fentanyl buccal soluble film (FBSF) for breakthrough pain in patients with cancer: a randomized, double-blind, placebo-controlled study.

R Rauck, J North, L N Gever, I Tagarro, A L Finn

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of oncology : official journal of the European Society for Medical Oncology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03669263 (Fentanyl Buccal Soluble Films Feasible Dose Range Study for Breakthrough Pain in Taiwanese Cancer Patients), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
10.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03669263 nacompletednot on this mapstarted 2014, after this paper: background citation

Fentanyl Buccal Soluble Films Feasible Dose Range Study for Breakthrough Pain in Taiwanese Cancer Patients

TypeinterventionalSponsorChang Gung Memorial HospitalRan2014 to 2016Enrolled36ConditionsBreakthrough Cancer PainArmsFentanyl buccal soluble film (FBSF)
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 102 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Observational
  6. Article
  7. Effects of age and gender in patients receiving doses of opioids for breakthrough pain proportional to background opioid doses.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Article
  8. Breakthrough cancer pain: review and calls to action to improve its management.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2020
    Review
  9. Article
  10. Article
  11. Fentanyl buccal tablet for breakthrough cancer pain in clinical practice: results of the non-interventional prospective study ErkentNIS.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
  12. Fentanyl Inhibits Tumorigenesis from Human Breast Stem Cells by Inducing ApoptosisAsian Pacific journal of cancer prevention : APJCP · 2017
    Article
  13. Review
  14. Review
  15. Review
  16. Breakthrough cancer pain.Current pain and headache reports · 2014
    Review
  17. Review
  18. Article
  19. Review
  20. Single-dose fentanyl sublingual spray for breakthrough cancer pain.Clinical pharmacology : advances and applications · 2013
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

R RauckCarolinas Pain Institute, Winston-Salem, NC.
J NorthCarolinas Pain Institute, Winston-Salem, NC.
L N GeverMeda Pharmaceuticals, Inc., Somerset, NJ, USA.
I TagarroMeda Pharmaceuticals, Madrid, Spain.
A L FinnBioDelivery Sciences International, Inc., Raleigh, NC, USA. Electronic address: afinn@bdsinternational.com.
Carolinas Pain Institute · USBioDelivery Sciences International (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFentanyl buccal soluble film (FBSF) has been developed as a treatment of breakthrough pain in opioid-tolerant patients with cancer. The objective of this study was to evaluate the efficacy of FBSF at doses of 200-1200 microg in the management of breakthrough pain in patients with cancer receiving ongoing opioid therapy. PATIENTS AND

methodsThis was a multicenter, randomized, double-blind, placebo-controlled, multiple-crossover study that included opioid-tolerant adult patients with chronic cancer pain who experienced one to four daily episodes of breakthrough pain. The primary efficacy assessment was the sum of pain intensity differences at 30 min (SPID30) postdose.

resultsThe intent-to-treat population consisted of 80 patients with > or =1 post-baseline efficacy assessment. The least-squares mean (LSM +/- SEM) of the SPID30 was significantly greater for FBSF-treated episodes of breakthrough pain than for placebo-treated episodes (47.9 +/- 3.9 versus 38.1 +/- 4.3; P = 0.004). There was statistical separation from placebo starting at 15 min up through 60 min (last time point assessed). There were no unexpected adverse events (AEs) or clinically significant safety findings.

conclusionsFBSF is an effective option for control of breakthrough pain in patients receiving ongoing opioid therapy. In this study, FBSF was well tolerated in the oral cavity, with no reports of treatment-related oral AEs.

Indexed as

Administration, BuccalAdultAgedAnalgesics, OpioidDosage FormsDose-Response Relationship, DrugDouble-Blind MethodFemaleFentanylHumansMaleMiddle AgedNeoplasmsPainPain MeasurementPlacebosAnalgesics, OpioidDosage FormsFentanylPlacebos

Identifiers

PMID19940014
PMCPMC2875549
OpenAlexW2127078023

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.