Evidence map›Paper›PMID 32721110›Full record

Trial reportCancer reports (Hoboken, N.J.)2019

A dose titration study of fentanyl buccal soluble film for breakthrough cancer pain in Taiwan.

Tzeon-Jye Chiou, Ta-Chung Chao, Tsu-Yi Chao, Jen-Seng Huang, Yi-Fang Chang, Cheng-Hsu Wang

Open access · greenAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Cancer reports (Hoboken, N.J.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact, top 94% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Observational
  3. 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

6 authors at 3 institutions in 1 country.

Tzeon-Jye ChiouDivision of Transfusion Medicine, Department of Medicine, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei, Taiwan.
Ta-Chung ChaoDivision of Medical Oncology, Department of Oncology, Taipei Veterans General Hospital, Taipei, Taiwan.
Tsu-Yi ChaoDivision of Hematology & Oncology, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan.
Jen-Seng HuangDivision of Hemato-Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan.
Yi-Fang ChangDivision of Hematology and Oncology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, Taiwan.
Cheng-Hsu WangDivision of Hemato-Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan.ORCID 0000-0002-7248-3983
National Yang Ming Chiao Tung University · TWChang Gung University · TWMackay Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFentanyl buccal soluble film (FBSF), a new formulation of fentanyl, is developed for the treatment of breakthrough pain (BTP) in opioid-tolerant patients with cancer.

aimsThis study aimed to assess the feasible dose range of FBSF required for Taiwanese population. METHODS AND

resultsThis was an open-label, multicenter, noncomparative study. Cancer patients who were aged 20 years or older and had a stable regimen equivalent to 60 to 1000 mg/day of oral morphine, 20 to 120 mg/day of intravenous morphine, or 25 to 300 μg/h of transdermal fentanyl for at least 1 week were enrolled. The primary endpoint was the feasible dose range of FBSF. Secondary endpoints included difference in pain intensity at 30 minutes (PID30), percentage of episodes requiring rescue medication, and overall satisfaction. Adverse events (AEs) and serious AEs (SAEs) were recorded for safety measurements. The final effective dose in the per-protocol (PP) population (n = 30) ranged from 200 to 800 μg, of which 26 subjects (86.7%) achieved an effective dose range of 200 to 400 μg. Among the 283 BTP episodes recorded in the maintenance period, the mean PID30 was 4.0, and only 13 events (4.6%) required rescue medication. For 63.6% of the BTP episodes, patients rated their satisfaction as good to excellent. Only 5% of AEs were considered drug-related.

conclusionsIndividualized dose titration is recommended for BTP management for patients' benefit. Overall, FBSF was effective and well tolerated and was positively correlated with patients' background opioid dose for persistent pain management.

Indexed as

Administration, BuccalAdultAgedAged, 80 and overAnalgesics, OpioidBreakthrough PainCancer PainDose-Response Relationship, DrugFeasibility StudiesFemaleFentanylHumansMaleMiddle AgedPain ManagementPain MeasurementAnalgesics, OpioidFentanylbreakthrough paindose titrationfeasible dose rangefentanyl buccal soluble film

Identifiers

PMID32721110
PMCPMC7941537
OpenAlexW2941258289

What OpenQuestion holds

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Registered trials

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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.