Evidence map›Paper›PMID 39028339›Full record

Trial reportThe oncologist2024

Efficacy of transdermal buprenorphine patch for managing withdrawal symptoms in patients with cancer physically dependent on prescription opioids.

Jung Hun Kang, Kyung Hee Lee, Seok Jae Huh, Seong-Hoon Shin, Il Hwan Kim, In Gyu Hwang, Dong-Hoe Koo, Dongyun Lee, Su-Jin Koh, Seyoung Seo and 6 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in The oncologist, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

16 authors.

Jung Hun KangDepartment of Internal Medicine, Gyeongsang National University College of Medicine, Jinju, Korea.
Kyung Hee LeeDepartment of Hematology-Oncology, Yeungnam University College of Medicine, Daegu, Korea.
Seok Jae HuhDepartment of Internal Medicine, Dong-A University College of Medicine, Busan, Korea.
Seong-Hoon ShinDepartment of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
Il Hwan KimDivision of Oncology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
In Gyu HwangDivision of Hematology/Oncology, Department of Internal Medicine, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
Dong-Hoe KooDivision of Hematology/Oncology, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Dongyun LeeDepartment of Psychiatry, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine, Changwon, Korea.
Su-Jin KohDepartment of Hematology and Oncology, Ulsan University Hospital, Ulsan University College of Medicine, Ulsan, Korea.
Seyoung SeoDepartment of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Guk Jin LeeDepartment of Internal Medicine, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea.
Sang Hoon ChunDepartment of Internal Medicine, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea.
Jun Ho JiDivision of Hematology-Oncology, Department of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.
Sung Yong OhDepartment of Internal Medicine, Dong-A University College of Medicine, Busan, Korea.
Jung Woo ChoiDepartment of Internal Medicine, Gyeongsang National University College of Medicine, Jinju, Korea.
Se-Il GoDepartment of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine, Changwon, Korea.ORCID 0000-0002-3025-6096

Funding

Ministry of Health & Welfare, Republic of KoreaNational Cancer Center
6 · The paper itself

Abstract

backgroundThe physical dependence on prescription opioids among cancer survivors remains an under-investigated area, with a scarcity of well-designed prospective studies.

methodsThis single-arm, phase-2 clinical trial in Korea assessed the efficacy and safety of a transdermal buprenorphine patch (TBP) in managing physical dependence on prescription opioids in cancer survivors, as confirmed through the DSM-5 criteria or psychiatric consultation for opioid withdrawal. This study involved a 4-phase treatment protocol of screening, induction/stabilization, discontinuation, and monitoring. The primary outcome was the rate of successful opioid discontinuation, as measured by a negative urine-drug screening at 8 weeks. Key secondary outcomes included the resumption of prescribed opioids, changes in both the Clinical Opioid Withdrawal Scale (COWS) and morphine equivalent daily dose (MEDD), and assessments related to the psychological and physiological aspects of dependence and safety.

resultsThirty-one participants were enrolled. In the intention-to-treat population, the success rate of opioid discontinuation was 58%, with only 2 participants experiencing a resumption of prescribed opioids. Significant reductions were observed in MEDD, which decreased from 98 to 26 mg/day (P < .001), and COWS scores, which decreased from 5.5 to 2.8 (P < .001). Desire to use opioids reduced from 7.0 to 3.0 on a 10-point numeric rating scale (P < .001). Toxicities related to TBP were mild and manageable, without severe precipitated withdrawal symptoms.

conclusionTBP may be considered as an alternative therapeutic option in cancer survivors physically dependent on prescription opioids, especially where sublingual formulations are unavailable.

Indexed as

Analgesics, OpioidBuprenorphineNeoplasmsSubstance Withdrawal SyndromeTransdermal PatchAdultAgedFemaleHumansMaleMiddle AgedOpioid-Related DisordersProspective StudiesAnalgesics, OpioidBuprenorphinebuprenorphinecancer survivorsopioid-related disordersprescription drugssubstance withdrawal syndrome

Identifiers

PMID39028339
PMCPMC11546621

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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.