Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01358500
Registration number
NCT01358500
Ethics application status
Date submitted
20/05/2011
Date registered
23/05/2011
Date last updated
6/02/2013
Titles & IDs
Public title
An Assessment of Fentanyl Dose Requirements in Opioid-maintained Individuals
Query!
Scientific title
An Assessment of Fentanyl Dose Requirements in Opioid-maintained Individuals
Query!
Secondary ID [1]
0
0
FEN001
Query!
Universal Trial Number (UTN)
Query!
Trial acronym
FEN001
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Opioid Dependence
0
0
Query!
Condition category
Condition code
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
Treatment: Drugs - Fentanyl
Experimental: Fentanyl -
Treatment: Drugs: Fentanyl
Intravenous infusion using STANPUMP
Query!
Intervention code [1]
0
0
Treatment: Drugs
Query!
Comparator / control treatment
Query!
Control group
Query!
Outcomes
Primary outcome [1]
0
0
Attainment of analgesia
Query!
Assessment method [1]
0
0
Attainment of analgesia as evidenced by having the cold pain tolerance test reading to twice the baseline value or reaching the absolute value of 2 minutes.
Query!
Timepoint [1]
0
0
Within 2 hours after starting the infusion
Query!
Secondary outcome [1]
0
0
Pupillometry
Query!
Assessment method [1]
0
0
The pupil diameter will be measured every 30 minutes during the infusion.
Query!
Timepoint [1]
0
0
Within 2 hours after infusion starts
Query!
Secondary outcome [2]
0
0
Saccadic eye movement
Query!
Assessment method [2]
0
0
The average peak velocity of the saccadic eye movement will be measured every half an hour for 2 hours.
Query!
Timepoint [2]
0
0
Within 2 hours after infusion starts
Query!
Secondary outcome [3]
0
0
Morphine Benzedrine Group Scale
Query!
Assessment method [3]
0
0
This paper test will take 3 minutes to complete and will measure the degree of euphoria.
Query!
Timepoint [3]
0
0
Within 2 hours after infusion starts
Query!
Secondary outcome [4]
0
0
Electroencephalography (EEG)
Query!
Assessment method [4]
0
0
The delta, theta and alpha Fz-Cz and Pz-Oz activity will be measured every 30 minutes during the infusion.
Query!
Timepoint [4]
0
0
Within 2 hours after infusion starts
Query!
Secondary outcome [5]
0
0
Subjective Opioid Withdrawal Scale
Query!
Assessment method [5]
0
0
This paper test will take 3 minutes to complete and will measure the degree of withdrawal. It will be done at 15, 30 and 60 minutes post infusion.
Query!
Timepoint [5]
0
0
Within 1 hour after infusion stops
Query!
Eligibility
Key inclusion criteria
1. Male or female, aged 18 to 65.
2. Maintained on any opioid with oral morphine equivalent daily dose (MEDD) of 60 mg and above.
3. Have adequate intravenous access for drug infusion.
4. Are currently abstaining from oral and intravenous recreational drug use.
Query!
Minimum age
18
Years
Query!
Query!
Maximum age
65
Years
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
1. Known positive for Hepatitis B, Hepatitis C or HIV
2. Contraindication to cold pain testing e.g. cardiac or vascular disease especially Raynaud's phenomenon, blood pressure problems, diabetes, epilepsy and recent serious injury.
3. Using medication which affects pupil size e.g. glaucoma
4. Visual acuity poorer than 6 / 25 corrected (so that saccadic eye movements can be performed correctly.
5. Patients with respiratory insufficiency and poor respiratory drive. The criteria will be a spirometry reading of less than 70% the predicted value and/or having resting oxygen saturation levels of less than 95% on air.
6. Subject is pregnant and/or lactating.
7. Chronic use of benzodiazepines which cannot be withheld for 5 half-lives of the benzodiazepine the patient is on.
8. Known intolerance to fentanyl or other opioids
9. Patients taking tramadol.
10. Patients taking CYP3A4 inhibitors like amiodarone, azole antifungals, cimetidine, clarithromycin, cyclosporine, diltiazem, erythromycin, fluoroquinolones, grapefruit juice, HIV protease inhibitors, metronidazole, quinine, selective serotonin reuptake inhibitors (SSRIs) and tacrolimus.
11. A positive urine test for benzodiazepines on the day of screening or testing.
12. A positive breathalyzer test on the day of testing.
13. Creatinine clearance < 30ml/min as estimated by Cockcroft-Gault formula.
14. Patients with bradyarrythmia.
Query!
Study design
Purpose of the study
Treatment
Query!
Allocation to intervention
NA
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Query!
Masking / blinding
Open (masking not used)
Query!
Who is / are masked / blinded?
Query!
Query!
Query!
Query!
Intervention assignment
Single group
Query!
Other design features
Query!
Phase
NA
Query!
Type of endpoint/s
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
UNKNOWN
Query!
Data analysis
Query!
Reason for early stopping/withdrawal
Query!
Other reasons
Query!
Date of first participant enrolment
Anticipated
Query!
Actual
1/02/2012
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
1/05/2013
Query!
Actual
Query!
Sample size
Target
24
Query!
Accrual to date
Query!
Final
Query!
Recruitment in Australia
Recruitment state(s)
SA
Query!
Recruitment hospital [1]
0
0
PARC, Royal Adelaide Hospital - Adelaide
Query!
Recruitment postcode(s) [1]
0
0
5000 - Adelaide
Query!
Funding & Sponsors
Primary sponsor type
Other
Query!
Name
University of Adelaide
Query!
Address
Query!
Country
Query!
Ethics approval
Ethics application status
Query!
Summary
Brief summary
This study seeks to determine the suitable doses of fentanyl with acceptable adverse effect and safety profile in opioid-dependent patients. The investigators anticipate that a well tolerated dose of fentanyl which produces demonstrable analgesia will be found and will be related to the patient's maintenance opioid dose.
Query!
Trial website
https://clinicaltrials.gov/study/NCT01358500
Query!
Trial related presentations / publications
Lotsch J. Pharmacokinetic-pharmacodynamic modeling of opioids. J Pain Symptom Manage. 2005 May;29(5 Suppl):S90-103. doi: 10.1016/j.jpainsymman.2005.01.012. Mitra S, Sinatra RS. Perioperative management of acute pain in the opioid-dependent patient. Anesthesiology. 2004 Jul;101(1):212-27. doi: 10.1097/00000542-200407000-00032. No abstract available.
Query!
Public notes
Query!
Contacts
Principal investigator
Name
0
0
Paul E Rolan, MD
Query!
Address
0
0
University of Adelaide
Query!
Country
0
0
Query!
Phone
0
0
Query!
Fax
0
0
Query!
Email
0
0
Query!
Contact person for public queries
Name
0
0
Paul E Rolan
Query!
Address
0
0
Query!
Country
0
0
Query!
Phone
0
0
+61882222712
Query!
Fax
0
0
Query!
Email
0
0
Query!
Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01358500
Download to PDF