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AzTrials

Breakthrough PainGENISISNCT00994760

Efficacy and Tolerability of Intranasal Fentanyl Spray for the Treatment of Breakthrough Pain in Cancer Patients Older Than 18 Years

An observational study of Breakthrough Pain and Cancer, run by Takeda at 168 sites in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The aim of the study was to evaluate the safety and efficacy of intranasal fentanyl spray in cancer patients over four weeks, especially during cancer-related breakthrough pain (BTP) attacks. The fentanyl spray was applied into the nose by a metered-spray device. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Breakthrough Pain, Cancer
What is being tested?
Instanyl (Intranasal Fentanyl)
How many people
131 participants
Where
168 sitesGermany
Study dates
Sep 2009to Nov 2010
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Outpatients

Who may be able to join

  • decision to start treatment with intranasal fentanyl spray
  • written informed consent

Who cannot join

  • criteria as defined in the Summary of Product Characteristics (Fachinformation Chapter 4.3)

Trial locations and contacts

168 sites in 1 country.

168 sites in 1 country

Germany168 sites
  • Nycomed Deutschland GmbH

    Aachen, 52074

  • Nycomed Deutschland GmbH

    Adendorf, 21365

  • Nycomed Deutschland GmbH

    Aichach, 86551

  • Nycomed Deutschland GmbH

    Albstadt, 72458

  • Nycomed Deutschland GmbH

    Albstadt-Ebingen, 72458

  • Nycomed Deutschland GmbH

    Altenkirchen, 57610

  • Nycomed Deutschland GmbH

    Aschaffenburg, 63743

  • Nycomed Deutschland GmbH

    Aschersleben, 06449

  • Nycomed Deutschland GmbH

    Augsburg, 86150

  • Nycomed Deutschland GmbH

    Augsburg, 86163

  • Nycomed Deutschland GmbH

    Backnang, 71522

  • Nycomed Deutschland GmbH

    Bad Bevensen, 29545

  • Nycomed Deutschland GmbH

    Bad Dürkheim, 67098

  • Nycomed Deutschland GmbH

    Bad Liebenstein, 36448

  • Nycomed Deutschland GmbH

    Bad Pyrmont, 31812

  • Nycomed Deutschland GmbH

    Bad Schwalbach, 65307

  • Nycomed Deutschland GmbH

    Badel, 39624

  • Nycomed Deutschland GmbH

    Bademühlen, 27404

  • Nycomed Deutschland GmbH

    Bautzen, 02625

  • Nycomed Deutschland GmbH

    Berlin, 10317

  • Nycomed Deutschland GmbH

    Berlin, 10409

  • Nycomed Deutschland GmbH

    Berlin, 10437

  • Nycomed Deutschland GmbH

    Berlin, 10713

  • Nycomed Deutschland GmbH

    Berlin, 10715

  • Nycomed Deutschland GmbH

    Berlin, 10999

  • Nycomed Deutschland GmbH

    Berlin, 12107

  • Nycomed Deutschland GmbH

    Berlin, 12627

  • Nycomed Deutschland GmbH

    Berlin, 13055

  • Nycomed Deutschland GmbH

    Böblingen, 71034

  • Nycomed Deutschland GmbH

    Bochum, 44801

  • Nycomed Deutschland GmbH

    Bonn, 53177

  • Nycomed Deutschland GmbH

    Brandenburg/Havel, 14776

  • Nycomed Deutschland GmbH

    Braunschweig, 38100

  • Nycomed Deutschland GmbH

    Bremen, 28329

  • Nycomed Deutschland GmbH

    Brühl, 50321

  • Nycomed Deutschland GmbH

    Burg, 39288

  • Nycomed Deutschland GmbH

    Burg/Fehmarn, 23769

  • Nycomed Deutschland GmbH

    Burscheid, 51399

  • Nycomed Deutschland GmbH

    Butzbach, 35510

  • Nycomed Deutschland GmbH

    Coburg, 96450

  • Nycomed Deutschland GmbH

    Cochem, 56812

  • Nycomed Deutschland GmbH

    Cologne, 50733

  • Nycomed Deutschland GmbH

    Cologne, 50935

  • Nycomed Deutschland GmbH

    Cologne, 50937

  • Nycomed Deutschland GmbH

    Cologne, 50996

  • Nycomed Deutschland GmbH

    Cologne, 50997

  • Nycomed Deutschland GmbH

    Cologne, 51065

  • Nycomed Deutschland GmbH

    Cologne, 51103

  • Nycomed Deutschland GmbH

    Cottbus, 03050

  • Nycomed Deutschland GmbH

    Cuxhaven, 27472

  • Nycomed Deutschland GmbH

    Cuxhaven, 27474

  • Nycomed Deutschland GmbH

    Dessau, 06846

  • Nycomed Deutschland GmbH

    Dresden, 01127

  • Nycomed Deutschland GmbH

    Dresden, 01307

  • Nycomed Deutschland GmbH

    Dresden, 01309

  • Nycomed Deutschland GmbH

    Duisburg, 47137

  • Nycomed Deutschland GmbH

    Düsseldorf, 40589

  • Nycomed Deutschland GmbH

    Essen, 45326

  • Nycomed Deutschland GmbH

    Etzenricht, 92694

  • Nycomed Deutschland GmbH

    Fehmarn, 23769

  • Nycomed Deutschland GmbH

    Frankfurt, 60311

  • Nycomed Deutschland GmbH

    Frankfurt, 60313

  • Nycomed Deutschland GmbH

    Frankfurt, 60590

  • Nycomed Deutschland GmbH

    Freiburg im Breisgau, 79108

  • Nycomed Deutschland GmbH

    Friedberg, 86316

  • Nycomed Deutschland GmbH

    Geesthacht, 21502

  • Nycomed Deutschland GmbH

    Göppingen, 73033

  • Nycomed Deutschland GmbH

    Görlitz, 02826

  • Nycomed Deutschland GmbH

    Großheirath-Rossach, 96269

  • Nycomed Deutschland GmbH

    Gütersloh, 33330

  • Nycomed Deutschland GmbH

    Hachenburg, 57627

  • Nycomed Deutschland GmbH

    Hainburg, 63512

  • Nycomed Deutschland GmbH

    Halle, 06110

  • Nycomed Deutschland GmbH

    Halle, 06120

  • Nycomed Deutschland GmbH

    Hamburg, 20095

  • Nycomed Deutschland GmbH

    Hamburg, 22765

  • Nycomed Deutschland GmbH

    Hamelin, 31785

  • Nycomed Deutschland GmbH

    Hanover, 30161

  • Nycomed Deutschland GmbH

    Hanover, 30167

  • Nycomed Deutschland GmbH

    Hanover, 30625

  • Nycomed Deutschland GmbH

    Heidelberg, 69115

  • Nycomed Deutschland GmbH

    Hellenthal, 53940

  • Nycomed Deutschland GmbH

    Herne, 44625

  • Nycomed Deutschland GmbH

    Herzlake, 49770

  • Nycomed Deutschland GmbH

    Hohberg, 77749

  • Nycomed Deutschland GmbH

    Hohberg-Hofweiler, 77749

  • Nycomed Deutschland GmbH

    Holzminden, 37603

  • Nycomed Deutschland GmbH

    Husum, 25813

  • Nycomed Deutschland GmbH

    Iserlohn, 58638

  • Nycomed Deutschland GmbH

    Itzehoe, 25524

  • Nycomed Deutschland GmbH

    Jerichow, 39319

  • Nycomed Deutschland GmbH

    Kaiserslautern, 67655

  • Nycomed Deutschland GmbH

    Karlsbad, 76307

  • Nycomed Deutschland GmbH

    Katzhütte, 98746

  • Nycomed Deutschland GmbH

    Kevelaar, 47625

  • Nycomed Deutschland GmbH

    Kiel, 24105

  • Nycomed Deutschland GmbH

    Kiel, 24106

  • Nycomed Deutschland GmbH

    Kiel, 24149

  • Nycomed Deutschland GmbH

    Kirchberg, 08107

  • Nycomed Deutschland GmbH

    Koblenz, 56068

  • Nycomed Deutschland GmbH

    Koblenz, 56072

  • Nycomed Deutschland GmbH

    Köthen, 06366

  • Nycomed Deutschland GmbH

    Krefeld, 47798

  • Nycomed Deutschland GmbH

    Krefeld, 47799

  • Nycomed Deutschland GmbH

    Krefeld, 47803

  • Nycomed Deutschland GmbH

    Laatzen, 30880

  • Nycomed Deutschland GmbH

    Lage/Lippe, 32791

  • Nycomed Deutschland GmbH

    Landshut, 84036

  • Nycomed Deutschland GmbH

    Leipzig, 04159

  • Nycomed Deutschland GmbH

    Leverkusen, 51381

  • Nycomed Deutschland GmbH

    Ludwigshafen, 67071

  • Nycomed Deutschland GmbH

    Magdeburg, 39110

  • Nycomed Deutschland GmbH

    Magdeburg, 39112

  • Nycomed Deutschland GmbH

    Magdeburg, 39116

  • Nycomed Deutschland GmbH

    Mainz, 55116

  • Nycomed Deutschland GmbH

    Mannheim, 63167

  • Nycomed Deutschland GmbH

    Mannheim, 68165

  • Nycomed Deutschland GmbH

    Mayen, 56727

  • Nycomed Deutschland GmbH

    Meinersen, 38536

  • Nycomed Deutschland GmbH

    München, 80538

  • Nycomed Deutschland GmbH

    Nastätten, 56355

  • Nycomed Deutschland GmbH

    Naumburg, 06618

  • Nycomed Deutschland GmbH

    Neubrandenburg, 17022

  • Nycomed Deutschland GmbH

    Neubrandenburg, 17033

  • Nycomed Deutschland GmbH

    Neuss, 41460

  • Nycomed Deutschland GmbH

    Neustadt, 01844

  • Nycomed Deutschland GmbH

    Neustadt, 67434

  • Nycomed Deutschland GmbH

    Nordhorn, 48529

  • Nycomed Deutschland GmbH

    Olpe, 57462

  • Nycomed Deutschland GmbH

    Osloß, 38557

  • Nycomed Deutschland GmbH

    Osnabrück, 49074

  • Nycomed Deutschland GmbH

    Osnabrück, 49076

  • Nycomed Deutschland GmbH

    Pforzheim, 75172

  • Nycomed Deutschland GmbH

    Plate, 19086

  • Nycomed Deutschland GmbH

    Plüderhausen, 73655

  • Nycomed Deutschland GmbH

    Potsdam, 14467

  • Nycomed Deutschland GmbH

    Potsdam-Babelsberg, 14482

  • Nycomed Deutschland GmbH

    Pulheim-Stommeln, 50259

  • Nycomed Deutschland GmbH

    Quedlinburg, 06484

  • Nycomed Deutschland GmbH

    Rheine, 48431

  • Nycomed Deutschland GmbH

    Rosenfeld, 72348

  • Nycomed Deutschland GmbH

    Rostock, 18055

  • Nycomed Deutschland GmbH

    Rostock, 18107

  • Nycomed Deutschland GmbH

    Rostock, 18109

  • Nycomed Deutschland GmbH

    Sangerhausen, 06526

  • Nycomed Deutschland GmbH

    Sankt Michaelisdonn, 25693

  • Nycomed Deutschland GmbH

    Schleswig, 24837

  • Nycomed Deutschland GmbH

    Siegen, 57072

  • Nycomed Deutschland GmbH

    Solingen, 42659

  • Nycomed Deutschland GmbH

    Stendal, 39576

  • Nycomed Deutschland GmbH

    Stuttgart, 70619

  • Nycomed Deutschland GmbH

    Tangermünde, 39590

  • Nycomed Deutschland GmbH

    Ulm, 89073

  • Nycomed Deutschland GmbH

    Ulm, 89075

  • Nycomed Deutschland GmbH

    Ulm, 89077

  • Nycomed Deutschland GmbH

    Varel, 26316

  • Nycomed Deutschland GmbH

    Velbert, 42551

  • Nycomed Deutschland GmbH

    Villingen-Schwenningen, 78054

  • Nycomed Deutschland GmbH

    Wedel, 22880

  • Nycomed Deutschland GmbH

    Weinsberg, 74189

  • Nycomed Deutschland GmbH

    Werdau, 08412

  • Nycomed Deutschland GmbH

    Wesendorf, 29392

  • Nycomed Deutschland GmbH

    Westhausen, 73463

  • Nycomed Deutschland GmbH

    Wiesbaden, 65189

  • Nycomed Deutschland GmbH

    Wiesbaden, 65191

  • Nycomed Deutschland GmbH

    Wilster, 25554

  • Nycomed Deutschland GmbH

    Zwickau, 08056

  • Nycomed Deutschland GmbH

    Zwönitz, 08297

Other trials in Germany

About this study

Official title: A Prospective Non-interventional/Observational Patient Cohort Study on the Efficacy of Intranasal Fentanyl Spray for the Treatment of Breakthrough Pain in Cancer Patients.

The aim of the study was to evaluate the safety and efficacy of intranasal fentanyl spray in cancer patients over four weeks, especially during cancer-related breakthrough pain (BTP) attacks. The fentanyl spray was applied into the nose by a metered-spray device. The study was to provide further data on pharmacoeconomic efficiency of intranasal fentanyl spray.

Being tested
Instanyl (Intranasal Fentanyl)
Keywords
intranasal fentanyl spray
Medical subject headings
Breakthrough Pain, Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Instanyl (Intranasal Fentanyl)Drug

    This was an observational study. Therefore, the physician decided about dosage according to individual needs.

Study groups in NCT00994760
Study groupRoleWhat they receive
GENISISNot described
Receives: Drug: Instanyl (Intranasal Fentanyl)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Dose of Instanyl

    Initially prescribed dose/ most efficient single dose of Instanyl at study end

    Measured: during therapy with Instanyl (planned: 28 days)

  2. Physician: Degree of Maximum Pain Intensity During the Last Days/ Since the Last Examination

    Scale: 0=no, 1=mild, 2=moderate, 3=strong, 4=very strong, 5=extreme

    Measured: before and after therapy with Instanyl (first/last visit)

  3. Physician: Assessment of Breakthrough Pain Therapy (Initial Visit: Previous/Last Visit: Instanyl)

    Scale: 1=very good, 2=good, 3=satisfactory, 4=poor, 5=very poor, 6=insufficient

    Measured: before and after therapy with Instanyl (first/last visit)

  4. Physician: To What Extent Did Your Expectations in Instanyl Have Met? (Last Visit)

    5=completely, 4=for the most part, 3=partially, 2= more or less, 1=rather not, 0=not at all

    Measured: after therapy with Instanyl (planned: 4 weeks)

  5. Physician: To What Extent Changes Have Occurred Induced by the Treatment of Breakthrough Pain With Instanyl With Respect to ... (at Last Visit)

    Scale: -3= very much improved, -2= much improved, -1= improved, 0= comparable, 1= worsened, 2= much worsened ,3= very much worsened

    Measured: after therapy with Instanyl (at last visit)

  6. Physician: What is the Current Treatment Needs of Your Patient Regarding ...

    Scale: 0=no, 1=low, 2=medium, 3=high

    Measured: before and after therapy with Instanyl (first/last visit)

Secondary outcomes (18)
  1. Physician: Degree of Relief of Breakthrough Pain Achieved by Instanyl at Study End

    0=no reduction, 1=slight, 2=medium, 3=strong, 4=very strong, 5=complete

    Measured: after therapy with Instanyl (planned: 4 weeks)

  2. Patient: How Many Episodes of Pain You Experience on Average?

    Measured: initial visit (before start of therapy with Instanyl)

  3. Patient: Description of Pain at Initial Visit

    0=no pain, 10= most intense pain imaginable

    Measured: initial visit (before start of therapy with Instanyl)

  4. Patient: How do You Feel Today?

    Scale: 1=very bad, 2=bad, 3=mediocre, 4=good, 5=very good

    Measured: before and after therapy with Instanyl (first/last visit)

  5. Patient: To What Extent Your Present Condition is Affected by Your Pain Attacks?

    Scale: 0=not at all, 10=completely

    Measured: before and after therapy with Instanyl (first/last visit)

  6. Patient: Modified Pain Disability Index (mPDI) - Sum - Score (Complete Questionnaires Only)

    Scale: 0=no impairment, 70=complete impairment

    Measured: before and after therapy with Instanyl (first/last visit)

  7. Patient: Quality-of-Life-Impairment by Pain =QLIP - Sum - Score (Complete Questionnaires Only)

    Scale: 0=complete impairment, 43=no impairment

    Measured: before and after therapy with Instanyl (first/last visit)

  8. Patient: Quality-of-Life-Impairment by Pain =QLIP - Sum - Score (Complete Questionnaires Only) Conspicuous ≤20

    0= conspicuous ≤20

    1= inconspicuous >20

    Measured: before and after therapy with Instanyl (first/last visit)

  9. Patient: Marburg Questionnaire on Habitual Health (MQHH): Sum - Score (Complete Questionnaires Only)

    Scale: 0=worst, 5=best

    Measured: before and after therapy with Instanyl (first/last visit)

  10. Patient: Marburg Questionnaire on Habitual Health (MQHH): Sum - Score (Complete Questionnaires Only) Conspicuous <1.5

    conspicuous score <1.5 inconspicuous score ≥1.5

    Measured: before and after therapy with Instanyl (first/last visit)

  11. Patient: Degree of Relief of Breakthrough Pain Achieved by Instanyl at Study End

    0=no reduction, 1=slight, 2=medium, 3=strong, 4=very strong, 5=complete

    Measured: after therapy with Instanyl (planned: 4 weeks)

  12. Patient: Assessment of Breakthrough Pain Therapy (Initial Visit: Previous/Last Visit: Instanyl)

    Scale: 1=very good, 2=good, 3=satisfactory, 4=poor, 5=very poor, 6=insufficient

    Measured: before and after therapy with Instanyl (first/last visit)

  13. Patient: To What Extent Did Your Expectations in Instanyl Have Met With Respect to ... (Last Visit)

    5=completely, 4=for the most part, 3=partially, 2=more or less, 1=rather not, 0=not at all

    Measured: after therapy with Instanyl (planned: 4 weeks)

  14. Patient: To What Extent Changes Have Occurred Induced by the Treatment of Breakthrough Pain With Instanyl With Respect to ...(at Last Visit)

    Scale: -3= very much improved, -2= much improved, -1= improved , 0= comparable, 1= worsened, 2= much worsened, 3= very much worsened

    Measured: after therapy with Instanyl (at last visit)

  15. Caregiver: Degree of Relief of Breakthrough Pain Achieved by Instany at Study End

    0=no reduction, 1=slight, 2=medium, 3=strong, 4=very strong, 5=complete

    Measured: after therapy with Instanyl (planned: 4 weeks)

  16. Caregiver: Assessment of Breakthrough Pain Therapy by Instanyl (Last Visit)

    Scale: 1=very good, 2=good, 3=satisfactory, 4=poor, 5=very poor, 6=insufficient

    Measured: after therapy with Instanyl (first/last visit)

  17. Caregiver: To What Extent Changes Have Occurred Induced by the Treatment of Breakthrough Pain With Instanyl With Respect to ... (at Last Visit)

    Scale: -3= very much improved, -2= much improved, -1= improved , 0= comparable, 1= worsened, 2= much worsened, 3= very much worsened

    Measured: after therapy with Instanyl (at last visit)

  18. Caregiver: To What Extent the Treatment Needs of Your Patient Has Changed by the Use of Instanyl Regarding ...

    Scale: -3= very much less, -2= much less, -1= less, 0=comparable, 1= more, 2= much more, 3= very much more

    Measured: after therapy with Instanyl (last visit)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Oct 2009 (estimated)
  2. Study startSep 2009
  3. Primary completionSep 2010
  4. Study completionNov 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
131 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00994760
Sponsor's protocol ID
FT-1301-401-DE
Acronym
GENISIS
Status last verified
Aug 2012
First submitted
5 Oct 2009
Last updated
27 Sep 2012
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

An observational study of Breakthrough Pain and Cancer, run by Takeda at 168 sites in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Sep 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 168 sites in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 27 Sep 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dose of Instanyl (time frame: during therapy with Instanyl (planned: 28 days)). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Sep 2012.

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