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- W2019442032 abstract "This randomized, double-blind, placebo-controlled, phase 3 study evaluated the safety and efficacy of Fentanyl SL Spray for the treatment of breakthrough cancer pain. Fentanyl SL Spray at doses of 100, 200, 400, 600, 800, 1200 (2x600), or 1600 (2x800) μg were available for the titration and double-blind study periods. The primary endpoint was evaluation of summed pain intensity differences at 30 minutes post treatment (SPID30). Safety was assessed throughout the study. A total of 98/130 (75%) opioid-tolerant patients that enrolled in the 21(+5)-day open-label titration study period were randomized to the 21(+5)-day double-blind period. Mean (standard deviation [SD]) age for the double-blind population was 54.1 (11.7) years. Median (range) dose of Fentanyl SL Spray in the double-blind period was 800 (100, 1600) μg. Mean (SD) SPID30 scores were 640.3 (458.8) and 399.6 (391.2) for the Fentanyl SL Spray and placebo treatments, respectively; a significant difference of 240.7 (362.9; P<.0001) was reported between treatments. Mean (SD) total pain relief at 30 minutes was significantly improved (P<.0001) in patients treated with Fentanyl SL Spray (78.3 [20.4]) versus placebo (61.0 [20.8]). Most frequently reported (≥5% of patients) adverse events (AEs) during the titration period included nausea (13.1%), somnolence (8.5%), dizziness (7.7%), vomiting (7.7%), pyrexia (6.2%), diarrhea (5.4%), and peripheral edema (5.4%). In the double-blind period, most frequently reported AEs were nausea (7.1%), hyperhidrosis (5.1%), and peripheral edema (5.1%). Three deaths were reported; 2 in the titration period and one in the double-blind period. All deaths were due to the underlying disease progression and were considered unrelated to study drug. Fentanyl SL Spray was significantly more effective at relieving breakthrough cancer pain compared with placebo. No new safety concerns were identified. Financial support for this study was provided by INSYS Therapeutics. This randomized, double-blind, placebo-controlled, phase 3 study evaluated the safety and efficacy of Fentanyl SL Spray for the treatment of breakthrough cancer pain. Fentanyl SL Spray at doses of 100, 200, 400, 600, 800, 1200 (2x600), or 1600 (2x800) μg were available for the titration and double-blind study periods. The primary endpoint was evaluation of summed pain intensity differences at 30 minutes post treatment (SPID30). Safety was assessed throughout the study. A total of 98/130 (75%) opioid-tolerant patients that enrolled in the 21(+5)-day open-label titration study period were randomized to the 21(+5)-day double-blind period. Mean (standard deviation [SD]) age for the double-blind population was 54.1 (11.7) years. Median (range) dose of Fentanyl SL Spray in the double-blind period was 800 (100, 1600) μg. Mean (SD) SPID30 scores were 640.3 (458.8) and 399.6 (391.2) for the Fentanyl SL Spray and placebo treatments, respectively; a significant difference of 240.7 (362.9; P<.0001) was reported between treatments. Mean (SD) total pain relief at 30 minutes was significantly improved (P<.0001) in patients treated with Fentanyl SL Spray (78.3 [20.4]) versus placebo (61.0 [20.8]). Most frequently reported (≥5% of patients) adverse events (AEs) during the titration period included nausea (13.1%), somnolence (8.5%), dizziness (7.7%), vomiting (7.7%), pyrexia (6.2%), diarrhea (5.4%), and peripheral edema (5.4%). In the double-blind period, most frequently reported AEs were nausea (7.1%), hyperhidrosis (5.1%), and peripheral edema (5.1%). Three deaths were reported; 2 in the titration period and one in the double-blind period. All deaths were due to the underlying disease progression and were considered unrelated to study drug. Fentanyl SL Spray was significantly more effective at relieving breakthrough cancer pain compared with placebo. No new safety concerns were identified. Financial support for this study was provided by INSYS Therapeutics." @default.
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- W2019442032 date "2011-04-01" @default.
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- W2019442032 title "Safety and efficacy of Fentanyl Sublingual (SL) Spray in the treatment of breakthrough cancer pain" @default.
- W2019442032 doi "https://doi.org/10.1016/j.jpain.2011.02.203" @default.
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