Page last updated: 2024-10-27

fentanyl and Cancer-Associated Pain

fentanyl has been researched along with Cancer-Associated Pain in 87 studies

Fentanyl: A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
fentanyl : A monocarboxylic acid amide resulting from the formal condensation of the aryl amino group of N-phenyl-1-(2-phenylethyl)piperidin-4-amine with propanoic acid.

Research Excerpts

ExcerptRelevanceReference
"Rapid-acting fentanyl formulations are superior to oral morphine (OM) syrup in controlling breakthrough pain among patients with cancer, but they are expensive and unavailable in many countries."9.69Efficacy of reconstituted intravenous fentanyl to sublingual solution versus oral morphine syrup for breakthrough pain among patients with chronic gynecologic cancer pain: A randomized, double-blind, placebo-controlled trial. ( Thantiprechapong, T; Tilagul, T; Vasikasin, V, 2023)
"The purpose of this study was to evaluate the efficacy and safety of sublingual fentanyl in the treatment of breakthrough pain in cancer patients."9.41Efficacy, safety, and tolerability of sublingual fentanyl orally disintegrating tablet in the treatment of breakthrough cancer pain: a randomized, double-blind, placebo-controlled study. ( Akbari, ME; Delshad, MH; Golmakani, E; Hashemi, M; Shadnoush, M; Zali, A, 2021)
"A low-dose fentanyl citrate patch was effective in the management of cancer pain in opioid-naïve patients and was well tolerated."9.34Efficacy and Safety of Fentanyl Citrate Patch, Including a Low-Dose 0.5 mg Formulation, in Opioid-Naïve Patients with Cancer Pain. ( Hashimoto, F; Okawa, K; Tanaka, Y; Terahara, T; Uchida, E; Yamaguchi, S, 2020)
"In this study, we could not demonstrate an effect of previous opioid exposure, from 20 to 120 mg oral morphine equivalent daily dose, on the absolute and relative efficacy and tolerability of 100 μg FST and 5 mg SCM for severe cancer pain episodes."9.30Effect of Opioid Exposure on Efficacy and Tolerability of Sublingual Fentanyl and Subcutaneous Morphine for Severe Cancer Pain Episodes. Secondary Analysis From a Double-Blind Double-Dummy, Randomized Trial. ( Brunelli, C; Caraceni, A; Centurioni, F; Kaasa, S; Manzoni, A; Pigni, A; Ricchini, F; Zecca, E, 2019)
"Fentanyl buccal soluble film (FBSF), a new formulation of fentanyl, is developed for the treatment of breakthrough pain (BTP) in opioid-tolerant patients with cancer."9.30A dose titration study of fentanyl buccal soluble film for breakthrough cancer pain in Taiwan. ( Chang, YF; Chao, TC; Chao, TY; Chiou, TJ; Huang, JS; Wang, CH, 2019)
"Purpose Fentanyl sublingual tablets (FST) are a potentially useful alternative to parenteral opioids such as subcutaneous morphine (SCM) to treat severe cancer pain episodes."9.24Fentanyl Sublingual Tablets Versus Subcutaneous Morphine for the Management of Severe Cancer Pain Episodes in Patients Receiving Opioid Treatment: A Double-Blind, Randomized, Noninferiority Trial. ( Brunelli, C; Caraceni, A; Centurioni, F; Manzoni, A; Pigni, A; Zecca, E, 2017)
"To investigate the relationship between effective fentanyl sublingual spray (FSS) doses for breakthrough cancer pain (BTCP) and around-the-clock (ATC) transdermal fentanyl patch (TFP)."9.22Fentanyl sublingual spray for breakthrough cancer pain in patients receiving transdermal fentanyl. ( Alberts, DS; Parikh, N; Rauck, RL; Smith, CC, 2016)
"The current study assessed the long-term safety of fentanyl sublingual spray for managing breakthrough cancer pain (BTCP)."9.22Long-term safety of fentanyl sublingual spray in opioid-tolerant patients with breakthrough cancer pain. ( Brownlow, RC; Bull, J; Minkowitz, H; Parikh, N; Rauck, R, 2016)
"Fentanyl products have shown superiority over oral opioids for the management of breakthrough cancer pain (BTcP)."9.22Fentanyl Pectin Nasal Spray Versus Oral Morphine in Doses Proportional to the Basal Opioid Regimen for the Management of Breakthrough Cancer Pain: A Comparative Study. ( Adile, C; Aielli, F; Casuccio, A; Costanzi, A; Mercadante, S, 2016)
" Only randomized controlled trials on the use of the transdermal fentanyl patch for the treatment of cancer pain were selected."8.98Transdermal fentanyl for cancer pain: Trial sequential analysis of 3406 patients from 35 randomized controlled trials. ( Ma, TT; Peng, CB; Wang, DD; Zhu, HD, 2018)
"After the CAVIDIOPAL study, we carried out an additional analysis to evaluate the impact of individualized management of breakthrough cancer pain, using the analgesic drug fentanyl, on quality of life (QoL) of advanced cancer patients receiving palliative care in Spain."8.12Low-dose sublingual fentanyl improves quality of life in patients with breakthrough cancer pain in palliative care. ( Abián, MH; Bermudo, CL; Canal-Sotelo, J; Casillas, IR; Mancilla, PG; Maradey, P; Rivero, SG; Rodríguez, AT; Viejo, MN, 2022)
"Serum fentanyl concentration and the safety and efficacy of once-a-day fentanyl citrate patch were investigated in pediatric and adolescent patients with cancer pain."8.02An Open-Label Study of the Pharmacokinetics and Tolerability of Once-a-Day Fentanyl Citrate Patch in Japanese Pediatric and Adolescent Patients with Cancer Pain. ( Hashimoto, F; Hiyama, E; Okawa, K; Otaka, K; Terahara, T; Yamaguchi, S, 2021)
"The aim of this paper was to assess the drug costs of the different biotechnologies (intranasal fentanyl spray (INFS), oral transmucosal fentanyl citrate (OTFC) and fentanyl buccal tablet (FBT)) in the treatment of breakthrough cancer pain (BTCP)."8.02The role of fentanyl in the treatment of breakthrough cancer pain: Different biotechnologies, different results and different drug costs. ( Bonetti, A; Fiorica, F; Franceschini, G; Giuliani, J; Sacchetto, A; Vaccari, F, 2021)
"The objective of this study was to evaluate the influence of cancer cachexia on pain control in cancer patients receiving a transdermal fentanyl patch (FP) and to investigate whether dry skin was a factor related to cancer cachexia and uncontrolled pain."7.96Cancer Cachexia May Hinder Pain Control When Using Fentanyl Patch. ( Chiba, T; Kimura, S; Kudo, K; Tairabune, T; Takahashi, H; Ueda, H, 2020)
"Sublingual fentanyl tablets (SFTs) have been shown to be a safe and effective option in controlling breakthrough cancer pain (BTcP)."7.91Effects of Age Among Elderly Cancer Patients on Breakthrough Pain Management with Sublingual Fentanyl Tablets. ( Coma, J; De Sanctis, V; Estivill, P; Ferreras, J; Folch, J; Fuentes, J; Guitart, J; Jiménez, AJ; Moya, J; Rodelas, F; Salazar, R; Sanz, A; Tomás, A; Vargas, MI, 2019)
"The aim of the study was to evaluate the effectiveness of fentanyl pectin nasal spray (FPNS) in controlling procedural breakthrough cancer pain (BTCP) in advanced cancer patients undergoing radiotherapy."7.91Effectiveness of fentanyl pectin nasal citrate in controlling episodes of breakthrough cancer pain triggered by routine radiotherapy procedures. ( Aymar, N; Jiménez, E; Mena, A; Mestre, F; Ortiz, I; Pardo, J; Roncero, R; Vidal, M, 2019)
"Fentanyl is an opioid commonly prescribed for cancer pain."7.88Analgesic effects of systemic fentanyl on cancer pain are mediated by not only central but also peripheral opioid receptors in mice. ( Andoh, T; Kuraishi, Y; Saiki, I; Shinohara, A, 2018)
"In 2013, oral transmucosal fentanyl was first approved in Japan for reducing breakthrough pain(BTP)."7.85[A New Therapeutic Approach for Cancer-Related Breakthrough Pain - Focused on Oral Transmucosal Fentanyl]. ( Hosonuma, R; Kaneshima, M; Kyosaka, B; Osato, S; Warita, E; Yomiya, K, 2017)
" Regarding adverse events, nausea occurred in 12."5.91Comparison of Analgesic Efficacy and Safety of Low-Dose Transdermal Fentanyl and Oral Oxycodone in Opioid-Naïve Patients with Cancer Pain. ( Fujimoto, H; Funato, M; Kawana, M; Kiribayashi, M; Kokubun, H; Kondo, M; Kusakabe, A; Miyasato, A; Nagatani, K; Nakamura, K; Ohno, R; Okamoto, K; Onoda, C; Ozeki, A; Suzuki, N, 2023)
"Rapid-acting fentanyl formulations are superior to oral morphine (OM) syrup in controlling breakthrough pain among patients with cancer, but they are expensive and unavailable in many countries."5.69Efficacy of reconstituted intravenous fentanyl to sublingual solution versus oral morphine syrup for breakthrough pain among patients with chronic gynecologic cancer pain: A randomized, double-blind, placebo-controlled trial. ( Thantiprechapong, T; Tilagul, T; Vasikasin, V, 2023)
"Cancer pain was observed in 131 of 160 patients with advanced cancer living at home."5.56[Analysis of Symptoms Relieved in Addition to Pain after Administration of Oxycodone or Morphine to Patients with Advanced Cancer Living at Home]. ( Watanabe, K, 2020)
"Adverse drug reactions were registered in 3%."5.48Fentanyl buccal tablet for breakthrough cancer pain in clinical practice: results of the non-interventional prospective study ErkentNIS. ( Gneist, M; Landthaler, R; Masel, EK; Watzke, HH, 2018)
"No published studies have looked at the dosing and use of rapid onset fentanyl preparations in children."5.46The use of rapid onset fentanyl in children and young people for breakthrough cancer pain. ( Anderson, AK; Burke, K; Coombes, L, 2017)
"Fentanyl has a strong first pass effect when administered orally and resorbed enterally, however it is well suited for transmucosal administration, e."5.46[Transmucosal fentanyl administration: sublingual, buccal, nasal - all the same? Treatment of breakthrough cancer pain]. ( Überall, MA, 2017)
"The pharmacokinetics of the sublingual fentanyl orally disintegrating tablet appear to be negatively affected by the presence of salivary gland hypofunction, although the moistening of the oral cavity before dosing results in a pharmacokinetic profile similar to that seen with the giving of pilocarpine hydrochloride."5.43The Influence of Low Salivary Flow Rates on the Absorption of a Sublingual Fentanyl Citrate Formulation for Breakthrough Cancer Pain. ( Buchanan, A; Davies, A; Mundin, G; Vriens, J; Waghorn, M; Webber, K, 2016)
" The absorption rate constant was 0."5.43Exposure to Fentanyl After Transdermal Patch Administration for Cancer Pain Management. ( Bista, SR; Hardy, J; Haywood, A; Hennig, S; Norris, R, 2016)
"The purpose of this study was to evaluate the efficacy and safety of sublingual fentanyl in the treatment of breakthrough pain in cancer patients."5.41Efficacy, safety, and tolerability of sublingual fentanyl orally disintegrating tablet in the treatment of breakthrough cancer pain: a randomized, double-blind, placebo-controlled study. ( Akbari, ME; Delshad, MH; Golmakani, E; Hashemi, M; Shadnoush, M; Zali, A, 2021)
"A low-dose fentanyl citrate patch was effective in the management of cancer pain in opioid-naïve patients and was well tolerated."5.34Efficacy and Safety of Fentanyl Citrate Patch, Including a Low-Dose 0.5 mg Formulation, in Opioid-Naïve Patients with Cancer Pain. ( Hashimoto, F; Okawa, K; Tanaka, Y; Terahara, T; Uchida, E; Yamaguchi, S, 2020)
"Intranasal fentanyl (INF) quickly and noninvasively relieves severe pain, whereas intravenous hydromorphone (IVH) reliably treats severe cancer pain but requires vascular access."5.34Intranasal fentanyl spray versus intravenous opioids for the treatment of severe pain in patients with cancer in the emergency department setting: A randomized controlled trial. ( Banala, SR; Khattab, OK; Page, VD; Todd, KH; Warneke, CL; Yeung, SJ, 2020)
"Fentanyl buccal soluble film (FBSF), a new formulation of fentanyl, is developed for the treatment of breakthrough pain (BTP) in opioid-tolerant patients with cancer."5.30A dose titration study of fentanyl buccal soluble film for breakthrough cancer pain in Taiwan. ( Chang, YF; Chao, TC; Chao, TY; Chiou, TJ; Huang, JS; Wang, CH, 2019)
"In this study, we could not demonstrate an effect of previous opioid exposure, from 20 to 120 mg oral morphine equivalent daily dose, on the absolute and relative efficacy and tolerability of 100 μg FST and 5 mg SCM for severe cancer pain episodes."5.30Effect of Opioid Exposure on Efficacy and Tolerability of Sublingual Fentanyl and Subcutaneous Morphine for Severe Cancer Pain Episodes. Secondary Analysis From a Double-Blind Double-Dummy, Randomized Trial. ( Brunelli, C; Caraceni, A; Centurioni, F; Kaasa, S; Manzoni, A; Pigni, A; Ricchini, F; Zecca, E, 2019)
" This open-label, multicenter, noncomparative study aimed to assess the efficacy and safety of proportional doses of fentanyl buccal soluble film (FBSF) in patients with breakthrough cancer pain."5.27Proportional dose of rapid-onset opioid in breakthrough cancer pain management: An open-label, multicenter study. ( Chiang, WY; Chiou, JF; Hu, MH; Huang, MY; Lai, YL; Su, WH; Wu, SC; Yen, TY, 2018)
" In all patient groups, immediate-release oral morphine was the rescue analgesic and lactulose 10 mL twice daily was the prophylaxis of constipation; no antiemetics were used as prophylaxis."5.24A comparison of oral controlled-release morphine and oxycodone with transdermal formulations of buprenorphine and fentanyl in the treatment of severe pain in cancer patients. ( Leppert, W; Nosek, H; Nosek, K; Onichimowski, D; Wordliczek, J, 2017)
"Purpose Fentanyl sublingual tablets (FST) are a potentially useful alternative to parenteral opioids such as subcutaneous morphine (SCM) to treat severe cancer pain episodes."5.24Fentanyl Sublingual Tablets Versus Subcutaneous Morphine for the Management of Severe Cancer Pain Episodes in Patients Receiving Opioid Treatment: A Double-Blind, Randomized, Noninferiority Trial. ( Brunelli, C; Caraceni, A; Centurioni, F; Manzoni, A; Pigni, A; Zecca, E, 2017)
"Fentanyl products have shown superiority over oral opioids for the management of breakthrough cancer pain (BTcP)."5.22Fentanyl Pectin Nasal Spray Versus Oral Morphine in Doses Proportional to the Basal Opioid Regimen for the Management of Breakthrough Cancer Pain: A Comparative Study. ( Adile, C; Aielli, F; Casuccio, A; Costanzi, A; Mercadante, S, 2016)
" The string was "rapid onset opioids" or "transmucosal fentanyl" and "breakthrough cancer pain"."5.22Bibliometric Network Analysis on Rapid-Onset Opioids for Breakthrough Cancer Pain Treatment. ( Armignacco, A; Carpenedo, R; Cascella, M; Chinè, E; Coluccia, S; Crispo, A; Cuomo, A; Cutugno, F; Forte, CA; Franceschini, G; Gennaro, PD; Migliaccio, L; Monaco, F; Natoli, S; Nocerino, D; Picerno, P; Tafuri, M; Tracey, MC; Vittori, A, 2022)
"Guidelines tend to consider morphine and morphine-like opioids comparable and interchangeable in the treatment of chronic cancer pain, but individual responses can vary."5.22Are strong opioids equally effective and safe in the treatment of chronic cancer pain? A multicenter randomized phase IV 'real life' trial on the variability of response to opioids. ( Apolone, G; Azzarello, G; Bandieri, E; Caraceni, A; Cavanna, L; Corli, O; Crispino, C; Di Gregorio, R; Dragani, TA; Floriani, I; Galli, F; Gamucci, T; Greco, MT; Iorno, V; Kaasa, S; Lipari, G; Luzzani, M; Montanari, M; Pacchioni, M; Pavesi, L; Reale, C; Roberto, A; Valenti, D, 2016)
"The current study assessed the long-term safety of fentanyl sublingual spray for managing breakthrough cancer pain (BTCP)."5.22Long-term safety of fentanyl sublingual spray in opioid-tolerant patients with breakthrough cancer pain. ( Brownlow, RC; Bull, J; Minkowitz, H; Parikh, N; Rauck, R, 2016)
"To investigate the relationship between effective fentanyl sublingual spray (FSS) doses for breakthrough cancer pain (BTCP) and around-the-clock (ATC) transdermal fentanyl patch (TFP)."5.22Fentanyl sublingual spray for breakthrough cancer pain in patients receiving transdermal fentanyl. ( Alberts, DS; Parikh, N; Rauck, RL; Smith, CC, 2016)
" Fentanyl is a lipophilic opioid commonly proposed for intranasal use among pediatric patients, but no studies have been conducted yet about intranasal use of other available opioids for management of pediatric cancer pain."5.01Intranasal therapy with opioids for children and adolescents with cancer: results from clinical studies. ( Attinà, G; Capozza, MA; Mastrangelo, S; Maurizi, P; Ruggiero, A; Triarico, S, 2019)
" Only randomized controlled trials on the use of the transdermal fentanyl patch for the treatment of cancer pain were selected."4.98Transdermal fentanyl for cancer pain: Trial sequential analysis of 3406 patients from 35 randomized controlled trials. ( Ma, TT; Peng, CB; Wang, DD; Zhu, HD, 2018)
" A group of experts nominated by the 3 French Societies involved in the treatment of cancer pain (AFSOS, SFAP, SFETD), established new guidelines ratios for morphine switching and/or changing of route of administration, in patients for whom either pain was not adequatly managed or adverse effects were unbearable."4.98[Opioid switch and change of route of administration in cancer patients treated by morphine]. ( Ammar, D; Baron, L; Chvetzoff, G; Collin, E; Delorme, C; Delorme, T; Faure, S; Filbet, M; Hubault, P; Jovenin, N; Krakowski, I; Magnet, M; Michenot, N; Minello, C; Poulain, P; Rostaing, S, 2018)
"After the CAVIDIOPAL study, we carried out an additional analysis to evaluate the impact of individualized management of breakthrough cancer pain, using the analgesic drug fentanyl, on quality of life (QoL) of advanced cancer patients receiving palliative care in Spain."4.12Low-dose sublingual fentanyl improves quality of life in patients with breakthrough cancer pain in palliative care. ( Abián, MH; Bermudo, CL; Canal-Sotelo, J; Casillas, IR; Mancilla, PG; Maradey, P; Rivero, SG; Rodríguez, AT; Viejo, MN, 2022)
"The aim of this paper was to assess the drug costs of the different biotechnologies (intranasal fentanyl spray (INFS), oral transmucosal fentanyl citrate (OTFC) and fentanyl buccal tablet (FBT)) in the treatment of breakthrough cancer pain (BTCP)."4.02The role of fentanyl in the treatment of breakthrough cancer pain: Different biotechnologies, different results and different drug costs. ( Bonetti, A; Fiorica, F; Franceschini, G; Giuliani, J; Sacchetto, A; Vaccari, F, 2021)
"Serum fentanyl concentration and the safety and efficacy of once-a-day fentanyl citrate patch were investigated in pediatric and adolescent patients with cancer pain."4.02An Open-Label Study of the Pharmacokinetics and Tolerability of Once-a-Day Fentanyl Citrate Patch in Japanese Pediatric and Adolescent Patients with Cancer Pain. ( Hashimoto, F; Hiyama, E; Okawa, K; Otaka, K; Terahara, T; Yamaguchi, S, 2021)
"Despite publicised advice and warnings, there are only scant data on the non-indicated prescription of rapid-onset preparations of fentanyl (ROF) in non-cancer pain (NCP)."4.02[Use of rapid-onset fentanyl preparations beyond indication : A random questionnaire survey among congress participants and pain physicians]. ( Cascella, M; Hofbauer, H; Kieselbach, K; Schenk, M; Wartenberg, HC; Wirz, S, 2021)
" The most common ER opioids prescribed were oxycodone (26%) and fentanyl (23%), and the most common noncancer pain diagnoses were back pain (65%) and arthritis (48%)."3.96Medical Use of Long-term Extended-release Opioid Analgesics in Commercially Insured Adults in the United States. ( Dasgupta, N; Jonsson Funk, M; Young, JC, 2020)
"Fentanyl buccal tablet (FBT), a potent opioid, was approved in Canada in 2013 for breakthrough pain in opioid-tolerant adult cancer patients."3.96Effectiveness of Risk Minimization Measures for Fentanyl Buccal Tablet (FENTORA) in Canada: A Mixed-Methods Evaluation Using Surveys, Medical Chart Records and Web Surveillance. ( Bergamasco, A; Castilloux, AM; Kaplan, S; Moride, Y; Sergerie, M, 2020)
"The objective of this study was to evaluate the influence of cancer cachexia on pain control in cancer patients receiving a transdermal fentanyl patch (FP) and to investigate whether dry skin was a factor related to cancer cachexia and uncontrolled pain."3.96Cancer Cachexia May Hinder Pain Control When Using Fentanyl Patch. ( Chiba, T; Kimura, S; Kudo, K; Tairabune, T; Takahashi, H; Ueda, H, 2020)
"The aim of the study was to evaluate the effectiveness of fentanyl pectin nasal spray (FPNS) in controlling procedural breakthrough cancer pain (BTCP) in advanced cancer patients undergoing radiotherapy."3.91Effectiveness of fentanyl pectin nasal citrate in controlling episodes of breakthrough cancer pain triggered by routine radiotherapy procedures. ( Aymar, N; Jiménez, E; Mena, A; Mestre, F; Ortiz, I; Pardo, J; Roncero, R; Vidal, M, 2019)
"Sublingual fentanyl tablets (SFTs) have been shown to be a safe and effective option in controlling breakthrough cancer pain (BTcP)."3.91Effects of Age Among Elderly Cancer Patients on Breakthrough Pain Management with Sublingual Fentanyl Tablets. ( Coma, J; De Sanctis, V; Estivill, P; Ferreras, J; Folch, J; Fuentes, J; Guitart, J; Jiménez, AJ; Moya, J; Rodelas, F; Salazar, R; Sanz, A; Tomás, A; Vargas, MI, 2019)
", episode) crossover trials of fentanyl for breakthrough cancer pain illustrates the use of multiperiod crossover trials to examine heterogeneity of treatment response."3.91Demonstrating Heterogeneity of Treatment Effects Among Patients: An Overlooked but Important Step Toward Precision Medicine. ( Cai, X; Dworkin, RH; Farrar, JT; Gao, S; Gewandter, JS; He, H; Katz, NP; Markman, JD; McDermott, MP; Senn, S; Turk, DC, 2019)
" We describe the case of a patient suffering from breaktrough cancer pain treated with sublingual fentanyl."3.91[Breaktrough cancer pain in metastatic prostate adenocarcinoma: a case report.] ( Miolo, G; Santeufemia, DA, 2019)
"Transmucosal immediate-release fentanyls (TIRFs), indicated solely for breakthrough cancer pain in opioid-tolerant patients, are subject to a US Food and Drug Administration (FDA) Risk Evaluation and Mitigation Strategy (REMS) to prevent them from being prescribed inappropriately."3.91Assessment of the FDA Risk Evaluation and Mitigation Strategy for Transmucosal Immediate-Release Fentanyl Products. ( Alexander, GC; Heyward, J; Lurie, P; Olson, L; Rollman, JE; Sharfstein, J, 2019)
"Fentanyl is an opioid commonly prescribed for cancer pain."3.88Analgesic effects of systemic fentanyl on cancer pain are mediated by not only central but also peripheral opioid receptors in mice. ( Andoh, T; Kuraishi, Y; Saiki, I; Shinohara, A, 2018)
" Group 1 was consisted of 353 patients whose basal cancer pain of intensity 4-7 NRS was treated weak opiates (basal analgetic- fixed combination of tramadol/paracetamol (37."3.85Characteristics and Treatment of Breakthrought Pain (BTcP) in Palliative Care. ( Husic, S; Imamovic, S; Matic, S; Sukalo, A, 2017)
"In 2013, oral transmucosal fentanyl was first approved in Japan for reducing breakthrough pain(BTP)."3.85[A New Therapeutic Approach for Cancer-Related Breakthrough Pain - Focused on Oral Transmucosal Fentanyl]. ( Hosonuma, R; Kaneshima, M; Kyosaka, B; Osato, S; Warita, E; Yomiya, K, 2017)
"The incidence of delirium after the commencement of fentanyl injection was significantly lower, suggesting that fentanyl is a useful opioid injection drug from the perspective of delirium risk."3.85Incidence of Delirium Among Patients Having Cancer Injected With Different Opioids for the First Time. ( Ishikawa, H; Matsumoto, T; Mori, K; Omae, K; Osaka, I; Sato, T; Shino, M; Tanaka, R, 2017)
"The present study aimed to examine affecting factors for conversion ratio and to predict adequate fentanyl dose for patients with cancer pain in opioid switching from oral oxycodone."3.83Indication of Adequate Transdermal Fentanyl Dose in Opioid Switching From Oral Oxycodone in Patients With Cancer. ( Chisaki, Y; Fujihara, S; Matsumura, C; Takahashi, K; Yamada, M; Yano, Y, 2016)
"In this small study in palliative cancer patients under real-life clinical conditions, the influence of CYP3A on fentanyl variability was investigated."2.90Minor contribution of cytochrome P450 3A activity on fentanyl exposure in palliative care cancer patients. ( Bardenheuer, HJ; Burhenne, J; Geist, MJP; Mikus, G; Skopp, G; Ziesenitz, VC, 2019)
"Morphine was associated with the less negative impact of pain on the ability to walk and normal work, and tendency on activity (BPI-SF) and lower consumption of rescue morphine."2.90Comparison of the Quality of Life of Cancer Patients with Pain Treated with Oral Controlled-Release Morphine and Oxycodone and Transdermal Buprenorphine and Fentanyl. ( Leppert, W; Nosek, K, 2019)
"Cancer pain is still inadequately treated in up to 60% of cancer patients."2.82Methadone is superior to fentanyl in treating neuropathic pain in patients with head-and-neck cancer. ( Geurts, JW; Haumann, J; Joosten, EA; Kremer, B; van den Beuken-van Everdingen, MH; van Kuijk, SM, 2016)
"Treatment directed towards painful metastases must be considered."2.66Breakthrough cancer pain in 2020. ( Klepstad, P; Løhre, ET; Thronæs, M, 2020)
"Head and neck cancers (HNC) represent 5% of all malignancies worldwide with about 180,000 cancer deaths per year."2.66Is pain part of a systemic syndrome in head and neck cancer? ( Argenone, A; Bossi, P; Depenni, R; Ghiani, M, 2020)
"Failure to recognize the impact of various situations described throughout this work, including the bioavailability due to loss of oral route, due to pharmacokinetics and pharmacodynamics of the various drugs, either in the context of the impaired metabolism or excretion, or in due to pharmacological interactions, conditions a serious risk of subtreatment of pain and consequent impact in terms of quality of life."2.61[Opioids for Cancer Pain and its Use under Particular Conditions: A Narrative Review]. ( Brás, M; Fragoso, M; Vieira, C, 2019)
" Five studies and guidelines also suggest that oral opioids (not including TIRF products) be dosed proportionally to baseline opioids at 10%-20% of the 24-hour, around-the-clock dose."2.55Breakthrough Cancer Pain: A Systematic Review of Pharmacologic Management
. ( Brant, JM; Gallagher, E; Rodgers, BB; Sundaramurthi, T, 2017)
"Fentanyl is a strong opioid that is available for various administration routes, and which is widely used to treat cancer-related pain."2.55A review of factors explaining variability in fentanyl pharmacokinetics; focus on implications for cancer patients. ( Koolen, SL; Kuip, EJ; Mathijssen, RH; van der Rijt, CC; Zandvliet, ML, 2017)
"Cancer pain is a significant issue in terminally ill cancer patients (TICPs)."1.91Differences in Fentanyl Requirements in Terminally Ill Cancer Patients. ( Fujiwara, N; Ishiki, H; Nojima, M; Shimada, N; Tojo, A; Watanabe, A, 2023)
" Regarding adverse events, nausea occurred in 12."1.91Comparison of Analgesic Efficacy and Safety of Low-Dose Transdermal Fentanyl and Oral Oxycodone in Opioid-Naïve Patients with Cancer Pain. ( Fujimoto, H; Funato, M; Kawana, M; Kiribayashi, M; Kokubun, H; Kondo, M; Kusakabe, A; Miyasato, A; Nagatani, K; Nakamura, K; Ohno, R; Okamoto, K; Onoda, C; Ozeki, A; Suzuki, N, 2023)
"Although opioids have been shown to be effective for cancer pain, opioid-induced adverse events (AEs) are common."1.91Prevalence of opioid-induced adverse events across opioids commonly used for analgesic treatment in Japan: a multicenter prospective longitudinal study. ( Arakawa, S; Chiu, SW; Hiratsuka, Y; Hirayama, H; Inoue, A; Ishiki, H; Kosugi, K; Kubo, E; Matsuda, Y; Miyashita, M; Morita, T; Natsume, M; Nishijima, K; Ouchi, K; Sato, M; Satomi, E; Shigeno, T; Shimizu, M; Shimoda, M; Shimoi, T; Tagami, K; Yamaguchi, T; Yokomichi, N, 2023)
"150 patients with liver cancer were divided into group A (transdermal fentanyl patch), group B (ERAS), and group C (transdermal fentanyl patch combined with ERAS)."1.72Effect of Transdermal Fentanyl Patch Combined with Enhanced Recovery after Surgery on the Curative Effect and Analgesic Effect of Liver Cancer. ( Fang, S; Lu, G; Xiao, H; Zhu, H, 2022)
"Cancer pain was observed in 131 of 160 patients with advanced cancer living at home."1.56[Analysis of Symptoms Relieved in Addition to Pain after Administration of Oxycodone or Morphine to Patients with Advanced Cancer Living at Home]. ( Watanabe, K, 2020)
" A strong consensus was achieved regarding which pharmacological treatment (transmucosal fentanyl) and dosing method (start low and go slow) are the most suitable for the older population."1.51Expert consensus on the management of breakthrough cancer pain in older patients. A Delphi study. ( Alarcón, MDL; Cabezón-Gutiérrez, L; Estévez, FV; Jiménez-López, AJ; Martín-Arroyo, JMT; Padrós, MC; Rebollo, MA; Sanz-Yagüe, A, 2019)
" TIRF use was mainly related to background opioid dosage and the patient's self-sufficiency in taking medication."1.48Breakthrough cancer pain tailored treatment: which factors influence the medication choice? An observational, prospective and cross-sectional study in patients with terminal cancer. ( Calvieri, A; Casale, G; Dardeli, A; Eusepi, G; Giannarelli, D; Magnani, C; Mastroianni, C; Restuccia, MR, 2018)
"Adverse drug reactions were registered in 3%."1.48Fentanyl buccal tablet for breakthrough cancer pain in clinical practice: results of the non-interventional prospective study ErkentNIS. ( Gneist, M; Landthaler, R; Masel, EK; Watzke, HH, 2018)
"No published studies have looked at the dosing and use of rapid onset fentanyl preparations in children."1.46The use of rapid onset fentanyl in children and young people for breakthrough cancer pain. ( Anderson, AK; Burke, K; Coombes, L, 2017)
"Fentanyl has a strong first pass effect when administered orally and resorbed enterally, however it is well suited for transmucosal administration, e."1.46[Transmucosal fentanyl administration: sublingual, buccal, nasal - all the same? Treatment of breakthrough cancer pain]. ( Überall, MA, 2017)
" This study investigated the patterns of opioid prescribing and characterized the dosing and duration of opioid use in patients with noncancer and cancer pain."1.46Dose and Duration of Opioid Use in Patients with Cancer and Noncancer Pain at an Outpatient Hospital Setting in Malaysia. ( Choy, LW; Ismail, CR; Rahman, NA; Zin, CS, 2017)
" The absorption rate constant was 0."1.43Exposure to Fentanyl After Transdermal Patch Administration for Cancer Pain Management. ( Bista, SR; Hardy, J; Haywood, A; Hennig, S; Norris, R, 2016)
"The pharmacokinetics of the sublingual fentanyl orally disintegrating tablet appear to be negatively affected by the presence of salivary gland hypofunction, although the moistening of the oral cavity before dosing results in a pharmacokinetic profile similar to that seen with the giving of pilocarpine hydrochloride."1.43The Influence of Low Salivary Flow Rates on the Absorption of a Sublingual Fentanyl Citrate Formulation for Breakthrough Cancer Pain. ( Buchanan, A; Davies, A; Mundin, G; Vriens, J; Waghorn, M; Webber, K, 2016)
" A population pharmacokinetic model was developed and evaluated using non-linear mixed-effects modelling."1.43Treatment with subcutaneous and transdermal fentanyl: results from a population pharmacokinetic study in cancer patients. ( Abrantes, JA; de Bruijn, P; Falcão, A; Jönsson, S; Kuip, EJ; Mathijssen, RH; Oosten, AW; van der Rijt, CC, 2016)

Research

Studies (87)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's62 (71.26)24.3611
2020's25 (28.74)2.80

Authors

AuthorsStudies
Takemura, M1
Niki, K1
Okamoto, Y1
Matsuda, Y2
Omae, T1
Takagi, T1
Ueda, M1
Hiyama, E1
Yamaguchi, S2
Okawa, K2
Hashimoto, F2
Otaka, K1
Terahara, T2
Rodríguez, AT1
Viejo, MN1
Maradey, P1
Canal-Sotelo, J1
Mancilla, PG1
Rivero, SG1
Casillas, IR1
Abián, MH1
Bermudo, CL1
Cascella, M2
Monaco, F1
Nocerino, D1
Chinè, E1
Carpenedo, R1
Picerno, P1
Migliaccio, L1
Armignacco, A1
Franceschini, G2
Coluccia, S1
Gennaro, PD1
Tracey, MC1
Forte, CA1
Tafuri, M1
Crispo, A1
Cutugno, F1
Vittori, A1
Natoli, S1
Cuomo, A1
Yomiya, K2
Zhu, H1
Xiao, H1
Lu, G1
Fang, S1
Watanabe, A2
Shimada, N2
Ishiki, H3
Fujiwara, N2
Nojima, M2
Tojo, A2
Mercadante, S6
Begley, EK1
Poole, HM1
Sumnall, HR1
Frank, BF1
Montgomery, C1
Thantiprechapong, T1
Tilagul, T1
Vasikasin, V1
Kawana, M1
Miyasato, A1
Funato, M1
Nagatani, K1
Suzuki, N1
Onoda, C1
Fujimoto, H1
Ohno, R1
Kusakabe, A1
Kiribayashi, M1
Nakamura, K1
Kondo, M1
Ozeki, A1
Okamoto, K1
Kokubun, H1
Hiratsuka, Y1
Tagami, K1
Inoue, A1
Sato, M1
Kosugi, K1
Kubo, E1
Natsume, M1
Arakawa, S1
Shimizu, M1
Yokomichi, N1
Chiu, SW1
Shimoda, M1
Hirayama, H1
Nishijima, K1
Ouchi, K1
Shimoi, T1
Shigeno, T1
Yamaguchi, T1
Miyashita, M1
Morita, T1
Satomi, E1
Moryl, N1
Bokhari, A1
Griffo, Y1
Hadler, R1
Koranteng, L1
Filkins, A1
Zheng, T1
Horn, SD1
Inturrisi, CE1
Morikawa, N1
Kasahara, Y1
Takahashi, Y1
Nishikura, K1
Nishihara, M1
Geist, MJP1
Ziesenitz, VC1
Bardenheuer, HJ1
Burhenne, J1
Skopp, G1
Mikus, G1
Kaplan, S1
Bergamasco, A1
Sergerie, M1
Castilloux, AM1
Moride, Y1
Bossi, P1
Ghiani, M1
Argenone, A1
Depenni, R1
Camps Herrero, C1
Batista, N1
Díaz Fernández, N1
Escobar Álvarez, Y1
Gonzalo Gómez, A1
Isla Casado, D1
Salud, A1
Terrasa Pons, J1
Guillem Porta, V1
Løhre, ET1
Thronæs, M1
Klepstad, P1
Chiba, T1
Takahashi, H1
Tairabune, T1
Kimura, S1
Ueda, H1
Kudo, K1
Watanabe, K1
Banala, SR1
Khattab, OK1
Page, VD1
Warneke, CL1
Todd, KH1
Yeung, SJ1
Chiou, TJ1
Chao, TC1
Chao, TY1
Huang, JS1
Chang, YF1
Wang, CH1
Uchida, E1
Tanaka, Y1
Wirz, S1
Schenk, M1
Hofbauer, H1
Wartenberg, HC1
Kieselbach, K1
Baamonde, A1
Menéndez, L1
González-Rodríguez, S1
Lastra, A1
Seitz, V1
Stein, C1
Machelska, H1
Giuliani, J1
Fiorica, F1
Sacchetto, A1
Vaccari, F1
Bonetti, A1
Hashemi, M1
Zali, A1
Golmakani, E1
Delshad, MH1
Shadnoush, M1
Akbari, ME1
Koolen, SL2
Van der Rijt, CC3
Kaneshima, M1
Kyosaka, B1
Warita, E1
Hosonuma, R1
Osato, S1
Brant, JM1
Rodgers, BB1
Gallagher, E1
Sundaramurthi, T1
Cortesi, PA2
D'Angiolella, LS1
Vellucci, R2
Allegri, M1
Casale, G2
Favaretti, C1
Kheiraoui, F1
Cesana, G1
Mantovani, LG1
Wiffen, PJ1
Wee, B1
Derry, S1
Bell, RF1
Moore, RA1
Guitart, J2
Vargas, MI2
De Sanctis, V2
Folch, J2
Salazar, R2
Fuentes, J2
Coma, J2
Ferreras, J2
Moya, J2
Tomás, A2
Estivill, P2
Rodelas, F2
Jiménez, AJ2
Sanz, A2
Masel, EK1
Landthaler, R1
Gneist, M1
Watzke, HH1
Breivik, H1
Nosek, K2
Leppert, W2
Nosek, H1
Wordliczek, J1
Onichimowski, D1
Husic, S1
Imamovic, S1
Matic, S1
Sukalo, A1
de Bruijn, P3
Kuip, EJM2
Lam, MH1
Mathijssen, RHJ2
Koolen, SLW2
Coombes, L1
Burke, K1
Anderson, AK1
Überall, MA1
Schuster, M1
Bayer, O1
Heid, F1
Laufenberg-Feldmann, R1
Wang, DD1
Ma, TT1
Zhu, HD1
Peng, CB1
Oldenmenger, WH1
Thijs-Visser, MF1
Oosten, AW2
Oomen-de Hoop, E1
Van der Rijt, CCD2
Shinohara, A1
Andoh, T1
Saiki, I1
Kuraishi, Y1
Lux, EA1
Schwittay, A1
Kleeberg, UR1
Papke, J1
Yen, TY1
Chiou, JF1
Chiang, WY1
Su, WH1
Huang, MY1
Hu, MH1
Wu, SC1
Lai, YL1
Michenot, N1
Rostaing, S1
Baron, L1
Faure, S1
Jovenin, N1
Hubault, P1
Delorme, T1
Collin, E1
Filbet, M1
Chvetzoff, G1
Delorme, C1
Minello, C1
Magnet, M1
Ammar, D1
Krakowski, I1
Poulain, P1
Magnani, C1
Giannarelli, D1
Calvieri, A1
Dardeli, A1
Eusepi, G1
Restuccia, MR1
Mastroianni, C1
Haumann, J2
van Kuijk, SMJ1
Joosten, EA2
van den Beuken-van Everdingen, MHJ1
Adile, C2
Masedu, F2
Marchetti, P1
Costanzi, A2
Aielli, F3
Bechakra, M1
Moerdijk, F1
van Rosmalen, J1
Koch, BCP1
Sillevis Smitt, PAE1
Jongen, JLM1
Gunnellini, M1
Gewandter, JS1
McDermott, MP1
He, H1
Gao, S1
Cai, X1
Farrar, JT1
Katz, NP1
Markman, JD1
Senn, S1
Turk, DC1
Dworkin, RH1
Rollman, JE1
Heyward, J1
Olson, L1
Lurie, P1
Sharfstein, J1
Alexander, GC1
Santeufemia, DA1
Miolo, G1
Alarcón, MDL1
Estévez, FV1
Cabezón-Gutiérrez, L1
Padrós, MC1
Martín-Arroyo, JMT1
Rebollo, MA1
Jiménez-López, AJ1
Sanz-Yagüe, A1
Pardo, J1
Mena, A1
Jiménez, E1
Aymar, N1
Ortiz, I1
Roncero, R1
Mestre, F1
Vidal, M1
Triarico, S1
Capozza, MA1
Mastrangelo, S1
Attinà, G1
Maurizi, P1
Ruggiero, A1
Vieira, C1
Brás, M1
Fragoso, M1
Ricchini, F1
Caraceni, A3
Zecca, E2
Pigni, A2
Centurioni, F2
Manzoni, A2
Kaasa, S2
Brunelli, C2
Arthur, JA1
Reddy, A2
Smith, U1
Hui, D1
Park, M1
Liu, D2
Vaughan-Adams, N1
Haider, A1
Williams, J1
Bruera, E2
Young, JC1
Jonsson Funk, M1
Dasgupta, N1
Valenti, M1
Matsumura, C1
Yamada, M1
Fujihara, S1
Chisaki, Y1
Takahashi, K1
Yano, Y1
Bista, SR1
Haywood, A1
Hardy, J1
Norris, R1
Hennig, S1
Davies, A1
Mundin, G1
Vriens, J1
Webber, K1
Buchanan, A1
Waghorn, M1
Abrantes, JA1
Jönsson, S1
Kuip, EJ2
Falcão, A1
Mathijssen, RH2
Minkowitz, H1
Bull, J1
Brownlow, RC1
Parikh, N2
Rauck, R1
Yennurajalingam, S1
Reddy, S1
Wu, J1
Dev, R1
Corli, O1
Floriani, I1
Roberto, A1
Montanari, M1
Galli, F1
Greco, MT1
Dragani, TA1
Azzarello, G1
Luzzani, M1
Cavanna, L1
Bandieri, E1
Gamucci, T1
Lipari, G1
Di Gregorio, R1
Valenti, D1
Reale, C1
Pavesi, L1
Iorno, V1
Crispino, C1
Pacchioni, M1
Apolone, G1
Alberts, DS1
Smith, CC1
Rauck, RL1
Meijler, WJ1
Tanaka, R1
Ishikawa, H1
Sato, T1
Shino, M1
Matsumoto, T1
Mori, K1
Omae, K1
Osaka, I1
Mücke, M1
Conrad, R1
Marinova, M1
Cuhls, H1
Elsner, F1
Rolke, R1
Radbruch, L1
Casuccio, A1
Ishida, T1
Naito, T1
Sato, H1
Kawakami, J1
Fanelli, G1
Pannuti, R1
Peruselli, C1
Romualdi, P1
Geurts, JW1
van Kuijk, SM1
Kremer, B1
van den Beuken-van Everdingen, MH1
Zandvliet, ML1
Zin, CS1
Rahman, NA1
Ismail, CR1
Choy, LW1
Dyer, O1

Clinical Trials (7)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Quality of Life Study in Patients With Cancer Breakthrough Pain Treated in Palliative Care Units[NCT02840500]101 participants (Actual)Observational2016-06-27Completed
A Randomized Trial to Compare Fentanyl Nasal Spray With Intravenous Opioids to Treat Severe Pain in Cancer Patients in the Emergency Department Setting[NCT02459964]Phase 484 participants (Actual)Interventional2015-09-14Completed
Fentanyl Buccal Soluble Films Feasible Dose Range Study for Breakthrough Pain in Taiwanese Cancer Patients[NCT03669263]36 participants (Actual)Interventional2014-11-25Completed
An Observational Study to Assess the Efficacy, Safety, and Tolerability of Abstral Oral Disintegrating Tablet (ODT) for the Management of Breakthrough Cancer Pain in Korean Cancer Patients[NCT03895762]143 participants (Actual)Observational2017-07-04Completed
RCT Comparing the Analgesic Efficacy of 4 Therapeutic Strategies Based on 4 Different Major Opioids (Fentanyl, Oxycodone, Buprenorphine vs Morphine) in Cancer Patients With Moderate/Severe Pain, at the Moment of Starting 3rd Step of WHO Analgesic Ladder.[NCT01809106]Phase 4518 participants (Actual)Interventional2011-04-30Completed
A Randomized, Double-blind, Placebo-controlled Multi-center Study to Evaluate the Safety and Efficacy of Fentanyl Sublingual Spray (Fentanyl SL Spray) for the Treatment of Breakthrough Cancer Pain[NCT00538850]Phase 3130 participants (Actual)Interventional2007-10-31Completed
Methadone for 'Adenocarcinopathic' Pain Treatment: Methadone vs. Morphine Vanguard RCT[NCT05325164]Phase 30 participants (Actual)Interventional2022-09-30Withdrawn (stopped due to Trial not started; change in Sponsor and Principal Investigator, trial to be registered again by new Sponsor/Investigator if it is started.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Non-inferiority of Fentanyl Nasal Spray Versus Intravenous Opioids in the Change in the Numeric Rating Scale (NRS) Pain Intensity Score at One Hour, Starting From the Time of Drug Delivery (Treatment Initiation).

The median change in Numeric Rating Scale (NRS) pain intensity scores (assessed on an 11-point Likert scale with 0 = no pain and 10 = worst pain) from randomization, estimate of treatment initiation, to one hour post-treatment calculated for both treatment arms. (NCT02459964)
Timeframe: Baseline, One hour post time of drug delivery/treatment initiation

InterventionNRS Pain Intensity Score (Median)
Treatment Arm 1 (Intranasal Fentanyl)5.14
Treatment Arm 2 (Intravenous Hydromorphone)4.90

Number of Participants With Change in Numeric Rating Scale (NRS) Pain Intensity Score

Change in NRS pain intensity scores from randomization to one hour after treatment start based on the percentage of participants with severe pain, NRS score = 7-10, one hour after treatment start for both treatment arms. Numeric Rating Scale (NRS) pain intensity scores (assessed on an 11-point Likert scale with 0 = no pain and 10 = worst pain). (NCT02459964)
Timeframe: One (1) hour after treatment start.

InterventionParticipants (Count of Participants)
Treatment Arm 1 (Intranasal Fentanyl)5
Treatment Arm 2 (Intravenous Hydromorphone)10

Proportion of Full-responder

Evaluation of the proportion of subjects who report full analgesia (full responders: FR). FR is operationally defined as a patient with a P.I.D. =/> 30% from visit 6 and visit 1 (NRS 0 to 10). (NCT01809106)
Timeframe: 28 days

Interventionparticipants (Number)
Morphine89
Oxycodone90
Buprenorphine95
Fentanyl88

Proportion of Non-Responder (NR) Participants

"Evaluation of the proportion of Non-Responder (NR) participants. NR correspond to the subjects who do not report any analgesic effects, with a P.I.D. (pain intensity difference) from visit 6 and visit 1 =/< 0%, (using a 0-10 NRS ). It includes the situations of average pain intensity stable or worsened at day 28 compared with baseline values." (NCT01809106)
Timeframe: 28 days

Interventionparticipants (Number)
Morphine14
Oxycodone18
Buprenorphine14
Fentanyl11

The Opioid Escalation Index

The proportion of subjects with an increase of opioid daily dose > 5% compared with the basal dosage (OEI%). (NCT01809106)
Timeframe: 28 days

Interventionparticipants (Number)
Morphine13
Oxycodone24
Buprenorphine18
Fentanyl45

Summed Pain Intensity Differences (SPID) at 30 Minutes After Dosing (SPID30)

"Pain intensity was assessed by the participant using a 0-100 mm visual analog scale where 0 represented no pain and 100 represented worst possible pain at 0 (baseline, beginning of the pain episode), 5, 10, 15, and 30 minutes after each dose of study medication during each breakthrough pain episode. The pain intensity difference was defined as the difference in pain intensity at the various time points versus time 0 (baseline). SPID30 was calculated as the time-weighted sum of the PID scores using the following formula: SPID30=(5*PID5)+(5*PID10)+(5*PID15)+(15*PID30). The minimum and maximum SPID30 scores were -3000 and 3000. A higher score indicates less pain." (NCT00538850)
Timeframe: Baseline (time 0, beginning of each pain episode) through 30 minutes after dosing for each pain episode

InterventionUnits on a scale (Mean)
Fentanyl Sublingual Spray640.3
Placebo399.6

Global Evaluation of the Study Medication at 30 and 60 Minutes After Dosing

Global evaluation of the study medication was assessed by the participant on a 5-point scale (1=Poor, 2=Fair, 3=Good, 4=Very good, 5=Excellent) at 30 and 60 minutes after each dose of study medication during each breakthrough pain episode. A higher score indicates a better evaluation. (NCT00538850)
Timeframe: 30 through 60 minutes after dosing for each pain episode

,
InterventionUnits on a scale (Mean)
30 minutes60 minutes
Fentanyl Sublingual Spray2.83.1
Placebo2.02.2

Summed Pain Intensity Differences (SPID) at 5, 10, 15, 45, and 60 Minutes After Dosing

"Pain intensity was assessed by the participant using a 0-100 mm visual analog scale where 0 represented no pain and 100 represented worst possible pain at 0 (baseline, beginning of the pain episode), 5, 10, 15, 30, 45 and 60 minutes after each dose of study medication during each breakthrough pain episode. The pain intensity difference was defined as the difference in pain intensity at the various time points versus time 0 (baseline). SPID was calculated as the time-weighted sum of the PID scores using the following formulas: SPID5=(5*PID5), SPID10=(5*PID5)+(5*PID10), SPID15=(5*PID5)+(5*PID10)+(5*PID15), SPID30=(5*PID5)+(5*PID10)+(5*PID15)+(15*PID30), SPID45=(5*PID5)+(5*PID10)+(5*PID15)+(15*PID30)+(15*PID45), SPID60=(5*PID5)+(5*PID10)+(5*PID15)+(15*PID30) +(15*PID45) +(15*PID60). The minimum and maximum SPID scores were -500 to 500, -1000 to 1000, -1500 to 1500, -3000 to 3000, -4500 to 4500, and -6000 to 6000, respectively. A higher score indicates less pain." (NCT00538850)
Timeframe: Baseline (time 0, beginning of each pain episode) through 60 minutes after dosing for each pain episode

,
InterventionUnits on a scale (Mean)
SPID5SPID10SPID15SPID45SPID60
Fentanyl Sublingual Spray40.3115.0220.61122.01649.0
Placebo32.081.1150.3667.0965.7

Total Pain Relief (TOTPAR) at 5, 10, 15, 30, 45, and 60 Minutes After Dosing

Pain relief (PAR) was assessed by the participant on a 5-point scale (1=No relief, 2=A little relief, 3=Moderate relief, 4=A lot of relief, 5=Complete relief) at 5, 10, 15, 30, 45 and 60 minutes after each dose of study medication during each breakthrough pain episode. TOTPAR was calculated as the time-weighted sum of the PAR scores at each time point using the following formulas: TOTPAR5=(5*PAR5), TOTPAR10=(5*PAR5)+(5*PAR10), TOTPAR15=(5*PAR5)+(5*PAR10)+(5*PAR15), TOTPAR30=(5*PAR5)+(5*PAR10)+(5*PAR15)+(15*PAR30), TOTPAR45=(5*PAR5)+(5*PAR10)+(5*PAR15)+(15*PAR30)+(15*PAR45), TOTPAR60=(5*PAR5)+(5*PAR10)+(5*PAR15)+(15*PAR30) +(15*PAR45) +(15*PAR60). The minimum and maximum TOTPAR5, TOTPAR10, TOTPAR15, TOTPAR30, TOTPAR45, and TOTPAR60 scores were 5 to 25, 10 to 50, 15 to 75, 30 to 150, 45 to 225, and 60 to 300, respectively. A higher score indicates more pain relief. (NCT00538850)
Timeframe: 5 through 60 minutes after dosing for each pain episode

,
InterventionUnits on a scale (Mean)
TOTPAR5TOTPAR10TOTPAR15TOTPAR30TOTPAR45TOTPAR60
Fentanyl Sublingual Spray8.619.732.978.3126.3176.4
Placebo7.616.727.161.095.5131.2

Reviews

15 reviews available for fentanyl and Cancer-Associated Pain

ArticleYear
Bibliometric Network Analysis on Rapid-Onset Opioids for Breakthrough Cancer Pain Treatment.
    Journal of pain and symptom management, 2022, Volume: 63, Issue:6

    Topics: Analgesics, Opioid; Bibliometrics; Breakthrough Pain; Cancer Pain; Fentanyl; Humans; Neoplasms

2022
Breakthrough cancer pain in the radiotherapy setting: a systematic and critical review.
    Expert review of anticancer therapy, 2023, Volume: 23, Issue:3

    Topics: Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Fentanyl; Head and Neck Neoplasms; Humans; Neopl

2023
Is pain part of a systemic syndrome in head and neck cancer?
    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020, Volume: 28, Issue:2

    Topics: Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Depression; Exercise; Fatigue; Fentanyl; Head an

2020
Breakthrough cancer pain: review and calls to action to improve its management.
    Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2020, Volume: 22, Issue:8

    Topics: Algorithms; Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Communication; Fentanyl; Humans; Onc

2020
Breakthrough cancer pain in 2020.
    Current opinion in supportive and palliative care, 2020, Volume: 14, Issue:2

    Topics: Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Fentanyl; Humans; Neoplasm Metastasis; Pain Mana

2020
Breakthrough Cancer Pain: A Systematic Review of Pharmacologic Management
.
    Clinical journal of oncology nursing, 2017, 06-01, Volume: 21, Issue:3 Suppl

    Topics: Administration, Oral; Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Education, Nursing, Contin

2017
Opioids for cancer pain - an overview of Cochrane reviews.
    The Cochrane database of systematic reviews, 2017, 07-06, Volume: 7

    Topics: Acetaminophen; Administration, Cutaneous; Administration, Oral; Analgesics, Opioid; Buprenorphine; C

2017
Non pharmacological interventions and non-fentanyl pharmacological treatments for breakthrough cancer pain: A systematic and critical review.
    Critical reviews in oncology/hematology, 2018, Volume: 122

    Topics: Administration, Oral; Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Double-Blind Method; Fenta

2018
Treating breakthrough pain in oncology.
    Expert review of anticancer therapy, 2018, Volume: 18, Issue:5

    Topics: Administration, Buccal; Administration, Oral; Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Do

2018
Opioid Rotation in Cancer Pain Treatment.
    Deutsches Arzteblatt international, 2018, 03-02, Volume: 115, Issue:9

    Topics: Analgesics, Opioid; Buprenorphine; Cancer Pain; Chronic Pain; Fentanyl; Germany; Humans; Hydromorpho

2018
Transdermal fentanyl for cancer pain: Trial sequential analysis of 3406 patients from 35 randomized controlled trials.
    Journal of cancer research and therapeutics, 2018, Volume: 14, Issue:Supplement

    Topics: Administration, Cutaneous; Analgesics, Opioid; Cancer Pain; Fentanyl; Humans; Neoplasms; Odds Ratio;

2018
[Opioid switch and change of route of administration in cancer patients treated by morphine].
    Bulletin du cancer, 2018, Volume: 105, Issue:11

    Topics: Administration, Oral; Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Drug Substitution; Fentany

2018
Intranasal therapy with opioids for children and adolescents with cancer: results from clinical studies.
    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019, Volume: 27, Issue:10

    Topics: Administration, Intranasal; Adolescent; Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Child; D

2019
[Opioids for Cancer Pain and its Use under Particular Conditions: A Narrative Review].
    Acta medica portuguesa, 2019, May-31, Volume: 32, Issue:5

    Topics: Administration, Oral; Analgesics, Opioid; Buprenorphine; Cancer Pain; Codeine; Deglutition Disorders

2019
A review of factors explaining variability in fentanyl pharmacokinetics; focus on implications for cancer patients.
    British journal of clinical pharmacology, 2017, Volume: 83, Issue:2

    Topics: Aged; Analgesics, Opioid; Cancer Pain; Confounding Factors, Epidemiologic; Dose-Response Relationshi

2017

Trials

19 trials available for fentanyl and Cancer-Associated Pain

ArticleYear
Efficacy of reconstituted intravenous fentanyl to sublingual solution versus oral morphine syrup for breakthrough pain among patients with chronic gynecologic cancer pain: A randomized, double-blind, placebo-controlled trial.
    The journal of obstetrics and gynaecology research, 2023, Volume: 49, Issue:7

    Topics: Administration, Sublingual; Adolescent; Adult; Analgesics, Opioid; Breakthrough Pain; Cancer Pain; D

2023
Minor contribution of cytochrome P450 3A activity on fentanyl exposure in palliative care cancer patients.
    Scientific reports, 2019, 10-10, Volume: 9, Issue:1

    Topics: Aged; Aged, 80 and over; Analgesics, Opioid; Cancer Pain; Cytochrome P-450 CYP3A; Female; Fentanyl;

2019
Intranasal fentanyl spray versus intravenous opioids for the treatment of severe pain in patients with cancer in the emergency department setting: A randomized controlled trial.
    PloS one, 2020, Volume: 15, Issue:7

    Topics: Administration, Intranasal; Administration, Intravenous; Adult; Aged; Analgesics, Opioid; Cancer Pai

2020
A dose titration study of fentanyl buccal soluble film for breakthrough cancer pain in Taiwan.
    Cancer reports (Hoboken, N.J.), 2019, Volume: 2, Issue:5

    Topics: Administration, Buccal; Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Breakthrough Pain; Cance

2019
Efficacy and Safety of Fentanyl Citrate Patch, Including a Low-Dose 0.5 mg Formulation, in Opioid-Naïve Patients with Cancer Pain.
    Clinical drug investigation, 2020, Volume: 40, Issue:11

    Topics: Administration, Cutaneous; Aged; Aged, 80 and over; Analgesics, Non-Narcotic; Analgesics, Opioid; Ca

2020
Efficacy, safety, and tolerability of sublingual fentanyl orally disintegrating tablet in the treatment of breakthrough cancer pain: a randomized, double-blind, placebo-controlled study.
    Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences, 2021, Volume: 29, Issue:1

    Topics: Administration, Sublingual; Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Breakthrough Pain; C

2021
A comparison of oral controlled-release morphine and oxycodone with transdermal formulations of buprenorphine and fentanyl in the treatment of severe pain in cancer patients.
    Drug design, development and therapy, 2017, Volume: 11

    Topics: Administration, Cutaneous; Administration, Oral; Aged; Aged, 80 and over; Analgesics, Opioid; Bupren

2017
[Fentanyl buccal tablets in the treatment of breakthrough cancer pain. German cohort of a pan-European multicentre study].
    MMW Fortschritte der Medizin, 2018, Volume: 160, Issue:Suppl 4

    Topics: Administration, Buccal; Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Breakthrough Pain; Cance

2018
Proportional dose of rapid-onset opioid in breakthrough cancer pain management: An open-label, multicenter study.
    Medicine, 2018, Volume: 97, Issue:30

    Topics: Administration, Buccal; Adult; Aged; Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Dose-Respon

2018
Effect of Opioid Exposure on Efficacy and Tolerability of Sublingual Fentanyl and Subcutaneous Morphine for Severe Cancer Pain Episodes. Secondary Analysis From a Double-Blind Double-Dummy, Randomized Trial.
    Journal of pain and symptom management, 2019, Volume: 58, Issue:4

    Topics: Administration, Cutaneous; Administration, Sublingual; Aged; Analgesics, Opioid; Cancer Pain; Dose-R

2019
Comparison of the Quality of Life of Cancer Patients with Pain Treated with Oral Controlled-Release Morphine and Oxycodone and Transdermal Buprenorphine and Fentanyl.
    Current pharmaceutical design, 2019, Volume: 25, Issue:30

    Topics: Analgesics, Opioid; Buprenorphine; Cancer Pain; Delayed-Action Preparations; Female; Fentanyl; Human

2019
Breakthrough pain in patients with head & neck cancer. A secondary analysis of IOPS MS study.
    Oral oncology, 2019, Volume: 95

    Topics: Administration, Intranasal; Adolescent; Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Breakthr

2019
Long-term safety of fentanyl sublingual spray in opioid-tolerant patients with breakthrough cancer pain.
    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016, Volume: 24, Issue:6

    Topics: Administration, Sublingual; Adult; Aged; Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Double-

2016
Are strong opioids equally effective and safe in the treatment of chronic cancer pain? A multicenter randomized phase IV 'real life' trial on the variability of response to opioids.
    Annals of oncology : official journal of the European Society for Medical Oncology, 2016, Volume: 27, Issue:6

    Topics: Adult; Aged; Analgesics, Opioid; Cancer Pain; Drug-Related Side Effects and Adverse Reactions; Femal

2016
Are strong opioids equally effective and safe in the treatment of chronic cancer pain? A multicenter randomized phase IV 'real life' trial on the variability of response to opioids.
    Annals of oncology : official journal of the European Society for Medical Oncology, 2016, Volume: 27, Issue:6

    Topics: Adult; Aged; Analgesics, Opioid; Cancer Pain; Drug-Related Side Effects and Adverse Reactions; Femal

2016
Are strong opioids equally effective and safe in the treatment of chronic cancer pain? A multicenter randomized phase IV 'real life' trial on the variability of response to opioids.
    Annals of oncology : official journal of the European Society for Medical Oncology, 2016, Volume: 27, Issue:6

    Topics: Adult; Aged; Analgesics, Opioid; Cancer Pain; Drug-Related Side Effects and Adverse Reactions; Femal

2016
Are strong opioids equally effective and safe in the treatment of chronic cancer pain? A multicenter randomized phase IV 'real life' trial on the variability of response to opioids.
    Annals of oncology : official journal of the European Society for Medical Oncology, 2016, Volume: 27, Issue:6

    Topics: Adult; Aged; Analgesics, Opioid; Cancer Pain; Drug-Related Side Effects and Adverse Reactions; Femal

2016
Fentanyl sublingual spray for breakthrough cancer pain in patients receiving transdermal fentanyl.
    Pain management, 2016, Volume: 6, Issue:5

    Topics: Administration, Cutaneous; Administration, Sublingual; Adult; Aged; Aged, 80 and over; Analgesics, O

2016
[Dose-finding for treatment with a transdermal fentanyl patch : Titration with oral transmucosal fentanyl citrate and morphine sulfate].
    Schmerz (Berlin, Germany), 2016, Volume: 30, Issue:6

    Topics: Administration, Buccal; Administration, Cutaneous; Adult; Aged; Cancer Pain; Chronic Pain; Dose-Resp

2016
Fentanyl Pectin Nasal Spray Versus Oral Morphine in Doses Proportional to the Basal Opioid Regimen for the Management of Breakthrough Cancer Pain: A Comparative Study.
    Journal of pain and symptom management, 2016, Volume: 52, Issue:1

    Topics: Administration, Oral; Analgesics; Breakthrough Pain; Cancer Pain; Cross-Over Studies; Female; Fentan

2016
Methadone is superior to fentanyl in treating neuropathic pain in patients with head-and-neck cancer.
    European journal of cancer (Oxford, England : 1990), 2016, Volume: 65

    Topics: Adult; Aged; Analgesics, Opioid; Cancer Pain; Female; Fentanyl; Head and Neck Neoplasms; Humans; Mal

2016
Fentanyl Sublingual Tablets Versus Subcutaneous Morphine for the Management of Severe Cancer Pain Episodes in Patients Receiving Opioid Treatment: A Double-Blind, Randomized, Noninferiority Trial.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2017, Volume: 35, Issue:7

    Topics: Administration, Sublingual; Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Cancer Pain; Double-

2017

Other Studies

53 other studies available for fentanyl and Cancer-Associated Pain

ArticleYear
Tapentadol in Cancer Patients with Neuropathic Pain: A Comparison of Methadone, Oxycodone, Fentanyl, and Hydromorphone.
    Biological & pharmaceutical bulletin, 2021, Volume: 44, Issue:9

    Topics: Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Cancer Pain; Dose-Response Relationship, Drug; F

2021
An Open-Label Study of the Pharmacokinetics and Tolerability of Once-a-Day Fentanyl Citrate Patch in Japanese Pediatric and Adolescent Patients with Cancer Pain.
    Clinical drug investigation, 2021, Volume: 41, Issue:12

    Topics: Administration, Cutaneous; Adolescent; Analgesics, Opioid; Cancer Pain; Child; Child, Preschool; Fen

2021
Low-dose sublingual fentanyl improves quality of life in patients with breakthrough cancer pain in palliative care.
    Future oncology (London, England), 2022, Volume: 18, Issue:14

    Topics: Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Fentanyl; Humans; Neoplasms; Palliative Care; Pr

2022
[For the Clinical Use-Clinical Guidelines for Pharmacological Management of Cancer Pain 2020].
    Gan to kagaku ryoho. Cancer & chemotherapy, 2022, Volume: 49, Issue:2

    Topics: Analgesics, Opioid; Cancer Pain; Fentanyl; Humans; Morphine; Neoplasms; Tramadol

2022
Effect of Transdermal Fentanyl Patch Combined with Enhanced Recovery after Surgery on the Curative Effect and Analgesic Effect of Liver Cancer.
    BioMed research international, 2022, Volume: 2022

    Topics: Administration, Cutaneous; Analgesics, Opioid; Cancer Pain; Enhanced Recovery After Surgery; Fentany

2022
Differences in Fentanyl Requirements in Terminally Ill Cancer Patients.
    Journal of pain & palliative care pharmacotherapy, 2023, Volume: 37, Issue:1

    Topics: Analgesics, Opioid; Cancer Pain; Female; Fentanyl; Humans; Male; Neoplasms; Pancreatic Neoplasms; Re

2023
Differences in Fentanyl Requirements in Terminally Ill Cancer Patients.
    Journal of pain & palliative care pharmacotherapy, 2023, Volume: 37, Issue:1

    Topics: Analgesics, Opioid; Cancer Pain; Female; Fentanyl; Humans; Male; Neoplasms; Pancreatic Neoplasms; Re

2023
Differences in Fentanyl Requirements in Terminally Ill Cancer Patients.
    Journal of pain & palliative care pharmacotherapy, 2023, Volume: 37, Issue:1

    Topics: Analgesics, Opioid; Cancer Pain; Female; Fentanyl; Humans; Male; Neoplasms; Pancreatic Neoplasms; Re

2023
Differences in Fentanyl Requirements in Terminally Ill Cancer Patients.
    Journal of pain & palliative care pharmacotherapy, 2023, Volume: 37, Issue:1

    Topics: Analgesics, Opioid; Cancer Pain; Female; Fentanyl; Humans; Male; Neoplasms; Pancreatic Neoplasms; Re

2023
Opioid prescribing and social deprivation: A retrospective analysis of prescribing for CNCP in Liverpool CCG.
    PloS one, 2023, Volume: 18, Issue:3

    Topics: Analgesics, Opioid; Cancer Pain; Chronic Pain; Female; Fentanyl; Humans; Male; Morphine; Practice Pa

2023
Comparison of Analgesic Efficacy and Safety of Low-Dose Transdermal Fentanyl and Oral Oxycodone in Opioid-Naïve Patients with Cancer Pain.
    Biological & pharmaceutical bulletin, 2023, Volume: 46, Issue:10

    Topics: Administration, Cutaneous; Analgesics; Analgesics, Opioid; Cancer Pain; Fentanyl; Humans; Neoplasms;

2023
Prevalence of opioid-induced adverse events across opioids commonly used for analgesic treatment in Japan: a multicenter prospective longitudinal study.
    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023, Oct-16, Volume: 31, Issue:12

    Topics: Analgesics, Opioid; Cancer Pain; Constipation; Delirium; Fentanyl; Humans; Hydromorphone; Japan; Lon

2023
Does transdermal fentanyl work in patients with low BMI? Patient-reported outcomes of pain and percent pain relief in cancer patients on transdermal fentanyl.
    Cancer medicine, 2019, Volume: 8, Issue:18

    Topics: Administration, Cutaneous; Analgesics, Opioid; Body Mass Index; Cancer Pain; Female; Fentanyl; Human

2019
Risk Factors for Poor Pain Control after Opioid Switching from Oxycodone Tablet to Fentanyl Patch.
    Biological & pharmaceutical bulletin, 2019, Volume: 42, Issue:10

    Topics: Aged; Analgesics, Opioid; Cancer Pain; Dose-Response Relationship, Drug; Drug Interactions; Drug Sub

2019
Effectiveness of Risk Minimization Measures for Fentanyl Buccal Tablet (FENTORA) in Canada: A Mixed-Methods Evaluation Using Surveys, Medical Chart Records and Web Surveillance.
    Drug safety, 2020, Volume: 43, Issue:2

    Topics: Administration, Buccal; Adolescent; Adult; Aged; Analgesics, Opioid; Breakthrough Pain; Canada; Canc

2020
Cancer Cachexia May Hinder Pain Control When Using Fentanyl Patch.
    Biological & pharmaceutical bulletin, 2020, Volume: 43, Issue:5

    Topics: Aged; Analgesics, Opioid; Cachexia; Cancer Pain; Female; Fentanyl; Humans; Male; Middle Aged; Morphi

2020
[Analysis of Symptoms Relieved in Addition to Pain after Administration of Oxycodone or Morphine to Patients with Advanced Cancer Living at Home].
    Gan to kagaku ryoho. Cancer & chemotherapy, 2020, Volume: 47, Issue:5

    Topics: Administration, Cutaneous; Analgesics, Opioid; Cancer Pain; Fentanyl; Humans; Morphine; Neoplasms; O

2020
[Use of rapid-onset fentanyl preparations beyond indication : A random questionnaire survey among congress participants and pain physicians].
    Schmerz (Berlin, Germany), 2021, Volume: 35, Issue:2

    Topics: Analgesics, Opioid; Cancer Pain; Fentanyl; Humans; Physicians; Surveys and Questionnaires

2021
A low pKa ligand inhibits cancer-associated pain in mice by activating peripheral mu-opioid receptors.
    Scientific reports, 2020, 10-29, Volume: 10, Issue:1

    Topics: Analgesics, Opioid; Animals; Bone Neoplasms; Cancer Pain; Cell Line, Tumor; Fentanyl; Hydrogen-Ion C

2020
The role of fentanyl in the treatment of breakthrough cancer pain: Different biotechnologies, different results and different drug costs.
    Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners, 2021, Volume: 27, Issue:2

    Topics: Administration, Buccal; Administration, Intranasal; Administration, Oral; Analgesics, Opioid; Breakt

2021
Is there a role for pharmacogenetics in the dosing of fentanyl?
    Pharmacogenomics, 2017, Volume: 18, Issue:5

    Topics: Analgesics, Opioid; Cancer Pain; Fentanyl; Humans; Pharmacogenetics

2017
[A New Therapeutic Approach for Cancer-Related Breakthrough Pain - Focused on Oral Transmucosal Fentanyl].
    Gan to kagaku ryoho. Cancer & chemotherapy, 2017, Volume: 44, Issue:4

    Topics: Administration, Oral; Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Fentanyl; Humans; Mouth Mu

2017
Cost-effectiveness analysis of oral fentanyl formulations for breakthrough cancer pain treatment.
    PloS one, 2017, Volume: 12, Issue:6

    Topics: Administration, Oral; Administration, Sublingual; Analgesics, Opioid; Breakthrough Pain; Cancer Pain

2017
Breakthrough Pain Management with Sublingual Fentanyl Tablets in Patients with Cancer: Age Subgroup Analysis of a Multicenter Prospective Study.
    Drugs in R&D, 2017, Volume: 17, Issue:3

    Topics: Administration, Sublingual; Age Factors; Aged; Analgesics, Opioid; Anxiety; Breakthrough Pain; Cance

2017
Fentanyl buccal tablet for breakthrough cancer pain in clinical practice: results of the non-interventional prospective study ErkentNIS.
    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2018, Volume: 26, Issue:2

    Topics: Administration, Buccal; Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Breakthrough Pain; Cance

2018
Transmucosal fentanyl for severe cancer pain: Nasal mucosa superior to oral mucosa?
    Scandinavian journal of pain, 2016, Volume: 11

    Topics: Breakthrough Pain; Cancer Pain; Fentanyl; Humans; Mouth Mucosa; Nasal Mucosa

2016
Characteristics and Treatment of Breakthrought Pain (BTcP) in Palliative Care.
    Medical archives (Sarajevo, Bosnia and Herzegovina), 2017, Volume: 71, Issue:4

    Topics: Acetaminophen; Adult; Aged; Aged, 80 and over; Analgesia, Patient-Controlled; Analgesics, Non-Narcot

2017
Bioanalytical methods for the quantification of hydromorphone, fentanyl, norfentanyl, morphine, morphine-3ß-glucuronide and morphine-6ß-glucuronide in human plasma.
    Journal of pharmaceutical and biomedical analysis, 2018, Feb-05, Volume: 149

    Topics: Acetonitriles; Analgesics, Opioid; Calibration; Cancer Pain; Chromatography, High Pressure Liquid; D

2018
The use of rapid onset fentanyl in children and young people for breakthrough cancer pain.
    Scandinavian journal of pain, 2017, Volume: 17

    Topics: Administration, Oral; Adolescent; Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Child; Child,

2017
[Transmucosal fentanyl administration: sublingual, buccal, nasal - all the same? Treatment of breakthrough cancer pain].
    MMW Fortschritte der Medizin, 2017, Volume: 159, Issue:Suppl 6

    Topics: Administration, Mucosal; Administration, Sublingual; Analgesics, Opioid; Breakthrough Pain; Cancer P

2017
Effects of smoking and body mass index on the exposure of fentanyl in patients with cancer.
    PloS one, 2018, Volume: 13, Issue:6

    Topics: Administration, Cutaneous; Aged; Analgesics, Opioid; Body Mass Index; Cancer Pain; Cohort Studies; F

2018
Analgesic effects of systemic fentanyl on cancer pain are mediated by not only central but also peripheral opioid receptors in mice.
    European journal of pharmacology, 2018, Aug-15, Volume: 833

    Topics: Action Potentials; Analgesics, Opioid; Animals; Cancer Pain; Cell Line, Tumor; Disease Models, Anima

2018
Breakthrough cancer pain tailored treatment: which factors influence the medication choice? An observational, prospective and cross-sectional study in patients with terminal cancer.
    Postgraduate medical journal, 2018, Volume: 94, Issue:1116

    Topics: Administration, Buccal; Administration, Intranasal; Aged; Aged, 80 and over; Analgesics, Opioid; Bre

2018
The Association between Patient Characteristics and Opioid Treatment Response in Neuropathic and Nociceptive Pain due to Cancer.
    Journal of palliative medicine, 2019, Volume: 22, Issue:2

    Topics: Aged; Analgesics, Opioid; Cancer Pain; Female; Fentanyl; Head and Neck Neoplasms; Humans; Male; Midd

2019
Factors influencing the use of opioids for breakthrough cancer pain: A secondary analysis of the IOPS-MS study.
    European journal of pain (London, England), 2019, Volume: 23, Issue:4

    Topics: Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; Analgesics, Opioid; Breakthrough Pain; Canc

2019
Opioid responsiveness of nociceptive versus mixed pain in clinical cancer patients.
    European journal of cancer (Oxford, England : 1990), 2018, Volume: 105

    Topics: Aged; Analgesics; Analgesics, Opioid; Cancer Pain; Drug Therapy, Combination; Female; Fentanyl; Huma

2018
[Not all pains are the same: breakthrough pain in cancer patients. A case report].
    Recenti progressi in medicina, 2018, Volume: 109, Issue:11

    Topics: Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Fentanyl; Humans; Male; Middle Aged; Palliative

2018
Demonstrating Heterogeneity of Treatment Effects Among Patients: An Overlooked but Important Step Toward Precision Medicine.
    Clinical pharmacology and therapeutics, 2019, Volume: 106, Issue:1

    Topics: Analgesics, Opioid; Cancer Pain; Cross-Over Studies; Double-Blind Method; Fentanyl; Humans; Precisio

2019
Assessment of the FDA Risk Evaluation and Mitigation Strategy for Transmucosal Immediate-Release Fentanyl Products.
    JAMA, 2019, Feb-19, Volume: 321, Issue:7

    Topics: Administration, Mucosal; Breakthrough Pain; Cancer Pain; Clinical Competence; Contraindications, Dru

2019
[Breaktrough cancer pain in metastatic prostate adenocarcinoma: a case report.]
    Recenti progressi in medicina, 2019, Volume: 110, Issue:3

    Topics: Adenocarcinoma; Administration, Sublingual; Analgesics, Opioid; Bone Neoplasms; Breakthrough Pain; C

2019
Expert consensus on the management of breakthrough cancer pain in older patients. A Delphi study.
    Journal of geriatric oncology, 2019, Volume: 10, Issue:4

    Topics: Administration, Mucosal; Aged; Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Central Nervous S

2019
Effectiveness of fentanyl pectin nasal citrate in controlling episodes of breakthrough cancer pain triggered by routine radiotherapy procedures.
    Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2019, Volume: 21, Issue:11

    Topics: Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Female; Fentanyl

2019
Effects of Age Among Elderly Cancer Patients on Breakthrough Pain Management with Sublingual Fentanyl Tablets.
    Drugs in R&D, 2019, Volume: 19, Issue:3

    Topics: Administration, Sublingual; Aged; Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Female; Fentan

2019
Practices and perceptions regarding intravenous opioid infusion and cancer pain management.
    Cancer, 2019, 11-01, Volume: 125, Issue:21

    Topics: Adult; Analgesics, Opioid; Cancer Pain; Clinical Competence; Cross-Sectional Studies; Female; Fentan

2019
Medical Use of Long-term Extended-release Opioid Analgesics in Commercially Insured Adults in the United States.
    Pain medicine (Malden, Mass.), 2020, 04-01, Volume: 21, Issue:4

    Topics: Adult; Aged; Analgesics, Opioid; Arthritis; Back Pain; Cancer Pain; Chronic Pain; Delayed-Action Pre

2020
Indication of Adequate Transdermal Fentanyl Dose in Opioid Switching From Oral Oxycodone in Patients With Cancer.
    The American journal of hospice & palliative care, 2016, Volume: 33, Issue:2

    Topics: Administration, Cutaneous; Administration, Oral; Adult; Age Factors; Aged; Aged, 80 and over; Analge

2016
Exposure to Fentanyl After Transdermal Patch Administration for Cancer Pain Management.
    Journal of clinical pharmacology, 2016, Volume: 56, Issue:6

    Topics: Administration, Cutaneous; Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Cancer Pain; Female;

2016
The Influence of Low Salivary Flow Rates on the Absorption of a Sublingual Fentanyl Citrate Formulation for Breakthrough Cancer Pain.
    Journal of pain and symptom management, 2016, Volume: 51, Issue:3

    Topics: Administration, Sublingual; Aged; Analgesics, Opioid; Autonomic Agents; Breakthrough Pain; Cancer Pa

2016
Treatment with subcutaneous and transdermal fentanyl: results from a population pharmacokinetic study in cancer patients.
    European journal of clinical pharmacology, 2016, Volume: 72, Issue:4

    Topics: Administration, Cutaneous; Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Cancer Pain; Female;

2016
The Opioid Rotation Ratio From Transdermal Fentanyl to "Strong" Opioids in Patients With Cancer Pain.
    Journal of pain and symptom management, 2016, Volume: 51, Issue:6

    Topics: Administration, Cutaneous; Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Cancer Pain; Female;

2016
Re: The Influence of Low Salivary Flow Rates on Sublingual Fentanyl Absorption for Breakthrough Cancer Pain.
    Journal of pain and symptom management, 2016, Volume: 51, Issue:5

    Topics: Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Fentanyl; Humans; Neoplasms

2016
Incidence of Delirium Among Patients Having Cancer Injected With Different Opioids for the First Time.
    The American journal of hospice & palliative care, 2017, Volume: 34, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Cancer Pain; Delirium; Drug-Related Side Effects

2017
Relationship between the plasma fentanyl and serum 4β-hydroxycholesterol based on CYP3A5 genotype and gender in patients with cancer pain.
    Drug metabolism and pharmacokinetics, 2016, Volume: 31, Issue:3

    Topics: Aged; Analgesics, Opioid; Cancer Pain; Cytochrome P-450 CYP3A; Female; Fentanyl; Genotype; Humans; H

2016
Reply-Letter to the Editor: What to Do, and What Not to Do, When Diagnosing and Treating Breakthrough Cancer Pain (BTcP): Expert Opinion.
    Drugs, 2016, Volume: 76, Issue:10

    Topics: Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Expert Testimony; Fentanyl; Humans; Neoplasms

2016
Dose and Duration of Opioid Use in Patients with Cancer and Noncancer Pain at an Outpatient Hospital Setting in Malaysia.
    Pain practice : the official journal of World Institute of Pain, 2017, Volume: 17, Issue:6

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Cancer Pain; Cross-Sectional Studies

2017
Opioid manufacturer bribed doctors to prescribe fentanyl inappropriately, US says.
    BMJ (Clinical research ed.), 2016, Dec-15, Volume: 355

    Topics: Analgesics, Opioid; Breakthrough Pain; Cancer Pain; Crime; Drug Industry; Fentanyl; Humans; Malpract

2016