| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
| Patients with cancer having episodes of breakthrough pain. |
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| MedDRA Classification |
| E.1.2 Medical condition or disease under investigation |
| E.1.2 | Version | 7.1 |
| E.1.2 | Level | canc |
| E.1.2 | Classification code | 10058019 |
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| E.1.3 | Condition being studied is a rare disease | No |
| E.2 Objective of the trial |
| E.2.1 | Main objective of the trial |
1.To evaluate the degree of pain relief with Fentanyl TAIFUN® compared to placebo. 2.To evaluate the time to significant pain relief with Fentanyl TAIFUN® compared to placebo.
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| E.2.2 | Secondary objectives of the trial |
1. To evaluate the percentage of responders with Fentanyl TAIFUN® compared to placebo. 2. To evaluate the time to taking of rescue medication with Fentanyl TAIFUN® compared to placebo. 3. To evaluate the time to subjectively significant pain relief as indicated by the patient with Fentanyl TAIFUN® compared to placebo. 4. To evaluate the Global performance of Fentanyl TAIFUN® compared to placebo. 5. To evaluate the safety of Fentanyl TAIFUN® compared to placebo.
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| E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
| E.3 | Principal inclusion criteria |
1. Male or female Caucasian 2. Confirmed diagnosis of cancer 3. Age 18-75 4. Using a fixed dose of around-the-clock opioid for pain relief; either transdermal fentanyl 50-300 µg /hr, morphine 60-600 mg/day or oxycodone 60-600 mg/day which has been stable for at least 5 days prior to the randomisation visit. 5. Currently using short-acting opioid therapy for their breakthrough pain 6. Experiencing 1-4 episodes of breakthrough pain per day 7. Written informed consent has been obtained
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| E.4 | Principal exclusion criteria |
1. Uncontrolled or rapidly increasing background pain 2. Cancer of the head, neck, pharynx or larynx 3. Intracranial tumours or cerebral metastases 4. Asthma 5. Unable to use the inhaler 6. Inadequate lung function, as defined by PEFR < 75% of age adjusted normal 7. Current smoker 8. Radiotherapy within 30 days of the randomisation visit 9. Chemotherapy within 5 days of the randomisation visit 10. Planned surgery during the study period 11. Known allergy or hypersensitivity to any of the drugs under investigation or their components 12. Any known contraindications to any of the drugs under investigation 13. Alcohol or drug abuse 14. Participation in any clinical study within one month of the randomisation visit 15. Neurological or psychiatric disease which could compromise the ability of the subject to complete the assessments 16. Any clinical condition which, in the opinion of the investigator would not allow safe completion of the study 17. Pre-menopausal women (last menstruation ≤ 1 year prior to the screening visit) who: a. are not surgically sterile and/or b. have a positive pregnancy test at the randomisation visit and/or c. are of childbearing potential and are not practicing an acceptable means of birth control or do not plan to continue using this method throughout the study and/or d. are nursing
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| E.5 End points |
| E.5.1 | Primary end point(s) |
1. Degree of pain relief with Fentanyl TAIFUN ® will be evaluated as the derived variable, Sum of Pain Intensity Difference (SPID). Pain Intensity will be measured on a 0-10 Numerical Pain Scale (NPS).
2.Time to significant pain relief will be evaluated as the time needed in each episode for a decrease of at least 2 points on the NPS.
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| E.6 and E.7 Scope of the trial |
| E.6 | Scope of the trial |
| E.6.1 | Diagnosis | No |
| E.6.2 | Prophylaxis | No |
| E.6.3 | Therapy | Yes |
| E.6.4 | Safety | Yes |
| E.6.5 | Efficacy | Yes |
| E.6.6 | Pharmacokinetic | No |
| E.6.7 | Pharmacodynamic | No |
| E.6.8 | Bioequivalence | No |
| E.6.9 | Dose response | Yes |
| E.6.10 | Pharmacogenetic | Information not present in EudraCT |
| E.6.11 | Pharmacogenomic | No |
| E.6.12 | Pharmacoeconomic | No |
| E.6.13 | Others | No |
| E.7 | Trial type and phase |
| E.7.1 | Human pharmacology (Phase I) | No |
| E.7.1.1 | First administration to humans | No |
| E.7.1.2 | Bioequivalence study | No |
| E.7.1.3 | Other | No |
| E.7.1.3.1 | Other trial type description | |
| E.7.2 | Therapeutic exploratory (Phase II) | Yes |
| E.7.3 | Therapeutic confirmatory (Phase III) | No |
| E.7.4 | Therapeutic use (Phase IV) | No |
| E.8 Design of the trial |
| E.8.1 | Controlled | Yes |
| E.8.1.1 | Randomised | Yes |
| E.8.1.2 | Open | No |
| E.8.1.3 | Single blind | No |
| E.8.1.4 | Double blind | Yes |
| E.8.1.5 | Parallel group | Yes |
| E.8.1.6 | Cross over | No |
| E.8.1.7 | Other | No |
| E.8.2 | Comparator of controlled trial |
| E.8.2.1 | Other medicinal product(s) | No |
| E.8.2.2 | Placebo | Yes |
| E.8.2.3 | Other | No |
| E.8.3 |
The trial involves single site in the Member State concerned
| No |
| E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
| E.8.5 | The trial involves multiple Member States | Yes |
| E.8.6 Trial involving sites outside the EEA |
| E.8.6.1 | Trial being conducted both within and outside the EEA | No |
| E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
| E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
| E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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| End of the trial: Last visit of last subject. |
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| E.8.9 Initial estimate of the duration of the trial |
| E.8.9.1 | In the Member State concerned years | 0 |
| E.8.9.1 | In the Member State concerned months | 9 |
| E.8.9.1 | In the Member State concerned days | |
| E.8.9.2 | In all countries concerned by the trial years | 0 |
| E.8.9.2 | In all countries concerned by the trial months | 9 |