Safety and Effectiveness of Buprenorphine Transdermal System in Elderly Subjects With Chronic Pain: Pilot Study.

Study Overview
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Brief Summary
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This pilot study was designed to evaluate the effectiveness and tolerability of the buprenorphine transdermal system versus placebo on health outcomes in elderly residents in supervised living environments. The treatment intervention duration is 42 days during which time supplemental analgesic medication (usual analgesic care) will be provided to all subjects in addition to study drug.

Detailed Description
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Buprenorphine is a synthetic opioid analgesic with over twenty-five years of international clinical experience indicating it to be safe and effective in a variety of therapeutic situations for the relief of moderate to severe pain. Transdermal systems may offer advantages over currently indicated oral products including ease and convenience of use, improved compliance, possible reduction in patient care, and prolonged and consistent delivery of drug.

Official Title
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A Randomized, Double Blind, Pilot Evaluation of the Effectiveness of BTDS Versus Placebo on Health Outcomes Associated With Analgesic Management of Elderly Residents in Supervised Living Environments

Conditions
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Chronic Pain

Intervention / Treatment
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* Drug: Buprenorphine transdermal delivery system


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: residing in a nursing home, assisted living environment, or any type of supervised living situation in which the principal investigator maintained primary responsibility for the analgesic management of the resident. chronic pain of musculoskeletal origin who had been managed with short-acting opioids. Exclusion Criteria: taking >90 mg oral morphine sulfate per day (during any single day) or >50 mcg/hr of transdermal fentanyl or its equivalent. activity restricted totally to bed rest. have cancer-related pain. Other protocol-specific exclusion/inclusion criteria may apply.

Ages Eligible for Study
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Minimum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Intervention/Treatment |
| --- |
|Drug: Buprenorphine transdermal delivery system|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pilot study. |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The following outcome variables were assessed: |  |  | 
| average pain intensity in the last 24 hours |  |  | 
| acceptability of analgesic therapy |  |  | 
| number of nighttime awakenings due to pain last night |  |  | 
| quality of sleep |  |  | 
| bowel status during the last 24 hours |  |  | 
| pain management evaluation |  |  | 
| symptom evaluation |  |  | 
| staff evaluation of functional independence |  |  | 
| resident-defined activity impairment scale |  |  | 
| treatment satisfaction questionnaire |  |  | 
| Health Assessment Questionnaire |  |  | 
| Timed Up & Go evaluation |  |  | 
| trail making test |  |  | 
| digit span test |  |  | 
| end of study global evaluation of therapeutic response |  |  | 
| modified mini-mental state |  |  | 
| examination and geriatric depression scale. |  |  | 
| The following measures of health resource utilization were assessed: |  |  | 
| use of analgesic medications (usual care plus BTDS) by product type |  |  | 
| use of analgesic medications (usual care plus BTDS) by medication and dosage form |  |  | 
| use of pain-related adjuvant medications by product type |  |  | 
| number of phone calls to physicians for pain management |  |  | 
| number of physician visits for pain management |  |  | 
| and use of medications for the treatment of drug-related adverse events. |  |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Chronic pain, elderly, supervised living, opioid, transdermal