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Safety and effectiveness of transdermal buprenorphine in cancer pain: An observational study in Taiwan (SOOTHE).
Huang, Tai-Lin; Huang, Yen-Min; Hou, Min-Mo; Lu, Chang-Hsien; Chao, Tsu-Yi; Chiu, Tai-Jan; Chang, Yueh-Shih; Lin, Sheng-Hao; Lin, Ching-Hsiung; Chen, Yen-Hao; Wang, Cheng-Hsu; Chen, Jen-Shi; Shen, Wen-Chi.
Affiliation
  • Huang TL; Division of Hematology-Oncology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan.
  • Huang YM; Division of Hematology-Oncology, Department of Internal Medicine, Keelung Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan.
  • Hou MM; Division of Hematology-Oncology, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan.
  • Lu CH; Division of Hematology-Oncology, Department of Internal Medicine, Chiayi Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan.
  • Chao TY; Department of Hematology/Oncology, Shuang Ho Hospital, Zhonghe District, New Taipei City, 235, Taiwan.
  • Chiu TJ; Division of Hematology-Oncology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan.
  • Chang YS; Division of Hematology-Oncology, Department of Internal Medicine, Keelung Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan.
  • Lin SH; Department of Chest Medicine, Changhua Christian Hospital, Changhua, 500, Taiwan.
  • Lin CH; Department of Chest Medicine, Changhua Christian Hospital, Changhua, 500, Taiwan.
  • Chen YH; Division of Hematology-Oncology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan.
  • Wang CH; Division of Hematology-Oncology, Department of Internal Medicine, Keelung Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan.
  • Chen JS; Division of Hematology-Oncology, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan.
  • Shen WC; Division of Hematology-Oncology, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan.
Asia Pac J Clin Oncol ; 19(2): e45-e53, 2023 Apr.
Article in En | MEDLINE | ID: mdl-35604203
ABSTRACT

AIM:

Buprenorphine is one of the strongest opioids used for the relief of cancer pain. This study aims to evaluate the real-world clinical experiences of transdermal buprenorphine used in moderate to severe cancer pain in the Asian population.

METHODS:

This is an open-labeled, multicenter, 4-week observational study. Stable cancer pain patients who decided to switch the previous opioid to transdermal buprenorphine will be enrolled in this study. The safety and effectiveness were observed and collected. Pain assessment was performed using a numerical rating scale by the investigators and the Brief Pain Inventory Short Form (BPI-SF) by the patient. The safety profiles included concomitant medications and adverse events (AEs).

RESULTS:

A total of 83 patients were enrolled in this study. The global pain scores in the BPI, as well as the four individual pain parameters (worst, least, average, and right now), showed a continued decrease (p < .05) from week 2 to week 4. Significant improvements were observed in normal work activities, relations with other people, sleep, enjoyment of life, and global BPI pain interference score on week 4. Pain assessments conducted by investigators demonstrated significant, continuous improvements during the study periods. In addition, transdermal buprenorphine demonstrated good safety/tolerability with limited drug-related AEs in the Asian population with cancer pain.

CONCLUSION:

This study demonstrated that transdermal buprenorphine in the Asian population has good safety profiles and continued improvements in pain relief, sleep, and pain interferences. Transdermal buprenorphine can be an effective and convenient option as a transdermal opioid for patients with moderate to severe cancer pain in Taiwan. (NCT Number NCT04315831).
Subject(s)
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Buprenorphine / Cancer Pain / Neoplasms Type of study: Clinical_trials / Observational_studies Limits: Humans Country/Region as subject: Asia Language: En Journal: Asia Pac J Clin Oncol Journal subject: NEOPLASIAS Year: 2023 Document type: Article Affiliation country: Taiwán

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Buprenorphine / Cancer Pain / Neoplasms Type of study: Clinical_trials / Observational_studies Limits: Humans Country/Region as subject: Asia Language: En Journal: Asia Pac J Clin Oncol Journal subject: NEOPLASIAS Year: 2023 Document type: Article Affiliation country: Taiwán