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Letter to the Editor| Volume 36, ISSUE 11, P1704, November 01, 2014

A Randomized, Placebo-controlled Study of a New Sublingual Formulation of Fentanyl Citrate (Fentanyl Ethypharm) for Breakthrough Pain in Opioid-treated Patients With Cancer

      Novotna et al
      • Novotna S.
      • Valentova K.
      • Fricova J.
      • et al.
      A randomized, placebo-controlled study of a new sublingual formulation of fentanyl citrate (fentanyl ethypharm) for breakthrough pain in opioid-treated patients with cancer.
      conducted a randomized, open-labeled, placebo-controlled study in which sublingual fentanyl citrate (fentanyl ethypharm; FE) was compared with placebo for breakthrough pain. In this study, selected opioid-treated cancer patients with breakthrough pain were treated with FE titrated to an effective dose using an open-labeled design. This was followed by a double-blind phase in which FE was compared with placebo using a crossover design in a selected group of patients. The same design was previously used to study at least two other fentanyl citrate formulations.
      • Portenoy R.K.
      • Burton A.W.
      • Gabrail N.
      • Taylor D.
      A multicenter, placebo-controlled, double-blind, multiple-cross-over study of fentanyl pectin nasal spray (FPNS) in the treatment of breakthrough cancer pain.
      • Kress H.G.
      • Orońska A.
      • Kaczmarek Z.
      • et al.
      Efficacy and tolerability of intranasal fentanyl spray 50 to 200 microg for breakthrough pain in patients with cancer: a Phase III, multinational, randomized, double-blind, placebo-controlled, crossover trial with a 10-month, open-label extension treatment period.
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      References

        • Novotna S.
        • Valentova K.
        • Fricova J.
        • et al.
        A randomized, placebo-controlled study of a new sublingual formulation of fentanyl citrate (fentanyl ethypharm) for breakthrough pain in opioid-treated patients with cancer.
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        • Kaczmarek Z.
        • et al.
        Efficacy and tolerability of intranasal fentanyl spray 50 to 200 microg for breakthrough pain in patients with cancer: a Phase III, multinational, randomized, double-blind, placebo-controlled, crossover trial with a 10-month, open-label extension treatment period.
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