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A clinical trial to compare the effects of two drugs sublingual Buprenorphine and oral Tramadol for pain management in patients with cancer.

An open-labelled multicentric noninferiority randomized controlled trial to compare sublingual Buprenorphine versus oral Tramadol for cancer pain - NIL

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2024/07/070787
Enrollment
230
Registered
2024-07-18
Start date
Unknown
Completion date
Unknown
Last updated
2024-10-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: C00-D49- Neoplasms

Interventions

Intervention1: Buprenorphine Sublingual: Buprenorphine Sublingual 0.2 mcg Three times daily for 84 days Control Intervention1: Tramadol Oral: Tramadol Oral 50 mg three times daily for 84 days

Sponsors

ICMR Indian Council of Medical Research
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Opioid-naive [ not taken any opioid analgesic before the start of the study], Diagnosed to have solid tumors, Suffering from moderate cancer pain [VAS pain of 4-7], who are assessed by the physician and have a life expectancy of more than 3 months attending the palliative and oncology units of trial centers

Exclusion criteria

Exclusion criteria: Patients who cannot swallow pills. Patients who are unreliable for follow-up and unable to self-record their pain scores. Patients who give refusal of consent. Patients who have a Life expectancy of lower than 3 months based on evaluation by the physician and performance score. All patients who have Contra-indication to adjuvants will be excluded from the study. Patients who have severe pain or are terminally ill, psychiatric patients, and patients having brain metastasis. Patients who require adjuvant analgesics other than gabapentin and paracetamol will be excluded from the study. Patients with severe hepatic or renal dysfunction

Design outcomes

Primary

MeasureTime frame
To compare the analgesic efficacy of sublingual Buprenorphine against oral Tramadol by comparing the NRS pain score between two arms at 14 days after the intervention.Timepoint: 2 weeks

Secondary

MeasureTime frame
To compare the NRS Pain score between two arms of the study at 28days, 56 days, & 84 days after the intervention. To compare the adverse events between the two arms of the study using numerical opioid side effect scores & Current Opioid Misuse Measure at 14 days, 28 days,56 days & 84 days after the intervention.Timepoint: 28 days 56 days 84 days

Countries

India

Contacts

Public ContactDr Rakesh L John

Amala Institute of Medical Sciences

rakeshljohn@gmail.com9207803695

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026