PMID- 35604203 OWN - NLM STAT- MEDLINE DCOM- 20230331 LR - 20230331 IS - 1743-7563 (Electronic) IS - 1743-7555 (Linking) VI - 19 IP - 2 DP - 2023 Apr TI - Safety and effectiveness of transdermal buprenorphine in cancer pain: An observational study in Taiwan (SOOTHE). PG - e45-e53 LID - 10.1111/ajco.13772 [doi] AB - 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). CI - (c) 2022 John Wiley & Sons Australia, Ltd. FAU - Huang, Tai-Lin AU - Huang TL AD - Division of Hematology-Oncology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan. FAU - Huang, Yen-Min AU - Huang YM AD - Division of Hematology-Oncology, Department of Internal Medicine, Keelung Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan. FAU - Hou, Min-Mo AU - Hou MM AD - Division of Hematology-Oncology, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan. FAU - Lu, Chang-Hsien AU - Lu CH AD - Division of Hematology-Oncology, Department of Internal Medicine, Chiayi Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan. FAU - Chao, Tsu-Yi AU - Chao TY AD - Department of Hematology/Oncology, Shuang Ho Hospital, Zhonghe District, New Taipei City, 235, Taiwan. FAU - Chiu, Tai-Jan AU - Chiu TJ AD - Division of Hematology-Oncology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan. FAU - Chang, Yueh-Shih AU - Chang YS AD - Division of Hematology-Oncology, Department of Internal Medicine, Keelung Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan. FAU - Lin, Sheng-Hao AU - Lin SH AD - Department of Chest Medicine, Changhua Christian Hospital, Changhua, 500, Taiwan. FAU - Lin, Ching-Hsiung AU - Lin CH AD - Department of Chest Medicine, Changhua Christian Hospital, Changhua, 500, Taiwan. FAU - Chen, Yen-Hao AU - Chen YH AD - Division of Hematology-Oncology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan. FAU - Wang, Cheng-Hsu AU - Wang CH AUID- ORCID: 0000-0002-7248-3983 AD - Division of Hematology-Oncology, Department of Internal Medicine, Keelung Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan. FAU - Chen, Jen-Shi AU - Chen JS AD - Division of Hematology-Oncology, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan. FAU - Shen, Wen-Chi AU - Shen WC AD - Division of Hematology-Oncology, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, 333, Taiwan. LA - eng SI - ClinicalTrials.gov/NCT04315831 GR - Taiwan Mundipharma Pharmaceuticals Ltd./ PT - Journal Article PT - Multicenter Study PT - Observational Study DEP - 20220522 PL - Australia TA - Asia Pac J Clin Oncol JT - Asia-Pacific journal of clinical oncology JID - 101241430 RN - 0 (Analgesics, Opioid) RN - 40D3SCR4GZ (Buprenorphine) SB - IM MH - Humans MH - Analgesics, Opioid/adverse effects MH - *Cancer Pain/drug therapy MH - Taiwan MH - Pain/etiology/chemically induced MH - *Buprenorphine/adverse effects MH - *Neoplasms/complications/drug therapy OTO - NOTNLM OT - anxiety/depression OT - cancer pain OT - pain control OT - transdermal buprenorphine EDAT- 2022/05/24 06:00 MHDA- 2023/03/31 06:42 CRDT- 2022/05/23 09:07 PHST- 2021/07/21 00:00 [received] PHST- 2022/02/09 00:00 [accepted] PHST- 2023/03/31 06:42 [medline] PHST- 2022/05/24 06:00 [pubmed] PHST- 2022/05/23 09:07 [entrez] AID - 10.1111/ajco.13772 [doi] PST - ppublish SO - Asia Pac J Clin Oncol. 2023 Apr;19(2):e45-e53. doi: 10.1111/ajco.13772. Epub 2022 May 22.