A prospective, multicenter, open-label study of the clinical efficacy of tapentadol extended-release in the treatment of cancer-related pain and improvement in the quality of life of opioid-naïve or opioid-resistant patients

Support Care Cancer. 2022 Jul;30(7):6103-6112. doi: 10.1007/s00520-022-06992-w. Epub 2022 Apr 14.

Abstract

Purpose: This study aimed to investigate the clinical efficacy of tapentadol extended-release (ER) on pain control and the quality of life (QoL) of patients with moderate to severe chronic cancer pain in clinical practice in Korea.

Methods: In this prospective, open-label, multicenter trial, patients with sustained cancer pain as well as chronic pain, who were or were not using other analgesics were enrolled. Thirteen centers recorded a total of 752 patients during the 6-month observation period, based on the tapentadol ER dose and tolerability, prior and concomitant analgesic treatment, pain intensity, type of pain, adverse effects, and clinical global impression change (CGI-C). Of those 752 patients, 688 were enrolled, and 650 completed the study for efficacy and adverse drug reactions; among them, 349 were cancer patients.

Results: Tapentadol ER significantly reduced the mean pain intensity including neuropathic pain during the observation period by 2.9 points (from a mean 7 ± 0.87 to 4.1 ± 2.02). Furthermore, QoL was observed to be significantly improved based on the CGI-C, an objective measure.

Conclusion: This study showed that tapentadol ER was effective for treating patients with moderate to severe cancer pain and neuropathic pain, and therefore it significantly improved the patients' QoL.

Keywords: Cancer pain; Chronic pain; Korean; Real-world data; Tapentadol.

Publication types

  • Multicenter Study

MeSH terms

  • Analgesics / therapeutic use
  • Analgesics, Opioid / therapeutic use
  • Cancer Pain* / chemically induced
  • Cancer Pain* / etiology
  • Chronic Pain* / drug therapy
  • Chronic Pain* / etiology
  • Delayed-Action Preparations / therapeutic use
  • Humans
  • Neoplasms* / complications
  • Neoplasms* / drug therapy
  • Neuralgia* / drug therapy
  • Phenols / therapeutic use
  • Prospective Studies
  • Quality of Life
  • Tapentadol / therapeutic use
  • Treatment Outcome

Substances

  • Analgesics
  • Analgesics, Opioid
  • Delayed-Action Preparations
  • Phenols
  • Tapentadol