Study to Explore Effectiveness of Sublingual Fentanyl Spray in Emergency Department Patients With Acute Pain

NCT ID: NCT02137525

Last Updated: 2017-07-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Brief Summary

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This study will explore effectiveness of three doses of fentanyl sublingual spray against an active comparator in emergency department (ED) patients with acute pain.

After screening, eligible participants will participate in a treatment period (up to 2 hours) and a post-treatment evaluation period (up to 4 hours or discharge from the ED). Open-label standard of care rescue medication for pain can be given at any time during the study period, based on clinical judgment of the treating physician.

Adverse events will be collected for five days after initial enrollment.

Detailed Description

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Conditions

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Acute Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Morphine 6 mg

Placebo Sublingual Spray (PSS) + Intravenous Morphine (IVM 6 mg), every 30 minutes for two hours as needed (or until rescue), maximum exposure morphine 30 mg

Group Type ACTIVE_COMPARATOR

Morphine 6 mg

Intervention Type DRUG

Intravenous infusion - delivering morphine 6 mg

Placebo Sublingual Spray

Intervention Type DRUG

Matching sublingual spray - single unit delivering 0 µg fentanyl

Fentanyl 100 µg

Intravenous Placebo (IVP) + Fentanyl Sublingual Spray (FSS 100 µg), every 30 minutes for two hours as needed (or until rescue), maximum exposure fentanyl 500 µg

Group Type EXPERIMENTAL

Fentanyl 100 µg

Intervention Type DRUG

Fentanyl sublingual spray - single unit delivering 100 µg fentanyl

Intravenous Placebo

Intervention Type DRUG

Matching intravenous infusion - delivering 0 mg morphine

Fentanyl 200 µg

Intravenous Placebo (IVP) + Fentanyl Sublingual Spray (FSS 200 µg), every 30 minutes for two hours as needed (or until rescue), maximum exposure fentanyl 1000 µg

Group Type EXPERIMENTAL

Fentanyl 200 µg

Intervention Type DRUG

Fentanyl sublingual spray - single unit delivering 200 µg fentanyl

Intravenous Placebo

Intervention Type DRUG

Matching intravenous infusion - delivering 0 mg morphine

Fentanyl 400 µg

Intravenous Placebo (IVP) + Fentanyl Sublingual Spray (FSS 400 µg), every 30 minutes for two hours as needed (or until rescue), maximum exposure fentanyl 2000 µg

Group Type EXPERIMENTAL

Fentanyl 400 µg

Intervention Type DRUG

Fentanyl sublingual spray - single unit delivering 400 µg fentanyl

Intravenous Placebo

Intervention Type DRUG

Matching intravenous infusion - delivering 0 mg morphine

Interventions

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Morphine 6 mg

Intravenous infusion - delivering morphine 6 mg

Intervention Type DRUG

Fentanyl 100 µg

Fentanyl sublingual spray - single unit delivering 100 µg fentanyl

Intervention Type DRUG

Fentanyl 200 µg

Fentanyl sublingual spray - single unit delivering 200 µg fentanyl

Intervention Type DRUG

Fentanyl 400 µg

Fentanyl sublingual spray - single unit delivering 400 µg fentanyl

Intervention Type DRUG

Placebo Sublingual Spray

Matching sublingual spray - single unit delivering 0 µg fentanyl

Intervention Type DRUG

Intravenous Placebo

Matching intravenous infusion - delivering 0 mg morphine

Intervention Type DRUG

Other Intervention Names

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IVM 6 mg Standard of Care FSS 100 µg SUBSYS® FSS 200 µg SUBSYS® FSS 400 µg SUBSYS® PSS IVP

Eligibility Criteria

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Inclusion Criteria

* Is able to understand the language in which the study is being conducted and has provided meaningful written informed consent for the study
* Has an acute painful condition requiring parenteral analgesia as deemed necessary by the treating physician or physician extender
* Has a pain score within protocol-specified parameters

Exclusion Criteria

* Has allergy to fentanyl or morphine
* Has oxygen-dependent conditions or oxygen saturation \<95%
* Has planned or recent drug use outside protocol-specified parameters
* Has any condition that, in the principal investigator's opinion, would place the patient at risk or influence the conduct of the study or interpretation of results
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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INSYS Therapeutics Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Giovanni DeCastro

Role: STUDY_DIRECTOR

INSYS Therapeutics Inc

Locations

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Maricopa Medical Center

Phoenix, Arizona, United States

Site Status

Olive View-UCLA Medical Center

Sylmar, California, United States

Site Status

Kansas University Medical Center

Kansas City, Kansas, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

Wayne State University School of Medicine

Detroit, Michigan, United States

Site Status

Hennepin County Medical Center

Minneapolis, Minnesota, United States

Site Status

Washington University

St Louis, Missouri, United States

Site Status

Stony Brook University HSC

Stony Brook, New York, United States

Site Status

Duke University School of Medicine

Durham, North Carolina, United States

Site Status

University of Cincinnati

Cincinnati, Ohio, United States

Site Status

Pennsylvania Hospital

Philadelphia, Pennsylvania, United States

Site Status

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Site Status

Vanderbilt University

Nashville, Tennessee, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

University of Virginia Health System

Charlottesville, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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INS-14-022

Identifier Type: -

Identifier Source: org_study_id

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