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PF614

Phase 3

Postoperative Pain, Acute | Small Molecules | Pain |Ensysce Biosciences, Inc.|Trials Updated: Jan 22, 2026

PF614 development status

Highest phase Phase 3
Registered trials 5 across 1 sponsor since May 2015

PF614 target and mechanism

ModalitySmall Molecules

Also known as PF614 solution, PF614 capsule, Oxycodone prodrug

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials4
Total Enrollment395

FDA Designations

No designations recorded

PF614 clinical trials

PF614 · 4 trials · 3 indications

Phase 3 1Phase 2 1Phase 1 2
NCT06602271PF614 Analgesic Activity in Acute Postoperative Pain (PF614-301)Postoperative Pain, Acute
RECRUITING320 Analytics
PHASE3RECRUITING
PF614 Analgesic Activity in Acute Postoperative Pain (PF614-301)
Postoperative Pain, AcuteUnlock trial analytics

Study Endpoints

Primary Endpoints

Pain NRS-R area under the curve through 48 hours (AUC4-48)
4-48 hours

Pain at rest

Change from Baseline (pre-dose) in Time to Pain Onset (defined as time to first pain)
6 hours

The time to first pain was recorded by trained site staff using a stop watch. Each subject was instructed to remove their hand at 3 minutes if they had not yet reached pain tolerance. Separate assessments were made at pre-dose (within 60 minutes prior to dosing; at least duplicate measurements, 30 minutes apart) and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, and 6 hours post-dose.

Change from Baseline in Pain Tolerance (defined as latency time required for removal of hand from water bath)
6 hours

The latency time to hand removal from the water bath was recorded by trained site staff using a separate stopwatch. Separate assessments were made at pre-dose (within 60 minutes prior to dosing; at least duplicate measurements, 30 minutes apart) and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, and 6 hours post-dose.

Peak Maximum Effect (Emax) for Drug Liking (At this Moment) Visual Analog Scale (VAS)
Up to 24 hour post-dose (up to Day 2)

Relative abuse potential of PF614 compared to Oxycodone and Placebo (I). Emax for drug liking VAS will be reported. Drug liking VAS is a bipolar scale designed to assess a participant's liking for a given study intervention at the time the question is being asked (that is, at this moment). It is scored as an integer ranging from 0 (strong disliking) to 100 (strong liking).

Take Drug Again VAS (Emax)
12 hours post-dose

Relative abuse potential of PF614 compared to Oxycodone and Placebo (II). Emax for take drug again VAS will be reported. Peak effect for take drug again based on bipolar VAS from 0 (definitely no) to 100 (definitely so).

Secondary Endpoints

Pain NRS-A area under the curve through 48 hours (AUC4-48)
4-48 hours
Pain NRS-R and NRS-A
4-96 hours
Time to first use of rescue opioid medication
0-96 hours
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PF614 25 mgEXPERIMENTALOral administration every 12 hours
PF614 37.5 mgEXPERIMENTALOral administration every 12 hours
PF614 50 mgEXPERIMENTALOral administration every 12 hours
PlaceboPLACEBO_COMPARATOROral administration every 12 hours
PF614 100 mgEXPERIMENTALOral 100 mg
PF614 200 mgEXPERIMENTALPF614 200 mg capsule (2 x 100 mg capsules)
Oxycodone IR 40 mgACTIVE_COMPARATOROxycodone HCl 40 mg (2 x 20 mg capsules over-encapsulated to match PF614 capsules).
PF614 100 mg capsuleEXPERIMENTALEligible subjects will be admitted to the clinical site on Day-1. Subjects will receive PF614 100mg capsules in a randomized, double-blind, crossover manner.
Oxycodone HCl tabletsACTIVE_COMPARATOREligible subjects will be admitted to the clinical site on Day -1. Subjects will receive crushed oxycodone HCl IR 40mg in a randomized, double-blind, crossover manner.
Placebo powder in capsulesPLACEBO_COMPARATOREligible subjects will be admitted to the clinical site on Day-1. Subjects will receive Placebo powder in a randomized, double-blind, crossover manner.

Interventions

NameTypeDescription
PF614 capsuleDRUGExperimental oxycodone prodrug
PlaceboDRUGInactive medication
PF614DRUGExperimental oxycodone prodrug
Oxycodone Hydrochloride 40 mgDRUGOral 20 mg tablets (two each)
OxycodoneDRUGOxycodone HCl IR 40mg
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion Criteria: 1. Participant must provide written informed consent prior to the initiation of any protocol specific procedures. 2. Male or female participant, between 18 and 75 years of age, inclusive, at the time of Screening. 3. Participant must be scheduled to undergo a full abdominoplasty...

Countries:United States
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Frequently asked questions about PF614

What is PF614 used for?

PF614 is being developed to treat acute pain, including acute postoperative pain. It is also being studied for its abuse potential in non-dependent recreational opioid users. EnSysce Biosciences is developing the drug as a small molecule therapeutic in the pain area.

Who makes PF614?

PF614 is being developed by EnSysce Biosciences, Inc., which trades under the ticker ENSC. The company is the sponsor of the clinical program evaluating PF614 in acute pain and abuse potential studies.

What phase is PF614 in?

PF614 is in Phase 2 development, with a Phase 3 trial also recruiting. The Phase 2 study NCT06629402 has been completed, and the Phase 3 study NCT06602271 is currently recruiting participants with acute postoperative pain. PF614 has received Breakthrough Therapy and Fast Track designations from the FDA.

What clinical trials is PF614 in?

PF614 has been evaluated in several trials. Completed studies include NCT06629402, a Phase 2 cold pressure test in acute pain, and two Phase 1 abuse potential studies, NCT05571345 and NCT05567354. A Phase 3 trial, NCT06602271, is currently recruiting patients with acute postoperative pain.

Is PF614 the same as PF614 solution or PF614 capsule?

Yes, PF614 solution and PF614 capsule are alternative names for PF614. These refer to different formulations of the same investigational drug being developed by EnSysce Biosciences for acute pain and studied for abuse potential.

Is PF614 FDA approved?

PF614 is investigational and has not been approved by the FDA. It is still in clinical development, with Phase 2 and Phase 3 trials ongoing or completed. The FDA has granted PF614 Breakthrough Therapy and Fast Track designations to support its development.