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Fentanyl Buccal

Phase 3

Chronic Pain | Small molecule | Pain |Teva Pharmaceutical Industries Limited|Trials Updated: May 28, 2012

Fentanyl Buccal target and mechanism

Molecular targetOPRM1
Target classAgonist
ModalitySmall molecule
ChEMBLCHEMBL596

Also known as Fentanyl Buccal Tablet

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment213

FDA Designations

No designations recorded

Fentanyl Buccal clinical trials

Fentanyl Buccal · 1 trial · 1 indication

Phase 3 1
NCT00813488Fentanyl Buccal Tablets Versus Immediate Release Oxycodone for Breakthrough Pain in Patients With Chronic PainChronic Pain
COMPLETED213 Analytics
PHASE3COMPLETED
Fentanyl Buccal Tablets Versus Immediate Release Oxycodone for Breakthrough Pain in Patients With Chronic Pain
Chronic PainUnlock trial analytics

Study Endpoints

Primary Endpoints

Pain Intensity Difference (PID) at 15 Minutes Post-treatment (PID15)
Immediately pre-dose and 15 minutes after dosing

Pain intensity (PI) scores were assessed on an 11-point numerical rating scale from 0 = no pain to 10 = pain as bad as you can imagine after each episode of breakthrough pain during the double-blind treatment period. The PID15 is the difference between the PI scores from the episode baseline (immediately prior to study drug administration)and 15 minutes after the administration of the study drug. Least squared mean was from an analysis of variance (ANOVA) with treatment as randomized, phase, and sequence as fixed factors and patient as a random factor using compound symmetry.

Secondary Endpoints

Pain Intensity Difference (PID) at 5 Minutes Post-treatment
Immediately pre-dose and 5 minutes after dosing
Pain Intensity Difference (PID) at 10 Minutes Post-treatment
Immediately pre-dose and 10 minutes after dosing
Pain Intensity Difference (PID) at 30 Minutes Post-treatment
Immediately pre-dose and 30 minutes after dosing
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Fentanyl buccal tablet first then immediate release oxycodoneEXPERIMENTALThis crossover study includes a screening period, two titration periods, two double-blind treatment periods during which subjects will be randomized to receive fentanyl buccal tablet (FBT) plus placebo during the first treatment period and then immediate release oxycodone plus placebo during the second treatment period or vice versa, then followed by a 12-week open-label treatment period with FBT or an alternative short acting opioid.
Immediate Release Oxycodone first then FBTEXPERIMENTALThis crossover study includes a screening period, two titration periods, two double-blind treatment periods during which subjects will be randomized to receive fentanyl buccal tablet (FBT) plus placebo during the first treatment period and then immediate release oxycodone plus placebo during the second treatment period or vice versa, then followed by a 12-week open-label treatment period with FBT or an alternative short acting opioid.

Interventions

NameTypeDescription
Fentanyl Buccal TabletDRUGFBT dose strengths = 200, 400, 600, or 800 mcg (1, 2, 3, or 4 tablets) taken prn (as needed) in the event of breakthrough pain. The maximum dose of FBT permitted during the titration and double-blind periods in this study is 800 mcg (4 tablets). For the subsequent 12-week open-label treatment period, patients will either continue with FBT treatment or begin treatment with an alternative short-acting opioid deemed appropriate for each patient by the clinician.
Immediate release oxycodoneDRUGImmediate release oxycodone dosage strength: 15, 30, 45, and 60 mg doses (1, 2, 3 or 4 capsules) to be taken prn (as needed) for breakthrough pain. The maximum single dose would be 60 mg (4 capsules).
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites50

Key Inclusion Criteria: * The patient has chronic pain of at least 3 months duration associated with any of the following conditions: diabetic peripheral neuropathy, postherpetic neuralgia, traumatic injury, complex regional pain syndrome, back pain, neck pain, fibromyalgia, chronic pancreatitis, o...

Countries:United States
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Competitive Landscape -Chronic Pain 78 trials

Frequently asked questions about Fentanyl Buccal

What is Fentanyl Buccal used for?

Fentanyl Buccal is used for the management of chronic pain. It is a small molecule therapeutic developed by Teva Pharmaceutical Industries Limited, and it has been studied in a Phase 3 clinical trial in patients with chronic pain, including those experiencing breakthrough pain.

How does Fentanyl Buccal work?

Fentanyl Buccal works by targeting the mu-opioid receptor, encoded by the OPRM1 gene. It acts as an agonist at this receptor, meaning it activates the receptor to produce analgesic effects. This mechanism underlies its use in chronic pain management.

Who makes Fentanyl Buccal?

Fentanyl Buccal is developed by Teva Pharmaceutical Industries Limited, which trades under the ticker symbol TEVA. Teva is the company responsible for the development and clinical evaluation of this product.

What phase is Fentanyl Buccal in?

Fentanyl Buccal is in Phase 3 clinical development. It is an investigational product and has not been approved by the FDA. The Phase 3 trial has been completed, but no regulatory approval has been granted.

What clinical trials is Fentanyl Buccal in?

Fentanyl Buccal has been evaluated in a completed Phase 3 clinical trial, NCT00813488, titled "Fentanyl Buccal Tablets Versus Immediate Release Oxycodone for Breakthrough Pain in Patients With Chronic Pain." The trial enrolled 213 participants in the United States and was randomized, double-blind, and controlled.

Is Fentanyl Buccal the same as Fentanyl Buccal Tablet?

Yes, Fentanyl Buccal is also known as Fentanyl Buccal Tablet. These names refer to the same product developed by Teva Pharmaceutical Industries Limited for the treatment of chronic pain.