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Sufentanil

Phase 3

Post-Operative Pain | Small molecule | Pain |Talphera, Inc.|Last Updated: Oct 19, 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment161

FDA Designations

No designations recorded

Clinical trial landscape

Sufentanil · 4 trials · 4 indications

Phase 3 3Phase 2 1
NCT02662556A Multicenter, Open-Label Trial to Evaluate the Safety and Efficacy of the Sufentanil Sublingual Tablet 30 mcg in Patients With Post-Operative PainAcute Moderate-to-severe Pain
COMPLETED140 Analytics
NCT02447848Open-Label Safety and Efficacy of the Sufentanil Sublingual Tablet 30 mcg for Acute PainModerate-to-severe Acute Pain
COMPLETED76 Analytics
NCT02356588A Trial Evaluating the Efficacy and Safety of the Sublingual Sufentanil Tablet 30 mcg for Post-Operative Pain After Abdominal SurgeryPost-Operative Pain
COMPLETED161 Analytics
PHASE3COMPLETED
A Multicenter, Open-Label Trial to Evaluate the Safety and Efficacy of the Sufentanil Sublingual Tablet 30 mcg in Patients With Post-Operative Pain
Acute Moderate-to-severe PainUnlock trial analytics
PHASE3COMPLETED
Open-Label Safety and Efficacy of the Sufentanil Sublingual Tablet 30 mcg for Acute Pain
Moderate-to-severe Acute PainUnlock trial analytics
PHASE3COMPLETED
A Trial Evaluating the Efficacy and Safety of the Sublingual Sufentanil Tablet 30 mcg for Post-Operative Pain After Abdominal Surgery
Post-Operative PainUnlock trial analytics

Study Endpoints

Primary Endpoints

Time-weighted Summed Pain Intensity Difference (SPID) Over the 12-hour Study Period (SPID12).
12-hours

The pain intensity difference (PID) at each evaluation time point after the dose of study drug is the difference in pain intensity at the specific evaluation time point and baseline pain intensity \[PID(evaluation time after the first dose) = PI(baseline) - PI(evaluation time after the first dose)\]. A pain intensity score ranging from 0 (no pain) to 10 (worst possible pain) is obtained at baseline and throughout the 12 hour period. The time-weighted SPID12 is the time-weighted summed PID over the 12-hour study period. The scores ranged from -13.75 to 100.5. A negative score indicates an increase in pain intensity and a higher score indicates a greater decrease in pain intensity.

Time-weighted Summed Pain Intensity Difference (SPID) Over the 1-hour (SPID1).
One hour

The primary efficacy endpoint is the time-weighted SPID1 evaluated from the patient questionnaire data. Pain intensity (PI) will be measured using an 11-point numerical rating scale (NRS) with 0 (no pain) and 10 (worst possible pain). The patient's rating of PI will be measured at baseline and at 0.25 (15 min), 0.5 (30 min), 0.75 (45 min), 1, 2, 3, 4, and 5 hours following the first dose of study drug. The PID at each evaluation time point after the initiation of the first dose is the difference in PI at the specific evaluation time point and baseline pain intensity \[PID (evaluation time after the first dose) = PI(baseline) - PI(evaluation time after the first dose)\]. The time-weighted SPID1 is the time-weighted summed PID over the 1-hour study period. The observed SPID scores ranged from -.70 to 8.00. A negative score indicates an increase in pain intensity and a positive score indicates a decrease in pain intensity.

SPID-12
12 hours after surgery

The primary outcome measure is the summed pain intensity difference over the 12-hour study period (SPID-12). A pain intensity score ranging from 0 (no pain) to 10 (worst possible pain) is obtained at baseline and throughout the 12 hour study period. The SPID-12 is calculated by summing the difference between baseline pain score and pain score at each assessment time point. The scores after summing could range from -122 to +122. A higher SPID-12 score is better.

Secondary Endpoints

Time-weighted Summed Pain Intensity Difference (SPID) Over the First Hour (SPID1).
1 hours
Percentage of Patients Who Responded to the Global Assessments as "Excellent" or "Good"
12 hours or at patients' termination from study
Percentage of Healthcare Professionals Who Responded to the Global Assessments as "Excellent" or "Good"
12 hours or until patients' termination from study
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
sufentanil sublingual tablet 30 mcgEXPERIMENTALsufentanil sublingual tablet 30 mcg
Sufentanil Tablet 30 mcgEXPERIMENTALA stratified randomization will be applied in this study with sex as a stratification factor. Patients who meet all inclusion and none of the exclusion criteria at screening, and following surgery, will be randomly assigned at a 2:1 ratio to treatment with ST 30 mcg or PT within one of two groups (male or female) at each study center. Patients may receive a dose of study medication no more frequently than once per hour. The study may last up to 48 hours.
Placebo TabletPLACEBO_COMPARATORA stratified randomization will be applied in this study with sex as a stratification factor. Patients who meet all inclusion and none of the exclusion criteria at screening, and following surgery, will be randomly assigned at a 2:1 ratio to treatment with ST 30 mcg or PT within one of two groups (male or female) at each study center. Patients may receive a dose of study medication no more frequently than once per hour. The study may last up to 48 hours.
1EXPERIMENTALOral Sufentanil
2EXPERIMENTALOral sufentanil
3PLACEBO_COMPARATOROral dosage of placebo

Interventions

NameTypeDescription
sufentanil sublingual tablet 30 mcgDRUGsufentanil sublingual tablet 30 mcg as needed for pain management, but no more frequently than every 60 minutes, for up to 12 hours.
sufentanil sublingual 30 mcg tabletDRUG -
Sufentanil Tablet 30 mcgDRUG -
Placebo TabletDRUG -
Oral sufentanilDRUGOral dosage of sufentanil
PlaceboDRUGOral dosage of placebo
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Eligibility Criteria

Age Range40 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: 1. Male or female patients who are 40 years of age or older. 2. Patients who have undergone a surgical procedure with general anesthesia or spinal anesthesia that does not include intrathecal opioids during the operation. 3. Patients classified as American Society of Anesthesiol...

Countries:United States
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Frequently asked questions about Sufentanil

What is Sufentanil used for?

Sufentanil is an investigational small molecule being developed for pain and sedation. Its studied indications include sedation, major upper or lower abdominal surgery, acute moderate-to-severe pain, moderate-to-severe acute pain, and post-operative pain. It is being evaluated in clinical trials for managing acute pain in various settings.

Who makes Sufentanil?

Sufentanil is being developed by Talphera, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol TLPH. The company is conducting clinical trials to evaluate the drug's efficacy and safety for pain management indications.

What phase is Sufentanil in?

Sufentanil is in Phase 3 clinical development. It has completed multiple Phase 3 trials, including studies for post-operative pain and acute pain. The drug is still investigational and has not been approved by regulatory authorities.

What clinical trials is Sufentanil in?

Sufentanil has completed several clinical trials, including NCT00718081, a Phase 2 study in major abdominal surgery; NCT02356588, a Phase 3 study in post-operative pain; NCT02447848, a Phase 3 study in moderate-to-severe acute pain; and NCT02662556, a Phase 3 study in acute moderate-to-severe pain. All trials were conducted in the United States.

How does Sufentanil work?

Sufentanil is a small molecule that acts as an opioid analgesic. It works by binding to opioid receptors in the central nervous system to relieve pain. The drug is being developed as a sublingual tablet formulation for the management of acute pain.

Is Sufentanil the same as ARX-F01?

Sufentanil is the active ingredient in the product formerly known as ARX-F01. In clinical trials, ARX-F01 referred to sublingual sufentanil tablets being evaluated for pain management. The drug is now referred to simply as sufentanil in later studies.