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Sufentanil NanoTab PCA System

Phase 3

Post Operative Pain | Small molecule | Pain |Talphera, Inc.|Trials Updated: Oct 20, 2015

Sufentanil NanoTab PCA System target and mechanism

Molecular targetOPRM1
Target classAgonist
ModalitySmall molecule
ChEMBLCHEMBL658

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials4
Total Enrollment978

FDA Designations

No designations recorded

Sufentanil NanoTab PCA System clinical trials

Sufentanil NanoTab PCA System · 4 trials · 3 indications

Phase 3 3Phase 2 1
NCT01660763Efficacy and Safety Trial to Evaluate the Sufentanil NanoTab® PCA System/15 mcg (Zalviso™) for Post-Operative Pain in Patients After Knee or Hip Replacement SurgeryPost Operative Pain
COMPLETED419 Analytics
NCT01539538A Multicenter, Randomized, Open-Label, Parallel-Group Trial to Compare the Efficacy and Safety of the Sufentanil NanoTab PCA System/15 mcg (Zalviso™)to Intravenous Patient-Controlled Analgesia With Morphine for the Treatment of Acute Post-Operative PainPost-Operative Pain
COMPLETED357 Analytics
NCT01539642A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate the Efficacy and Safety of the Sufentanil NanoTab PCA System/15 mcg (Zalviso™) for the Treatment of Post-Operative Pain in Patients After Open Abdominal SurgeryPost-Operative Pain
COMPLETED172 Analytics
PHASE3COMPLETED
Efficacy and Safety Trial to Evaluate the Sufentanil NanoTab® PCA System/15 mcg (Zalviso™) for Post-Operative Pain in Patients After Knee or Hip Replacement Surgery
Post Operative PainUnlock trial analytics
PHASE3COMPLETED
A Multicenter, Randomized, Open-Label, Parallel-Group Trial to Compare the Efficacy and Safety of the Sufentanil NanoTab PCA System/15 mcg (Zalviso™)to Intravenous Patient-Controlled Analgesia With Morphine for the Treatment of Acute Post-Operative Pain
Post-Operative PainUnlock trial analytics
PHASE3COMPLETED
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate the Efficacy and Safety of the Sufentanil NanoTab PCA System/15 mcg (Zalviso™) for the Treatment of Post-Operative Pain in Patients After Open Abdominal Surgery
Post-Operative PainUnlock trial analytics

Study Endpoints

Primary Endpoints

Time-weighted Summed Pain Intensity Difference (SPID) Over the 48-hour Study Period (SPID48).
48 hours

SPID-48 is the sum of the pain intensity difference (PID) over the 48 hour time period. A pain intensity score of 0 (no pain) to 10 (worse possible pain) is obtained before starting the study and throughout the 48 time period. The pain score at each assessment time is subtracted from the baseline pain score to provide the total sum score or SPID-48. A higher SPID-48 is better and indicates a reduction in pain intensity compared to the baseline score. Range of SPID48 scores were -239 to 417. Time-weighted SPID48 = ∑ \[T(i) - T(i-1)\] x PID(i), where T(0) = Time 0 (baseline), T(i) is the scheduled or unscheduled assessment time, and PID(i) is the PID score at time i for i=0 to 48 hours

Patient Global Satisfaction
48 hours

Proportion of patients responding good or excellent at 48-hour global assessment of method of pain control

Time-weighted Summed Pain Intensity Difference (SPID) Over the 48-hour Study Period (SPID-48).
48 hours

SPID-48 is the sum of the pain intensity difference (PID) over the 48 hour time period. A pain intensity score of 0 (no pain) to 10 (worse possible pain) is obtained before starting the study and throughout the 48 time period. The pain score at each assessment time is subtracted from the baseline pain score to provide the total sum score or SPID-48. A higher SPID-48 is better and indicates a reduction in pain intensity compared to the baseline score. The range of SPID48 scores were -232 to 326. Time-weighted SPID48 = ∑ \[T(i) - T(i-1)\] x PID(i), where T(0) = Time 0 (baseline), T(i) is the scheduled or unscheduled assessment time, and PID(i) is the PID score at time i for i=0 to 48 hours. Note: Active group n=114 and placebo group n=58, instead of active n=115 and placebo n=57, due to one "active" patient receiving placebo inadvertently.

Percent of Patients Without Device Failure
12 hours

Percent of patients who completed the study without a device failure. A device failure is defined as the failure to dispense a NanoTab, dispensing more than one NanoTab, or dispensing a broken NanoTab. Device failures were monitored and reported by study staff.

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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Sufentanil NanoTab PCA System/15 mcgEXPERIMENTAL -
Placebo Sufentanil NanoTab PCA SystemPLACEBO_COMPARATOR -
morphine IV PCAACTIVE_COMPARATOR -

Interventions

NameTypeDescription
Sufentanil NanoTab PCA System/15 mcgDRUG15 mcg Sufentanil NanoTab dosed sublingually every 20 minutes as needed for pain for at least 48 hours. Patients may elect to remain in study for up to 72 hours.
Placebo Sufentanil NanoTab PCA SystemDRUGPlacebo NanoTab dosed sublingually every 20 minutes as needed for pain for at least 48 hours. Patients may elect to remain in study for up to 72 hours.
morphine IV PCADRUG1 mg morphine administered IV q 6 minutes as needed for pain for at least 48 hours and up to 72 hours
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Male or female patients who are 18 years of age or older * Patients who are scheduled for an elective cemented or uncemented total unilateral knee replacement or total unilateral hip replacement, under general or spinal anesthesia that does not include use of an intrathecal op...

Countries:United States
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Competitive Landscape -Surgical and Perioperative 95 trials (matched to "Post Operative Pain")

Top 2 of 26 competitors

CompanyTickerTrialsLead PhaseDrugs
Eli Lilly and CompanyLLY1PHASE2LY4515100
Pfizer Inc.PFE1N/APalbociclib
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Frequently asked questions about Sufentanil NanoTab PCA System

What is Sufentanil NanoTab PCA System?

Sufentanil NanoTab PCA System is an investigational small molecule therapy being developed for the treatment of postoperative pain. It is designed as a patient-controlled analgesia system delivering sufentanil, an opioid analgesic, and is being developed by Talphera, Inc. (ticker TLPH). It has been studied in patients recovering from knee or hip replacement, open abdominal surgery, and other procedures.

What is Sufentanil NanoTab PCA System used for?

Sufentanil NanoTab PCA System is being developed for the treatment of postoperative pain, including post operative pain following knee or hip replacement surgery and open abdominal surgery. It is intended to provide patient-controlled analgesia in the acute postoperative setting. It remains investigational and is not approved for commercial use.

What does Sufentanil NanoTab PCA System target?

Sufentanil NanoTab PCA System targets OPRM1, the mu-opioid receptor. Sufentanil acts as an agonist at this receptor, which is the target class for this asset. This mechanism underlies its analgesic activity in postoperative pain. The system is a small molecule formulation of sufentanil delivered through a patient-controlled analgesia approach.

Who makes Sufentanil NanoTab PCA System?

Sufentanil NanoTab PCA System is being developed by Talphera, Inc., which trades under the ticker TLPH. Talphera is the sponsor of the clinical program evaluating the asset in postoperative pain. The drug is also known as Sufentanil NanoTab PCA System/15 mcg.

What phase is Sufentanil NanoTab PCA System in?

Sufentanil NanoTab PCA System is in Phase 2 development according to its current development stage, though completed clinical trials have included Phase 3 studies. It is investigational and has not been approved by the FDA. The program includes three completed trials with a total enrollment of 948 participants.

What clinical trials is Sufentanil NanoTab PCA System in?

Sufentanil NanoTab PCA System has been evaluated in completed trials including NCT01660763 in knee or hip replacement surgery, NCT01539642 in open abdominal surgery, NCT01539538 comparing it with intravenous morphine patient-controlled analgesia, and NCT00859313 in elective unilateral knee replacement. All listed trials are completed, with no active trials currently recruiting.