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Sufentanil NanoTab PCA System

Phase 3

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

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment419

FDA Designations

No designations recorded

Clinical trial landscape

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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Frequently asked questions about Sufentanil NanoTab PCA System

What is the Sufentanil NanoTab PCA System used for?

The Sufentanil NanoTab PCA System is used for the treatment of post-operative pain, including pain after knee or hip replacement surgery and open abdominal surgery. It is a small molecule drug-device combination being developed by Talphera, Inc. for acute pain management in the post-operative setting.

Who makes the Sufentanil NanoTab PCA System?

The Sufentanil NanoTab PCA System is being developed by Talphera, Inc., a biopharmaceutical company. Talphera is publicly traded under the ticker symbol TLPH. The system is designed for patient-controlled analgesia to manage acute post-operative pain.

What phase is the Sufentanil NanoTab PCA System in?

The Sufentanil NanoTab PCA System is in Phase 2 clinical development. While some completed trials were Phase 3, the current development stage is Phase 2. It is an investigational product and has not been approved by the FDA for commercial use.

What clinical trials is the Sufentanil NanoTab PCA System in?

The Sufentanil NanoTab PCA System has been studied in multiple completed trials. NCT00859313 was a Phase 2 open-label study in patients undergoing knee replacement. NCT01539538, NCT01539642, and NCT01660763 were Phase 3 trials evaluating the system for post-operative pain after abdominal, knee, or hip surgery.

Is the Sufentanil NanoTab PCA System the same as Zalviso?

Yes, the Sufentanil NanoTab PCA System is also known as Zalviso. Clinical trial records reference the Sufentanil NanoTab PCA System/15 mcg as Zalviso. This alternative name appears in the titles of Phase 3 trials evaluating the system for post-operative pain management.

How does the Sufentanil NanoTab PCA System work?

The Sufentanil NanoTab PCA System delivers sufentanil, an opioid analgesic, through a patient-controlled analgesia system. Sufentanil acts on opioid receptors to provide pain relief. The system allows patients to self-administer small doses of the medication to manage acute post-operative pain.