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Zalviso

Phase 3

Moderate-to-severe Acute Pain | Small molecule | Pain |Talphera, Inc.|Last Updated: Aug 8, 2018

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment320

FDA Designations

No designations recorded

Clinical trial landscape

Zalviso · 1 trial · 1 indication

Phase 3 1
NCT02662764Study to Evaluate the Overall Performance of the Zalviso System™ (Sufentanil Sublingual Tablet System) 15 mcgModerate-to-severe Acute Pain
COMPLETED320 Analytics
PHASE3COMPLETED
Study to Evaluate the Overall Performance of the Zalviso System™ (Sufentanil Sublingual Tablet System) 15 mcg
Moderate-to-severe Acute PainUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Patients Who Experienced at Least One System-generated Error Based on the Controller Data While Using the Zalviso System
Up to 72 hours
Percentage of Patients, if Any, With Tablets Dispensed But Not Requested
Up to 72 hours
Percentage of Patients, if Any, With Tablet Dispensed When the Zalviso System Was in Lockout
Up to 72 hours
Percentage of Patients With Misplaced Tablet(s)
Up to 72 hours
Number of Misplaced Tablets (i.e., Tablet Found Outside the Patient's Mouth)
Up to 24 hours
Percentage of Patients Who Experienced Either a System-generated Error or a Misplaced Tablet (i.e., a Dispense Failure)
Up to 72 hours
Number of Zalviso System Notifications to the Nurse to Retrain Patient to Not Pull Down on the Controller While Dosing
Up to 72 hours
Percentage of Patients Who Experienced Either a System-generated Error or a Misplaced Tablet That Caused an Analgesic Gap
Up to 72 hours
Percentage of Patients Who Rate the Patient Global Assessment (PGA) of Method of Pain Control Over 24 Hours as "Good" or "Excellent"
Up to 24 hours
Percentage of Patients Who Rate the Patient Global Assessment (PGA) of Method of Pain Control Over 48 Hours as "Good" or "Excellent"
Up to 48 hours
Percentage of Patients Who Rate the Patient Global Assessment (PGA) of Method of Pain Control Over 72 Hours as "Good" or "Excellent"
Up to 72 hours
Percentage of Patients Who Responded to the Patient Global Assessment (PGA) as "Poor" at 24 Hours
Up to 24 hours
Percentage of Patients Who Responded to the Patient Global Assessment (PGA) as "Fair" at 24 Hours
Up to 24 hours
Percentage of Patients Who Responded to the Patient Global Assessment (PGA) as "Good" at 24 Hours
Up to 24 hours
Percentage of Patients Who Responded to the Patient Global Assessment (PGA) as "Excellent" at 24 Hours
Up to 24 hours
Percentage of Patients Who Responded to the Patient Global Assessment (PGA) at 48 Hours as "Poor"
Up to 48 hours
Percentage of Patients Who Responded to the Patient Global Assessment (PGA) at 48 Hours as "Fair"
Up to 48 hours
Percentage of Patients Who Responded to the Patient Global Assessment (PGA) at 48 Hours as "Good"
Up to 48 hours
Percentage of Patients Who Responded to the Patient Global Assessment (PGA) at 48 Hours as "Excellent"
Up to 48 hours
Percentage of Patients Who Responded to the Patient Global Assessment (PGA) at 72 Hours as "Poor"
Up to 72 hours
Percentage of Patients Who Responded to the Patient Global Assessment (PGA) at 72 Hours as "Fair"
Up to 72 hours
Percentage of Patients Who Responded to the Patient Global Assessment (PGA) at 72 Hours as "Good"
Up to 72 hours
Percentage of Patients Who Responded to the Patient Global Assessment (PGA) at 72 Hours as "Excellent"
Up to 72 hours
Percentage of Healthcare Professionals (HCPs) Who Rated the Healthcare Professional Global Assessment (HPGA) of Method of Pain Control Over 24 Hours as "Good" or "Excellent"
Up to 24 hours
Percentage of Healthcare Professionals (HCPs) Who Rate the Healthcare Professional Global Assessment (HPGA) of Method of Pain Control Over 48 Hours as "Good" or "Excellent"
Up to 48 hours
Percentage of Healthcare Professionals (HCPs) Who Rated the Healthcare Professional Global Assessment (HPGA) of Method of Pain Control Over 72 Hours as "Good" or "Excellent"
Up to 72 hours
Percentage of Healthcare Professional (HCPs) Who Responded to the Healthcare Professional Global Assessment (HPGA) as "Poor" at 24 Hours
Up to 24 hours
Percentage of Healthcare Professional Global Assessment (HCPs) Who Responded to the Healthcare Professional Global Assessment (HPGA) as "Fair" at 24 Hours
Up to 24 hours
Percentage of Healthcare Professionals (HCPs) Who Responded to the Healthcare Professional Global Assessment (HPGA) as "Good" at 24 Hours
Up to 24 hours
Percentage of Healthcare Professional (HCPs) Who Responded to the Healthcare Professional Global Assessment (HPGA) as "Excellent" at 24 Hours
Up to 24 hours
Percentage of Healthcare Professionals (HCPs) Who Responded to the Healthcare Professional Global Assessment (HPGA) at 48 Hours as "Poor"
Up to 48 hours
Percentage of Healthcare Professionals (HCPs) Who Responded to the Healthcare Professional Global Assessment (HPGA) at 48 Hours as "Fair"
Up to 48 hours
Percentage of Healthcare Professionals (HCPs) Who Responded to the Healthcare Professional Global Assessment (HPGA )at 48 Hours as "Good"
Up to 48 hours
Percentage of Healthcare Professionals (HCPs) Who Responded to the Healthcare Professional Global Assessment (HPGA) at 48 Hours as "Excellent"
Up to 48 hours
Percentage of Healthcare Professionals (HCPs) Who Responded to the Healthcare Professional Global Assessment (HPGA) at 72 Hours as "Poor"
Up to 72 hours
Percentage of Healthcare Professionals (HCPs) Who Responded to the Healthcare Professional Global Assessment (HPGA) at 72 Hours as "Fair"
Up to 72 hours
Percentage of Healthcare Professionals (HCPs) Who Responded to the Healthcare Professional Global Assessment (HPGA) at 72 Hours as "Good"
Up to 72 hours
Percentage of Healthcare Professionals (HCPs) Who Responded to the Healthcare Professional Global Assessment (HPGA) at 72 Hours as "Excellent"
Up to 72 hours
Percentage of Patients Who Terminated From the Study Due to Inadequate Analgesia Over the 24-hour Study Period
Up to 24 hours
Percentage of Patients Who Terminated From the Study Due to Inadequate Analgesia After the 24-hour Study Period and Prior to or During the 48 Hour Study Period
Up to 48 hours
Percentage of Patients Who Terminated From the Study Due to Inadequate Analgesia Prior to or During the 72 Hour Study Period
Up to 72 hours
Time-weighted Summed Pain Intensity Difference (SPID) Over the 24-hour Study Period (SPID24)
Up to 24 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 at protocol-specified time points throughout the 24 hour period. The time-weighted SPID24 is the time-weighted summed PID over the 24-hour study period. A negative score indicates an increase in pain intensity and a higher score indicates a greater decrease in pain intensity.The scores ranged from - 72 to 204.

Time-weighted Summed Pain Intensity Difference (SPID) Over the 48-hour Study Period (SPID-48) Study Period
Up to 48 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 at protocol-specified time points and throughout the 48 hour period. The time-weighted SPID48 is the time-weighted summed PID over the 48-hour study period. A negative score indicates an increase in pain intensity and a higher score indicates a greater decrease in pain intensity.The scores ranged from -144 to 408.

Time-weighted Summed Pain Intensity Difference (SPID) Over the 72-hour Study Period (SPID-72) Study Period
Up to 72 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 at protocol-specified time points throughout the 72 hour period. The time-weighted SPID72 is the time-weighted summed PID over the 72-hour study period. A negative score indicates an increase in pain intensity and a higher score indicates a greater decrease in pain intensity. The scores ranged from -239 to 624.

Total Pain Relief (TOTPAR) Over the 24-hour Study Period (TOTPAR24)
Up to 24 hours

Total pain relief over the 24-hour study period. A higher TOTPAR score means a greater relief in pain. Range of scores was from 0.00 to 96.00.

Total Pain Relief (TOTPAR) Over the 48-hour Study Period (TOTPAR48)
Up to 48 hours

Total pain relief over the 48-hour study period. A higher TOTPAR score means a greater relief in pain. Range of scores was from 0.00 to 192.00.

Total Pain Relief (TOTPAR) Over the 72-hour Study Period (TOTPAR72)
Up to 72 hours

Total pain relief over the 72-hour study period. A higher TOTPAR means a greater relief in pain. Range of scores was from 0.00 to 288.00.

Pain Intensity (PI) at Each Evaluation Time Point
Up to 72 hours

At protocol-specified time points, the patient is asked to self-record his/her current level of pain on an 11-point numerical rating scale where 0 equals no pain and 10 equals the worst possible pain.

Pain Intensity Difference (PID) at Each Evaluation Time Point
Up to 72 hours

The 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 \[PID(evaluation time after the first dose) = PI(baseline) - PI(evaluation time after the first dose)\]. The higher the PID score, the lower the pain intensity. The scores ranged from - 239 to 624.

Pain Relief (PR) at Each Evaluation Time Point
Up to 72 hours

At protocol-specified time points, the patient is asked to self-record his/her current level of pain relief on 5-point numerical rating scale where 0 equaled no pain relief and 4 equaled complete pain relief. The baseline score references the baseline pain intensity score and the following timepoints reference pain relief scores.

Patient Usability Questionnaire (PUQ)
Up to 72 hours

Questionnaire completed by patients at the end of his/her participation in the study regarding the usability of Zalviso.

Nurse Usability Questionnaire (NUQ)
Up to 72 hours

Questionnaire regarding the usability of Zalviso completed by HCPs who had set up at least 5 Zalviso Systems for patients

Number of Study Drug Doses Used
Up to 72 hours
Average Hourly Use of Study Drug
Up to 72 hours

Average number of study drug doses used per hour, adjusting by treatment exposure time and study period

Average Inter-dosing Interval (in Minutes)
Up to 72 hours
Total Amount of Supplemental Morphine (mg) Utilized
Up to 72 hours

Supplemental opioid medication (2 mg IV morphine) was allowed in the first 30 minutes after the first on-demand dose of study drug had been administered, if necessary, to keep a patient comfortable. Otherwise, supplemental opioid medication (2 mg IV morphine, no more frequently than hourly) was allowed for pain due to ambulation or with the initiation of passive range of motion therapy throughout the remainder of the study.

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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Zalviso™ 15 mcgEXPERIMENTALZalviso™(sufentanil sublingual tablet system) 15 mcg

Interventions

NameTypeDescription
Zalviso™ 15 mcgDRUGZalviso™ (sufentanil sublingual tablet system) 15 mcg. Tablets to be self-administered by the patient as needed for pain, no more than every 20 minutes, for 24 hours and up to 72 hours
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: 1. Male or female patients who were 18 years of age or older. 2. Patients who were scheduled to undergo surgery under general or spinal anesthesia that does not include intrathecal opioids during the operation. 3. Patients classified as American Society of Anesthesiologists (ASA...

Countries:United States
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Frequently asked questions about Zalviso

What is Zalviso used for?

Zalviso is used for the management of moderate-to-severe acute pain. It is an investigational small molecule being developed by Talphera, Inc. (NASDAQ: TLPH). The drug is delivered through the Zalviso System, which administers sufentanil sublingual tablets.

What does Zalviso target?

Zalviso contains sufentanil, an opioid analgesic that targets mu-opioid receptors in the central nervous system. By binding to these receptors, it modulates pain signaling pathways to provide relief from moderate-to-severe acute pain.

Who makes Zalviso?

Zalviso is being developed by Talphera, Inc., a biopharmaceutical company traded on NASDAQ under the ticker symbol TLPH. Talphera is conducting clinical trials to evaluate the safety and efficacy of the Zalviso System for acute pain management.

What phase is Zalviso in?

Zalviso is in Phase 3 clinical development. It is an investigational drug and has not been approved by the FDA. A Phase 3 study has been completed, but the drug remains under investigation and is not yet available for commercial use.

What clinical trials is Zalviso in?

Zalviso has one completed Phase 3 clinical trial, identified as NCT02662764. This study evaluated the overall performance of the Zalviso System (sufentanil sublingual tablet system) 15 mcg in 320 participants with moderate-to-severe acute pain in the United States.

Is Zalviso the same as sufentanil?

Zalviso is a branded drug-device combination product that delivers sufentanil sublingual tablets. Sufentanil is the active pharmaceutical ingredient, while Zalviso refers to the specific system designed to administer it for acute pain management.