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CompletedNCT00454259FENTANULDUpdated May 14, 2026

Fentanyl Ultra Low Doses Effects on the Nociceptive Threshold

A Phase 4 interventional study of Fentanyl/Placebo injection in Pain, Postoperative, sponsored by University Hospital, Bordeaux. Completed at 1 site in France. Open to male participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-14.

Sponsored by University Hospital, Bordeaux · Phase 4, Interventional, and Health services research

Phase
Phase 4
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
Male
01

Study summary

Exaggerated pain and hyperalgesia are major issues after surgery and can lead to chronic pain. Opioid are parts of pain sensitization processes but remain absolutely necessary in the intraoperative period. NMDA receptor antagonists succeed in reducing this pain sensitization process. Recent studies show that in pain and opioid-experienced rats (POER) fentanyl ultra low doses do not induce analgesia, as observed in naive rats, but hyperalgesia. This is the first demonstration that a drug can induce opposite effect depending on individual history. We also observed a strong correlation between this hyperalgesic response in POER and the intensity of hyperalgesia they develop later, after inflammatory or surgical pain. The main aim of this study is to measure the dose effect response to fentanyl "ultra low doses" on human volunteer's nociceptive threshold, to determine if such an opposite response profile can be revealed.

Read the detailed description
  • Principal Objective : "Evaluate fentanyl "ultra low doses" effects on human volunteer's nociceptive threshold depending on their prior pain and opioid experience."
  • Secondary Objective : "Confirm the innocuousness of this test (the 3 "ultra low doses" used in this trial will be 10 to 1,000 fold lower than low doses use for anesthesia and analgesia) and to find the fentanyl ultra low dose that could be used to develop a pain sensitisation predictive test."
  • Study design : Bicentric, prospective, randomized, double-blind study.

Inclusion criteria :

In both groups:

  • 18-40 years old male volunteer
  • weight: 60 to 85 kg
  • ASA score: 1
  • Informed consent obtained from the patient
  • Gender : Male

In "operated" group:

- At least one history of peripheral surgery under general anesthesia with opioid in the past five years

Exclusion criteria :

In both groups:

  • The patient do not accept inclusion to the study
  • Drug or alcohol abuse history
  • Chronic use of analgesic drugs or history of chronic pain
  • Analgesic or opioid consumption within the 12hs preceding the fentanyl or placebo injection
  • Neurological and/or psychiatric disorder, inability to give informed consent
  • Psychological trauma within the two year preceding the inclusion
  • Any contraindication to fentanyl use
  • Use of any medication interacting with fentanyl
  • Exclusion period from the national healthy volunteer register
  • Gender : Female

In "healthy" group:

- Any history of general anesthesia or surgery

  • Study plan: comparing two groups that only defer by their surgical and opioid prior experience and will receive three fentanyl ultra low doses (10 to 1,000 fold lower than low doses use for anesthesia and analgesia) and placebo (cross over administration, one week wash out period).
  • Number of subjects : 48
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Conditions studied

  • Pain, Postoperative

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Keywords

  • Postoperative Hyperalgesia
  • Human volunteer
  • Fentanyl
  • Randomized Controlled Trial
  • Pain chronicisation
  • Predictive test
03

In context

Pain, Postoperative

5,093 studies on the registry are indexed under Pain, Postoperative; 1,140 are open to participants now.

This study's enrollment of 48 is below the median of 75 across 4,344 interventional studies indexed under Pain, Postoperative.

Browse Pain, Postoperative studies →

Lead sponsor

University Hospital, Bordeaux is the lead sponsor of 783 studies on the registry; 188 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Inclusion criteria

In both groups:

  • 18-40 years old male volunteer
  • Weight: 60 to 85 kg
  • ASA score: 1
  • Informed consent obtained from the patient

In "operated" group:

  • At least one history of peripheral surgery under general anesthesia with opioid in the past five years.

Exclusion criteria

Exclusion Criteria:

In both groups:

  • The patients do not accept inclusion to the study
  • Drug or alcohol abuse history
  • Chronic use of analgesic drugs or history of chronic pain
  • Analgesic or opioid consumption within the 12hs preceding the fentanyl or placebo injection
  • Neurological and/or psychiatric disorder, inability to give informed consent
  • Psychological trauma within the two year preceding the inclusion
  • Any contraindication to fentanyl use
  • Use of any medication interacting with fentanyl
  • Exclusion period from the national healthy volunteer register

In "healthy" group:

  • Any history of general anesthesia or surgery
05

Study design

Phase
Phase 4
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    1

    0,5 µg/kg

    Drug: Fentanyl/Placebo injection

  • Experimental
    2

    0,05 µg/kg

    Drug: Fentanyl/Placebo injection

  • Experimental
    3

    0,005 µg/kg

    Drug: Fentanyl/Placebo injection

  • Placebo comparator
    4

    NaCl 0,9 %

    Drug: Fentanyl/Placebo injection

Interventions

  • DrugFentanyl/Placebo injection

    Ultra low dose intravenous injection

06

What researchers measure

Primary outcomes

  1. Nociceptive threshold evaluated with sternal electronical Von Frey mechanical stimulation. The stimulation will increase until the volunteer presses a trigger when the stimulation becomes painful.

    Time frame: 5 min after injection, and every 15 min during 1 hour

Secondary outcomes

  1. Non invasive blood pressure (SBP, DBP), heart rate, respiratory rate, pulse oxymetry and cognitive functions evaluation (sedation score).

    Time frame: all along the experimentation

07

Study locations

1 site
  • CHU de Bordeaux Département d'Anesthésie-Réanimation II
    Pessac, Hôpital Cardiologique 33604, France
08

References and documents

Publications

  • Hsu YW, Somma J, Hung YC, Tsai PS, Yang CH, Chen CC. Predicting postoperative pain by preoperative pressure pain assessment. Anesthesiology. 2005 Sep;103(3):613-8. doi: 10.1097/00000542-200509000-00026. PubMed 16129988 ↗
  • Kalkman JC, Visser K, Moen J, Bonsel JG, Grobbee ED, Moons MKG. Preoperative prediction of severe postoperative pain. Pain. 2003 Oct;105(3):415-423. doi: 10.1016/S0304-3959(03)00252-5. PubMed 14527702 ↗
  • Perkins FM, Kehlet H. Chronic pain as an outcome of surgery. A review of predictive factors. Anesthesiology. 2000 Oct;93(4):1123-33. doi: 10.1097/00000542-200010000-00038. No abstract available. PubMed 11020770 ↗
  • Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain: risk factors and prevention. Lancet. 2006 May 13;367(9522):1618-25. doi: 10.1016/S0140-6736(06)68700-X. PubMed 16698416 ↗
  • Celerier E, Laulin JP, Corcuff JB, Le Moal M, Simonnet G. Progressive enhancement of delayed hyperalgesia induced by repeated heroin administration: a sensitization process. J Neurosci. 2001 Jun 1;21(11):4074-80. doi: 10.1523/JNEUROSCI.21-11-04074.2001. PubMed 11356895 ↗
  • Coderre TJ, Katz J, Vaccarino AL, Melzack R. Contribution of central neuroplasticity to pathological pain: review of clinical and experimental evidence. Pain. 1993 Mar;52(3):259-285. doi: 10.1016/0304-3959(93)90161-H. PubMed 7681556 ↗
  • Shen KF, Crain SM. Cholera toxin-B subunit blocks excitatory effects of opioids on sensory neuron action potentials indicating that GM1 ganglioside may regulate Gs-linked opioid receptor functions. Brain Res. 1990 Oct 29;531(1-2):1-7. doi: 10.1016/0006-8993(90)90751-v. PubMed 1981160 ↗
  • Crain SM, Shen KF. Modulation of opioid analgesia, tolerance and dependence by Gs-coupled, GM1 ganglioside-regulated opioid receptor functions. Trends Pharmacol Sci. 1998 Sep;19(9):358-65. doi: 10.1016/s0165-6147(98)01241-3. PubMed 9786023 ↗
  • Richebe P, Rivat C, Laulin JP, Maurette P, Simonnet G. Ketamine improves the management of exaggerated postoperative pain observed in perioperative fentanyl-treated rats. Anesthesiology. 2005 Feb;102(2):421-8. doi: 10.1097/00000542-200502000-00028. PubMed 15681961 ↗
  • Woolf CJ, Salter MW. Neuronal plasticity: increasing the gain in pain. Science. 2000 Jun 9;288(5472):1765-9. doi: 10.1126/science.288.5472.1765. PubMed 10846153 ↗
  • Rivat C, Laulin JP, Corcuff JB, Celerier E, Pain L, Simonnet G. Fentanyl enhancement of carrageenan-induced long-lasting hyperalgesia in rats: prevention by the N-methyl-D-aspartate receptor antagonist ketamine. Anesthesiology. 2002 Feb;96(2):381-91. doi: 10.1097/00000542-200202000-00025. PubMed 11818772 ↗
  • Simonnet G, Rivat C. Opioid-induced hyperalgesia: abnormal or normal pain? Neuroreport. 2003 Jan 20;14(1):1-7. doi: 10.1097/00001756-200301200-00001. No abstract available. PubMed 12544821 ↗
  • Richebe P, Capdevila X, Rivat C. Persistent Postsurgical Pain: Pathophysiology and Preventative Pharmacologic Considerations. Anesthesiology. 2018 Sep;129(3):590-607. doi: 10.1097/ALN.0000000000002238. PubMed 29738328 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00454259
Lead sponsor
University Hospital, Bordeaux
Responsible party
Sponsor
First posted
Mar 30, 2007
Start date
Mar 2007
Primary completion
Aug 2007
Completion
Aug 2007
Last update
May 14, 2026

Study contacts

Philippe RICHEBE, Dr
study director · University Hospital, Bordeaux
Gérard JANVIER, PHD
principal investigator · University Hospital, Bordeaux
Claude DUBRAY, PHD
principal investigator · University Hospital, Bordeaux
Alain ESCHALIER, PHD
principal investigator · University Hospital, Bordeaux
jean DUALE CHRISTIAN, Dr
principal investigator · University Hospital, Bordeaux
Gisèle PICKERING, Dr
principal investigator · University Hospital, Bordeaux

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2007. You cannot join it, but the record below documents what was studied.

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