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WithdrawnNCT02137525Updated Jul 5, 2017

Study to Explore Effectiveness of Sublingual Fentanyl Spray in Emergency Department Patients With Acute Pain

A Phase 2 interventional study of Morphine 6 mg and Fentanyl 100 µg in Acute Pain, sponsored by INSYS Therapeutics Inc. Withdrawn at 15 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2017-07-05.

Sponsored by INSYS Therapeutics Inc · Phase 2, Interventional, and Treatment

Why this study was withdrawn
Study was never initiated
Phase
Phase 2
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This study will explore effectiveness of three doses of fentanyl sublingual spray against an active comparator in emergency department (ED) patients with acute pain.

After screening, eligible participants will participate in a treatment period (up to 2 hours) and a post-treatment evaluation period (up to 4 hours or discharge from the ED). Open-label standard of care rescue medication for pain can be given at any time during the study period, based on clinical judgment of the treating physician.

Adverse events will be collected for five days after initial enrollment.

02

Conditions studied

  • Acute Pain

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03

In context

Acute Pain

876 studies on the registry are indexed under Acute Pain; 154 are open to participants now.

Browse Acute Pain studies →

Lead sponsor

INSYS Therapeutics Inc is the lead sponsor of 45 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Is able to understand the language in which the study is being conducted and has provided meaningful written informed consent for the study
  • Has an acute painful condition requiring parenteral analgesia as deemed necessary by the treating physician or physician extender
  • Has a pain score within protocol-specified parameters

Exclusion criteria

Exclusion Criteria:

  • Has allergy to fentanyl or morphine
  • Has oxygen-dependent conditions or oxygen saturation \<95%
  • Has planned or recent drug use outside protocol-specified parameters
  • Has any condition that, in the principal investigator's opinion, would place the patient at risk or influence the conduct of the study or interpretation of results
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    Morphine 6 mg

    Placebo Sublingual Spray (PSS) + Intravenous Morphine (IVM 6 mg), every 30 minutes for two hours as needed (or until rescue), maximum exposure morphine 30 mg

    Drug: Morphine 6 mg · Drug: Placebo Sublingual Spray

  • Experimental
    Fentanyl 100 µg

    Intravenous Placebo (IVP) + Fentanyl Sublingual Spray (FSS 100 µg), every 30 minutes for two hours as needed (or until rescue), maximum exposure fentanyl 500 µg

    Drug: Fentanyl 100 µg · Drug: Intravenous Placebo

  • Experimental
    Fentanyl 200 µg

    Intravenous Placebo (IVP) + Fentanyl Sublingual Spray (FSS 200 µg), every 30 minutes for two hours as needed (or until rescue), maximum exposure fentanyl 1000 µg

    Drug: Fentanyl 200 µg · Drug: Intravenous Placebo

  • Experimental
    Fentanyl 400 µg

    Intravenous Placebo (IVP) + Fentanyl Sublingual Spray (FSS 400 µg), every 30 minutes for two hours as needed (or until rescue), maximum exposure fentanyl 2000 µg

    Drug: Fentanyl 400 µg · Drug: Intravenous Placebo

Interventions

  • DrugMorphine 6 mg

    Intravenous infusion - delivering morphine 6 mg

    Also known as: IVM 6 mg, Standard of Care

  • DrugFentanyl 100 µg

    Fentanyl sublingual spray - single unit delivering 100 µg fentanyl

    Also known as: FSS 100 µg, SUBSYS®

  • DrugFentanyl 200 µg

    Fentanyl sublingual spray - single unit delivering 200 µg fentanyl

    Also known as: FSS 200 µg, SUBSYS®

  • DrugFentanyl 400 µg

    Fentanyl sublingual spray - single unit delivering 400 µg fentanyl

    Also known as: FSS 400 µg, SUBSYS®

  • DrugPlacebo Sublingual Spray

    Matching sublingual spray - single unit delivering 0 µg fentanyl

    Also known as: PSS

  • DrugIntravenous Placebo

    Matching intravenous infusion - delivering 0 mg morphine

    Also known as: IVP

06

What researchers measure

Primary outcomes

  1. Percentage of participants requiring additional doses of randomized pain medication

    Time frame: at 30 minutes after initial treatment

Secondary outcomes

  1. Percentage of participants requiring additional doses of randomized pain medication at secondary time points

    Time frame: within 120 minutes after initial treatment

  2. Visual analogue scale (VAS) Summed Pain Intensity Difference (SPID) calculated as Area under the Curve (AUC) every 30 minutes

    Time frame: from baseline through 120 minutes after the initial dose of investigational product

  3. Number of Investigational Product (IP) administrations

    Time frame: within 120 minutes after initial treatment

  4. Time to onset of pain relief (in minutes) using the stopwatch method

    Time frame: within 120 minutes after first treatment

  5. Richmond Agitation Sedation Scale (RASS) score

    Time frame: within 120 minutes after first treatment

  6. Percentage of Participants requiring rescue medication

    Time frame: during the 5-day study period

  7. Time until rescue medication was required

    Time frame: during the 5-day study period

  8. Percentage of participants experiencing a treatment-related adverse event

    Time frame: during the 5-day study period

  9. Percentage of participants with clinically significant changes in vital signs

    Time frame: during the 5-day study period

07

Study locations

15 sites
  • Maricopa Medical Center
    Phoenix, Arizona 85008, United States
  • Olive View-UCLA Medical Center
    Sylmar, California 91342, United States
  • Kansas University Medical Center
    Kansas City, Kansas 66160, United States
  • Henry Ford Hospital
    Detroit, Michigan 48021, United States
  • Wayne State University School of Medicine
    Detroit, Michigan 48201, United States
  • Hennepin County Medical Center
    Minneapolis, Minnesota 55415, United States
  • Washington University
    Saint Louis, Missouri 63110, United States
  • Stony Brook University HSC
    Stony Brook, New York 11794, United States
  • Duke University School of Medicine
    Durham, North Carolina 27710, United States
  • University of Cincinnati
    Cincinnati, Ohio 45267, United States
  • Pennsylvania Hospital
    Philadelphia, Pennsylvania 19107, United States
  • Thomas Jefferson University Hospital
    Philadelphia, Pennsylvania 19107, United States
  • Vanderbilt University
    Nashville, Tennessee 37232, United States
  • Baylor College of Medicine
    Houston, Texas 77030, United States
  • University of Virginia Health System
    Charlottesville, Virginia 22908, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 5, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02137525
Lead sponsor
INSYS Therapeutics Inc
Responsible party
Sponsor
First posted
May 14, 2014
Primary completion
Jun 29, 2017
Last update
Jul 5, 2017

Study contacts

Giovanni DeCastro
study director · INSYS Therapeutics Inc

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Jun 2017. You cannot join it, but the record below documents what was studied.

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