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CompletedNCT03080350Updated Mar 4, 2020

Sublingual Versus Endovenous Fentanyl for the Prehospital Analgesia in Patients With Limb Trauma on the Slope

A Phase 4 interventional study of Fentanyl sublingual and Fentanyl ev in Acute Pain Due to Trauma, sponsored by Azienda Sanitaria dell'Alto Adige. Completed at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-03-04.

Sponsored by Azienda Sanitaria dell'Alto Adige · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
108
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine the non-inferiority of the efficacy for prehospital analgesia of sublingual administered fentanyl versus endovenous administered fentanyl for patients with limb trauma on the slope

Read the detailed description

Fentanyl endovenous (ev) is an excellent analgesic drug for pain relief in acute traumatic pain. Fentanyl sublingual (Abstral ®) is an excellent analgesic drug in the breakthrough cancer pain relief in oncologic patients.

The immediate (less than 10 minutes) effect and the ease of administration of sublingual fentanyl is a feasible drug administration for immediate analgesia in remote areas such as mountain rescue missions eg. the slope.

Patients will be recruited according to a randomized list to fentanyl ev or fentanyl sublingual versus placebo oral or placebo ev.

Safety issues like control of vital signs will be warranted.

02

Conditions studied

  • Acute Pain Due to Trauma

Keywords

  • Fentanyl
  • Transmucosal administration
  • Endovenous administration
  • Pain therapy
  • Mountain emergency medicine
03

In context

Acute Pain

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

This study's enrollment of 108 is above the median of 90 across 732 interventional studies indexed under Acute Pain.

Browse Acute Pain studies →

Lead sponsor

Azienda Sanitaria dell'Alto Adige is the lead sponsor of 7 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Trauma on the limbs with a pain score of 4 or more on the slope
  • ASA I - II

Exclusion criteria

Exclusion Criteria:

  • children (\< 18 years)
  • cognitive impairment: brain injury, intoxication, analgesia
  • weight under 50 kg and more than 100 kg
  • other injuries like chest trauma with respiratory insufficiency, suspect liver or spleen injury, amputation;
  • chronic analgesic use or misuse
  • allergy
  • fear of needles
  • pregnancy
  • speech difficulties
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
108 participants (actual)

Study arms

  • Experimental
    Fentanyl sublingual + Placebo ev

    Fentanyl 100 µg sublingual in acute sever pain + NaCl 0,9% endovenous to mimic fentanyl ev

    Drug: Fentanyl sublingual · Drug: Placebo ev

  • Active comparator
    Fentanyl ev + Placebo sublingual

    Fentanyl ev in acute sever pain + Sugar pill manufactured to mimic fentanyl sublingual

    Drug: Fentanyl ev · Drug: Placebo sublingual

Interventions

  • DrugFentanyl sublingual

    Fentanyl sublingual

    Also known as: Abstral

  • DrugFentanyl ev

    Fentanyl ev

  • DrugPlacebo sublingual

    Placebo sublingual

  • DrugPlacebo ev

    Placebo - NaCL 0,9% ev

06

What researchers measure

Primary outcomes

  1. Pain - Relief

    Pain - Relief of 2 points on a 11 items pain scale (0 = non pain; 10 = unbearable pain)

    Time frame: 1 hour

Secondary outcomes

  1. Practicability / handling of the two dosage forms of fentanyl in emergencies

    Practicability / handling

    Time frame: 1 hour

  2. Patient comfort

    5 items Labert Scale

    Time frame: 1 hour

  3. Adverse drug effects

    such as pruritus, nausea, dizziness

    Time frame: 1 hour

  4. SpO2 (%)

    SpO2 \< 92%

    Time frame: 1 hour

07

Study locations

1 site
  • Skiresort - Kronplatz
    Bruneck, 39031, Italy
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 4, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03080350
Lead sponsor
Azienda Sanitaria dell'Alto Adige
Collaborators
Institute of Mountain Emergency Medicine
Responsible party
Elisabeth Gruber (MD, Azienda Sanitaria dell'Alto Adige) — Principal investigator
First posted
Mar 15, 2017
Start date
Jan 2017
Primary completion
Mar 2018
Completion
Mar 2018
Last update
Mar 4, 2020

Study contacts

Rosmarie Oberhammer, MD
principal investigator · Südtiroler Sanitätsbetrieb - Bruneck Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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