ClinicalTrials.gg
CompletedNCT03459404Updated Aug 23, 2021

Sufentanil NanoTab PCA System/15 mcg for Acute Post-Operative Pain in Vertebral Surgery: A Preliminary Investigation

An observational study in Postoperative Pain, Spinal Fusion and Spondylolisthesis, Lumbar Region, sponsored by Fondazione Policlinico Universitario Agostino Gemelli IRCCS. Completed at 1 site in Italy. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2021-08-23.

Sponsored by Fondazione Policlinico Universitario Agostino Gemelli IRCCS · Observational

Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
17
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 115 studies in Pain, Postoperative with a site in Italy — 18 open to participants now, 21 under way, none of them phase 3. Pain, Postoperative · Italy.

Enrollment
29th of 29
17 · median 120
Started
2018
with 5 others
Observational
29 of 115
6 open now
Registered
41st of 115
by date
Lead sponsor
8 of 115
Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Among the 115 studies in Pain, Postoperative with a site in Italy, this one is the 29th largest by enrollment of the 29 observational ones that give a count, is one of 6 that started in 2018, is one of 29 observational ones, and was the 41st registered.

Pain, Postoperative

5,640 studies on the registry are indexed under Pain, Postoperative; 1,230 are open to participants now.

Browse Pain, Postoperative studies →

Open to participants now

18 of the 115 studies in Pain, Postoperative with a site in Italy are open now. Recruiting first, the newest first:

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All 18 open studies →

A study can be open while its sites in Italy have not opened yet or have stopped. Only those recruiting at a site in Italy →

Who these studies take

Of the 679 Pain, Postoperative studies recruiting now, 241 (35%) set no upper age limit and 328 (48%) stop at 75 or younger; 74 take children under 18; 128 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes.

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02

Study summary

The Zalviso® Sufentanil Sublingual Tablet System (SSTS) (Grünenthal Italia, Milan, Italy) is a patient-controlled analgesia (PCA) system approved in September 2015 by the European Commission for the management of acute moderate-to-severe pain in adult patients in a hospital setting. This preprogrammed drug/device combination product delivers a fixed dose of 15 mcg of sufentanil tablets as needed, in a non-invasive sublingual dosage form.

Multimodal analgesia is defined as the administration, by one or more routes, of various analgesic medications with different mechanisms of action, thereby providing superior analgesia with fewer side effects. To improve pain control and patient satisfaction, patient-controlled analgesia (PCA) techniques have been developed, i.e. any delivery system which allows patients to self administer predetermined doses of analgesic drug to relieve pain. Over the past decades, intravenous (IV) PCA with morphine has been the gold standard for acute pain control. In our clinical practice, though, not only IV-PCA pumps were frequently prone to technical problems, but also patients and caregivers were not often able to understand or activate them, thus raising important safety issues and profoundly affecting the management of pain control. As a consequence, IV-PCA eventually fell into disuse, although no alternative has emerged until recently. The SSTS should go beyond the above-quoted limitations: it is a non invasive, patient-controlled and easy to use device, with an effective and safe opioid profile. It is, in our thinking, a promising technology.

The aim of this retrospective analysis is to examine the role of the SSTS for management of pain after vertebral surgery, as part of a multimodal approach.

03

Conditions studied

  • Postoperative Pain
  • Spinal Fusion
  • Spondylolisthesis, Lumbar Region
  • Sufentanil
04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Sampling method
Probability sample

Study population

Consecutive patients who met the inclusion criteria and were operated in Policlinico A. Gemelli from September 2017 to February 2018.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients who underwent elective open lumbar arthrodesis surgery (either by an anterior or posterior approach) in degenerative lumbar spine conditions who were between 18 and 75 years old and post-operatively treated with Sufentanil NanoTab PCA system as part of a multimodal analgesic regimen.
  • General anesthesia was performed. Perioperative regional anesthetic techniques and local anesthetic wound infiltration in the operating room were not performed.

Exclusion criteria

Exclusion criteria:

  • Patients who refused to participate in the study.
05

Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
17 participants (actual)
Patient registry
No

Groups and cohorts

  • Sufentanil NanoTab PCA System/15 mcg

    Drug: Sufentanil 15 mcg Unless contraindicated patients also received around the clock regimen of NSAIDS (ketoprofen 200 mg/day) and acetaminophen (1000 mg every 8 hours).

    Combination Product: Sufentanil NanoTab PCA System

Interventions

  • Combination productSufentanil NanoTab PCA System

    15 mcg Sufentanil NanoTab self-administered sublingually up to every 20 minutes as needed for pain for at least 48 hours and up to 72 hours

06

What researchers measure

Primary outcomes

  1. Postoperative pain intensity assessed at 24 hours

    Pain intensity is assessed using an 11-point Numeric Rating Scale (NRS-11). It ranges from '0' representing 'no pain' to '10' representing 'the worst pain imaginable'.

    Time frame: NRS-11 is assessed at 24 hours.

Secondary outcomes

  1. Postoperative pain intensity assessed at 48 hours

    Pain intensity is assessed using an 11-point Numeric Rating Scale (NRS-11). It ranges from '0' representing 'no pain' to '10' representing 'the worst pain imaginable'.

    Time frame: NRS-11 is assessed at 48 hours.

  2. Patient satisfaction

    Satisfaction with level of pain control and satisfaction with method of administration of pain medication are scored on a 4-point scale (extremely dissatisfied to extremely satisfied).

    Time frame: At discharge (at least 48 hours)

  3. Side effects

    Nausea, vomiting, sleepiness, itching, dizziness, others

    Time frame: During the period of SSTS administration (up to 72 hours)

  4. Length of hospital stay after surgery

    Variable, depending on clinical case

    Time frame: At least 48 hours

  5. Postoperative pain intensity assessed at 72 hours

    Pain intensity is assessed using an 11-point Numeric Rating Scale (NRS-11). It ranges from '0' representing 'no pain' to '10' representing 'the worst pain imaginable'.

    Time frame: NRS-11 is assessed at 72 hours.

07

Study locations

1 site
  • Policlinico A. Gemelli
    Rome, 00168, Italy
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2018 to primary completion in Mar 2019, 5 months.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 20, 2018
First posted
Mar 8, 2018
StartActual
Sep 19, 2018
Primary completionActual
Mar 10, 2019
CompletionActual
Mar 10, 2019
Last update
Aug 23, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 23, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03459404
Responsible party
VERGARI ALESSANDRO (Principal Investigator, Fondazione Policlinico Universitario Agostino Gemelli IRCCS) — Principal investigator
First posted
Mar 8, 2018
Start date
Sep 19, 2018
Primary completion
Mar 10, 2019
Completion
Mar 10, 2019
Last update
Aug 23, 2021

Study contacts

Alessandro Vergari
principal investigator · Department of Anesthesiology and Intensive Care Medicine, Fondazione Policlinico A. Gemelli, Rome

Oversight

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 Aug 2021. You cannot join it, but the record below documents what was studied.

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