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CompletedNCT03868436ADVANCE-EDUpdated Sep 16, 2021

PENTHROX™ in the Canadian Emergency Department (ED)

A Phase 4 interventional study of Methoxyflurane 3mL in Pain, Acute, sponsored by Purdue Pharma, Canada. Completed at 6 sites in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-09-16.

Sponsored by Purdue Pharma, Canada · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
99
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

This Canadian, multi-centre, prospective, real world study is designed to evaluate the effectiveness of low dose methoxyflurane (MEOF) (PENTHROX™) for the treatment of moderate to severe pain associated with trauma in the Canadian ED.

Read the detailed description

The study will assess the change in pain intensity over 20 minutes from start of administration of PENTHROX™ and will generate Real World Evidence in support of existing clinical trial data including effectiveness, safety and additional parameters of low dose MEOF (PENTHROX™) in Canadian EDs.

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Conditions studied

  • Pain, Acute
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In context

Emergencies

1,694 studies on the registry are indexed under Emergencies; 332 are open to participants now.

This study's enrollment of 99 is below the median of 145 across 932 interventional studies indexed under Emergencies.

Browse Emergencies studies →

Lead sponsor

Purdue Pharma, Canada is the lead sponsor of 5 studies on the registry; none 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 and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Conscious adult patients: ≥ 18 years of age
  2. Moderate to severe pain associated with trauma (NRS0-10 ≥ 4) which is unlikely to require surgery/hospitalization, such as

    • Musculoskeletal injuries and physical wounds
    • Fractures
    • Lacerations
    • Burns
    • Dislocations
    • Contusions
    • Injury due to foreign bodies
  3. Patient (and/or patient's authorized legal representative) should understand the nature of the study and provide written informed consent
  4. Patient is able to follow all study requirements and procedures and complete required questionnaires

Exclusion criteria

Exclusion Criteria:

  1. Multi-level trauma
  2. Women of child bearing potential who are pregnant or peri partum, including labour
  3. An altered level of consciousness, due to any cause, including head injury, drugs, or alcohol
  4. Clinically significant renal impairment
  5. A history of liver dysfunction after previous MEOF use or other halogenated anesthetics
  6. Hypersensitivity to MEOF or other halogenated anesthetics, or to butylated hydroxytoluene
  7. Known or genetically susceptible to malignant hyperthermia or a history of severe adverse reactions in either patient or relatives
  8. Exacerbation of an underlying condition (i.e., chronic pain)
  9. Clinically evident or potential hemodynamic instability as per the opinion of the investigator
  10. Clinically evident respiratory impairment as per the opinion of the investigator
  11. Prior treatment with PENTHROX within 3 months
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
99 participants (actual)

Study arms

  • Other
    Methoxyflurane (MEOF)-active treatment

    single arm study all subjects will be treated with Methoxyflurane 3 mL

    Drug: Methoxyflurane 3mL

Interventions

  • DrugMethoxyflurane 3mL

    As soon as possible following enrollment and initial procedures, the patient will be supplied with a PENTHROX™ kit which includes one inhaler containing 3 mL of MEOF for pain management. A member of the research team will train the patient to self-administer MEOF. PENTHROX™ is an approved (trademarked) product in Canada and is commercially available in a combination blister pack with one 3 mL sealed bottle and one PENTHROX™ inhaler with the Activated Carbon (AC) chamber.

    Also known as: PENTHROX™

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What researchers measure

Primary outcomes

  1. Change in mean pain intensity: Numerical Rating Scale

    The level of pain intensity will be collected by means of the Numerical Rating Scale (NRS). The NRS is considered a reliable and valid scale for assessing pain intensity and is preferred by patients for its simplicity. In this 11-point scale, the end points are the extremes of no pain and pain as bad as it could be, or worst pain (i.e. a score of 0 = no pain and a score of 10 = worst pain possible). Assessed by the patient 20 mins post PENTHROX™ inhalation

    Time frame: 20 mins from start of administration (STA) of PENTHROX™

Secondary outcomes

  1. Speed of action of analgesia

    Speed of action of analgesia is defined as the time at which the patient experiences meaningful pain relief following inhalation of PENTHROX™. The healthcare professional will instruct the patient to note the time at which they experience meaningful pain relief. The time point will be recorded in the case report form.

    Time frame: At any point from STA of PENTHROX™ to 20 mins post inhalation

  2. Proportion of treatment-emergent adverse events (TEAEs)

    Assessment of patient reported adverse events throughout the observation period.

    Time frame: At any point From STA of PENTHROX™ until the end of the observation period (24 hours)

  3. Global Medication Performance (GMP) before discharge from ED (Patient & Health Care Professional)

    Global medication performance (GMP) is an assessment of the health care professional's and patient's impression of how well a medication works. Global Medication Performance (GMP)-is a patient and health care provider reported outcome with the objective of assessing the health care professional's and patient's impression of how well a medication works. GMP is measured by asking the patient and health care professional a single question: "rate the pain relief provided by PENTHROX™" utilizing a 5-point Likert scale where 1=Poor- 5=Excellent

    Time frame: at 20 minutes From STA of PENTHROX™ and at the end of the observation period (up to 24hours)

  4. Fulfillment of pain relief expectations (Patient & Healthcare professional)

    Fulfillment of pain relief expectations- is a patient and health care professional reported outcome with the objective of assessing the health care professional's and patient's impression of how well a medication fulfilled their expectations. Fulfillment of pain relief expectations is measured by asking the patient and health care professional a single question: "To what extent has your expectations regarding pain control been met" and utilizing a 5-point Likert scale where 1=Poor- 5=Excellent.

    Time frame: At the end of the observation period (up to 24hours)

  5. Use of rescue medication

    The time of first use of rescue medication after STA of PENTHROX™ up to and including 60 minutes will be documented.

    Time frame: From STA of PENTHROX™ to the end of the observation period (up to 24hours)

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Study locations

6 sites
  • Charles V Keating Emergency and Trauma Centre, QEII
    Halifax, Nova Scotia B3H3A7, Canada
  • Royal Victoria Regional Health Centre
    Barrie, Ontario L4M 6M2, Canada
  • Markham Stouffville
    Markham, Ontario L3P 7P3, Canada
  • St. Joseph's Healthcare
    Welland, Ontario L3B4W6, Canada
  • Centre Integre Universitaire De Sante Et De Service Sociaux (CIUSSS) Saguenay-Lac-Saint Jean
    Chicoutimi, Quebec G7H 7K9, Canada
  • Centre Intégré de Santé et de Services Sociaux de la Montérégie-Centre
    Greenfield Park, Quebec J4V 2H1, Canada
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 16, 2021, 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
NCT03868436
Lead sponsor
Purdue Pharma, Canada
Responsible party
Sponsor
First posted
Mar 11, 2019
Start date
Apr 8, 2019
Primary completion
Mar 30, 2020
Completion
Sep 8, 2020
Last update
Sep 16, 2021

Study contacts

Sonja Dhani, PhD
study director · Purdue Pharma, Canada

Oversight

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

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