A Multicenter, Randomized, Placebo-Controlled Phase 2 Study to Evaluate the Clinical Efficacy, Safety, and Tolerability of ARX-F01 Sublingual Sufentanil in Patients Undergoing Major Abdominal Surgery

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00718081
Recruitment Status : Completed
First Posted : July 18, 2008
Results First Posted : January 22, 2015
Last Update Posted : January 22, 2015
Information provided by (Responsible Party):
AcelRx Pharmaceuticals, Inc.

Brief Summary:
The purpose of this study is to evaluate dosages of ARX-F01 (opioid pain medication) versus a placebo (or sugar pill) for the treatment of post-operative pain in subjects following abdominal surgery. We hypothesize that subjects receiving placebo will have poor pain relief and will drop out of the study sooner and more often than the ARX-F01 treated subjects.

Condition or disease Intervention/treatment Phase
Major Upper or Lower Abdominal Surgery Drug: Oral sufentanil Drug: Placebo Phase 2

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 88 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Multicenter, Randomized, Placebo-Controlled Phase 2 Study to Evaluate the Clinical Efficacy, Safety, and Tolerability of ARX-F01 Sublingual Sufentanil in Patients Undergoing Major Abdominal Surgery
Study Start Date : August 2008
Primary Completion Date : March 2009
Study Completion Date : March 2009

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Experimental: 1
Oral Sufentanil
Drug: Oral sufentanil
Oral dosage of sufentanil
Experimental: 2
Oral sufentanil
Drug: Oral sufentanil
Oral dosage of sufentanil
Placebo Comparator: 3
Oral dosage of placebo
Drug: Placebo
Oral dosage of placebo

Primary Outcome Measures :
  1. SPID-12 [ Time Frame: 12 hours after surgery ]
    The primary outcome measure is the summed pain intensity difference over the 12-hour study period (SPID-12). A pain intensity score ranging from 0 (no pain) to 10 (worst possible pain) is obtained at baseline and throughout the 12 hour study period. The SPID-12 is calculated by summing the difference between baseline pain score and pain score at each assessment time point. The scores after summing could range from -122 to +122. A higher SPID-12 score is better.

Secondary Outcome Measures :
  1. Proportion of Patients Who Responded Very Good or Excellent in Patient Global Evaluation of Pain Relief [ Time Frame: Up to 12 hours after surgery ]
    At the end of the 12-hour study period each patient rated their overall pain relief since starting study drug on a 5-point scale: poor, fair, good, very good or excellent.

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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria at Screening:

  1. Male or female patients between 18 to 80 years of age.
  2. Patient is scheduled to undergo an upper or lower abdominal surgery under general anesthesia.
  3. Patient must be classified as American Society of Anesthesiologists (ASA) class I - III.
  4. Patient must have Body Mass Index [BMI = weight (kg)/height (m2)] between 18 and 39, inclusively.
  5. Female patients of childbearing potential must be using an effective method of birth control from the screening visit through the end of study. Acceptable methods of birth control include oral or transdermal contraceptives, condom, spermicidal foam, intrauterine device (IUD), progestin implant or injection, abstinence, vaginal ring, or sterilization of partner. The reason for non-childbearing potential, such as bilateral tubal ligation, bilateral oophorectomy, hysterectomy, or postmenopausal for ≥1 year, must be specified in the patient's case report form (CRF).
  6. The patient must be willing and able to understand the study procedures and the use of pain scales, and to communicate meaningfully with the study personnel.
  7. The patient must provide written informed consent and sign the Informed Consent

Exclusion Criteria at Screening:

  1. Patient is scheduled to undergo a laparoscopically-assisted abdominal surgery.
  2. Patient has previously not responded to opioid analgesics for treatment of pain.
  3. Patient is currently taking or has taken an opioid for more than 30 consecutive days of daily use at a daily dose equivalent to greater than 15 mg morphine within the past 3 months prior to surgery (e.g. more than 3 doses per day of Vicodin®, Norco®, Lortab® with 5 mg hydrocodone per tablet).
  4. Patient has an allergy or hypersensitivity to opioids.
  5. Patient currently has sleep apnea that has been documented by a sleep laboratory study.
  6. Patient has any screening laboratory test value outside the laboratory normal range which is considered clinically significant by the Investigator.
  7. Patient is a woman who is pregnant or lactating.
  8. Patient has psychiatric disease or encephalopathy severe enough to prevent patient from providing reliable study documentation.
  9. Patient, in the Investigator's judgment, does not have adequate ability to read and understand English.
  10. Patient has a medical condition that, in the Investigator's opinion, could adversely impact the patient's participation or safety, conduct of the study, or interfere with the pain assessments, including chronic abdominal pain or active infection.
  11. Patient has clinically significant renal or liver impairment which could affect metabolism or clearance of sufentanil.
  12. Patient has a painful physical condition other than acute abdominal pain that, in the opinion of the Investigator, may confound post-operative pain assessments.
  13. Patient has a history of drug, prescription medicine, or alcohol abuse within the past 2 years or a positive drug screen test for cocaine, amphetamines, barbiturates, phencyclidine, or methadone at screening.
  14. Patient is receiving oxygen therapy at the time of screening.
  15. Patient has participated in a clinical trial of an investigational drug or device within 30 days of screening visit or is scheduled to receive an investigational product other than ARX-F01 while participating in this study.

Exclusion Criteria at Randomization (during early PACU time period):

  1. Patient has a respiratory rate that is less than 8 breaths per minute or greater than 24 breaths per minute.
  2. Patient has arterial oxygen saturation by pulse oximetry (SpO2) of less than 90% with supplemental oxygen.
  3. Patient is not able to answer questions and follow commands.
  4. Patient has vomiting that is not responsive to standard treatment.
  5. The surgical procedure from incision to closure was longer than 4 hours.
  6. There have been any deviations from the surgical or anesthetic protocols as specified in Section

approved by the Institutional Review Board (IRB).

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00718081

United States, North Carolina
Trio Clinical Research
Durham, North Carolina, United States, 27713
Sponsors and Collaborators
AcelRx Pharmaceuticals, Inc.

Publications of Results:
Responsible Party: AcelRx Pharmaceuticals, Inc. Identifier: NCT00718081     History of Changes
Other Study ID Numbers: ARX-C-005
First Posted: July 18, 2008    Key Record Dates
Results First Posted: January 22, 2015
Last Update Posted: January 22, 2015
Last Verified: December 2014

Additional relevant MeSH terms:
Analgesics, Opioid
Central Nervous System Depressants
Physiological Effects of Drugs
Sensory System Agents
Peripheral Nervous System Agents
Adjuvants, Anesthesia
Anesthetics, Intravenous
Anesthetics, General