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Intranasal Fentanyl as an Analgesic for Cystoscopic Procedures

This study has been completed.
Information provided by (Responsible Party):
Richard C Reznichek, MD, Los Angeles Biomedical Research Institute Identifier:
First received: March 30, 2012
Last updated: July 25, 2015
Last verified: July 2015
The purpose of this study is to assess the efficacy of intranasally-administrated fentanyl spray to decrease the pain during cystoscopy (the passage of a telescopic instrument into the bladder for purpose of diagnosing the cause of blood in the urine, urinary complaints or any other problems with the urinary bladder). The current standard practice is to use Lidocaine jelly (a local anesthetic) given through the urethra to lubricate and decrease pain. In this study, an additional medicine (fentanyl) is used to reduce pain that occurs during and after the above procedure.

Condition Intervention Phase
Drug: Fentanyl
Drug: saline
Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Supportive Care
Official Title: A Prospective, Randomized, Double Blind Study Comparing the Efficacy and Safety of Fentanyl Nasal Spray to Placebo as an Analgesic, in Patients Undergoing Outpatient Cystoscopic Procedures

Resource links provided by NLM:

Further study details as provided by Los Angeles Biomedical Research Institute:

Primary Outcome Measures:
  • Pre Procedure 0 - 10 Pain Numerical Rating Scale [ Time Frame: Pre procedure, During procedure, Post procedure ]

    The NRS pain assessment (0 = no pain to 10 = worst possible pain) is recorded as outlined below:

    1. baseline pain score at admission, when the subject checks in, 2 Upon entry of the cystoscope into the urethral meatus, 3. and thirty minutes after the cystoscopic procedure has been completed.

Secondary Outcome Measures:
  • O2 Saturation Post Drug Administration [ Time Frame: Baseline, 5 minutes 10 minutes and 30 minutes post drug-administration. ]
    After administration of the study drug, the subject is monitored (oxygen saturation), for any signs of respiratory depression or the presence of complications or side-effects including apnea or oxygen desaturation.

Enrollment: 71
Study Start Date: May 2009
Study Completion Date: February 2014
Primary Completion Date: March 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Fentanyl
Subjects will receive either 0.5mL or 1 mL of intranasal fentanyl (50mcg or 100mcg)
Drug: Fentanyl
100 mcg in 1 mL intranasal spray
Other Name: fentanyl citrate
Placebo Comparator: Placebo
Subjects will receive either 0.5mL or 1 mL of intranasal saline as placebo.
Drug: saline
Sodium Chloride 0.9% intranasal spray
Other Name: normal saline

  Show Detailed Description


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

1. Urological indications for cystoscopic procedure.

Exclusion Criteria:

  1. History of analgesia abuse or former opioid addiction.
  2. Allergy to fentanyl.
  3. Acute/chronic nasal problems such as rhinitis or sinusitis.
  4. Positive urine pregnancy test / lactation.
  5. Acute bronchial asthma / upper airway obstruction.
  6. Presence of bradycardia or a history of seizures.
  7. Concomitant use of drugs that inhibit CYP3A4 (e.g., ritonavir, ketoconazole, itraconazole, troleandomycin, clarithromycin, nelfinavir, nefazodone, amprenavir, aprepitant, diltiazem, erythromycin, fluconazole, fosamprenavir, MAO inhibitors and verapamil)
  8. 0-10 NRS pain score more than 3 on baseline.
  9. Any situation or condition which, in the investigator's opinion, puts the subject at significant risk, or could confound the study results.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01708122

United States, California
Harbor UCLA Medical Center Urology Clinic
Torrance, California, United States, 90502
Sponsors and Collaborators
Los Angeles Biomedical Research Institute
Principal Investigator: Richard Reznichek, MD University of California, Los Angeles
  More Information

Responsible Party: Richard C Reznichek, MD, Medical Doctor, Los Angeles Biomedical Research Institute Identifier: NCT01708122     History of Changes
Other Study ID Numbers: 13623-01
UL1TR000124 ( US NIH Grant/Contract Award Number )
Study First Received: March 30, 2012
Results First Received: July 25, 2015
Last Updated: July 25, 2015

Keywords provided by Los Angeles Biomedical Research Institute:
Intranasal fentanyl

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
Anesthetics processed this record on April 28, 2017