The effect of fentanyl on breathing

2023-508915-22-00 Therapeutic confirmatory (Phase III) Ended

Start 4 Mar 2024 · End 26 Apr 2024 · Status Ended · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ended
Participants planned 12
Countries 1
Sites 1

none, healthy subjects

The objective is to explore the ventilatory pattern of volunteers during and following administration of fentanyl.

Key facts

Sponsor
Academisch Ziekenhuis Leiden
Participant type
Healthy volunteers
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Anesthesia and Analgesia [E03]
Trial duration
4 Mar 2024 → 26 Apr 2024
Decision date (initial)
2024-01-15
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy, Pharmacodynamic, Pharmacokinetic

The objective is to explore the ventilatory pattern of volunteers during and following administration of fentanyl.

Secondary objectives 2

  1. Determine the occurrence of respiratory events.
  2. The comparison of gas values obtained from different sites

Conditions and MedDRA coding

none, healthy subjects

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Aged 18-45 years with body mass index 19-30 kg/m2

Exclusion criteria 5

  1. Currently meet the criteria for diagnosis of moderate or severe substance use disorder according to the DSM-5 criteria on any substances other than caffeine, or nicotine-
  2. Any active medical condition, organ disease or concurrent medication or treatment that may either compromise subject safety or interfere with study endpoints;
  3. Pregnancy or lactation;
  4. A positive drug urine dipstick on the screening or study days.
  5. History or presence of allergic response to study medication;

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Arterial PCO2 in the recovery phase of the study (i.e. the last 90 min of the study)

Secondary endpoints 2

  1. Respiratory events are defined by: 1) Respiratory rate ≤5 breaths/min for ≥3 min; 2) Oxygen saturation ≤ 85% for ≥ 3 min; 3) End-tidal PCO2 ≤ 2 kPa or ≥ 8 kPa for ≥ 3 min; 4) or apnea for at least 30 s; 5) any other respiratory event.
  2. Arterial versus venous versus end-tidal PCO2 at regular intervals

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Fentanyl hameln 50 microgram/ml, oplossing voor injectie

PRD3238668 · Product

Active substance
Fentanyl Citrate
Substance synonyms
FENTANYL DIHYDROGEN CITRATE, 2-HYDROXYPROPANE-1,2,3-TRICARBOXYLIC ACID, N-(1-PHENETHYL-4-PIPERIDYL)-N-PHENYL-PROPANAMIDE
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
2 mg milligram(s)
Max total dose
4 mg milligram(s)
Max treatment duration
2 Day(s)
Authorisation status
Authorised
ATC code
N01AH01 — FENTANYL
Marketing authorisation
RVG 25458
MA holder
HAMELN PHARMA GMBH
MA country
Netherlands
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 1

Naloxone 400 micrograms/ml solution for injection/infusion

PRD10902978 · Product

Active substance
Naloxone Hydrochloride
Substance synonyms
N-ALLYLNOROXYMORPHONE HYDROCHLORIDE
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
90 mg milligram(s)
Max total dose
180 mg milligram(s)
Max treatment duration
2 Day(s)
Authorisation status
Authorised
ATC code
V03AB15 — NALOXONE
Marketing authorisation
PL 01502/0141
MA holder
HAMELN PHARMA LTD
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Academisch Ziekenhuis Leiden

Sponsor organisation
Academisch Ziekenhuis Leiden
Address
Albinusdreef 2
City
Leiden
Postcode
2333 ZA
Country
Netherlands

Scientific contact point

Organisation
Academisch Ziekenhuis Leiden
Contact name
Monique van Velzen

Public contact point

Organisation
Academisch Ziekenhuis Leiden
Contact name
Monique van Velzen

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ended 12 1
Rest of world 0

Investigational sites

Netherlands

1 site · Ended
Academisch Ziekenhuis Leiden
Anesthesiology, Albinusdreef 2, 2333 ZA, Leiden

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2024-03-04 2024-04-26 2024-03-06

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
FAME results
SUM-97498
2025-09-12T08:19:48 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Lay person summary of results 2025-12-05T08:54:05 Submitted Laypersons Summary of Results

Documents 2 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) Lay person summary of results 1
Summary of results (for publication) FAME results 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-11-24 Netherlands Acceptable
2024-01-15
2024-01-15