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Exploratory Bioavailability of Fentanyl Sublingual Spray Under Fasting Conditions

Single-Dose, Open-Label, Two-Period, Two-Treatment, Two-Sequence Crossover Exploratory Bioavailability Study of Subsys® (Fentanyl Sublingual Spray), 400 mcg, and Fentanyl Citrate Injection 2 mL x 0.05 mg/mL (Total Dose 100 mcg) Under Fasted Conditions

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02138396
Enrollment
12
Registered
2014-05-14
Start date
2014-01-31
Completion date
2014-01-31
Last updated
2014-12-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Bioavailability

Brief summary

The objective of this study is to compare the rate of absorption and bioavailability of fentanyl sublingual spray 400 mcg to fentanyl citrate 100 mcg by intramuscular injection.

Interventions

A single dose of fentanyl, 400 mcg per sublingual spray

DRUGFentanyl Citrate Injection (FCI)

A single dose of fentanyl citrate, 100 mcg per intramuscular injection

DRUGNaltrexone

Naltrexone is provided as a 50 mg tablet before and after product dosing to minimize unacceptable adverse effects of fentanyl.

Sponsors

INSYS Therapeutics Inc
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* Meets protocol-specified criteria for qualification and contraception * Good access to veins on both sides * Willing and able to remain confined in the study unit for the entire duration of each treatment period and comply with restrictions related food, drink and medications * Voluntarily consents to participate and provides written informed consent prior to any protocol-specific procedures

Exclusion criteria

* Intolerance to venipuncture or injections * Presence or history of oral disease, irritation or piercings * Allergy or adverse response to fentanyl, naltrexone, or related drugs * Tattoos, scarring, or other skin abnormality at planned injection sites * History or current use of over-the-counter medications, dietary supplements, or drugs (including nicotine and alcohol) outside protocol-specified parameters * Signs, symptoms or history of any condition that, per protocol or in the opinion of the investigator, might compromise: 1) the safety or well-being of the participant or study staff; 2) the safety or well-being of the participant's offspring (such as through pregnancy or breast-feeding); 3) the analysis of results

Design outcomes

Primary

MeasureTime frame
Maximum concentration (Cmax) by mode of administrationwithin 36 hours after dosing

Secondary

MeasureTime frame
Area under the concentration-time curve [AUC(last)] by mode of administrationprior to the intial dose, at 5, 10, 20, 30, and 40 minutes postdose, and at 1.0, 1.25, 1.5, 2.0, 4.0, 6.0, 8.0, 10.0, 12.0, 16.0, 24.0, and 36 hours post-dose
Area under the curve extrapolated to infinity [AUC(inf)] by mode of administrationprior to the intial dose, at 5, 10, 20, 30, and 40 minutes postdose, and at 1.0, 1.25, 1.5, 2.0, 4.0, 6.0, 8.0, 10.0, 12.0, 16.0, 24.0, and 36 hours post-dose

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026