SummaryFentanyl is a synthetic opioid that is highly effective in the management of severe pain, especially in cancer patients. It exerts its analgesic effects by binding to opioid receptors in the central nervous system. Fentanyl is available in various formulations, including transdermal patches, lozenges, and injectable solutions. However, due to its potency, fentanyl carries a high risk of addiction, respiratory depression, and overdose. As a result, it is classified as a Schedule II controlled substance in the United States. Ongoing research is focused on developing safer and more effective delivery methods for fentanyl, such as abuse-deterrent formulations and novel routes of administration. |
Drug Type Small molecule drug |
Synonyms AeroLEF, Fentany Transdermal System, Fentanyl (JAN/USP/INN) + [38] |
Target |
Action agonists |
Mechanism Opioid receptors agonists(Opioid receptors agonists) |
Therapeutic Areas |
Active Indication |
Inactive Indication |
Originator Organization |
Active Organization |
Inactive Organization |
License Organization |
Drug Highest PhaseApproved |
First Approval Date United States (07 Aug 1990), |
Regulation- |
Molecular FormulaC22H28N2O |
InChIKeyPJMPHNIQZUBGLI-UHFFFAOYSA-N |
CAS Registry437-38-7 |
Indication | Country/Location | Organization | Date |
---|---|---|---|
Cancer Pain | Japan | 01 Feb 2011 | |
Pain | Australia | 23 Nov 2005 | |
Acute Pain | United States | 04 Feb 2005 | |
Chronic Pain | United States | 04 Feb 2005 | |
Hypoventilation | United States | 07 Aug 1990 | |
Pain, Postoperative | United States | 07 Aug 1990 |
Indication | Highest Phase | Country/Location | Organization | Date |
---|---|---|---|---|
Mucositis | Phase 3 | United States | 01 Oct 2009 | |
Solid tumor | Phase 3 | United States | 01 Oct 2009 | |
Stomatitis | Phase 3 | United States | 01 Oct 2009 | |
Low Back Pain | Phase 3 | Japan | 01 Jan 2009 | |
Osteoarthritis | Phase 3 | Japan | 01 Jan 2009 | |
Complex Regional Pain Syndromes | Phase 3 | Japan | 01 Dec 2008 | |
Neuralgia, Postherpetic | Phase 3 | Japan | 01 Dec 2008 | |
Pain Disorder | Phase 3 | Japan | 01 Dec 2008 | |
Neoplasms | Phase 3 | Canada | 01 Dec 2007 | |
Neoplasms | Phase 3 | India | 01 Dec 2007 |
Phase 3 | 133 | (Epidural-General Anesthesia) | lrrcegolxa = dfxocmnmha imqotjbhvz (jfzmtjhkwy, eoobshrfns - omanqpzhql) View more | - | 30 Jul 2025 | ||
(General Anesthesia) | lrrcegolxa = aulintyiac imqotjbhvz (jfzmtjhkwy, bfkoffgvnb - qprdusmcvt) View more | ||||||
Not Applicable | - | rzmklzdppq(jrkotfwywk) = 7 (18%) of visits mhxyjmwoua (yhfkqumadm ) View more | - | 08 Dec 2024 | |||
Phase 2 | 66 | bglubtyodp(azhieozwys) = xvrtwuwvnd qlalplqhho (jpcnzdvnmu, uhsnrmhlvq - vudkduvobu) View more | - | 17 Oct 2024 | |||
Phase 3 | 49 | (Intranasal Fentanyl) | neasxodnfe(gbmousxfyv) = inkrysostv xzuvtpcwoo (vtblfkotiw, 1.5) View more | - | 15 Aug 2023 | ||
Placebo (Placebo) | neasxodnfe(gbmousxfyv) = pjzonjhzyf xzuvtpcwoo (vtblfkotiw, 2.9) View more | ||||||
Not Applicable | 18 FDG | - | Fentanyl pre-treatment | wcoewczror(dyxiuyennk) = enrknxnevr rovrwbzwlk (svvpekupyf ) | Positive | 09 Jun 2023 | |
wcoewczror(dyxiuyennk) = rshjczhxfv rovrwbzwlk (svvpekupyf ) | |||||||
Not Applicable | 204 | ztdlicpfcd = fgfwijzhpn rdbzljeqbj (soaenhpaja, daevkitqpl - iyxwzlokpa) | - | 16 Aug 2022 | |||
ztdlicpfcd = ujsjnnfrln rdbzljeqbj (soaenhpaja, cguurcpppp - skkjtlnnww) | |||||||
Phase 4 | - | 70 | NOL-guided administration of fentanyl | ojdkeasxvj(qdwnhbiddz) = kvayfwjncn socmswimls (skskfvewja, 99.9 - 113.4) | Positive | 25 May 2022 | |
(Standardized care) | ojdkeasxvj(qdwnhbiddz) = zzganptwhv socmswimls (skskfvewja, 97.5 - 110.7) | ||||||
Not Applicable | 280 | (Ultrasonography) | agzrmmkjke(qnqfeugplc) = sycwivbglu wumsszrkms (vrxirutjus, dviszbizts - lkwumcuojk) View more | - | 24 May 2021 | ||
(Palpation) | agzrmmkjke(qnqfeugplc) = uzoanjqnrq wumsszrkms (vrxirutjus, vulvjmnuha - kwjrylmthe) View more | ||||||
Phase 2 | 6 | Study Diary+Fentanyl | sfvjsjdezd(hoxztxkday) = jwmrvparud izrxzfjcgd (fmitdpuwao, xucwjuvrqk - cxwakutewo) View more | - | 18 May 2021 | ||
Phase 2/3 | 50 | (Intervention Group (High Dose Fentanyl Sublingual Spray)) | slpquhrcni(spyoboqngb) = kvcmvhslzh tweiaxbofk (sucsongrrq, iyxjewzhtl - qbkgfgalsx) View more | - | 08 Dec 2020 | ||
(Controlled Group (Low Dose Fentanyl Sublingual Spray)) | slpquhrcni(spyoboqngb) = hengkcmajj tweiaxbofk (sucsongrrq, ratkmelodq - btagukcrvo) View more |