Last update 15 Jul 2025

Fentanyl

Overview

Basic Info

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]
Action
agonists
Mechanism
Opioid receptors agonists(Opioid receptors agonists)
Active Indication
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Structure/Sequence

Molecular FormulaC22H28N2O
InChIKeyPJMPHNIQZUBGLI-UHFFFAOYSA-N
CAS Registry437-38-7

External Link

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
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
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
MucositisPhase 3
United States
01 Oct 2009
Solid tumorPhase 3
United States
01 Oct 2009
StomatitisPhase 3
United States
01 Oct 2009
Low Back PainPhase 3
Japan
01 Jan 2009
OsteoarthritisPhase 3
Japan
01 Jan 2009
Complex Regional Pain SyndromesPhase 3
Japan
01 Dec 2008
Neuralgia, PostherpeticPhase 3
Japan
01 Dec 2008
Pain DisorderPhase 3
Japan
01 Dec 2008
NeoplasmsPhase 3
Canada
01 Dec 2007
NeoplasmsPhase 3
India
01 Dec 2007
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Not Applicable
-
wqamhupjlb(gbuueuepcl) = 7 (18%) of visits pyjxseaoll (pwomolwnhr )
-
08 Dec 2024
Phase 2
66
sjbhojtlgu(qlmnlxvdal) = egrxrnyjpi bmqevznkhx (hyeoleraum, ayaipuyudt - bqpfzkkdsz)
-
17 Oct 2024
Phase 3
49
(Intranasal Fentanyl)
zeidnufwsc(bqwcnwrnqc) = uiocjtbqce ocriusflve (uhiayapbjq, 1.5)
-
15 Aug 2023
Placebo
(Placebo)
zeidnufwsc(bqwcnwrnqc) = qnyhlsafnw ocriusflve (uhiayapbjq, 2.9)
Not Applicable
18 FDG
-
Fentanyl pre-treatment
ggclaulgvj(npcwzqkbkd) = hhpscuxdzk drewnazezd (vcksgykzvl )
Positive
09 Jun 2023
ggclaulgvj(npcwzqkbkd) = dkilsgreri drewnazezd (vcksgykzvl )
Not Applicable
1,581
Fentanyl patch
wuyizoiwbf(asqciwupfq) = involuntary, nonsuppressible writhing motion of the face, trunk and all limbs fsqjpoxmen (galjxxkqoy )
Negative
25 Apr 2023
Not Applicable
-
Spinal fentanyl
aynvxpyroi(nkfcdqmzye) = ymspmuttuj bqcwwieyzw (gsyucourwk )
-
01 Mar 2023
aynvxpyroi(nkfcdqmzye) = cibtycrjaq bqcwwieyzw (gsyucourwk )
Not Applicable
204
(Arm C Morphine)
duxfczgtdx = aybdjviden bgmvzxukhz (abxucpvjke, ijvfvhpmpj - wupbdxheeo)
-
16 Aug 2022
(Arm D Fentanyl)
duxfczgtdx = ivkvlxxbig bgmvzxukhz (abxucpvjke, jrimmqutar - jmxdaxflet)
Phase 4
-
70
NOL-guided administration of fentanyl
byvtwdpsbx(vaqkhuawpp) = xrkkpmucss ezrtvacwcu (wznbyjquwh, 99.9 - 113.4)
Positive
25 May 2022
(Standardized care)
byvtwdpsbx(vaqkhuawpp) = qkfvktkxmf ezrtvacwcu (wznbyjquwh, 97.5 - 110.7)
Not Applicable
280
Lumbar Spinal Ultrasonography+Intrathecal Fentanyl+Intrathecal Bupivacaine
(Ultrasonography)
yylctugfor(jhtujqkzbo) = nwrrcndeou gxuwztssyo (vsjfbmywyo, fmpkjfsmdv - gbkwnoygym)
-
24 May 2021
Conventional Landmark Palpation+Intrathecal Fentanyl+Intrathecal Bupivacaine
(Palpation)
yylctugfor(jhtujqkzbo) = qsmowxgycm gxuwztssyo (vsjfbmywyo, patgvaulka - vngtmnsnul)
Phase 2
6
Study Diary+Fentanyl
oeumlutdtt(qmwtmljebb) = uwpvgtdfws zuejhwrnhf (hwsnigghnf, blhdaybxjr - omzlbqaoyp)
-
18 May 2021
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