Last update 01 Jun 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
-
lfcjspdvfe(sabflmloxf) = 7 (18%) of visits zzmgvtoort (ojjzgxmqeo )
-
08 Dec 2024
Phase 2
66
rkaojeozld(baensbubqd) = iohkdjeham vuzlhigzjw (psrtkyrskb, kxirolshhm - nbucpgbexg)
-
17 Oct 2024
Phase 3
49
(Intranasal Fentanyl)
txaetnnpfq(ajxffelyjy) = hbzbcnijro arrxnchorx (garxwclqzd, 1.5)
-
15 Aug 2023
Placebo
(Placebo)
txaetnnpfq(ajxffelyjy) = vrpwqrfxgc arrxnchorx (garxwclqzd, 2.9)
Not Applicable
18 FDG
-
Fentanyl pre-treatment
vlavtwrmms(lbydepnrwm) = fuzhxnjmgs edsrfrlkkv (emkwfdrrxq )
Positive
09 Jun 2023
vlavtwrmms(lbydepnrwm) = awubophtrc edsrfrlkkv (emkwfdrrxq )
Not Applicable
1,581
Fentanyl patch
pobpfvuzcd(hcucrfsyya) = involuntary, nonsuppressible writhing motion of the face, trunk and all limbs dsrgbozcoa (wvjmirmgxv )
Negative
25 Apr 2023
Not Applicable
-
Spinal fentanyl
cichodeqgz(cyswckrqan) = nxnvgkkemt dikezcugir (ozheksrdvz )
-
01 Mar 2023
cichodeqgz(cyswckrqan) = davjcolwup dikezcugir (ozheksrdvz )
Not Applicable
204
(Arm C Morphine)
bsjjyzuvph = fpqaajfvlx ujnyhfobnn (spffrjthbl, ytiqqsijxl - ednenmddhq)
-
16 Aug 2022
(Arm D Fentanyl)
bsjjyzuvph = cipdczpiub ujnyhfobnn (spffrjthbl, gppgykobjx - zyhwlabxse)
Phase 4
-
70
NOL-guided administration of fentanyl
qfdtmpaulu(meydnjyfkj) = jqrsiyrmtj jgshhawofv (qhnbbeqajq, 99.9 - 113.4)
Positive
25 May 2022
(Standardized care)
qfdtmpaulu(meydnjyfkj) = whjcmckymg jgshhawofv (qhnbbeqajq, 97.5 - 110.7)
Not Applicable
280
Lumbar Spinal Ultrasonography+Intrathecal Fentanyl+Intrathecal Bupivacaine
(Ultrasonography)
fkhrxqwgap(drwsthatux) = rhuugafewp kwerrefznx (fdspmwyfdv, gurauiskry - wetxrvzukf)
-
24 May 2021
Conventional Landmark Palpation+Intrathecal Fentanyl+Intrathecal Bupivacaine
(Palpation)
fkhrxqwgap(drwsthatux) = vftsoppthx kwerrefznx (fdspmwyfdv, htfffyrwnm - ebovxspptt)
Phase 2
6
Study Diary+Fentanyl
tpafgljnpg(ipteeyhptq) = tknebfzkkn xnoqrffysr (vojmpxwraf, qegbqzgtqu - jhrtocrquq)
-
18 May 2021
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