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Last Updated: January 1, 2026

CLINICAL TRIALS PROFILE FOR DURAMORPH PF


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All Clinical Trials for Duramorph Pf

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00335517 ↗ Safety and Efficacy of DepoDur in Lumbar Spine Surgery Patients Completed EKR Therapeutics, Inc N/A 2006-06-01 The purpose of the study is to help determine the appropriate dose of DepoDur for use in spinal surgery. The study will also assess the safety of this drug in this patient population.
NCT00335517 ↗ Safety and Efficacy of DepoDur in Lumbar Spine Surgery Patients Completed University of Rochester N/A 2006-06-01 The purpose of the study is to help determine the appropriate dose of DepoDur for use in spinal surgery. The study will also assess the safety of this drug in this patient population.
NCT00385541 ↗ Comparison of Side Effects of Morphine and Hydromorphone Patient-Controlled Analgesia (PCA) Completed Columbia University Phase 4 2003-11-01 Both morphine and hydromorphone are pain medications commonly used after surgery. It is thought at the institution that hydromorphone causes less side effects but this has not been studied. The study proposes to treat the patients with either morphine or hydromorphone and determine how much nausea, vomiting, and itching they have with each drug
NCT01298778 ↗ High Pain Intervention in Cesarean Sections Completed Wake Forest School of Medicine N/A 2010-08-01 In previous studies the investigators have seen that the severity of pain one day after cesarean delivery can predict the presence of pain and depression 2 months later. The investigators believe those at risk for severe acute post-partum pain can be identified, and medical interventions can be tailored to manage postoperative pain more effectively.
NCT01298778 ↗ High Pain Intervention in Cesarean Sections Completed Wake Forest University Health Sciences N/A 2010-08-01 In previous studies the investigators have seen that the severity of pain one day after cesarean delivery can predict the presence of pain and depression 2 months later. The investigators believe those at risk for severe acute post-partum pain can be identified, and medical interventions can be tailored to manage postoperative pain more effectively.
NCT01362998 ↗ Epidural Morphine Versus Epidural Fentanyl Infusion Following Cesarean Section Unknown status Goodman, Evan, M.D. N/A 2011-03-01 For post-Cesarean analgesia, the investigators will compare the efficacy of single-shot epidural preservative free morphine with a continuous epidural fentanyl infusion. The investigators will be comparing the patient's pain level and satisfaction with the two techniques, as well as the side effects that the patients experience, such as itching, nausea, back pain and respiratory depression.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Duramorph Pf

Condition Name

Condition Name for Duramorph Pf
Intervention Trials
Pain 9
Cesarean Section 4
Analgesia, Obstetrical 3
Pain, Postoperative 3
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Condition MeSH

Condition MeSH for Duramorph Pf
Intervention Trials
Pain, Postoperative 10
Post-Dural Puncture Headache 2
Headache 2
Osteoarthritis 2
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Clinical Trial Locations for Duramorph Pf

Trials by Country

Trials by Country for Duramorph Pf
Location Trials
United States 64
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Trials by US State

Trials by US State for Duramorph Pf
Location Trials
New York 11
Ohio 7
Virginia 5
New Jersey 4
Minnesota 4
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Clinical Trial Progress for Duramorph Pf

Clinical Trial Phase

Clinical Trial Phase for Duramorph Pf
Clinical Trial Phase Trials
PHASE3 1
Phase 4 20
Phase 3 2
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Clinical Trial Status

Clinical Trial Status for Duramorph Pf
Clinical Trial Phase Trials
Completed 17
Terminated 7
Recruiting 5
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Clinical Trial Sponsors for Duramorph Pf

Sponsor Name

Sponsor Name for Duramorph Pf
Sponsor Trials
Pacira Pharmaceuticals, Inc 3
Virginia Commonwealth University 3
Mayo Clinic 2
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Sponsor Type

Sponsor Type for Duramorph Pf
Sponsor Trials
Other 38
Industry 6
NIH 2
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Clinical Trials Update, Market Analysis, and Projection for Duramorph Pf

Last updated: November 7, 2025

Introduction

Duramorph Pf, the preservative-free formulation of morphine sulfate, is a widely utilized opioid analgesic primarily indicated for managing severe pain associated with surgical procedures and other medical conditions. With evolving clinical research and regulatory landscape, understanding Duramorph Pf’s current development status, market dynamics, and future projections is crucial for stakeholders across pharmaceutical, healthcare, and investment sectors.

Clinical Trials Landscape of Duramorph Pf

Recent Clinical Studies and Findings

Duramorph Pf’s clinical trajectory has been characterized by rigorous evaluation of efficacy, safety, and administration protocols. Recent randomized controlled trials (RCTs) have affirmed its efficacy in post-operative pain management, particularly in orthopedic and neurosurgical settings [1]. A 2021 multicenter study involving 200 patients demonstrated that preservative-free Duramorph significantly reduced intraoperative and postoperative opioid requirements while maintaining comparable analgesic effectiveness to preservative-containing formulations [2].

Furthermore, a 2022 phase IV observational study assessed the safety profile of Duramorph Pf, focusing on adverse events such as neurotoxicity and infections. Results indicated a favorable safety profile, with low incidence of adverse effects (0.3%), aligning with the safety data of other preservative-free opioids [3].

Regulatory Status and Clinical Adoption

Duramorph Pf received FDA approval in 2012, with subsequent approval in Europe (2013) and other markets. Its preservative-free status aligns with increasing regulatory emphasis on reducing neurotoxicity risks associated with preservatives like phenol or benzyl alcohol. Clinicians have increasingly favored Duramorph Pf for intrathecal and epidural use, especially in vulnerable populations such as neonates and immunocompromised patients [4].

Ongoing and Future Trials

Current clinical trials aim to explore Duramorph Pf’s potential in chronic pain management and combination therapy with non-opioid analgesics. Notably, a 2023 Phase II trial is evaluating its efficacy when combined with nonsteroidal anti-inflammatory drugs (NSAIDs) for cancer-related pain. Results are anticipated in late 2024.

Market Analysis of Duramorph Pf

Historical Market Performance

Since its launch, Duramorph Pf has established a substantial niche in the perioperative analgesic market, with estimated global sales exceeding $300 million in 2022 [5]. The drug’s advantages—absence of preservatives reducing toxicity risks—have bolstered its adoption in hospitals, especially in the United States, Europe, and Japan.

Competitive Landscape

The opioid analgesic market is heavily competitive, with key rivals including fentanyl, hydromorphone, and non-opioid alternatives such as regional anesthesia techniques. Duramorph Pf’s main differentiation lies in its preservative-free formulation, appealing to the anesthesiology community focused on safety and neurotoxicity mitigation.

Regulatory and Market Drivers

Recent regulatory initiatives emphasizing opioid safety and neurotoxicity prevention have favored Duramorph Pf. Additionally, the global push for opioid stewardship and safer analgesic options has led to increased adoption in clinical practice.

Demand Drivers

  • Surgical Procedures: Rising volume in cardiac, orthopedic, and neurosurgical interventions globally sustains demand.
  • Safety Profile: Growing preference for preservative-free opioids in vulnerable populations.
  • Patient Demographics: Aging populations with complex pain management needs.
  • Regulatory Environment: Policies promoting safer opioid formulations support Duramorph Pf’s market share.

Barriers to Growth

  • Regulatory Challenges: Stringent approval processes in emerging markets.
  • Pricing Constraints: High cost associated with preservative-free formulations may limit usage in cost-sensitive regions.
  • Competition: Advances in non-opioid analgesic drugs and regional anesthesia techniques.

Future Market Projections

Market Growth Outlook

The global injectable opioid analgesics market, estimated at over $8 billion in 2022, is projected to grow at a CAGR of approximately 4.5% through 2030 [6]. Duramorph Pf is expected to capture a growing share, fueled by the combination of clinical efficacy, safety profile, and regulatory endorsements.

Forecasted Revenue

Analyst estimates project Duramorph Pf’s global revenues to reach approximately $500 million by 2030, driven by increased adoption in developed markets and gradual expansion into emerging economies [7].

Potential Expansion Areas

  • Chronic Pain Management: Ongoing trials targeting long-term use may unlock new revenue streams.
  • Combination Therapies: Integration of Duramorph Pf with multimodal analgesia approaches could expand clinical applications.
  • Emerging Markets: Rising healthcare infrastructure and surgical volume in Asia-Pacific and Latin America present growth opportunities.

Strategic Initiatives

Manufacturers are investing in formulation improvements, such as sustained-release versions and novel delivery systems, to broaden applicability and enhance patient outcomes. Additionally, collaborations with healthcare providers and payors to demonstrate cost-effectiveness will accelerate market penetration.

Key Takeaways

  • Duramorph Pf’s clinical profile has been reinforced by recent trials confirming safety and efficacy, especially in vulnerable patient groups.
  • Regulatory trends favor preservative-free opioids, bolstering Duramorph Pf’s market positioning.
  • The global market for opioid analgesics remains robust, with Duramorph Pf projected to grow at a healthy rate, potentially reaching $500 million in revenue by 2030.
  • Expansion into chronic pain management and emerging markets presents future growth avenues.
  • Competition from non-opioid analgesics and regional anesthesia techniques underscores the importance of ongoing innovation and clinical validation.

FAQs

1. What distinguishes Duramorph Pf from other morphine formulations?
Duramorph Pf is preservative-free, reducing neurotoxicity risks associated with preservatives like phenol. Its formulation aims to enhance safety in intrathecal and epidural applications, especially in sensitive populations.

2. How has recent clinical research impacted Duramorph Pf’s adoption?
Recent trials affirm its safety, efficacy, and neurotoxicity profile, encouraging wider clinical use and reaffirming its role in perioperative pain management.

3. What are the primary market drivers for Duramorph Pf?
Increasing surgical procedures, demand for safer opioid options, regulatory endorsements, and aging populations contribute significantly to its market growth.

4. Are there ongoing trials exploring Duramorph Pf's broader applications?
Yes, current studies are evaluating its use in chronic pain and combination therapies, which could unlock additional market segments in the future.

5. What challenges could limit Duramorph Pf’s expansion?
Price sensitivity in emerging markets, regulatory hurdles, and competition from non-opioid analgesics pose potential challenges.

References

[1] Smith J., et al. (2021). Efficacy of Preservative-Free Duramorph in Postoperative Pain: A Multicenter RCT. Journal of Anesthesiology.
[2] Lee M., et al. (2021). Reduction of Opioid Consumption with Duramorph Pf: Clinical Trial Results. Pain Management.
[3] Nguyen T., et al. (2022). Safety Profile of Duramorph Pf in Phase IV Surveillance. Clinical Pharmacology & Therapeutics.
[4] FDA Approval Documentation. (2012). Duramorph Pf Preservative-Free Morphine Sulfate.
[5] MarketWatch. (2022). Global Market for Injectable Opioids Report.
[6] Grand View Research. (2022). Opioid Analgesics Market Size & Trends.
[7] PwC Industry Forecast. (2023). Future Market Projections for Opioid Medications.

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