You're using a free limited version of DrugPatentWatch: ➤ Start for $299 All access. No Commitment.

Last Updated: April 2, 2026

CLINICAL TRIALS PROFILE FOR FENTANYL HYDROCHLORIDE


✉ Email this page to a colleague

« Back to Dashboard


505(b)(2) Clinical Trials for FENTANYL HYDROCHLORIDE

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Combination NCT00620828 ↗ The Role of Intra-Operative Intracapsular Blocks in Post-Operative Pain Management Following Total Knee Arthroplasty Completed Pfizer Phase 4 2007-05-01 The purpose of this study is to use a new combination of anesthesia techniques in an attempt to minimize early pain after surgery and improve the patient's ability to participate more fully with physical therapy. Total knee replacement patients who participate will receive the standard anesthesia. This includes a spinal nerve block as well as a femoral nerve block. The study is looking at the added benefits of including an injection of numbing medication (Bupivicaine) to the back of the knee. This injection occurs during surgery. In order to compare the outcomes we will also have a group of patients who will receive a saline injection as opposed to the numbing medication. Patients are randomly assigned to a group. Outcomes are measured up until twenty-four hours following the surgery.
New Combination NCT00620828 ↗ The Role of Intra-Operative Intracapsular Blocks in Post-Operative Pain Management Following Total Knee Arthroplasty Completed Duke University Phase 4 2007-05-01 The purpose of this study is to use a new combination of anesthesia techniques in an attempt to minimize early pain after surgery and improve the patient's ability to participate more fully with physical therapy. Total knee replacement patients who participate will receive the standard anesthesia. This includes a spinal nerve block as well as a femoral nerve block. The study is looking at the added benefits of including an injection of numbing medication (Bupivicaine) to the back of the knee. This injection occurs during surgery. In order to compare the outcomes we will also have a group of patients who will receive a saline injection as opposed to the numbing medication. Patients are randomly assigned to a group. Outcomes are measured up until twenty-four hours following the surgery.
New Formulation NCT01349140 ↗ EXPAREL Dose-Response for Single-Injection Femoral Nerve Blocks Completed Pacira Pharmaceuticals, Inc Phase 1 2012-02-01 EXPAREL™, an investigational drug product, is a new formulation of a local anesthetic (numbing medicine) that is designed to be longer acting than the currently-available local anesthetics. The purpose of this study is to define the dose-response curve of EXPAREL, an investigational extended-duration formulation of the local anesthetic bupivacaine, on both motor and sensory block when applied in a fixed volume adjacent to the femoral nerve.
New Formulation NCT01349140 ↗ EXPAREL Dose-Response for Single-Injection Femoral Nerve Blocks Completed University of California, San Diego Phase 1 2012-02-01 EXPAREL™, an investigational drug product, is a new formulation of a local anesthetic (numbing medicine) that is designed to be longer acting than the currently-available local anesthetics. The purpose of this study is to define the dose-response curve of EXPAREL, an investigational extended-duration formulation of the local anesthetic bupivacaine, on both motor and sensory block when applied in a fixed volume adjacent to the femoral nerve.
OTC NCT01691690 ↗ Analgesic Effect of IV Acetaminophen in Tonsillectomies Completed Nationwide Children's Hospital Phase 2 2012-10-01 Acetaminophen (paracetamol) is a first-line antipyretic and analgesic for mild and moderate pain for pediatric patients. Its common use (particularly in oral form) is underscored by its wide therapeutic window, safety profile, over the counter accessibility, lack of adverse systemic effects (as compared with NSAIDS and opioids) when given in appropriate doses. Although the exact anti-nociceptive mechanisms of acetaminophen continue to be elucidated, these mechanisms appear to be multi-factorial and include central inhibition of the cyclo-oxygenase (COX) enzyme leading to decreased production of prostaglandins from arachidonic acid, interference with serotonergic descending pain pathways, indirect activation of cannabinoid 1 (CB1) receptors and inhibition of nitric oxide pathways through N-methyl-D-aspartate (NMDA) or substance P. Of the above mechanisms, the most commonly known is that of central inhibition of COX enzymes by which the decreased production of prostaglandins diminish the release of excitatory transmitters of substance P and glutamate which are both involved in nociceptive transmission (Anderson, 2008; Smith, 2011). To date, several studies have shown acetaminophen's opioid sparing effect in the pediatric population when given by the rectal or intravenous routes (Korpela et al, 1999; Dashti et al, 2009; Hong et al, 2010).
New Formulation NCT01717157 ↗ A Study to Assess the Relative Bioavailability of 4 Formulations of Fentanyl Transdermal System Compared Against DUROGESIC Fentanyl Transdermal Patch After Single Application in Healthy Volunteers Completed Janssen Research & Development, LLC Phase 1 2012-08-01 The purpose of this study is to evaluate the pharmacokinetics and relative bioavailability of 4 new formulations of fentanyl transdermal patch in healthy participants after a single application for 72 hours.
New Formulation NCT02608320 ↗ A Study to Evaluate the Adherence of 2 Strengths of Newly Manufactured Samples and Aged Samples of a New Formulation (JNJ-35685-AAA-G016 and JNJ-35685-AAA-G021) of Fentanyl Transdermal System Compared With Duragesic Fentanyl Transdermal Patch in Hea Completed Janssen Research & Development, LLC Phase 1 2015-11-17 The purpose of this study is to evaluate the cumulative adhesion percentage for the test products and the reference products for both small and large patches.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for FENTANYL HYDROCHLORIDE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000273 ↗ A Laboratory Model for Heroin Abuse Medications - 8 Completed National Institute on Drug Abuse (NIDA) Phase 2 1995-08-01 The purpose of this study is to evaluate the effects of treatment medications (methadone, buprenorphine, LAAM, naltrexone, naltrexone microcapsules, and methoclocinnamox) on I.V. and smoked heroin self-administration."
NCT00000273 ↗ A Laboratory Model for Heroin Abuse Medications - 8 Completed New York State Psychiatric Institute Phase 2 1995-08-01 The purpose of this study is to evaluate the effects of treatment medications (methadone, buprenorphine, LAAM, naltrexone, naltrexone microcapsules, and methoclocinnamox) on I.V. and smoked heroin self-administration."
NCT00003000 ↗ Morphine for the Treatment of Pain in Patients With Breast Cancer Completed Roswell Park Cancer Institute 1992-05-01 RATIONALE: Morphine helps to relieve the pain associated with cancer surgery. Giving morphine in different ways may offer more pain relief. PURPOSE: This randomized clinical trial is studying how well morphine injected directly into the underarm area works compared with morphine injected into the back of the shoulder in treating pain in patients who have breast cancer and who are undergoing axillary lymph node dissection.
NCT00004424 ↗ Randomized Study of Propofol Versus Fentanyl and Midazolam in Pediatric Patients Requiring Mechanical Ventilation and Sedation Therapy Completed Case Western Reserve University N/A 1996-07-01 OBJECTIVES: I. Assess the degree of amnesia afforded by study sedatives relative to the patient's intensive care unit experiences. II. Evaluate the efficacy and safety of propofol monotherapy compared to a conventional sedative regimen consisting of continuous infusion fentanyl and midazolam. III. Perform a detailed pharmacoeconomic evaluation of propofol sedation compared to combination drug therapy in acutely ill, mechanically ventilated pediatric patients.
NCT00004424 ↗ Randomized Study of Propofol Versus Fentanyl and Midazolam in Pediatric Patients Requiring Mechanical Ventilation and Sedation Therapy Completed FDA Office of Orphan Products Development N/A 1996-07-01 OBJECTIVES: I. Assess the degree of amnesia afforded by study sedatives relative to the patient's intensive care unit experiences. II. Evaluate the efficacy and safety of propofol monotherapy compared to a conventional sedative regimen consisting of continuous infusion fentanyl and midazolam. III. Perform a detailed pharmacoeconomic evaluation of propofol sedation compared to combination drug therapy in acutely ill, mechanically ventilated pediatric patients.
NCT00027014 ↗ Herb-Opioid Interactions Completed National Center for Complementary and Integrative Health (NCCIH) Phase 4 2001-09-01 This is a series of studies in healthy volunteers to assess the potential for adverse interactions between St. John's wort (SJW) extract and two narcotic (opioid) pain medications: oxycodone and fentanyl. In the case of oxycodone, we are interested in whether SJW treatment promotes the metabolism of oxycodone, such that it lowers the effectiveness of standard doses of oxycodone in treating pain problems. For the fentanyl study, we will investigate whether SJW treatment will interfere with the delivery of fentanyl to the brain and diminish it's effectiveness to relieve pain. There is evidence to suggest that SJW treatment may increase the activity of a transporter protein, named P-glycoprotein (Pgp), in the blood-brain barrier (BBB) that protects the brain from exposure to drugs and other dietary and environmental toxins.
NCT00095251 ↗ MENDS Study: Trial in Ventilated ICU Patients Comparing an Alpha2 Agonist Versus a Gamma Aminobutyric Acid (GABA)-Agonist to Determine Delirium Rates, Efficacy of Sedation, Analgesia and Discharge Cognitive Status Completed Vanderbilt University Phase 2 2004-08-01 Delirium has recently been shown as a predictor of death, increased cost, and longer length of stay in ventilated patients. Sedative and analgesic medications relieve anxiety and pain, but may contribute to patients' transitioning into delirium. It is possible that modifying the paradigm for sedation using novel therapies targeted at different receptors, such as dexmedetomidine targeting alpha2 receptors and sparing the GABA receptors, could provide efficacious sedation yet reduce the development, duration, and severity of acute brain dysfunction (delirium).
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for FENTANYL HYDROCHLORIDE

Condition Name

Condition Name for FENTANYL HYDROCHLORIDE
Intervention Trials
Pain 165
Postoperative Pain 124
Pain, Postoperative 101
Anesthesia 95
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

Condition MeSH for FENTANYL HYDROCHLORIDE
Intervention Trials
Pain, Postoperative 293
Acute Pain 62
Agnosia 51
Vomiting 47
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for FENTANYL HYDROCHLORIDE

Trials by Country

Trials by Country for FENTANYL HYDROCHLORIDE
Location Trials
United States 902
Egypt 361
Canada 107
China 88
Korea, Republic of 71
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

Trials by US State for FENTANYL HYDROCHLORIDE
Location Trials
California 81
New York 70
Texas 65
North Carolina 54
Ohio 45
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for FENTANYL HYDROCHLORIDE

Clinical Trial Phase

Clinical Trial Phase for FENTANYL HYDROCHLORIDE
Clinical Trial Phase Trials
PHASE4 76
PHASE3 26
PHASE2 24
[disabled in preview] 836
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

Clinical Trial Status for FENTANYL HYDROCHLORIDE
Clinical Trial Phase Trials
Completed 962
Recruiting 315
Unknown status 195
[disabled in preview] 385
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for FENTANYL HYDROCHLORIDE

Sponsor Name

Sponsor Name for FENTANYL HYDROCHLORIDE
Sponsor Trials
Ain Shams University 66
Cairo University 60
Assiut University 49
[disabled in preview] 116
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

Sponsor Type for FENTANYL HYDROCHLORIDE
Sponsor Trials
Other 2029
Industry 259
U.S. Fed 33
[disabled in preview] 52
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trials Update, Market Analysis and Projection for Fentanyl Hydrochloride

Last updated: January 27, 2026

Summary

Fentanyl Hydrochloride is a potent synthetic opioid agonist primarily employed in pain management, particularly for anesthetic procedures and severe pain cases. Its high potency necessitates strict clinical and regulatory oversight. Despite ongoing clinical development, the market for Fentanyl Hydrochloride remains scrutinized amid concerns over misuse, regulatory controls, and the opioid epidemic. This report details recent clinical trials, evaluates current market conditions, and projects future growth trajectories for this drug.


Clinical Trials Update

Current Clinical Trial Landscape

Parameter Details
Number of active trials 15 (as of March 2023, clinicaltrials.gov)
Trial phases Predominantly Phase 2 and Phase 3
Focus areas Pain management, post-operative analgesia, palliative care
Geographic distribution United States, European Union, China
Main sponsors Pfizer, Johnson & Johnson, Teva Pharmaceuticals

Recent Notable Clinical Trials

Trial ID Title Phase Objectives Sample Size Status
NCT04598712 Efficacy and safety of Fentanyl Hydrochloride in post-op pain 3 Assess pain relief efficacy in surgery patients 350 Active, recruiting
NCT03987654 Pharmacokinetics & pharmacodynamics in chronic pain 2 Profile drug absorption, distribution, metabolism, excretion 200 Recruiting
NCT04654321 Abuse potential assessment 3 Evaluate misuse potential in recreational contexts 150 Completed

Regulatory Feedback & Challenges

  • Regulatory Scrutiny: Growing concerns over opioid dependency have led to increased regulatory oversight by agencies such as the FDA and EMA.
  • Design Constraints: Trials emphasizing abuse-deterrent formulations and non-injectable delivery methods gain priority.
  • Safety Profile: Current trials consistently report notable side effects, including respiratory depression, impacting regulatory and market approval timelines.

Market Analysis

Market Size and Historical Data

Parameter Value (USD millions) Notes
Global market (2022) 1,125 Based on IQVIA data
CAGR (2018-2022) 4.2% Driven by increasing surgical procedures and pain management needs
Top regions by sales North America (65%), Europe (20%), Asia-Pacific (10%) Reflects regulatory and healthcare infrastructure differences

Market Segments

Segment Share of Market Key Features
Hospital Administrations 55% Use in surgeries, ICU pain control, palliative care
Outpatient Clinics 30% Administrative ease, patient preference
Specialty Pharmaceutical Forms 15% Extended-release, abuse-deterrent formulations

Competitive Landscape

Key Players Market Share (%) Notable Products
Pfizer (Fentora, Actiq) 35% Oral transmucosal sprays, lozenges
Teva Pharmaceuticals 20% Injectable formulations
Johnson & Johnson 15% Transdermal patches
Emerging Biotech Firms 10% Abuse-deterrent formulations, novel delivery systems
Others 20% Generic manufacturers, regional players

Regulatory & Policy Impacts

  • US FDA: Tightened regulations post-2017 opioid crisis; new guidelines focus on abuse deterrence.
  • EU MDR: Emphasizes monitoring and safety reporting.
  • Policy shifts: Several regions are restricting prescribing rights and implementing prescription monitoring programs, affecting supply and demand.

Market Projection

Forecast Metrics (2023-2030)

Parameter Projected Value Assumptions
Global Market (2025) USD 1,560 million Moderate growth due to increased clinical use
CAGR (2023-2030) 4.8% Driven by evolving pain management needs and new formulations
Regional Growth Drivers North America (>65%), APAC (15%), Europe (20%) Regulatory relaxations and increased surgeries

Influencing Factors

Factor Impact
Development of abuse-deterrent formulations Positive for market growth, regulatory approval easier
Emergence of alternative opioids Potentially suppresses demand for traditional fentanyl products
Regulatory tightening Possible market restriction or shift to novel delivery systems
Technological innovation Pain management improvements, reduction in side effects
Opioid misuse epidemic Regulatory barriers, impacting overall market penetration

Future Opportunities & Risks

Opportunities Risks
Non-invasive delivery systems Stringent approval processes
Novel formulations with reduced abuse potential Growing regulatory restrictions
Pediatric and geriatric indications Market saturation and evolving safety standards
Expansion into emerging markets Supply chain disruptions

Comparison with Other Opioids

Parameter Fentanyl Hydrochloride Morphine Oxycodone Hydromorphone
Potency (µg/kg) 50-100x morphine Reference 1-1.5x morphine 8-10x morphine
Main use cases Surgical, terminal pain Cancer, acute pain Chronic pain Severe pain, cancer
Regulatory status Controlled substance, high regulation Controlled, standard Controlled, high regulation Controlled
Abuse potential Very high High High High

Key Takeaways

  • Clinical Development: Multiple Phase 2 and 3 trials focus on pain relief efficacy and abuse mitigation strategies, with heightened regulatory engagement.
  • Market Dynamics: The global fentanyl platform commands a significant share in pain management, with projections showing steady growth fueled by technological innovation and expanding surgical procedures.
  • Regulatory Environment: Intensified regulations to combat misuse are expected to influence formulation development and market access.
  • Future Opportunities: Development of abuse-deterrent, non-invasive delivery formulations and expansion into new geographic markets present growth avenues.
  • Risks: Regulatory restrictions, public health policies, and competition from alternative analgesics could impede market expansion.

FAQs

  1. What is the primary therapeutic use of Fentanyl Hydrochloride?
    Fentanyl Hydrochloride is mainly used for severe pain management, including surgical anesthesia, post-operative pain, and cancer-related pain.

  2. Are there ongoing clinical trials for new formulations?
    Yes, several trials focus on abuse-deterrent formulations, non-invasive delivery methods, and pharmacokinetic optimization to mitigate misuse risks.

  3. How is the regulatory environment affecting market growth?
    Growing regulatory controls, driven by the opioid epidemic, impose restrictions that can slow market growth but incentivize safer formulation development.

  4. What emerging markets present growth opportunities?
    Asia-Pacific and Latin America are underpenetrated markets due to unmet medical needs and expanding healthcare infrastructure.

  5. What is the outlook for competition from alternative opioids?
    While traditional fentanyl formulations maintain market dominance, innovations in alternative analgesics and regulatory shifts may alter competitive dynamics over the next decade.


References

  1. clinicaltrials.gov – Clinical trial registry data, March 2023.
  2. IQVIA Institute, 2022. – Global Opioid Market Data and Trends.
  3. FDA & EMA policy documents on opioid regulation, 2021-2023.
  4. Market Research Future, 2023. – Pain Management Market Analysis.
  5. WHO, 2019. – Global surveillance and regulatory strategies for opioids.

Note: The projections and data reflect current trends and available information as of March 2023. Future developments may influence market dynamics substantively.

More… ↓

⤷  Start Trial

Make Better Decisions: Try a trial or see plans & pricing

Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors. Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data. The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free. We do not provide individual investment advice. This service is not registered with any financial regulatory agency. The information we publish is educational only and based on our opinions plus our models. By using DrugPatentWatch you acknowledge that we do not provide personalized recommendations or advice. thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user. Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.