Evaluation of the Efficacy of Sublingual Sufentanil (Prescribed as Rescue Analgesia for Acute Postoperative Pain) on the Quality of Health Recovery After Surgery: a Randomized, Controlled, Multicenter, Open-label Trial Against an Active Comparator (SUBLIME)
NCT07624006 · Status: NOT_YET_RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 1150
Last updated 2026-06-03
Summary
The number of surgical procedures performed annually exceeds 300 million worldwide and continues to grow. The management of the most common perioperative symptoms (pain, nausea/vomiting, constipation) represents a major public health challenge.
In the context of postoperative pain management, a multimodal analgesia strategy is recommended in order to minimize opioid consumption. The opioid currently most commonly used is oral morphine sulfate. New therapeutic options are emerging, including sublingual sufentanil (Dzuveo®, 30 µg), which combines opioid-like effects with a faster onset of action due to its lipophilicity.
The hypothesis of this study is that, because of its unique pharmacokinetic and pharmacodynamic profile, this new formulation is more effective than oral morphine sulfate in the treatment of postoperative pain and in the recovery of health status.
Conditions
- Postoperative Pain
Interventions
- DRUG
-
Sublingual sufentanil 30 µg (one dose per hour, as needed)
Opioid administration will be carried out from discharge from the post-anesthesia care unit until postoperative day 3 (D3) at 8:00 a.m.
- DRUG
-
Morphine sulfate (10 mg every 4 hours as needed)
Opioid administration will be carried out from discharge from the post-anesthesia care unit until postoperative day 3 (D3) at 8:00 a.m.
Sponsors & Collaborators
-
University Hospital, Strasbourg, France
lead OTHER
Principal Investigators
-
Thomas PERRIN, MD · Hôpitaux Universitaires de Strasbourg
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2027-01-01
- Primary Completion
- 2030-02-28
- Completion
- 2030-02-28
Countries
- France
Study Locations
More Related Trials
-
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate the Efficacy and Safety of the Sufentanil NanoTab PCA System/15 mcg (Zalviso™) for the Treatment of Post-Operative Pain in Patients After Open Abdominal Surgery
NCT01539642 ·Status: COMPLETED ·Phase: PHASE3
-
Esmolol Versus Sufentanil on the Quality of Post-cholecystectomy Recovery Laparoscopic Anaesthesia With Orotracheal Intubation on an Outpatient Basis
NCT07019818 ·Status: RECRUITING ·Phase: PHASE4
-
Sublingual Sufentanil PCA Usability for Postoperative Pain (Zalviso® System)
NCT03373851 ·Status: COMPLETED
-
Comparison of an Opioid-Free Anesthesia Protocol Versus Standard Practices on Early and Late Post-operative Recovery
NCT04797312 ·Status: UNKNOWN ·Phase: PHASE3
-
Suzetrigine for Opioid-Sparing Postoperative Analgesia Following Transvaginal Pelvic Reconstructive Surgery
NCT07600697 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Intrathecal Morphine Analgesia vs. Continuous Epidural Analgesia vs. Systemic Analgesia in Colorectal Surgery.
NCT03007121 ·Status: COMPLETED ·Phase: PHASE4
-
Intraoperative Sufentanil and Chronic Postsurgical Pain in Non-major Scheduled Abdominal Surgery
NCT06374849 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE4
-
Comparison of Analgesic Efficacy of Fentanyl, Sufentanil and Butorphanol After Remifentanil Anesthesia
NCT00738192 ·Status: COMPLETED ·Phase: PHASE4
-
Analgesic Efficacy of an Opioid-free Postoperative Pain Management Strategy Versus a Conventional Opioid-based Strategy Following Video-assisted Thoracoscopic Lobectomy
NCT06570538 ·Status: NOT_YET_RECRUITING ·Phase: EARLY_PHASE1
-
Preoperative Versus Postoperative Ultrasound-guided Rectus Sheath Block for Sleep Quality and Cytokines of Patients
NCT02477098 ·Status: COMPLETED ·Phase: PHASE4
-
An International Trial to Evaluate the Efficacy and Safety of SABER®-Bupivacaine for Postoperative Pain Control in Patients Undergoing Hysterectomy
NCT00993226 ·Status: COMPLETED ·Phase: PHASE2
-
Effect of Opioid-free Analgesia and Anesthesia on the Quality of Postoperative Recovery and Nausea Vomit in Patients Receiving Laparoscopic Sleeve Gastrectomy
NCT06305221 ·Status: RECRUITING ·Phase: NA
-
Continuous Preperitoneal Infusion of Ropivacaine After Open Liver Resection: Effect on Post-operative Recovery and Morbidity.
NCT01890408 ·Status: TERMINATED ·Phase: PHASE2
-
A Study Of Opioid Avoidance In Surgery Through Integrating Suzetrigine
NCT07257133 ·Status: COMPLETED ·Phase: PHASE4
-
Intravenous Acetaminophen to Reduce Post-operative Opioid Consumption
NCT06923540 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Efficacy and Safety of Liposomal Bupivacaine Under ERAS Concept for Postoperative Analgesia of Ultrasound-Guided QLB in Gynecologic Laparoscopic Patients: A Randomized, Single-blind, Active-Controlled Clinical Study
NCT06288841 ·Status: RECRUITING ·Phase: NA
-
Spinal Versus Epidural Analgesia in Laparotomic Liver Surgery
NCT02647047 ·Status: UNKNOWN ·Phase: NA
-
Oxycodone Versus Sufentanil in Patient-controlled Intravenous Analgesia After Laparoscopic Hysterectomy
NCT06690307 ·Status: RECRUITING ·Phase: PHASE4
-
Different Lipid Soluble Opioids for Gynecologic Laparoscopic Surgery Postoperative Patient-controlled Analgesia
NCT01917045 ·Status: COMPLETED ·Phase: NA
-
the Efficacy and Safety of Oliceridine Fumarate Injection for Acute Pain After Abdominal Surgery
NCT06530563 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Perioperative Intravenous Lidocaine in Liver Surgery
NCT05153785 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Elective Total Abdominal Hysterectomy With Preoperative Analgesia Intravenous Paracetamol Versus Placebo
NCT07368790 ·Status: COMPLETED ·Phase: NA
-
Efficacy and Safety of a Collagen Bupivacaine Implant in Women Following Abdominal Hysterectomy
NCT00624910 ·Status: COMPLETED ·Phase: PHASE2
-
Analgesia-Nociception Index Guided Intraoperative Remifentanil Administration Versus Standard Practice:Evaluation of Perioperative Opioid Use
NCT03498820 ·Status: COMPLETED ·Phase: NA
-
Intravenous Administration of Magnesium Sulfate in Hysterectomy Cases
NCT05644873 ·Status: COMPLETED ·Phase: NA