The Medical Letter on Drugs and Therapeutics
Fentanyl Nasal Spray (Lazanda) for Pain
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The FDA has approved a nasal spray formulation of fentanyl (Lazanda – Archimedes) for management of breakthrough pain in adult cancer patients who are already receiving and are tolerant to opioid therapy. Fentanyl is already available in the US for intravenous, intrathecal, epidural, transdermal and oral transmucosal use.1

CLINICAL STUDIES — In one study, 114 opioid-tolerant patients (taking ≥60 mg/day of oral morphine or the equivalent) with breakthrough cancer pain were first treated with fentanyl nasal spray (100 – 800 mcg) in an open-label titration phase; 83 patients continued on to a double-blind phase in which 10 breakthrough pain episodes were treated with either fentanyl nasal spray (7 episodes) or placebo (3 episodes). Pain intensity at 30 minutes, the primary endpoint, was significantly less with the active drug.2

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Title: Fentanyl Nasal Spray (Lazanda) for Pain
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