Reason for request

First assessment

Key points

Approval for reimbursement in multimodal management of acute pain insufficiently relieved by lower-step analgesics, for postoperative care or emergency medicine.

Therapeutic improvement?

No therapeutic improvement for moderate to severe acute pain.

Role in therapeutic strategy?

The current therapeutic strategy for moderate to severe acute pain is based on a multimodal analgesia approach, which consists of associating substances and technologies having different and complementary mechanisms of action, with a view to improving analgesia and reducing risks of adverse effects, particularly by reducing opioid use.

Role of the medicinal product

DZUVEO is to be administered by a healthcare professional in a medically monitored setting only. A medically monitored setting must have equipment and personnel trained to detect and manage morphine-induced respiratory depression. This medicinal product should not be used beyond 48 hours.

DZUVEO should be reserved for the management of acute pain insufficiently relieved by lower-step analgesics, for postoperative care or emergency medicine, in patients who can be closely monitored.

 

 


Clinical Benefit

Substantial

The Committee deems that the actual clinical benefit of DZUVEO 30 µg, sublingual tablet is significant for the multimodal management of acute pain insufficiently relieved by lower-step analgesics, for postoperative care or emergency medicine.


Clinical Added Value

no clinical added value

Considering:

  • the evidence of the efficacy versus placebo of sufentanil 30 µg, sublingual tablet in moderate to severe acute pain, for postoperative care,

but in view of:

  • the lack of controlled study versus active comparator(s),
  • uncertainties as to the transposability to clinical practice of study findings,
  • the medical need met by analgesic treatments available,
  • the safety profile of strong opioids,
  • and the wish to prioritise patient-controlled analgesia in many clinical contexts,

the Transparency Committee deems that DZUVEO 30 µg, sublingual tablet provides no clinical added value (CAV V) in the management of moderate to severe acute pain.


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