Drug intelligence / Profile preview

clonidine + fentanyl (Columbia University)

Development stage
Unknown
Lead developer
Columbia University
Modality
Small Molecules
Administration
Epidural
01

Overview

The drug name **clonidine + fentanyl-Columbia University-labor pain** refers to a clinical research comparison conducted by Columbia University (NCT01846221) evaluating two different epidural analgesic combinations for the management of breakthrough pain during advanced labor. The study specifically compared epidural clonidine (75–100 μg) combined with bupivacaine versus epidural fentanyl (75–100 μg) combined with bupivacaine. Clonidine is an alpha-2 adrenergic receptor agonist that provides non-opioid analgesia, while fentanyl is a potent mu-opioid receptor agonist. The trial aimed to determine if clonidine was superior for treating the somatic component of pain in the late first or second stages of labor. Results from the Phase 4 trial indicated that both regimens provided similar analgesic efficacy and had comparable hemodynamic side effect profiles, suggesting that clonidine is an effective alternative to fentanyl in this setting.

Other names
Clonidine vs Fentanyl for Breakthrough Labor Pain
02

Targets

ADRA2A (α2A)ADRA2B (α2B)MOR (Mu opioid receptor)

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