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**Fentanyl + CHADD** is an investigational drug-device system developed by ZARS Pharmaceuticals for chronic and breakthrough pain. It combines a matrix transdermal fentanyl patch with CHADD, a thin chemical heating device applied over the patch for approximately 15–20 minutes to transiently increase fentanyl delivery through the skin. Fentanyl is a potent synthetic opioid analgesic that activates the mu-type opioid receptor, reducing nociceptive neurotransmission and pain perception. The CHADD-enabled system was evaluated in a terminated Phase 2 proof-of-concept study in adults with moderate-to-severe non-malignant chronic pain and breakthrough pain. ([clinicaltrials.gov](https://clinicaltrials.gov/study/NCT00278824))
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