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T2rev (also known as v1003) is a reformulated transdermal patch formulation of buprenorphine developed by Grünenthal for the treatment of severe and persistent pain. Buprenorphine is a centrally acting opioid analgesic that acts as a partial agonist at the mu-type opioid receptor and an antagonist at the kappa-type opioid receptor. T2rev was designed as a low-dose alternative to the reference patch Transtec® PRO (70 µg/h), containing 13 mg of buprenorphine compared to the reference's 40 mg, while aiming to achieve bioequivalent plasma levels. The formulation was evaluated in Phase 1 single-dose and multiple-dose bioequivalence studies in healthy volunteers to assess its pharmacokinetic profile, safety, tolerability, and adhesiveness.
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