Erschienen in:
01.04.2010 | Adis Drug Evaluation
OROS® Hydromorphone Prolonged Release
A Review of its Use in the Management of Chronic, Moderate to Severe Pain
verfasst von:
Dr Natalie J. Carter, Gillian M. Keating
Erschienen in:
CNS Drugs
|
Ausgabe 4/2010
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Abstract
OROS® hydromorphone prolonged release (OROS® hydromorphone) [Jurnista™] is a once-daily formulation of the opioid agonist hydromorphone that utilizes OROS® (osmotic-controlled release oral delivery system) technology to deliver the drug at a near constant rate, thereby providing consistent analgesia over a 24-hour period. It is indicated for use in patients with severe pain and contra-indicated in those with acute or post-operative pain.
In several, randomized, multicentre, phase III trials, oral OROS® hydromorphone administered once daily for up to 52 weeks was generally effective in the treatment of patients with chronic, moderate to severe cancer or non-malignant/noncancer pain with regard to improvements from baseline to end-point in patient-assessed measures of pain intensity, pain relief and/or functional impairment. Pharmacoeconomic analyses suggest that OROS® hydromorphone provides greater cost utility than other opioids in this patient population. In addition, OROS® hydromorphone was generally well tolerated in clinical trials, with most adverse events being mild to moderate in severity and similar to those seen with other opioids. Thus, OROS® hydromorphone is an effective and useful alternative to other opioids for the treatment of patients with severe pain.