Can a Self-Inhaled vapor beat oral painkillers in the ER?
NCT ID NCT07742007
First seen Aug 03, 2026 · Last updated Aug 04, 2026 · Updated 1 time
Summary
This trial asks whether inhaling methoxyflurane, a fast-acting pain reliever, can reduce pain more quickly than standard oral medications for adults arriving at the emergency department with non-traumatic pain. Participants with moderate to severe pain will be randomly assigned to receive either methoxyflurane or usual care, and the time to meaningful pain relief will be measured. The goal is to see if this inhaled option can offer faster relief for people waiting in the ER.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Methoxyflurane (Penthrox), an inhaled analgesic self-administered under supervision
- What this could lead to
- If effective, methoxyflurane could offer a fast, non-opioid option for managing moderate to severe pain in emergency departments, potentially reducing wait times for relief.
- What could go wrong
- This is a phase 3 trial, but results are not yet known. Methoxyflurane may not prove superior to usual care, and it carries risks like any medication, including potential side effects or contraindications.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 164 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult ≥ 18 years * Acute non-traumatic pain of moderate to severe intensity (VAS strictly greater than 39 mm) * Able to independently assess their pain using a VAS and to record it independently on paper. * Affiliated to a social security system * Having signed informed consent Exclusion Criteria: * Age \< 18 years * Contraindications to methoxyflurane as stated in the Summary of Product Characteristics: * Hypersensitivity to the active substance or to any other fluorinated anesthetic or to any excipient. * Malignant hyperthermia: known malignant hyperthermia or genetic predisposition. * History of serious adverse reactions (patient or relatives) after administration of inhaled anesthetics. * History of signs of liver injury after use of methoxyflurane or halogenated hydrocarbons. * Clinically significant renal impairment * Altered level of consciousness regardless of cause, including head trauma, drug or alcohol use * Clinical evidence of cardiovascular instability * Clinical evidence of respiratory depression * Hemodynamically unstable patient (SBP \< 100 mmHg, DBP \< 30 mmHg) * Patient having already received Methoxyflurane on the same day * Patient having taken analgesic treatment prior to emergency consultation within 4 hours of admission. * Pain ≤ 39 mm * Pregnant, breastfeeding. * Women of childbearing potential not using a highly effective method of contraception throughout the study. The absence of pregnancy must be confirmed by performing a pregnancy test. Patients who are unable to provide a urine sample at the time of inclusion will not be enrolled in the study. * Subject under legal protection * Patients currently within the exclusion period of another clinical trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
3 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CHRU Hôpitaux de Tours - Urgences de l'Hôpital Trousseau
Tours, CHRU de Tours, 37170, France
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CHU d'Angers
Angers, 49100, France
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CHU d'Orléans
Orléans, 45100, France
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Other studies related to the condition(s) this trial covers.
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