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Mitigo: US FDA label indications

US FDA labelNot medical advice

Label details

Brand name
Mitigo
Generic name
Morphine Sulfate
Manufacturer
Piramal Critical Care, Inc.
Route
Epidural
Product type
Human Prescription Drug
Substance
Morphine Sulfate
Application number
ANDA204393

Indications and usage (label excerpt)

1 INDICATIONS & USAGE MITIGO ® is for use in continuous microinfusion devices and indicated only for intrathecal or epidural infusion in the management of intractable chronic pain severe enough to require an opioid analgesic and for which less invasive means of controlling pain are inadequate. Limitations of Use Not for single-dose intravenous, intramuscular, or subcutaneous administration due to the risk of overdose. Not for single-dose neuraxial injection because MITIGO ® is too concentrated for accurate delivery of the smaller doses used in this setting. MITIGO ® is an opioid agonist, for use in continuous microinfusion devices and indicated only for intrathecal or epidural infusion in the management of intractable chronic pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate. ( 1 ) Limitations of Use : ( 1 ) Not for single-dose intravenous, intramuscular, or subcutaneous administration due to the risk of overdose. Not for single-dose neuraxial injection because MITIGO ® is too concentrated for accurate delivery of the smaller doses used in this setting.

Warnings (label excerpt)

5 WARNINGS AND PRECAUTIONS 5.1 Risks with Neuraxial Administration Control of pain by neuraxial opiate delivery, using a continuous microinfusion device, is always accompanied by considerable risk to the patients and requires a high level of skill to be successfully accomplished. The task of treating these patients must be undertaken by experienced clinical teams, well-versed in patient selection, evolving technology and emerging standards of care. MITIGO ® should be administered by or under the direction of a physician experienced in the techniques of epidural or intrathecal administration and familiar with the patient management problems associated with epidural or intrathecal drug administration. The physician should be familiar with patient conditions (such as infection at the injection site, bleeding diathesis, anticoagulant therapy, etc.) which call for special evaluation of the benefit versus risk potential. Because of the risk of severe adverse effects when the epidural or intr…

Excerpts are shortened. Read the full label, and ask a pharmacist or prescriber about any medicine. Full label on DailyMed(opens in a new tab) For products sold in Canada, see the Health Canada Drug Product Database(opens in a new tab).

Trials whose interventions mention this drug

Canadian trials first. A match on the drug name does not mean the trial studied this specific product.

18 trials, recruiting first
PhaseCountries
Cannabidiol, Morphine, Pain
NCT04030442
Unknown statusPhase 1United StatesWayne State University2019-05-01
A Study to Evaluate Buprenorphine Transdermal Patch in Chinese Subjects With Moderate to Severe Chronic Cancer Pain
NCT03967327
Unknown statusPhase 3ChinaMundipharma (China) Pharmaceutical Co. Ltd2019-04-22
Embrace TDD: Post-Market Study to Evaluate Intrathecal Morphine as an Alternative to Systemic Opioids for Chronic Pain
NCT03761277
CompletedPhase 4United StatesMedtronicNeuro2019-01-16
Sensory Effects of Oral Opioid Treatment in Patients With Chronic Low Back Pain
NCT02824276
CompletedPhase 1United StatesBrigham and Women's Hospital2017-01-06
Discontinuation vs Continuation of Long-term Opioid Therapy in Suboptimal and Optimal Responders With Chronic Pain
NCT02741076
TerminatedPhase 4United StatesMember Companies of the Opioid PMR Consortium2016-09-14
NEUROIMPA - Intraarticular Application of Opioids in Chronic Arthritis of the Knee Joint
NCT02967302
Unknown statusPhase 2, Phase 3GermanyHildrun Haibel2015-08
Intrathecal Morphine Compared to Conventional Medical Management for Pain Control and Opioid-related Side Effects
NCT01924182
TerminatedNot applicableUnited StatesMedtronicNeuro2013-10
Evaluation of the Tolerability of Switching Subjects on Chronic ATC Opioid Therapy to Buprenorphine HCl Buccal Film
NCT01871285
CompletedPhase 2United StatesBioDelivery Sciences International2013-06
The Clinical Evaluation of Implantable Pump System For Safety And Delivery Accuracy In Patients Requiring Intrathecal Administration Of Morphine Sulfate For Chronic Pain
NCT01185470
CompletedPhase 2, Phase 3United StatesMedallion Therapeutics, Inc.2011-02
Conversion to Embeda With Rescue Trial
NCT01179191
TerminatedPhase 4United StatesPfizer2010-08
Abuse Potential Assessment of Intranasally Administered EMBEDA Compared To Morphine Sulfate Controlled Release And Placebo
NCT01595867
CompletedPhase 1Pfizer2010-08
Safety Study to Assess Opiate Withdrawal Signs and Symptoms in Opioid Dependent Patients
NCT01100437
TerminatedPhase 4United StatesPfizer2010-04
A Safety and Efficacy Study of Sufentanil Transdermal System in Patients With Chronic Pain Due to Cancer
NCT00943566
WithdrawnPhase 2Labtec GmbH2010-01
Methadone, Morphine, or Oxycodone in Treating Pain in Patients With Cancer
NCT00726830
TerminatedNot applicableUnited StatesM.D. Anderson Cancer Center2009-03
Evaluation of Risk Minimization, Assessment and Outcomes in Patients With Chronic Pain Taking Avinza
NCT00640042
CompletedPhase 4Puerto Rico, United StatesPfizer2008-03
Study of Embeda (Kadian NT, ALO-01) in Subjects With Chronic Moderate to Severe Nonmalignant Pain
NCT00415597
CompletedPhase 3United StatesPfizer2006-12
A Study of Embeda (Kadian NT, ALO-01) in Subjects With Pain Due to Osteoarthritis of the Hip or Knee
NCT00420992
CompletedPhase 3United StatesPfizer2006-12
Treatment for Chronic Pain in Patients With Advanced Cancer
NCT00003687
CompletedPhase 3CanadaNCIC Clinical Trials Group1998-06-11

Source: openFDA drug label (US FDA), snapshot October 2026. Not a Health Canada Product Monograph.