Differences in severity of poison centers exposures involving XTAMPZA® ER versus other opioid analgesics

Author:

Severtson Stevan Geoffrey1,Haanschoten Emily E1,Iwanicki Janetta1,Dart Richard C1

Affiliation:

1. Rocky Mountain Poison and Drug Safety, Denver Health and Hospital Authority, Denver, CO 80204, USA

Abstract

Aims: Xtampza® ER (Collegium Pharmaceutical, MA, USA) is an abuse-deterrent formulation (ADF) of oxycodone intended to deter tampering for use by unintended routes of administration. We assessed whether Xtampza ER exposures were less likely to result in severe medical outcomes relative to other opioid analgesic exposures. Materials & methods: Exposures reported to participating poison centers between 2016 and 2021 inclusive that were followed to a known medical outcome were analyzed. Xtampza ER was compared with other ADF opioids, non-ADF extended-release opioids, single-entity oxycodone immediate-release, unspecified oxycodone and unspecified morphine. Results & conclusion: No Xtampza ER exposures involved unintended routes of administration. Xtampza ER exposures were less likely to be abuse, misuse or suspected suicidal, and medical outcomes were less severe than comparators.

Funder

Collegium Pharmaceutical

Publisher

Future Medicine Ltd

Subject

General Medicine

Reference23 articles.

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3. CDC. Provisional drug overdose death counts (2023). www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm

4. US FDA. Abuse-deterrent opioids – evaluation and labeling: guidance for industry. 1–29 (2015) (Online). www.fda.gov/regulatory-information/search-fda-guidance-documents/abuse-deterrent-opioids-evaluation-and-labeling

5. Nonmedical Use of Xtampza® ER and Other Oxycodone Medications in Adults Evaluated for Substance Abuse Treatment: Real-World Data from the Addiction Severity Index-Multimedia Version (ASI-MV®)

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