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Healthy VolunteersPhase 4NCT01877642

ADASUVE-Lorazepam Drug-Drug Interaction

A Phase 4 study testing Lorazepam 1 mg IM and Inhaled loxapine 10 mg in people with Healthy Volunteers, run by Alexza Pharmaceuticals, Inc. at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will compare the safety and effects over time for giving both ADASUVE and lorazepam (intramuscular) compared to that of each agent given alone. Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteers
What is being tested?
Lorazepam 1 mg IM and Inhaled loxapine 10 mg
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
22 participants
Where
1 siteUnited States
Study dates
Jun 2013to Jul 2013
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Male and female subjects between the ages of 18 to 50 years, inclusive.
  • Body mass index (BMI) ≥18 and ≤32.
  • Subjects who are willing and able to comply with the study schedule and requirements, and stay at the CRU for 9 days.
  • Subjects who speak, read, and understand English and are willing and able to provide written informed consent on an IRB approved form prior to the initiation of any study procedures.
  • Subjects who are in good general health prior to study participation as determined by a detailed medical history, physical examination, 12-lead ECG, blood chemistry profile, hematology, urinalysis, and in the opinion of the Principal Investigator.
  • Female participants (if of child-bearing potential and sexually active) who agree to use a medically acceptable and effective birth control method throughout the study and for 30 days following the end of the study
  • Male participants (if sexually active with a partner of child-bearing potential) who agree to use a medically acceptable and effective birth control method from the first dose and for 90 days following last dose of study drug. Male participants must refrain from donating sperm for the same period.

Who cannot join

  • Subject history, which includes: any cardiovascular disease or disorder; asthma, chronic obstructive lung disease, or any use of an inhaler prescribed for wheezing or bronchospasm must be excluded; sleep apnea; acute narrow-angle glaucoma; any neurological, gastrointestinal, hepatic, renal, hematologic, endocrine and/or metabolic disease or disorder; psychiatric illness or mental disorder except for short term situational anxiety or depression of < 2 years duration; any substance abuse or addiction within the last 2 years; pregnancy within the past 6 months.
  • Subjects who have taken prescription or nonprescription medication within 7 days of Visit 2.
  • Subjects who have had an acute illness within the last 7 days of Visit 2.
  • Subjects who have a history of HIV positivity.
  • Subjects who test positive for alcohol or have a positive urine drug screen.
  • Subjects who have a history of allergy or intolerance to loxapine or amoxapine.
Show all 12Show fewer
  • Subjects who have a history of allergy or intolerance to lorazepam or any other benzodiazepine.
  • Subjects who have a history of allergy or intolerance to polyethylene glycol, propylene glycol, or benzyl alcohol
  • Female subjects who have a positive pregnancy test at screening or at admission to Visit 2, or are breastfeeding.
  • Subjects who have received an investigational drug within 30 days prior to the Screening Visit.
  • Subjects who have any other disease(s), by history, physical examination, or laboratory abnormalities that, in the investigator's opinion, presents undue risk to the subject or may confound the interpretation of study results.
  • Subjects who are considered by the investigator, for any reason, to be an unsuitable candidate for receiving lorazepam or ADASUVE.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Covance-Evansville

    Evansville, Indiana, 47710

Other trials in United States

About this study

Official title: ADASUVE®-Lorazepam Drug-Drug Interaction Study

This study will compare the safety and effects over time for giving both ADASUVE and lorazepam (intramuscular) compared to that of each agent given alone.

Read the detailed description

The objective of this study is to compare the safety and pharmacodynamic profiles of concomitant administration of a single dose of ADASUVE and lorazepam (IM) compared to that of each agent administered alone. Respiratory pharmacodynamics will be monitored through recordings of respirations/minute and pulse oximetry. Other pharmacodynamic safety measures will include effects on blood pressure, heart rate, sedation and psychomotor measures of attention, information processing speed, reaction time, and coordination.

Initially, 4 subjects will receive lorazepam 1 mg IM + ADASUVE 10 mg open label to validate the dose regimen. After the safety data are reviewed and the dose regimen confirmed, 18 non-obese, healthy male or female volunteers between the ages of 18 and 50 will be enrolled in this double-blinded, double-dummy, randomized, 3-period cross-over drug interaction study.

Being tested
Lorazepam 1 mg IM, Inhaled loxapine 10 mg, Inhaled Placebo, Placebo IM
Keywords
ADASUVE, inhaled loxapine, drug drug interaction, lorazepam, acute treatment of agitation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Lorazepam 1 mg IMDrug

    Also called Ativan 1 mg IM

    Lorazepam 1 mg intramuscular

  • Inhaled loxapine 10 mgDrug

    Also called ADASUVE 10 mg

    Inhaled Staccato loxapine 10 mg

  • Inhaled PlaceboDrug

    Also called Staccato Placebo

    Inhaler with no drug in it to mimic the ADASUVE inhaler

  • Placebo IMDrug

    Also called Saline

    intramuscular placebo to mimic lorazepam 1 mg IM

Study groups in NCT01877642
Study groupRoleWhat they receive
Open Label (lorazepam 1 mg + Inhaled loxapine 10 mg)OtherInhaled Staccato loxapine 10 mg + IM lorazepam 1 mg to confirm tolerability of combined treatment
Receives: Drug: Lorazepam 1 mg IM; Drug: Inhaled loxapine 10 mg
Treatment Sequence ABCOtherTreatment: A = Lorazepam 1 mg IM + inhaled placebo, B = Lorazepam 1 mg IM + inhaled loxapine 10 mg, C= Placebo IM + inhaled loxapine 10 mg
Receives: Drug: Lorazepam 1 mg IM; Drug: Inhaled loxapine 10 mg; Drug: Inhaled Placebo; Drug: Placebo IM
Treatment Sequence ACBOtherTreatment: A = Lorazepam 1 mg IM + inhaled placebo, B = Lorazepam 1 mg IM + inhaled loxapine 10 mg, C= Placebo IM + inhaled loxapine 10 mg
Receives: Drug: Lorazepam 1 mg IM; Drug: Inhaled loxapine 10 mg; Drug: Inhaled Placebo; Drug: Placebo IM
Treatment Sequence BCAOtherTreatment: A = Lorazepam 1 mg IM + inhaled placebo, B = Lorazepam 1 mg IM + inhaled loxapine 10 mg, C= Placebo IM + inhaled loxapine 10 mg
Receives: Drug: Lorazepam 1 mg IM; Drug: Inhaled loxapine 10 mg; Drug: Inhaled Placebo; Drug: Placebo IM
Treatment Sequence BACOtherTreatment: A = Lorazepam 1 mg IM + inhaled placebo, B = Lorazepam 1 mg IM + inhaled loxapine 10 mg, C= Placebo IM + inhaled loxapine 10 mg
Receives: Drug: Lorazepam 1 mg IM; Drug: Inhaled loxapine 10 mg; Drug: Inhaled Placebo; Drug: Placebo IM
Treatment Sequence CABOtherTreatment: A = Lorazepam 1 mg IM + inhaled placebo, B = Lorazepam 1 mg IM + inhaled loxapine 10 mg, C= Placebo IM + inhaled loxapine 10 mg
Receives: Drug: Lorazepam 1 mg IM; Drug: Inhaled loxapine 10 mg; Drug: Inhaled Placebo; Drug: Placebo IM
Treatment Sequence CBAOtherTreatment: A = Lorazepam 1 mg IM + inhaled placebo, B = Lorazepam 1 mg IM + inhaled loxapine 10 mg, C= Placebo IM + inhaled loxapine 10 mg
Receives: Drug: Lorazepam 1 mg IM; Drug: Inhaled loxapine 10 mg; Drug: Inhaled Placebo; Drug: Placebo IM

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Maximum Level of Sedation for Lorazepam 1 mg IM + ADASUVE 10 mg

    Determine the maximum level of sedation for Lorazepam 1 mg IM + ADASUVE 10 mg based on the 100 mm Visual Analog Scale (VAS) ranging from (0=sleepy to 100=wide awake)

    Measured: 24 hours

  2. Relative Pharmacodynamic Effect on Respiration Rate for Combined vs Individual (Lorazepam, Loxapine)

    LS Mean ratio (90% CI) of the area under the curve for 0 to 24 hours (AUC 0-24) for respiration rate following administration of Lorazepam+Loxapine compared to the same measure following each control drug given alone (Lorazepam, Loxapine)

    Measured: 24 hours

Secondary outcomes (6)
  1. Relative Pharmacodynamic Effect on Systolic Blood Pressure for Combined vs Individual (Lorazepam, Loxapine)

    LS Means ratio (90% CI) of the area under the curve for 0 to 24 hours (AUC 0-24) for systolic blood pressure following administration of Lorazepam+Loxapine compared to the same measure following each control drug (Lorazepam, Loxapine) given alone

    Measured: 24 hours

  2. Relative Pharmacodynamic Effect on Sedation for Combined vs Individual (Lorazepam, Loxapine)

    LS Means ratio (90% CI) of the area under the curve for 0 to 24 hours (AUC 0-24) for sedation based on a 100 mm Visual Analog Scale (VAS) ranging from (0=sleepy to 100=wide awake) following administration of Lorazepam+Loxapine compared to the same measure following each control drug given alone (Lorazepam, Loxapine)

    Measured: 24 hours

  3. Relative Pharmacodynamic Effect on Pulse Oximetry for Combined vs Individual (Lorazepam, Loxapine)

    LS Means ratio (90% CI) of the area under the curve for 0 to 24 hours (AUC 0-24) for pulse oximetry following administration of Lorazepam+Loxapine compared to the same measure following each control drug (Lorazepam, Loxapine) given alone

    Measured: 24 hours

  4. Relative Pharmacodynamic Effect on Heart Rate for Combined vs Individual (Lorazepam, Loxapine)

    LS Means ratio (90% CI) of the area under the curve for 0 to 24 hours (AUC 0-24) for heart rate following administration of Lorazepam+Loxapine compared to the same measure following each control drug (Lorazepam, Loxapine) given alone

    Measured: 24 hours

  5. Relative Pharmacodynamic Effect on Diastolic Blood Pressure for Combined vs Individual (Lorazepam, Loxapine)

    LS Means ratio (90% CI) of the area under the curve for 0 to 24 hours (AUC 0-24) for diastolic blood pressure following administration of Lorazepam+Loxapine compared to the same measure following each control drug (Lorazepam, Loxapine) given alone

    Measured: 24 hours

  6. Relative Pharmacodynamic Effect on Cogscreen Pathfinder Response for Combined vs Individual (Lorazepam, Loxapine)

    LS Means ratio (90% CI) of the area under the curve for 0 to 24 hours (AUC 0-24) for Cogscreen Pathfinder Response following administration of Lorazepam+Loxapine compared to the same measure following each control drug (Lorazepam, Loxapine) given alone

    Measured: 24 hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Jun 2013 (estimated)
  2. Study startJun 2013
  3. Primary completionJul 2013
  4. Study completionJul 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Other
Allocation
Randomised
Intervention model
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
22 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01877642
Sponsor's protocol ID
AMDC-204-402
Status last verified
Jul 2013
First submitted
12 Jun 2013
Last updated
13 Dec 2017
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: IPD submitted to regulatory authorities. Others may contact Alexza Pharmaceuticals, Inc. Please send your request to ClinicalTrialsInfo@alexza.com

Publications

  • Spyker DA, Cassella JV, Stoltz RR, Yeung PP. Inhaled loxapine and intramuscular lorazepam in healthy volunteers: a randomized placebo-controlled drug-drug interaction study. Pharmacol Res Perspect. 2015 Dec 17;3(6):e00194. doi: 10.1002/prp2.194. eCollection 2015 Dec.

    PubMed 27022468

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Lorazepam 1 mg IM and Inhaled loxapine 10 mg in people with Healthy Volunteers, run by Alexza Pharmaceuticals, Inc. at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Dec 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 13 Dec 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Maximum Level of Sedation for Lorazepam 1 mg IM + ADASUVE 10 mg (time frame: 24 hours). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01877642, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Dec 2017.

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