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HealthyPhase 1DRiVESaFeNCT02228239

Study to Assess the Effects of Esketamine on Safety of On-road Driving in Healthy Participants

A Phase 1 study testing Esketamine and Mirtazapine in people with Healthy, run by Janssen Research & Development, LLC at 1 site in Netherlands.

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

The purpose of this study is to evaluate the effect of esketamine compared to placebo on driving performance as assessed by the mean difference of standard deviation of lateral position (SDLP) from an on-road driving test in healthy participants. Read more about this study

Who is it for?
Ages 21 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
Esketamine and Mirtazapine
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
26 participants
Where
1 siteNetherlands
Study dates
Sep 2014to Dec 2014
Phase
Phase 1
Are there results?
None posted in the registry

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 21 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Body mass index (BMI) (weight [kg]/height^2[m^2]) between 18 and 30 kg/m^2 (inclusive), and body weight not less than 45 kg
  • Blood pressure (after the participants is supine for 5 minutes) between 90 and 140 millimeter of mercury (mmHg) systolic, inclusive, and no higher than 90 mmHg diastolic at Screening and pre-dose on Day 1 of Period 1
  • A woman of childbearing potential must have a negative urine pregnancy test at Screening and pre-dose on Day 1 of Period 1
  • A 12-lead electrocardiogram (ECG) consistent with normal cardiac conduction and function at Screening and pre-dose on Day 1 of Period 1, including: sinus rhythm, heart rate between 45 and 90 beats per minute (bpm), QTc interval less than or equal to 450 milliseconds (ms), QRS interval of less than 120 ms, PR interval less than 200 ms and morphology consistent with healthy cardiac conduction and function 1st degree AV block is exclusionary
  • Participant has a valid driving license for more than 3 years, has driven at least 5000 kilometer (km) in the past year and is driving a car regularly

Who cannot join

  • Participant has clinically significant liver or renal insufficiency; cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic (including cataplexy and cognitive impairment), hematologic, rheumatologic, psychiatric, or metabolic disturbances. A significant primary sleep disorder is exclusionary
  • Clinically significant abnormal values for hematology, clinical chemistry, or urinalysis at Screening, as deemed appropriate by the Investigator
  • Clinically significant abnormal physical examination, vital signs, or 12-lead electrocardiogram (ECG) at Screening or on Day 1 of Period 1, as deemed appropriate by the Investigator
  • Anatomical or medical conditions that may impede delivery or absorption of study medication (for example, undergone facial reconstruction, rhinoplasty, significant structural or functional abnormalities of the nose or upper airway; obstructions or mucosal lesions of the nostrils or nasal passages; undergone sinus surgery in the previous 2 years; or signs and symptoms of rhinitis predose on Day 1 of Period 1)
  • Has an abnormal or deviated nasal septum with any one or more of the following symptoms: blockage of one or both nostrils, nasal congestion (especially 1-sided), frequent nosebleeds, frequent sinus infections, and at times has facial pain, headaches, and postnasal drip

Trial locations and contacts

1 site in 1 country.

Netherlands1 site
  • Study site

    Leiden

Other trials in Netherlands

About this study

Official title: A Double-blind, Randomized, Placebo-Controlled, 3-way Crossover Study to Evaluate the Single Dose Effects of Intranasal Esketamine on Safety of On-Road Driving in Healthy Subjects

The purpose of this study is to evaluate the effect of esketamine compared to placebo on driving performance as assessed by the mean difference of standard deviation of lateral position (SDLP) from an on-road driving test in healthy participants.

Read the detailed description

This is a Phase 1, randomized (study medication assigned to participants by chance), double-blind (neither Investigator nor participant knows which treatment the participant receives), placebo-controlled (placebo is an inactive substance that is compared with a drug to test whether the drug has a real effect in a clinical trial), single-center, single-dose and 3-way crossover (the same medications provided to all participants but in different sequence) study of esketamine in healthy participants. Participants will be randomly assigned to 1 of 6 treatment sequences. The study will consist of 3 parts: Screening Phase (between 21 days and 1 day prior to the first dose administration), a 3-way crossover double-blind, single dose treatment Phase (45 days) and follow-up Phase (7 to 10 days after last dose administration). The maximum study duration for each participant will not exceed 7 weeks. Participants will receive either Treatment A (esketamine 84 milligram (mg) intranasal and 1 placebo capsule), Treatment B (placebo intranasal and 1 mirtazapine 30 mg capsule) or Treatment C (placebo intranasal and placebo capsule) in each treatment period. Driving performance will be assessed primarily by the mean difference of SDLP from an on road driving test. Participants' safety will be monitored throughout the study.

Conditions
Healthy
Being tested
Esketamine, Mirtazapine, Placebo (Matched to Esketamine), Placebo (Matched to Mirtazapine)
Keywords
Healthy, Esketamine, Mirtazapine, Psychomotor.

What participants receive

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

  • EsketamineDrug

    Also called JNJ-54135419

    Esketamine 84 milligram (mg) [3*1 of spray in each nostril] will be administered intranasally on Day 1 in one of the treatment periods.

  • MirtazapineDrug

    Mirtazapine 30 mg capsule will be administered orally on Day 1 in one of the treatment periods.

  • Placebo (Matched to Esketamine)Drug

    Placebo [3*1 in each nostril] will be administered intranasally on Day 1 in one of the treatment periods.

  • Placebo (Matched to Mirtazapine)Drug

    Placebo capsule will be administered orally on Day 1 in one of the treatment periods.

Study groups in NCT02228239
Study groupRoleWhat they receive
Sequence 1 (ABC)ExperimentalParticipants will receive Treatment A (esketamine 84 milligram (mg) intranasally and 1 placebo capsule) in Period 1, Treatment B (placebo intranasally and 1 mirtazapine 30 mg capsule) in Period 2 and Treatment C (placebo intranasally and placebo capsule) in Period 3 with a washout interval of at least 6 days between treatment periods.
Receives: Drug: Esketamine; Drug: Mirtazapine; Drug: Placebo (Matched to Esketamine); Drug: Placebo (Matched to Mirtazapine)
Sequence 2 (BCA)ExperimentalParticipants will receive Treatment B (placebo intranasally and 1 mirtazapine 30 mg capsule) in Period 1, Treatment C (placebo intranasally and placebo capsule) in Period 2 and Treatment A (esketamine 84 mg intranasally and 1 placebo capsule) in Period 3 with a washout interval of at least 6 days between treatment periods.
Receives: Drug: Esketamine; Drug: Mirtazapine; Drug: Placebo (Matched to Esketamine); Drug: Placebo (Matched to Mirtazapine)
Sequence 3 (CAB)ExperimentalParticipants will receive Treatment C (placebo intranasally and placebo capsule) in Period 1, Treatment A (esketamine 84 mg intranasally and 1 placebo capsule) in Period 2 and Treatment B (placebo intranasally and 1 mirtazapine 30 mg capsule) in Period 3 with a washout interval of at least 6 days between treatment periods.
Receives: Drug: Esketamine; Drug: Mirtazapine; Drug: Placebo (Matched to Esketamine); Drug: Placebo (Matched to Mirtazapine)
Sequence 4 (CBA)ExperimentalParticipants will receive Treatment C (placebo intranasally and placebo capsule) in Period 1, Treatment B (placebo intranasally and 1 mirtazapine 30 mg capsule) in Period 2 and Treatment A (esketamine 84 mg intranasally and 1 placebo capsule) in Period 3 with a washout interval of at least 6 days between treatment periods.
Receives: Drug: Esketamine; Drug: Mirtazapine; Drug: Placebo (Matched to Esketamine); Drug: Placebo (Matched to Mirtazapine)
Sequence 5 (ACB)ExperimentalParticipants will receive Treatment A (esketamine 84 mg intranasally and 1 placebo capsule) in Period 1, Treatment C (placebo intranasally and placebo capsule) in Period 2 and Treatment B (placebo intranasally and 1 mirtazapine 30 mg capsule) in Period 3 with a washout interval of at least 6 days between treatment periods.
Receives: Drug: Esketamine; Drug: Mirtazapine; Drug: Placebo (Matched to Esketamine); Drug: Placebo (Matched to Mirtazapine)
Sequence 6 (BAC)ExperimentalParticipants will receive Treatment B (placebo intranasally and 1 mirtazapine 30 mg capsule) in Period 1, Treatment A (esketamine 84 mg intranasally and 1 placebo capsule) in Period 2 and Treatment C (placebo intranasally and placebo capsule) in Period 3 with a washout interval of at least 6 days between treatment periods.
Receives: Drug: Esketamine; Drug: Mirtazapine; Drug: Placebo (Matched to Esketamine); Drug: Placebo (Matched to Mirtazapine)

What is being measured

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

  1. Standard Deviation of Lateral Position (SDLP) Assessed From an On-road Driving Test

    The SDLP will be measured from a validated on-road driving test in a 100 kilometer (km) highway-driving lane.

    Measured: 4 to 14 hours post-dose

Secondary outcomes (9)
  1. Standard Deviation of Speed (SDS) Assessed From an On-road Driving Test

    The SDS will be measured from a validated on-road driving test in a 100 km highway-driving lane.

    Measured: 4 to 14 hours post-dose

  2. Mean Speed (MS) Assessed From an On-road Driving Test

    The MS will be measured from a validated on-road driving test in a 100 km highway-driving lane.

    Measured: 4 to 14 hours post-dose

  3. Mean Lateral Position (MLP) Assessed From an On-road Driving Test

    The MLP will be measured from a validated on-road driving test in a 100 km highway-driving lane.

    Measured: 4 to 14 hours post-dose

  4. Subjective Driving Performance Score

    Participants will indicate the perceived quality of their driving performance on a visual analog scale, which ranges from 0 ('I drove exceptionally poorly') to 20 ('I drove exceptionally well').

    Measured: After completion of driving test (4 to 14 hours post-dose)

  5. Karolinska Sleepiness Scale (KSS) Score

    The KSS is a participant-reported assessment used to rate sleepiness on a scale of 1 to 9, ranging from 1 (extremely alert) to 9 (very sleepy, great effort to keep awake, fighting sleep).

    Measured: Pre-dose, 1, 2 hours and after completion of driving test (4 to 14 hours post-dose)

  6. Columbia Suicide Severity Rating Scale (C-SSRS) Score

    The C-SSRS is a low-burden measure of the spectrum of suicidal ideation and behavior developed to assess severity and track suicidal events providing a summary of both suicidal ideation and behavior to identify the level and type of suicidality present.

    Measured: Up to 7 to 10 days after last dose administration

  7. Brief Psychiatric Rating Scale (BPRS) Symptom Sub-Scale Score

    The BPRS is an 18-item rating scale which is used to assess a range of psychotic and affective symptoms rated from both observation of the participant and the participant's own report. Only the 4-item positive symptom subscale (consisting of: suspiciousness/persecution, hallucinations, unusual thought content, and conceptual disorganization) will be used and each question is rated on a 7-point scale ranging from 0 (not present) to 6 (extremely severe).

    Measured: Pre-dose, 1 and 2 hours post-dose

  8. Clinician Administered Dissociative States Scale (CADSS) Score

    The CADSS is an instrument for the measurement of present-state dissociative symptoms. The CADSS comprises 23 subjective items, divided into 3 components: Depersonalization, Derealization and Amnesia. Participant's responses are coded on a 5-point scale (0 = "Not at all" through to 4 = "Extremely").

    Measured: Pre-dose, 1 and 2 hours post-dose

  9. Maximum plasma concentration (Cmax)

    The Cmax is the maximum observed plasma concentration of esketamine or noresketamine.

    Measured: Pre-dose, 0.5, 1, 3 and 4 hours post-dose

Timeline

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

  1. First posted28 Aug 2014 (estimated)
  2. Study startSep 2014
  3. Primary completionDec 2014
  4. Study completionDec 2014

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 1
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
26 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02228239
Sponsor's protocol ID
CR104764
Other IDs
2014-002005-38, ESKETINTRD1006, 2014
Acronym
DRiVESaFe
Status last verified
Dec 2014
First submitted
27 Aug 2014
Last updated
30 Dec 2014
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Esketamine and Mirtazapine in people with Healthy, run by Janssen Research & Development, LLC at 1 site in Netherlands.

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 5 inclusion and 5 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 30 Dec 2014. 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 Netherlands. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Standard Deviation of Lateral Position (SDLP) Assessed From an On-road Driving Test (time frame: 4 to 14 hours post-dose). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 30 Dec 2014.

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