Migraine DisordersPhase 1KCC-SMT-002NCT03229798
Sofusa System With Sumatriptan (KC5010) Phase 1 Dose Escalation Safety and PK Study (KCC-SMT-002)
A Phase 1 study testing Sumatriptan Succinate Oral Tablet and Transdermal delivery of sumatriptan succinate in people with Migraine Disorders, run by Sorrento Therapeutics, Inc. at 1 site in United States.
Trial summary
Study KCC-SMT-002, is a Phase 1, single-site, open-label, non-randomized, crossover, flexible dose design study to investigate the pharmacokinetic (PK) and safety comparing the Sofusa™ system with sumatriptan (KC5010) to Imitrex® oral tablets in 17 healthy volunteers. Read more about this study
- Who is it for?
- Ages 18 to 55 yearsHealthy volunteers can take part
- Conditions the study is for
- Migraine Disorders
- What is being tested?
- Sumatriptan Succinate Oral Tablet and Transdermal delivery of sumatriptan succinate
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 19 participants
- Where
- 1 siteUnited States
- Study dates
- 17 Jan 2018to 28 Mar 2018
- 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 18 to 55 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Able to give voluntary written informed consent (personally signed and dated) and HIPPA Authorization prior to any study related procedures.
- Available to participate for the entire study period.
- Be a male or female person between 18 and 55 years (inclusive) of age.
- Healthy as determined by the investigator based on a medical evaluation including history, physical examination, electrocardiogram (ECG), and laboratory tests.
- Have systolic blood pressure (sitting) of < 140 mmHg and diastolic blood pressure of < 90 mmHg after 5 minutes of rest. Minor excursions in blood pressure outside of this range may be acceptable if determined not to be clinically significant by the study physician or medical monitor.
- Have resting pulse rate (sitting) within normal range of 60-100 bpm. Minor excursions in resting pulse outside of this range may be acceptable if determined not to be clinically significant by the study physician or the medical monitor.
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- Females must be either postmenopausal for at least 1 year, surgically sterile (bilateral oophorectomy, tubal ligation, tubal occlusion, hysterectomy), or using adequate contraception from screening until 90 days after completion of study participation. Adequate contraception is defined as true abstinence, a vasectomized partner, or one of the following in combination with a diaphragm, cervical cap, or a condom:
- Hormonal contraceptives (oral, implant, patch, injection)
- Intrauterine device
- Males must use adequate contraception and must not donate sperm from first admission to the clinical research center until 90 days after completion of study participation. Adequate contraception is defined as true abstinence, vasectomy, a partner who is surgically sterile (bilateral oophorectomy, tubal ligation, tubal occlusion, hysterectomy), or one of the following in combination with a diaphragm, cervical cap, or a condom:
- Hormonal contraceptives (oral, implant, patch, injection)
- Intrauterine device
- Have a body weight above 50 kg and below 90 kg (inclusive).
- Be able to communicate effectively with the study personnel and understand and comply with all study requirements.
Who cannot join
- Women who are pregnant or lactating.
- Current use or has used tobacco- or nicotine-containing products (e.g., cigarettes, cigars, chewing tobacco, snuff, etc.) 30 days prior to investigational product administration. A cotinine test (with a cut-off of 200 mg) will be performed at screening and admission to the study center.
- Recent history (i.e. within 2 years) of alcohol abuse, illicit drug use, or significant mental illness.
- Positive screen for substances of abuse.
- A positive screening result for human immunodeficiency virus (HIV) antibody, Hepatitis B surface antigen (HBsAg), or Hepatitis C antibody (anti-HCV).
- Any disease or condition (medical or surgical) that might compromise a major body system (e.g. cardiovascular, respiratory, etc.) or conditions that may interfere with the absorption, distribution, metabolism, or excretion of the study medication.
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- Any bleeding disorders or use of anticoagulants.
- Any conditions (e.g. diabetes, edema, scleroderma) or receiving medications (e.g. steroids, antibiotics) that alter skin integrity and/or healing. Any known condition or receiving medications causing hypo/hyperpigmentation or photosensitivity.
- Presence or history of hypertension or other cardiovascular abnormalities such as, but not limited to, myocardial infarction, heart failure, arrhythmia, stroke, or peripheral vascular disease or any other cardiovascular disease that requires the subject to wear a pacemaker.
- Use of a drug therapy known to induce or inhibit hepatic drug metabolism within 30 days prior to the Treatment visit for dosing.
- Patient has received a live attenuated vaccine within the 4 weeks prior to treatment or plans to receive one during the study.
- Febrile illness within 7 days of Treatment visit for dosing.
- Has a positive history or known sensitivity to sumatriptan or other triptans.
- Any history of sensitivity to methylene blue, fluorescein or calcein, or other similar dye product.
- Subjects who have used ergotamine-containing or ergot-type medications (like dihydrogergotamine or methysergide) within the past week. The Imitrex® label specifies that these medication are contraindicated within 24 hours of use.
- Diagnosed with ischemic bowel disease or severe hepatic impairment which are known contraindications to sumatriptan.
- Concomitant therapy with the following medications which have significant drug interactions with sumatriptan: selective serotonin reuptake inhibitors (SSRIs), serotonin/norepinephrine reuptake inhibitor (SNRIs), tricyclic antidepressants, and monomine oxidase (MAO) inhibitors due to an increased risk of serotonin syndrome. Subjects receiving these medications may enroll in the study if these medications have been discontinued for 5 or more half-lives prior to the first Treatment visit.
- Subjects who are currently taking prescription or over-the-counter medications (including vitamins and herbal preparations) that could interfere with the evaluation or the safety of the subject, as determined by the Investigator.
- Participation in the treatment phase of a clinical study or receipt of an investigational drug or medical device within 30 days prior to the Treatment visit for dosing.
- History of difficulty with phlebotomy procedures.
- Donated blood (>400 mL) or blood products within 45 days prior to the Treatment visit for dosing.
- Subjects who have skin conditions or tattoos extensive enough to cover areas where the device is to be applied.
- Any history of skin contact sensitivity to metals, plastics or adhesives.
- Has a condition that, in the opinion of the Investigator, may increase the risk to the subject and/or the interpretation of the data.
Trial locations and contacts
1 site in 1 country.
United States1 site
Carolina Phase 1 Research
Raleigh, North Carolina, 27612
About this study
Official title: An Open-Label Phase 1 Study to Establish the Pharmacokinetics and Safety of Sumatriptan Succinate Administered Via the Sofusa™ DoseConnect™ System at Escalating Doses Compared to Oral Imitrex® Single 100 mg Dose in Healthy Subjects
Study KCC-SMT-002, is a Phase 1, single-site, open-label, non-randomized, crossover, flexible dose design study to investigate the pharmacokinetic (PK) and safety comparing the Sofusa™ system with sumatriptan (KC5010) to Imitrex® oral tablets in 17 healthy volunteers.
- Conditions
- Migraine Disorders
- Being tested
- Sumatriptan Succinate Oral Tablet, Transdermal delivery of sumatriptan succinate
- Medical subject headings
- Migraine Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Sumatriptan Succinate Oral TabletDrug
Sumatriptan succinate commercial Imitrex 100 mg tablet
Transdermal delivery of sumatriptan succinateCombination product
Also called Sofusa DoseDisc, Sofusa DoseConnect, KC5010
Sumatriptan succinate transdermal drug delivery system
| Study group | Role | What they receive |
|---|---|---|
| Sumatriptan Succinate Oral Tablet | Active comparator | 100 mg oral tablet commercial Imitrex sumatriptan succinate tablet Receives: Drug: Sumatriptan Succinate Oral Tablet |
| Sofusa Profile #1 | Experimental | Combination device for transdermal delivery of sumatriptan succinate Current approved dose (SC) Receives: Combination Product: Transdermal delivery of sumatriptan succinate |
| Sofusa Dose Profile #2 | Experimental | Combination device for transdermal delivery of sumatriptan succinate- adjust dose and flow rate to achieve PK profile based on results from Sofusa Dose Profile #1 Receives: Combination Product: Transdermal delivery of sumatriptan succinate |
| Sofusa Dose Profile #3 | Experimental | Combination device for transdermal delivery of sumatriptan succinate- adjust dose and flow rate to achieve PK profile based on results from Sofusa Dose Profile #2 Receives: Combination Product: Transdermal delivery of sumatriptan succinate |
| Sofusa Dose Profile #4 | Experimental | Combination device for transdermal delivery of sumatriptan succinate- adjust dose and flow rate to achieve PK profile based on results from Sofusa Dose Profile #3 Receives: Combination Product: Transdermal delivery of sumatriptan succinate |
| Sofusa Dose Profile #5 | Experimental | Combination device for transdermal delivery of sumatriptan succinate- adjust dose and flow rate to achieve PK profile based on results from prior Sofusa Dose Profile #2-4 Receives: Combination Product: Transdermal delivery of sumatriptan succinate |
What is being measured
The primary outcome is the main question the study is designed to answer.
PK Cmax
Pharmacokinetic profile with Cmax (maximum concentration) of drug in blood, ng/mL
Measured: 48 hours after dosing begins
PK AUC
Pharmacokinetic profile AUC (area under the curve) of drug in blood, ng-hr/mL
Measured: 48 hours after dosing begins
Secondary outcomes (2)
Dermatological skin response (Draize scale)
Skin response as measured on modified Draize scale (erythema, edema, etc.)
Measured: From Predose to 168 hours after device application
Pain of application and wear (VAS scale)
Pain as reported on Visual Analog Scale
Measured: Upon application and after wear
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Jul 2017
- Study start17 Jan 2018
- Primary completion28 Mar 2018
- Study completion28 Mar 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Migraine DisordersStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 19 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sorrento Therapeutics, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Kimberly-Clark Corporation
- Responsible party
- Sponsor
- Investigators
- Wayne L Harper, MD, Principal investigator, Carolina Phase I Research, LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03229798
- Sponsor's protocol ID
- REC-0000330, Ver 1
- Acronym
- KCC-SMT-002
- Status last verified
- Aug 2022
- First submitted
- 20 Jul 2017
- Last updated
- 10 Aug 2022
- Results posted
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- Yes
- Individual data sharing
- Undecided
Publications
Kam KR, Walsh LA, Bock SM, Koval M, Fischer KE, Ross RF, Desai TA. Nanostructure-mediated transport of biologics across epithelial tissue: enhancing permeability via nanotopography. Nano Lett. 2013 Jan 9;13(1):164-71. doi: 10.1021/nl3037799. Epub 2012 Dec 24.
PubMed 23186530Walsh L, Ryu J, Bock S, Koval M, Mauro T, Ross R, Desai T. Nanotopography facilitates in vivo transdermal delivery of high molecular weight therapeutics through an integrin-dependent mechanism. Nano Lett. 2015 Apr 8;15(4):2434-41. doi: 10.1021/nl504829f. Epub 2015 Mar 27.
PubMed 25790174Owen K, Hartley K, Tucker ML, Parkinson MM, Tweats DJ, Jackson MR. The preclinical toxicological evaluation of sumatriptan. Hum Exp Toxicol. 1995 Dec;14(12):959-73. doi: 10.1177/096032719501401205.
PubMed 8962747
Study at a glance
From the registry record, last updated by the sponsor on 10 Aug 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-Label Phase 1 Study to Establish the Pharmacokinetics and Safety of Sumatriptan Succinate Administered Via the Sofusa™ DoseConnect™ System at Escalating Doses Compared to Oral Imitrex® Single 100 mg Dose in Healthy Subjects
- ClinicalTrials.gov ID
- NCT03229798
- Acronym / sponsor ID
- KCC-SMT-002 / REC-0000330, Ver 1
- Conditions
- Migraine Disorders
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 19 participants (actual)
- Lead sponsor
- Sorrento Therapeutics, Inc.Industry (pharma, biotech, devices)
- Collaborators
- Kimberly-Clark Corporation
- Study start
- 17 Jan 2018 (actual)
- Primary completion
- 28 Mar 2018 (actual)
- Study completion
- 28 Mar 2018 (actual)
- First posted
- 26 Jul 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Study KCC-SMT-002, is a Phase 1, single-site, open-label, non-randomized, crossover, flexible dose design study to investigate the pharmacokinetic (PK) and safety comparing the Sofusa™ system with sumatriptan (KC5010) to Imitrex® oral tablets in 17 healthy volunteers.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Sumatriptan Succinate Oral Tablet | Active comparator | Drug: Sumatriptan Succinate Oral Tablet100 mg oral tablet commercial Imitrex sumatriptan succinate tablet |
| Sofusa Profile #1 | Experimental | Combination Product: Transdermal delivery of sumatriptan succinateCombination device for transdermal delivery of sumatriptan succinate Current approved dose (SC) |
| Sofusa Dose Profile #2 | Experimental | Combination Product: Transdermal delivery of sumatriptan succinateCombination device for transdermal delivery of sumatriptan succinate- adjust dose and flow rate to achieve PK profile based on results from Sofusa Dose Profile #1 |
| Sofusa Dose Profile #3 | Experimental | Combination Product: Transdermal delivery of sumatriptan succinateCombination device for transdermal delivery of sumatriptan succinate- adjust dose and flow rate to achieve PK profile based on results from Sofusa Dose Profile #2 |
| Sofusa Dose Profile #4 | Experimental | Combination Product: Transdermal delivery of sumatriptan succinateCombination device for transdermal delivery of sumatriptan succinate- adjust dose and flow rate to achieve PK profile based on results from Sofusa Dose Profile #3 |
| Sofusa Dose Profile #5 | Experimental | Combination Product: Transdermal delivery of sumatriptan succinateCombination device for transdermal delivery of sumatriptan succinate- adjust dose and flow rate to achieve PK profile based on results from prior Sofusa Dose Profile #2-4 |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (14 listed)
- Able to give voluntary written informed consent (personally signed and dated) and HIPPA Authorization prior to any study related procedures.
- Available to participate for the entire study period.
- Be a male or female person between 18 and 55 years (inclusive) of age.
- Healthy as determined by the investigator based on a medical evaluation including history, physical examination, electrocardiogram (ECG), and laboratory tests.
- Have systolic blood pressure (sitting) of < 140 mmHg and diastolic blood pressure of < 90 mmHg after 5 minutes of rest. Minor excursions in blood pressure outside of this range may be acceptable if determined not to be clinically significant by the study physician or medical monitor.
Key exclusion criteria (24 listed)
- Women who are pregnant or lactating.
- Current use or has used tobacco- or nicotine-containing products (e.g., cigarettes, cigars, chewing tobacco, snuff, etc.) 30 days prior to investigational product administration. A cotinine test (with a cut-off of 200 mg) will be performed at screening and admission to the study center.
- Recent history (i.e. within 2 years) of alcohol abuse, illicit drug use, or significant mental illness.
- Positive screen for substances of abuse.
- A positive screening result for human immunodeficiency virus (HIV) antibody, Hepatitis B surface antigen (HBsAg), or Hepatitis C antibody (anti-HCV).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Sumatriptan Succinate Oral TabletSumatriptan succinate commercial Imitrex 100 mg tablet | Drug | Sumatriptan Succinate Oral Tablet |
| Transdermal delivery of sumatriptan succinateAlso: Sofusa DoseDisc, Sofusa DoseConnect, KC5010Sumatriptan succinate transdermal drug delivery system | Combination product | Sofusa Dose Profile #2, Sofusa Dose Profile #3, Sofusa Dose Profile #4, Sofusa Dose Profile #5, Sofusa Profile #1 |
Primary outcome
PK Cmax
Time frame: 48 hours after dosing begins
Pharmacokinetic profile with Cmax (maximum concentration) of drug in blood, ng/mL
PK AUC
Time frame: 48 hours after dosing begins
Pharmacokinetic profile AUC (area under the curve) of drug in blood, ng-hr/mL
2 secondary outcomes
Dermatological skin response (Draize scale)
Time frame: From Predose to 168 hours after device application
Pain of application and wear (VAS scale)
Time frame: Upon application and after wear
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Aug 2022.
- Background: PubMed 23186530Kam KR, Walsh LA, Bock SM, Koval M, Fischer KE, Ross RF, Desai TA. Nanostructure-mediated transport of biologics across epithelial tissue: enhancing permeability via nanotopography. Nano Lett. 2013 Jan 9;13(1):164-71. doi: 10.1021/nl3037799. Epub 2012 Dec 24.
- Background: PubMed 25790174Walsh L, Ryu J, Bock S, Koval M, Mauro T, Ross R, Desai T. Nanotopography facilitates in vivo transdermal delivery of high molecular weight therapeutics through an integrin-dependent mechanism. Nano Lett. 2015 Apr 8;15(4):2434-41. doi: 10.1021/nl504829f. Epub 2015 Mar 27.
- Background: PubMed 8962747Owen K, Hartley K, Tucker ML, Parkinson MM, Tweats DJ, Jackson MR. The preclinical toxicological evaluation of sumatriptan. Hum Exp Toxicol. 1995 Dec;14(12):959-73. doi: 10.1177/096032719501401205.
- Imitrex® oral prescribing information (November 2013)Link provided by the sponsor.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Wayne L Harper, MD principal investigator
Carolina Phase I Research, LLC
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Sumatriptan Succinate Oral Tablet and Transdermal delivery of sumatriptan succinate in people with Migraine Disorders, run by Sorrento Therapeutics, 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 14 inclusion and 24 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 10 Aug 2022. 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 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?
PK Cmax (time frame: 48 hours after dosing begins). 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 NCT03229798, which also lists 3 linked publications.
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 10 Aug 2022.