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HealthyPhase 1NCT03516305

Pharmacokinetic Study Evaluating Staccato® Alprazolam 1 mg Inhaler in Smokers Versus Non-Smokers

A Phase 1 study testing Staccato Alprazolam 1 mg in people with Healthy, run by Engage Therapeutics, 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 is an open-label, non-randomized, single dose, pharmacokinetic study in 36 healthy adult male and female volunteers, including 18 smokers and 18 non-smokers. All subjects will be administered a single inhaled dose of Staccato alprazolam 1 mg via hand-held inhaler. Read more about this study

Who is it for?
Ages 21 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
Staccato Alprazolam 1 mg
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
1 siteUnited States
Study dates
6 Apr 2018to 1 Aug 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 21 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • These inclusion criteria (items 1-8) apply to all subjects, smokers and non-smokers:
  • Healthy male and female subjects between the ages of21 to 50 years, inclusive.
  • 2. Body mass index (BMI) >/= 18 and </= 30 kg/m2, inclusive.
  • 3. Able to 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.
  • 4. Willing and able to be confined to a clinical research facility for up to 48 hours (including 2 nights) and comply with the study schedule and study requirements.
  • 5. Normal spirometry at screening as demonstrated by FEVI +/- 80% of predicted and FVC +/- 80% of predicted.
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  • 6. Adequate veins, as assessed by the Investigator or Investigator's designee, that are suitable for the required number and frequency of PK blood draws in this study.
  • 7. In otherwise good general health as determined by a complete medical history, physical examination, 12-lead electrocardiogram (ECG), blood chemistry profile, hematology, serology (HIV-l/2Ab, HBsAg, HCV Ab), and urinalysis at screening.
  • 8. Female participants (if of child-bearing potential and sexually active) and male participants (if sexually active with a partner of child-bearing potential) who agree to use a medically acceptable and effective birth control method throughout the study and for one week following the end of the study.
  • Smokers must meet the following inclusion criteria (items 9-10):
  • 9. A history of smoking> 15 cigarettes/day currently and for at least the last 2 years.
  • 10. Serum cotinine +/-500 ng/mL at Screening Visit I.
  • Nonsmokers must meet the following inclusion criteria (items 11-12):
  • 11. A history of never smoking> 5 cigarettes/day and not smoking at all for at least the last 2 years prior to Visit I.
  • 12. Serum cotinine :o 40 ng/mL at Screening Visit I and a negative urine cotinine test at Visit 2 Day-I.

Who cannot join

  • Treatment with an investigational drug within 30 days ( or within 5 half-lives of the investigational drug, if>30 days) prior to Visit I.
  • Significant hepatic, renal, gastroenterologic, cardiovascular endocrine, neurologic (including history of seizures or stroke), or hematologic disease.
  • Any acute illness in the 5 days prior to Visit 2.
  • Upper respiratory tract infection within 6 weeks of Visit 2 or bronchitis or pneumonia within 6 months of Visit 2.
  • Use of a bronchodilator for the treatment of wheezing within 12 months of Visit I.
  • Diagnosis of an active or chronic pulmonary disease.
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  • Lung resection or other pulmonary surgery within 12 months of Visit I.
  • A history of allergy or intolerance to alprazolam.
  • Use of any other prescription or nonprescription medication--with the exception of acetaminophen, ibuprofen or ongoing doses of oral contraceptives or vitamins--within 5 days prior to study drug administration.
  • A history within the past 2 years of drug or alcohol dependence or abuse.
  • Positive test for alcohol or a positive urine screen for drugs of abuse at screening
  • A positive HIV test.
  • Breastfeeding or a positive pregnancy test at screening (female subjects).
  • Clinically significant ECG abnormality.
  • Hypotension or hypertension, at screening or baseline.
  • Poor veins in the opinion of the Investigator or the Investigator's designee such that the participant is judged to likely have difficult venipuncture during the study.
  • Any other disease or condition, by history, physical examination, or laboratory abnormalities that in the investigator's opinion, would present undue risk to the subject, or may confound the interpretation of study results.
  • Participation in another clinical trial within 2 months of the beginning of the present study, or blood donation or comparable blood loss (>350mL) within 2 months before the present study.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Clinilabs Research Unit

    Eatontown, New Jersey, 07724

Other trials in United States

About this study

Official title: A Phase 1 Open-Label, Non-Randomized, Single-Dose, Pharmacokinetic Study Evaluating Staccato® Alprazolam 1 mg Inhaler in Smoker Versus Non-Smoker Healthy Adult Volunteers

This is an open-label, non-randomized, single dose, pharmacokinetic study in 36 healthy adult male and female volunteers, including 18 smokers and 18 non-smokers. All subjects will be administered a single inhaled dose of Staccato alprazolam 1 mg via hand-held inhaler. Blood samples will be drawn for pharmacokinetic analysis. Eligible subjects are admitted to Phase 1 unit for up to 48 hours. Subjects will receive a post-study safety phone call 14 days(± 2 days) after dosing.

Conditions
Healthy
Being tested
Staccato Alprazolam 1 mg

What participants receive

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

  • Staccato Alprazolam 1 mgDrug

    alprazolam I mg administered via the Staccato hand-held inhaler device system.

Study groups in NCT03516305
Study groupRoleWhat they receive
Staccato Alprazolam 1 mgExperimentala single inhaled dose
Receives: Drug: Staccato Alprazolam 1 mg

What is being measured

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

  1. Pharmacokinetics (PK) : Maximum observer drug concentration (Cmax)

    Cmax of alprazolam in smokers compared to non-smokers

    Measured: Sequential time points : pre-dose, and at 2, 5, 10 and 30 minutes, and at 1, 2, 4, 6, 12, 24 and 36 hours post-dose.

  2. PK: Area under the concentration versus time curve (AUC)from Zero to Infinity (AUC[0-∞]

    AUC[0-∞] of alprazolam in smokers compared to non-smokers

    Measured: Sequential time points : pre-dose, and at 2, 5, 10 and 30 minutes, and at 1, 2, 4, 6, 12, 24 and 36 hours post-dose.

Secondary outcomes (2)
  1. PK;: time after administration of a drug when the maximum plasma concentration is reached (Tmax)

    Tmax of alprazolam in smokers compared to non-smokers

    Measured: Sequential time points : pre-dose, and at 2, 5, 10 and 30 minutes, and at 1, 2, 4, 6, 12, 24 and 36 hours post-dose.

  2. PK: half-life (t1/2)

    t1/2 of alprazolam in smokers compared to non-smokers

    Measured: Sequential time points : pre-dose, and at 2, 5, 10 and 30 minutes, and at 1, 2, 4, 6, 12, 24 and 36 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 posted4 May 2018
  2. Study start6 Apr 2018
  3. Primary completion1 Aug 2018
  4. Study completion1 Aug 2018

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
Basic science
Allocation
Not applicable
Intervention model
Single group
Model description
All subjects receive a single dose of Staccato Alprazolam 1 mg
Masking
None (open label)
Enrolment
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03516305
Sponsor's protocol ID
EPK-002
Status last verified
Apr 2022
First submitted
24 Apr 2018
Last updated
7 Apr 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Staccato Alprazolam 1 mg in people with Healthy, run by Engage 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 15 inclusion and 18 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 7 Apr 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?

Pharmacokinetics (PK) : Maximum observer drug concentration (Cmax) (time frame: Sequential time points : pre-dose, and at 2, 5, 10 and 30 minutes, and at 1, 2, 4, 6, 12, 24 and 36 hours post-dose.). 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?
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 7 Apr 2022.

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