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Safety, and TolerabilityPhase 1NCT07226362

A Study Evaluating the Safety, Tolerability and Pharmacokinetics of ASY202 in Healthy Adults

A Phase 1 study testing DHE inhalation powder low dose administered via dry powder inhaler (DPI) device, DHE inhalation powder high dose administered via dry powder inhaler (DPI) device and DHE injected intravenously (1 mg) in people with Safety, and Tolerability, run by Aspeya Switzerland SA 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

A Phase 1 clinical trial to evaluate the pharmacokinetics, relative bioavailability, safety and tolerability of DHE inhalation powder delivered by dry powder inhaler, DHE IV, and DHE nasal spray. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Safety, and Tolerability
What is being tested?
DHE inhalation powder low dose administered via dry powder inhaler (DPI) device, DHE inhalation powder high dose administered via dry powder inhaler (DPI) device and DHE injected intravenously (1 mg)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
44 participants
Where
1 siteUnited States
Study dates
9 Jun 2025to 2 Oct 2025
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

  • Subjects must meet all the following criteria to be included in the study:
  • Male or female, ≥ 18 and ≤ 55 years of age, with body mass index (BMI) >18.5 and < 32.0 kg/m2
  • Healthy subjects
  • Female subjects of non-childbearing potential or childbearing potential willing to use protocol required methods of contraception
  • Current non-smoker
  • Able to understand the study procedures and provide signed informed consent to participate in the study.

Who cannot join

  • Subjects to whom any of the following applies will be excluded from the study:
  • Positive pregnancy test or lactating female subjects at screening or on Day 1 of each treatment period
  • Clinically significant abnormal laboratory or serology test results
  • History or current diagnosis of uncontrolled or significant cardiac disease
  • Significant risk factors for cardiovascular disease
  • Subject with abnormal lung function at screening
Show all 9Show fewer
  • History or current diagnosis of lung disease e.g. asthma, COPD
  • Known allergic reactions, hypersensitivity or contraindications to DHE, other ergot-derived products or to any excipient
  • History of drug or alcohol abuse

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Alliance for Multispecialty research (AMR)

    Knoxville, Tennessee, 37920

Other trials in United States

About this study

Official title: A Phase-1, Open-label Randomized, 4-treatment, 4-period Crossover Study to Evaluate the Pharmacokinetics, Relative Bioavailability, Safety and Tolerability of Single Doses of Dihydroergotamine Mesylate (DHE) Inhalation Powder, DHE Intravenous (IV), and DHE Nasal Spray in Healthy Adult Subjects.

A Phase 1 clinical trial to evaluate the pharmacokinetics, relative bioavailability, safety and tolerability of DHE inhalation powder delivered by dry powder inhaler, DHE IV, and DHE nasal spray.

Read the detailed description

This is an open-label, randomized, 4-treatment, 4-period crossover study to evaluate the PK, relative BA, safety, and tolerability of single doses of study medication in healthy adult subjects.

Following screening, eligible subjects will be enrolled and randomized to one of the 4 treatment sequences. Subjects will receive single doses of DHE inhalation powder (low dose and high dose), DHE IV (1 mg) and DHE nasal spray (2 mg).

Subjects will be administered one treatment in each period according to their assigned sequence. Each subject will receive all 4 treatments in the study.

During each treatment period subjects will remain in the clinical research unit for 3 days, until completion of the 48-hour post-dose assessments.

Subjects will return for their next treatment period after at least 7 days washout after the administration of their previous treatment until all periods have been completed in their sequence.

A follow-up will be conducted on Day 7 after the last dose in the study to assess safety.

Being tested
DHE inhalation powder low dose administered via dry powder inhaler (DPI) device, DHE inhalation powder high dose administered via dry powder inhaler (DPI) device, DHE injected intravenously (1 mg), DHE 2 mg administered by nasal spray (Migranal®), Metoclopramide 10mg
Keywords
Dihydroergotamine mesylate, Inhalation powder

What participants receive

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

  • DHE inhalation powder low dose administered via dry powder inhaler (DPI) deviceCombination product

    The DHE inhalation powder is a pre-metered drug-device combination product containing DHE dry powder low dose formulation for oral inhalation

  • DHE inhalation powder high dose administered via dry powder inhaler (DPI) deviceCombination product

    The DHE inhalation powder is a pre-metered drug-device combination product containing DHE dry powder high dose formulation for oral inhalation

  • DHE injected intravenously (1 mg)Drug

    A single dose of DHE injection consists of 1 mg/mL ampoule of DHE solution for slow intravenous administration.

  • DHE 2 mg administered by nasal spray (Migranal®)Drug

    A single vial of DHE nasal spray (Migranal®) contains 1 mL of 4 mg/mL DHE solution.

  • Metoclopramide 10mgDrug

    To prevent nausea caused by IV administration of DHE, participants will receive antiemetic pre-medication with metoclopramide 10 mg administered by slow intravenous push over 1-2 min, given 5 to 10 minutes prior to IV DHE dosing.

Study groups in NCT07226362
Study groupRoleWhat they receive
Treatment A: inhaled DHE low doseExperimentalLow dose of DHE inhalation powder
Receives: Combination Product: DHE inhalation powder low dose administered via dry powder inhaler (DPI) device
Treatment B: inhaled DHE high doseExperimentalHigh dose of DHE inhalation powder
Receives: Combination Product: DHE inhalation powder high dose administered via dry powder inhaler (DPI) device
Treatment C: intravenous DHEActive comparator1 mg DHE injected intravenously
Receives: Drug: DHE injected intravenously (1 mg); Drug: Metoclopramide 10mg
Treatment D: intranasal DHEActive comparator2 mg DHE nasal spray (Migranal®)
Receives: Drug: DHE 2 mg administered by nasal spray (Migranal®)

What is being measured

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

  1. Pharmacokinetics: Area under the curve (AUC 0-t) of DHE

    Area under the concentration-time curve from time zero until the last observed plasma concentration of DHE (AUC 0-t)

    Measured: For each of the 4 treatment periods on baseline and post-dose measurements from 2 minutes up to 48 hours

  2. Pharmacokinetics: Area under the curve (AUC 0-inf) of DHE

    Area under the concentration-time curve from time zero to infinity (extrapolated) of plasma concentrations of DHE (AUC 0-inf)

    Measured: For each of the 4 treatment periods on baseline and post-dose measurements from 2 minutes up to 48 hours

  3. Pharmacokinetics: Peak plasma concentration (C max) of DHE

    Maximal observed plasma concentration of DHE (C max)

    Measured: For each of the 4 treatment periods on baseline and post-dose measurements from 2 minutes up to 48 hours

Secondary outcomes (25)
  1. Pharmacokinetics: Area under the curve (AUC 0-t) of 8'-OH-DHE

    Area under the concentration-time curve from time zero until the last observed plasma concentration of 8'-OH-DHE (AUC 0-t)

    Measured: For each of the 4 treatment periods on Baseline and post-dose measurements from 2 minutes up to 48 hours

  2. Pharmacokinetics: Area under the curve (AUC 0-inf) of 8'-OH-DHE

    Area under the concentration-time curve from time zero to infinity (extrapolated) of plasma concentrations of 8'-OH-DHE (AUC 0-inf)

    Measured: For each of the 4 treatment periods on Baseline and post-dose measurements from 2 minutes up to 48 hours

  3. Pharmacokinetics: Peak plasma concentration (C max) of 8'-OH-DHE

    Maximal plasma observed concentration of 8'-OH-DHE (C max)

    Measured: For each of the 4 treatment periods on Baseline and post-dose measurements from 2 minutes up to 48 hours

  4. Pharmacokinetics: Time of peak maximal concentration (T max) of DHE and 8'-OH-DHE

    Time when the maximal plasma concentration of DHE and 8'-OH-DHE are observed (T max)

    Measured: For each of the 4 treatment periods on Baseline and post-dose measurements from 2 minutes up to 48 hours

  5. Pharmacokinetics: Terminal elimination half-life (T 1/2 el) of DHE and 8'-OH-DHE

    Terminal elimination half-life of plasma concentrations of DHE and 8'-OH-DHE (T 1/2 el)

    Measured: For each of the 4 treatment periods on Baseline and post-dose measurements from 2 minutes up to 48 hours

  6. Pharmacokinetics: Area under the curve (AUC 0-30 min) of DHE

    Area under the concentration-time curve from time zero to 30 min of plasma concentrations of DHE (AUC 0-30min)

    Measured: For each of the 4 treatment periods on Baseline and post-dose measurements from 2 minutes up to 48 hours

  7. Pharmacokinetics: Area under the curve (AUC 0-2 hours) of DHE

    Area under the concentration-time curve from time zero to 2 hours of plasma concentrations of DHE (AUC 0-2 hours)

    Measured: For each of the 4 treatment periods on Baseline and post-dose measurements from 2 minutes up to 48 hours

  8. Pharmacokinetics: Apparent clearance of DHE (CL/F)

    Apparent clearance of DHE (CL/F) for DHE inhalation powder and DHE nasal spray Migranal®

    Measured: For each of the 4 treatment periods on Baseline and post-dose measurements from 2 minutes up to 48 hours

  9. Pharmacokinetics: Clearance of DHE (CL)

    Clearance of DHE for intravenous DHE (CL)

    Measured: For each of the 4 treatment periods on Baseline and post-dose measurements from 2 minutes up to 48 hours

  10. Pharmacokinetics: Apparent volume of distribution of DHE (Vz/F)

    Apparent volume of distribution (Vz/F) during terminal phase of DHE for DHE inhalation powder and DHE nasal spray Migranal®

    Measured: For each of the 4 treatment periods on Baseline and post-dose measurements from 2 minutes up to 48 hours

  11. Pharmacokinetics: Volume of distribution of DHE (Vz)

    Volume of distribution (Vz) of DHE intravenous

    Measured: For each of the 4 treatment periods on Baseline and post-dose measurements from 2 minutes up to 48 hours

  12. Safety: Number of participants with adverse events

    Adverse events will be recorded and evaluated for their seriousness, severity and relationship to the study drug

    Measured: From the time of signing the informed consent until the last visit on Day 7 after the last treatment period

  13. Safety: Blood pressure in mmHg

    The changes from baseline in systolic and diastolic blood pressure will be assessed

    Measured: Baseline and post-dose measurements from 10 minutes up to 48 hours for each of the 4 treatment periods

  14. Safety: Heart rate in beats/min

    The changes from baseline in heart rate will be assessed

    Measured: Baseline and post-dose measurements from 10 minutes up to 48 hours for each of the 4 treatment periods

  15. Safety: Respiratory rate in breaths/min

    The changes from baseline in respiratory rate will be assessed

    Measured: Baseline and post-dose measurements from 10 minutes up to 48 hours for each of the 4 treatment periods

  16. Safety: Oral body temperature in degree Celsius

    The changes from baseline in oral body temperature will be assessed

    Measured: Baseline and post-dose measurements from 10 minutes up to 48 hours for each of the 4 treatment periods

  17. ECG PR interval in msec

    The changes from baseline in 12-lead ECG PR interval will be assessed

    Measured: Baseline and post-dose measurements from 10 minutes up to 4 hours for each of the 4 treatment periods

  18. ECG QRS complex in msec

    The changes from baseline in 12-lead ECG QRS complex will be assessed

    Measured: Baseline and post-dose measurements from 10 minutes up to 4 hours for each of the 4 treatment periods

  19. ECG QT interval in msec

    The changes from baseline in 12-lead ECG QT interval and Fridericia's corrected QT interval will be assessed

    Measured: Baseline and post-dose measurements from 10 minutes up to 4 hours for each of the 4 treatment periods

  20. Physical examination

    Physical examination (including oral cavity, nasal cavity and injection site examination) will be performed

    Measured: At screening, and for each of the 4 treatment periods at baseline, and post-dose at day 2 and day 3

  21. Lung function by spirometry : Forced Expiratory Volume in 1 sec in % of predicted normal (FEV1 )

    Effect of DHE on lung function will be measured by collecting FEV 1 pre- and post-dose at specified timepoints and will be analyzed by FEV1 < 70 % of predicted normal and/or comparison of pre- and post-dose > 20 % decline in FEV1.

    Measured: At screening, and for each of the 4 treatment periods at pre-dose, and post-dose up to 48 hours

  22. Lung function by spirometry : Forced Vital Capacity (FVC) in liters

    Effect of DHE on lung function will be measured by collecting Forced Vital Capacity pre- and post-dose at specified timepoints

    Measured: At screening, and for each of the 4 treatment periods at pre-dose, and post-dose up to 48 hours

  23. Lung function by spirometry : FEV1/FVC ratio

    Effect of DHE on lung function will be measured by collecting the FEV1/FVC ratio pre- and post-dose at specified timepoints

    Measured: At screening, and for each of the 4 treatment periods at pre-dose, and post-dose up to 48 hours

  24. Lung function by spirometry : Forced Expiratory Flow 25-75 in %

    Effect of DHE on lung function will be measured by collecting the mean Forced expiratory Flow between 25% and 75% of the forced vital capacity pre- and post-dose at specified timepoints

    Measured: At screening, and for each of the 4 treatment periods at pre-dose, and post-dose up to 48 hours

  25. Clinical laboratory tests blood and urine

    Change from baseline in clinical laboratory tests (including hematology, biochemistry, coagulation, and urinalysis) will be analyzed at different timepoints

    Measured: At screening, and for each of the 4 treatment periods at pre-dose, and post-dose up to 48 hours

Timeline

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

  1. First posted10 Nov 2025
  2. Study start9 Jun 2025
  3. Primary completion2 Oct 2025
  4. Study completion2 Oct 2025

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
Randomised
Intervention model
Crossover
Model description
Eligible subjects will be enrolled and randomized on Day 1 to one of the 4 treatment sequences composed of 4 periods of the crossover design.
Masking
None (open label)
Enrolment
44 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07226362
Sponsor's protocol ID
VFC202-102
Status last verified
Mar 2026
First submitted
28 Oct 2025
Last updated
19 Mar 2026
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 DHE inhalation powder low dose administered via dry powder inhaler (DPI) device, DHE inhalation powder high dose administered via dry powder inhaler (DPI) device and DHE injected intravenously (1 mg) in people with Safety, and Tolerability, run by Aspeya Switzerland SA 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 6 inclusion and 9 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 19 Mar 2026. 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: Area under the curve (AUC 0-t) of DHE (time frame: For each of the 4 treatment periods on baseline and post-dose measurements from 2 minutes up to 48 hours). The study lists 3 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 19 Mar 2026.

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