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Staccato Prochlorperazine Single Dose PK Study

Primary Purpose

Migraine

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Prochlorperazine 0.5 mg IV over 5 sec
Inhaled prochlorperazine 0.625 mg
Inhaled prochlorperazine 1.25 mg
Inhaled prochlorperazine 2.5 mg
Inhaled prochlorperazine 5 mg
Inhaled prochlorperazine 10 mg
Inhaled placebo
Prochlorperazine 10 mg IV over 5 sec
Sponsored by
Alexza Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Migraine focused on measuring Migraine, Prochlorperazine aerosol

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subjects will be male or female subjects between the ages 18 to 45 years, inclusive in good general health as determined by medical history, physical examination, 12-lead ECG, spirometry, blood chemistry profile, hematology, urinalysis and in the opinion of the Principal Investigator.

Exclusion Criteria:

  • Subjects with a known history of allergy or intolerance to phenothiazines or related drugs or who have any disease, 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.

Sites / Locations

  • PPD Phase I Clinic

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Inhaled prochlorperazine 0.625 mg vs IV

Inhaled prochlorperazine 1.25 mg

Inhaled prochlorperazine 2.5 mg

Inhaled prochlorperazine 5 mg

Inhaled prochlorperazine 10 mg

inhaled Placebo

Arm Description

Prochlorperazine 0.5 mg IV over 5 sec crossover Inhaled prochlorperazine 0.625 mg

Inhaled Staccato prochlorperazine 1.25 mg

Inhaled Staccato prochlorperazine 2.5 mg

Inhaled Staccato prochlorperazine 5 mg

Inhaled Staccato prochlorperazine 10 mg

inhaled Staccato Placebo (0 mg)

Outcomes

Primary Outcome Measures

Time to Peak (Tmax)
Time from dose to peak prochlorperazine concentration

Secondary Outcome Measures

Absolute Bioavailability of Inhaled Prochlorperazine
Absolute bioavailability of inhaled prochlorperazine via AUC infinity
Dose Proportionality of Inhaled Prochlorperazine by Power Analysis
Dose proportionality by power analysis examines the linear regression of the log-AUC versus log-Dose on a by-patient basis across all doses administered. The slope and 90% confidence interval (CI) provide a clear, quantitative (best practices) assessment of the relationship of drug delivered to dose administered. The units on such analyses are generally those of slope (rise over run), with 1.000 being "perfect". Although any positive slope might be considered clinically useful, a 90% CI within the criteria of 0.800-1.250 may be considered a delivery system which is "as good as it gets".

Full Information

First Posted
January 28, 2008
Last Updated
October 29, 2020
Sponsor
Alexza Pharmaceuticals, Inc.
Collaborators
PPD
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1. Study Identification

Unique Protocol Identification Number
NCT00610727
Brief Title
Staccato Prochlorperazine Single Dose PK Study
Official Title
Tolerability, Safety and Pharmacokinetics of a Single Dose of Staccato™ Prochlorperazine for Inhalation in Normal, Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
September 2008
Overall Recruitment Status
Completed
Study Start Date
August 2004 (undefined)
Primary Completion Date
October 2004 (Actual)
Study Completion Date
October 2004 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alexza Pharmaceuticals, Inc.
Collaborators
PPD

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The objective of this study was to evaluate the tolerability, safety, and pharmacokinetics of inhaled prochlorperazine
Detailed Description
The objective of this study was to evaluate the tolerability, safety, and pharmacokinetics of a single, inhaled dose of prochlorperazine (PCZ), administered as 1 or 2 puffs in healthy young volunteers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Migraine
Keywords
Migraine, Prochlorperazine aerosol

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Stage 1: open-label, single-dose stage with 3 treatment periods divided into 2 phases Stage 2: double-blind, placebo-controlled, dose-escalation treatment period
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Stage 2 was a double-blind, placebo-controlled, 4 step dose-escalation trial
Allocation
Randomized
Enrollment
54 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Inhaled prochlorperazine 0.625 mg vs IV
Arm Type
Experimental
Arm Description
Prochlorperazine 0.5 mg IV over 5 sec crossover Inhaled prochlorperazine 0.625 mg
Arm Title
Inhaled prochlorperazine 1.25 mg
Arm Type
Experimental
Arm Description
Inhaled Staccato prochlorperazine 1.25 mg
Arm Title
Inhaled prochlorperazine 2.5 mg
Arm Type
Experimental
Arm Description
Inhaled Staccato prochlorperazine 2.5 mg
Arm Title
Inhaled prochlorperazine 5 mg
Arm Type
Experimental
Arm Description
Inhaled Staccato prochlorperazine 5 mg
Arm Title
Inhaled prochlorperazine 10 mg
Arm Type
Experimental
Arm Description
Inhaled Staccato prochlorperazine 10 mg
Arm Title
inhaled Placebo
Arm Type
Placebo Comparator
Arm Description
inhaled Staccato Placebo (0 mg)
Intervention Type
Drug
Intervention Name(s)
Prochlorperazine 0.5 mg IV over 5 sec
Other Intervention Name(s)
PCZ
Intervention Description
IV Prochlorperazine for bioavailability
Intervention Type
Drug
Intervention Name(s)
Inhaled prochlorperazine 0.625 mg
Other Intervention Name(s)
PCZ
Intervention Description
Inhaled Staccato Prochlorperazine 0.625 mg
Intervention Type
Drug
Intervention Name(s)
Inhaled prochlorperazine 1.25 mg
Other Intervention Name(s)
PCZ
Intervention Description
Inhaled Staccato Prochlorperazine 1.25 mg
Intervention Type
Drug
Intervention Name(s)
Inhaled prochlorperazine 2.5 mg
Other Intervention Name(s)
PCZ
Intervention Description
Inhaled Staccato Prochlorperazine 2.5 mg
Intervention Type
Drug
Intervention Name(s)
Inhaled prochlorperazine 5 mg
Other Intervention Name(s)
PCZ
Intervention Description
InhaledStaccato Prochlorperazine 5 mg
Intervention Type
Drug
Intervention Name(s)
Inhaled prochlorperazine 10 mg
Other Intervention Name(s)
PCZ
Intervention Description
InhaledStaccato Prochlorperazine 10 mg
Intervention Type
Drug
Intervention Name(s)
Inhaled placebo
Other Intervention Name(s)
ADASUVE placebo
Intervention Description
Inhaled Staccato Placebo (0 mg)
Intervention Type
Drug
Intervention Name(s)
Prochlorperazine 10 mg IV over 5 sec
Other Intervention Name(s)
PCZ
Intervention Description
Prochlorperazine 10 mg IV over 5 sec for patient qualification
Primary Outcome Measure Information:
Title
Time to Peak (Tmax)
Description
Time from dose to peak prochlorperazine concentration
Time Frame
24 hours
Secondary Outcome Measure Information:
Title
Absolute Bioavailability of Inhaled Prochlorperazine
Description
Absolute bioavailability of inhaled prochlorperazine via AUC infinity
Time Frame
24 hours
Title
Dose Proportionality of Inhaled Prochlorperazine by Power Analysis
Description
Dose proportionality by power analysis examines the linear regression of the log-AUC versus log-Dose on a by-patient basis across all doses administered. The slope and 90% confidence interval (CI) provide a clear, quantitative (best practices) assessment of the relationship of drug delivered to dose administered. The units on such analyses are generally those of slope (rise over run), with 1.000 being "perfect". Although any positive slope might be considered clinically useful, a 90% CI within the criteria of 0.800-1.250 may be considered a delivery system which is "as good as it gets".
Time Frame
24 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects will be male or female subjects between the ages 18 to 45 years, inclusive in good general health as determined by medical history, physical examination, 12-lead ECG, spirometry, blood chemistry profile, hematology, urinalysis and in the opinion of the Principal Investigator. Exclusion Criteria: Subjects with a known history of allergy or intolerance to phenothiazines or related drugs or who have any disease, 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.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Daniel A Spyker, MD
Organizational Affiliation
Alexza Pharmaceuticals, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
PPD Phase I Clinic
City
Austin
State/Province
Texas
ZIP/Postal Code
78704-7016
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
IPD submitted to regulatory authorities. Others may contact Alexza Pharmaceuticals, Inc. Please send your request to ClinicalTrialsInfo@alexza.com
Citations:
PubMed Identifier
18830225
Citation
Avram MJ, Spyker DA, Henthorn TK, Cassella JV. The pharmacokinetics and bioavailability of prochlorperazine delivered as a thermally generated aerosol in a single breath to volunteers. Clin Pharmacol Ther. 2009 Jan;85(1):71-7. doi: 10.1038/clpt.2008.184. Epub 2008 Oct 1.
Results Reference
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Staccato Prochlorperazine Single Dose PK Study

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