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PHASE IIA: Trial of a Novel Ondansetron Formulation (OND-PR002) and Immediate-Release Methylphenidate (Ritalin®)(OND003IND)

Primary Purpose

Methamphetamine Dependence, Cocaine Dependence

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
OND-PR002 and MPh-IR
Placebo: Two dextrose capsules for Ond-PR002 and MPh-IR
Sponsored by
Tong Lee
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Methamphetamine Dependence

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subjects must give written informed consent.
  • Detoxified METH/COC-dependent male and/or female subjects between 18 and 45.
  • Females with Body Mass Index (BMI) of 18-36 kg/m2. Males with BMI of 20-36 kg/m2.
  • Subjects in good health determined by screening examination.
  • Subject must have adequate veins for intravenous site.
  • Subjects must be mentally stable for minimum of 3 months.
  • Non-clinically significant hematology clinical laboratory results.
  • Subjects must have hematocrit of greater than or equal to 33%.
  • Non-clinically significant screening 12-lead ECG and QT interval (time for ventricular depolarization and repolarization to occur) corrected by Fridericia formula (QTcF) of < 440 msec for male and < 460 msec for females.
  • Subjects must be right-handed (control for handed-related differences) in lateralized patterns of brain function.
  • Ability to identify visual cues during fMRI.
  • Subjects' VAS score must be above 20.

Exclusion Criteria:

  • Subjects who consume more than 28 units of alcohol per week.
  • Subjects who test positive for drugs of abuse or alcohol.
  • Current use of nicotine replacement therapy or other smoking cessation treatment.
  • Use of other investigational drugs within 30 days, or at least 5 half-lives of a study medication prior to enrollment.
  • Subjects being treated with other psychotropic drug will be excluded based on PI's clinical judgment and potential drug-drug adverse reactions with study drugs.
  • Subjects on prescribed, over-the-counter (OTC) or nutraceutical drugs that may influence the PK, safety or efficacy profiles of MPh-IR and/or Ond-PR002 will be excluded, or receive a washout prior to study enrollment. Subjects on drugs or substances known to be strong inhibitors or strong inducers of CYP 3A4/5 enzymes (enzymes involved in the metabolism of xenobiotics) or P-glycoprotein (P-gp) will be excluded in a similar manner.
  • Subjects with heart disease or uncontrolled high blood pressure.
  • Donation of any blood or plasma in the last month, or donation of >500mL of blood within the 3 months preceding study drug administration.
  • History of serious adverse reaction or allergies to any drug or any other products used in the study.
  • Allergies or intolerance to any of the products used in this study.
  • Subjects who have allergies to pork-derived medications or those that contain pork-derived products.
  • Inability to give informed consent or high likelihood of being unable to complete the necessary confinement.
  • Subjects deemed inappropriate for this study by the Principal Investigator.
  • Subjects with a documented brain abnormality, history of unexplained loss of consciousness, seizures, history of unexplained syncope, or history of transient ischemic attack or stroke within the past 6 months.
  • History of concurrent illness that required hospitalization within 14 days prior to Day 1 or a clinically significant illness within 4 weeks prior to Day 1.
  • History of clinically significant cardiovascular illness within the past 6 months.
  • History of clinically significant hepatic, renal, pulmonary, metabolic, endocrine, infectious, gastrointestinal, hematologic, oncologic, retinopathy, or other medical disorders.
  • History of unstable psychiatric illness requiring hospitalization within previous 6 months.
  • Subjects with history of glaucoma, color blindness or other uncorrected vision problem.
  • Subjects with QTcF interval duration greater than or equal to 440 msec (males) or greater than or equal to 460 msec (females) obtained from the 12-lead ECG recorder's measurements on the screening ECG.
  • Individuals with a major condition that would make fMRI participation unsafe or uncomfortable.
  • Females who are pregnant, breast-feeding or plan on becoming pregnant.
  • Subjects who have a hematocrit < 33% or hemoglobin < 12.0 g/dL.

Sites / Locations

  • Duke Addictions Clinic
  • Duke Clinical Research Unit
  • SouthLight

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

Placebo

OND-PR002 and MPh-IR

Arm Description

Outcomes

Primary Outcome Measures

Efficacy of combined Ond-PR002 and MPh-IR treatment
Efficacy of combined Ond-PR002 and MPh-IR treatment in reducing the Visual Analogue Scale (VAS), Cocaine Selective Severity Assessment (CSSA) and Amphetamine Cessation Symptom Assessment (ACSA) craving scores in abstinent METH/COC abusers. Changes in cue-reactivity and inhibitory control deficits will be also assessed using functional magnetic resonance imaging (fMRI).

Secondary Outcome Measures

Safety of combined MPh-IR + Ond-PR002 treatment
Number of subjects with clinically significant changes in vital signs, electrocardiogram (ECG), hematology or chemistry panel measurements and number of subjects with self-reported or observed adverse events or serious adverse events will be recorded.
Changes in the PK parameters of Ond-PR002 PK after 14-day treatment
Standard PK parameters of Ond-PR002 (e.g., maximum serum concentrations, time to reach max. concentration, apparent volume of distribution, etc.) will be calculated based on the serum drug concentrations, and statistical differences between Day 1 and Day 14 will be determined.
Changes in the PK parameters of MPh-IR PK after 14-day treatment
Standard PK parameters of MPh-IR on Day 1 and Day 14 will be calculated and statistically compared as described for Ond-PR002.
Tolerability of combined MPh-IR + Ond-PR002 treatment
Number of subjects with clinically significant changes in vital signs, electrocardiogram (ECG), hematology or chemistry panel measurements and number of subjects with self-reported or observed adverse events or serious adverse events will be recorded.

Full Information

First Posted
June 12, 2011
Last Updated
September 27, 2014
Sponsor
Tong Lee
Collaborators
National Institutes of Health (NIH), National Institute on Drug Abuse (NIDA)
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1. Study Identification

Unique Protocol Identification Number
NCT01377662
Brief Title
PHASE IIA: Trial of a Novel Ondansetron Formulation (OND-PR002) and Immediate-Release Methylphenidate (Ritalin®)(OND003IND)
Official Title
PHASE IIA: Randomized, Double Blind, Placebo Controlled, Single Center Clinical Trial of a Combination of a Novel Ondansetron Formulation (OND-PR002) and Immediate-Release Methylphenidate (Ritalin®)
Study Type
Interventional

2. Study Status

Record Verification Date
September 2014
Overall Recruitment Status
Completed
Study Start Date
August 2011 (undefined)
Primary Completion Date
May 2013 (Actual)
Study Completion Date
May 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Tong Lee
Collaborators
National Institutes of Health (NIH), National Institute on Drug Abuse (NIDA)

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The main purpose of this study is to determine the outcome of a drug combination treatment on detoxified and stabilized methamphetamine (METH) and/or cocaine (COC) dependent users. The combination regimen consists of oral administration of a generic immediate-release methylphenidate (MPh-IR) formulation (e.g., Ritalin®) and a novel delayed, pulsatile-release formulation of the antiemetic ondansetron (Ond-PR002). Various psychological assessment tools and functional magnetic resonance imaging (fMRI) will be used to assess the treatment outcome. In addition to the treatment outcome measures, we will determine whether the 14-day, once-a-day treatment leads to significant changes in the pharmacokinetic/pharmacodynamic (PK/PD), safety and tolerability parameters of MPh-IR and/or Ond-PR002 formulations and drug-drug interactions between the two drugs.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Methamphetamine Dependence, Cocaine Dependence

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Title
OND-PR002 and MPh-IR
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
OND-PR002 and MPh-IR
Other Intervention Name(s)
Ondanasetron, Zofran®, Methylphenidate, Ritalin®
Intervention Description
Drug: OND-PR002 Single daily oral doses of 8 mg Ond-PR002 Drug: MPh-IR Single daily oral doses of 20 mg MPh-IR
Intervention Type
Other
Intervention Name(s)
Placebo: Two dextrose capsules for Ond-PR002 and MPh-IR
Other Intervention Name(s)
Placebo
Intervention Description
Single daily oral doses
Primary Outcome Measure Information:
Title
Efficacy of combined Ond-PR002 and MPh-IR treatment
Description
Efficacy of combined Ond-PR002 and MPh-IR treatment in reducing the Visual Analogue Scale (VAS), Cocaine Selective Severity Assessment (CSSA) and Amphetamine Cessation Symptom Assessment (ACSA) craving scores in abstinent METH/COC abusers. Changes in cue-reactivity and inhibitory control deficits will be also assessed using functional magnetic resonance imaging (fMRI).
Time Frame
15 days
Secondary Outcome Measure Information:
Title
Safety of combined MPh-IR + Ond-PR002 treatment
Description
Number of subjects with clinically significant changes in vital signs, electrocardiogram (ECG), hematology or chemistry panel measurements and number of subjects with self-reported or observed adverse events or serious adverse events will be recorded.
Time Frame
15 days
Title
Changes in the PK parameters of Ond-PR002 PK after 14-day treatment
Description
Standard PK parameters of Ond-PR002 (e.g., maximum serum concentrations, time to reach max. concentration, apparent volume of distribution, etc.) will be calculated based on the serum drug concentrations, and statistical differences between Day 1 and Day 14 will be determined.
Time Frame
15 days
Title
Changes in the PK parameters of MPh-IR PK after 14-day treatment
Description
Standard PK parameters of MPh-IR on Day 1 and Day 14 will be calculated and statistically compared as described for Ond-PR002.
Time Frame
15 days
Title
Tolerability of combined MPh-IR + Ond-PR002 treatment
Description
Number of subjects with clinically significant changes in vital signs, electrocardiogram (ECG), hematology or chemistry panel measurements and number of subjects with self-reported or observed adverse events or serious adverse events will be recorded.
Time Frame
15 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects must give written informed consent. Detoxified METH/COC-dependent male and/or female subjects between 18 and 45. Females with Body Mass Index (BMI) of 18-36 kg/m2. Males with BMI of 20-36 kg/m2. Subjects in good health determined by screening examination. Subject must have adequate veins for intravenous site. Subjects must be mentally stable for minimum of 3 months. Non-clinically significant hematology clinical laboratory results. Subjects must have hematocrit of greater than or equal to 33%. Non-clinically significant screening 12-lead ECG and QT interval (time for ventricular depolarization and repolarization to occur) corrected by Fridericia formula (QTcF) of < 440 msec for male and < 460 msec for females. Subjects must be right-handed (control for handed-related differences) in lateralized patterns of brain function. Ability to identify visual cues during fMRI. Subjects' VAS score must be above 20. Exclusion Criteria: Subjects who consume more than 28 units of alcohol per week. Subjects who test positive for drugs of abuse or alcohol. Current use of nicotine replacement therapy or other smoking cessation treatment. Use of other investigational drugs within 30 days, or at least 5 half-lives of a study medication prior to enrollment. Subjects being treated with other psychotropic drug will be excluded based on PI's clinical judgment and potential drug-drug adverse reactions with study drugs. Subjects on prescribed, over-the-counter (OTC) or nutraceutical drugs that may influence the PK, safety or efficacy profiles of MPh-IR and/or Ond-PR002 will be excluded, or receive a washout prior to study enrollment. Subjects on drugs or substances known to be strong inhibitors or strong inducers of CYP 3A4/5 enzymes (enzymes involved in the metabolism of xenobiotics) or P-glycoprotein (P-gp) will be excluded in a similar manner. Subjects with heart disease or uncontrolled high blood pressure. Donation of any blood or plasma in the last month, or donation of >500mL of blood within the 3 months preceding study drug administration. History of serious adverse reaction or allergies to any drug or any other products used in the study. Allergies or intolerance to any of the products used in this study. Subjects who have allergies to pork-derived medications or those that contain pork-derived products. Inability to give informed consent or high likelihood of being unable to complete the necessary confinement. Subjects deemed inappropriate for this study by the Principal Investigator. Subjects with a documented brain abnormality, history of unexplained loss of consciousness, seizures, history of unexplained syncope, or history of transient ischemic attack or stroke within the past 6 months. History of concurrent illness that required hospitalization within 14 days prior to Day 1 or a clinically significant illness within 4 weeks prior to Day 1. History of clinically significant cardiovascular illness within the past 6 months. History of clinically significant hepatic, renal, pulmonary, metabolic, endocrine, infectious, gastrointestinal, hematologic, oncologic, retinopathy, or other medical disorders. History of unstable psychiatric illness requiring hospitalization within previous 6 months. Subjects with history of glaucoma, color blindness or other uncorrected vision problem. Subjects with QTcF interval duration greater than or equal to 440 msec (males) or greater than or equal to 460 msec (females) obtained from the 12-lead ECG recorder's measurements on the screening ECG. Individuals with a major condition that would make fMRI participation unsafe or uncomfortable. Females who are pregnant, breast-feeding or plan on becoming pregnant. Subjects who have a hematocrit < 33% or hemoglobin < 12.0 g/dL.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert J Noveck, MD,PhD
Organizational Affiliation
Duke Clinical Research Unit
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ashwin A Patkar, MD
Organizational Affiliation
Psychiatry and Behavioral Sciences
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Tong Lee, MD, PhD
Organizational Affiliation
Associate Professor Psychiatry and Behavorial Science, Duke University Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Duke Addictions Clinic
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27705
Country
United States
Facility Name
Duke Clinical Research Unit
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
SouthLight
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27610
Country
United States

12. IPD Sharing Statement

Learn more about this trial

PHASE IIA: Trial of a Novel Ondansetron Formulation (OND-PR002) and Immediate-Release Methylphenidate (Ritalin®)(OND003IND)

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