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A Randomized, 4-sequence, 2-period, Double-blind, Placebo Controlled Study With a DSM-IV-TR Diagnosis of Cocaine Abuse (RBP-8000)

Primary Purpose

Opioid Dependence, Opioid Related Disorders, Cocaine Dependence

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
RBP-8000 100 mg
Placebo
Cocaine
RBP-8000 200 mg
Sponsored by
Indivior Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Opioid Dependence focused on measuring Cocaine

Eligibility Criteria

21 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male and female volunteers aged 21-50 years, inclusive
  • Body mass index (BMI)18-32 kg/m^2 and weight of at least 50 kg
  • Not currently seeking treatment for substance abuse or substance dependence
  • Subject is healthy, in the opinion of the Principal Investigator other than cocaine abuse; as determined by the absence of clinically significant medical/psychiatric history or findings, particularly cardiovascular or central nervous system (CNS) disease, physical examination, normal renal function, ECG findings, vital signs, and laboratory results at screening
  • Males agree to refrain from sperm donations for the entire duration of the study, and for at least 90 days after the last dose of study drug
  • Has experience using cocaine by the smoked or IV route at least 6 times in past 12 months and a positive urine drug screen for cocaine prior to study intake (Day -2). Has experience using cocaine by the smoked or IV route in the past 3 months and a positive urine drug screen for cocaine during screening prior to study check-in at the clinic
  • Be able to verbalize understanding of the consent form, able to provide written informed consent, and verbalize willingness to complete study procedures, prior to the initiation of any protocol-specific procedures
  • Meet DSM-IV-TR criteria for current cocaine abuse
  • Be able to comply with protocol requirements, rules, and regulations of the study site, and be likely to complete all the study procedures in the opinion of the Principal Investigator

Exclusion Criteria:

  • Current or past history of seizure disorder, including alcohol- and/or stimulant-related seizure, febrile seizure, or significant family history of idiopathic seizure disorder. Have any previous clinically significant reaction to cocaine, including loss of consciousness or seizure
  • Current alcohol dependence or current drug dependence according to DSM-IV-TR criteria (excluding nicotine and caffeine)
  • Clinically significant history of cardiac disease, including cardiovascular and conduction abnormalities or ECG evidence of cardiac abnormalities
  • QTcF greater than or equal to 450 for male subjects and 470 for female subjects as measured through a 12-lead ECG
  • History of liver disease or current elevation of aspartate aminotransferase (AST) or alanine aminotransferase (ALT) exceeding 3x the upper limit of normal
  • Be on probation or parole, and/or have current or pending legal charges with the potential for incarceration that could interfere with the study scheduling
  • Women with a positive pregnancy test at screening; or women who are pregnant or lactating or who are seeking to become pregnant
  • Women of childbearing potential (who are sexually active with a male) who fail to use medically acceptable contraception methods (e.g., an oral or injectable contraceptive, an approved hormonal implant or topical patch, an intrauterine device, a double barrier method, or barrier plus spermicide). A woman of childbearing potential is defined as any female who is less than 2 years post-menopausal or has not undergone a hysterectomy or surgical sterilization, e.g., bilateral tubal ligation, bilateral ovariectomy (oophorectomy). Females that are post-menopausal will be confirmed as such by the follicle stimulating hormone (FSH) test at initial screening
  • Males who do not agree to use barrier contraception and spermicide when engaging in sexual activity with a female of child-bearing potential while on study medication, and for at least 28 days after the last dose of study medication
  • History of clinically significant severe allergic or anaphylactic reactions

Sites / Locations

  • Vince and Associates Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

RBP-8000 100mg/Placebo

Placebo/RBP-8000 100mg

RBP-8000 200mg/Placebo

Placebo/RBP-8000 200mg

Arm Description

Day 1: 50mg intravenous infusion of cocaine Day 3: 50mg intravenous infusion of cocaine followed by a 100mg intravenous infusion of RBP-8000 Day 6: 50mg intravenous infusion of cocaine followed by an intravenous infusion of placebo

Day 1: 50mg intravenous infusion of cocaine Day 3: 50mg intravenous infusion of cocaine followed by an intravenous infusion of placebo Day 6: 50mg intravenous infusion of cocaine followed by a 100mg intravenous infusion of RBP-8000

Day 1: 50mg intravenous infusion of cocaine Day 3: 50mg intravenous infusion of cocaine followed by a 200mg intravenous infusion of RBP-8000 Day 6: 50mg intravenous infusion of cocaine followed by an intravenous infusion of placebo

Day 1: 50mg intravenous infusion of cocaine Day 3: 50mg intravenous infusion of cocaine followed by an intravenous infusion of placebo Day 6: 50mg intravenous infusion of cocaine followed by a 200mg intravenous infusion of RBP-8000

Outcomes

Primary Outcome Measures

Maximum plasma concentration (Cmax) of Cocaine, (-)Ecgonine methyl ester and RBP-8000
Time to Maximum Plasma Concentration (Tmax) of Cocaine, (-)Ecgonine methyl ester and RBP-8000
Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUClast) of Cocaine, (-)Ecgonine methyl ester and RBP-8000
Elimination half-life (t1/2) of Cocaine, (-)Ecgonine methyl ester and RBP-8000
Area under the plasma concentration-time curve from time 0 to theoretical infinity (AUC0-inf) of Cocaine, (-)Ecgonine methyl ester and RBP-8000
Distribution half-life (t1/2α) of Cocaine
Clearance (CL) of Cocaine, (-)Ecgonine methyl ester and RBP-8000
Volume of distribution (Vd) of Cocaine, (-)Ecgonine methyl ester and RBP-8000
Elimination rate constant (λz) of Cocaine, (-)Ecgonine methyl ester and RBP-8000
Mean residence time (MRT) of Cocaine, (-)Ecgonine methyl ester and RBP-8000

Secondary Outcome Measures

Behavioral effects - as Measured by the Participant Using the Brief Substance Craving Scale

Full Information

First Posted
May 1, 2013
Last Updated
September 9, 2016
Sponsor
Indivior Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01846481
Brief Title
A Randomized, 4-sequence, 2-period, Double-blind, Placebo Controlled Study With a DSM-IV-TR Diagnosis of Cocaine Abuse
Acronym
RBP-8000
Official Title
A Randomized, Double-blind, Placebo-controlled, Dose of RBP-8000 Following IV Cocaine to Evaluate the Pharmacokinetics Parameters of RBP-8000 and Cocaine and to Assess the Effects of Drug on Cocaine-induced Physiologic and Behavioral Effects in Cocaine Abusing Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
September 2016
Overall Recruitment Status
Completed
Study Start Date
April 2013 (undefined)
Primary Completion Date
June 2013 (Actual)
Study Completion Date
June 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Indivior Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a randomized, 4-sequence, 2-period, double-blind, placebo controlled study in male and female subjects with an American Psychiatric Association Diagnostic and Statistical Manual DSM-IV-TR diagnosis of cocaine abuse.
Detailed Description
There will be a 28-day screening period with eligible subjects remaining resident in the clinic from the evening before Day -1 up and until the morning of Day 9. On the morning of Day 1, a 50 mg intravenous (IV) infusion of cocaine will be administered over 10 minutes to all subjects. If none of the stopping criteria were met and no intervening safety concerns, subjects will be randomized to one of the treatment sequences on Day 3. On dosing days, Day 3 and Day 6, subjects will have fasted at least 8 hours before dosing of cocaine and either RBP-8000 200 mg, RBP-8000 100 mg or matching placebo.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Opioid Dependence, Opioid Related Disorders, Cocaine Dependence
Keywords
Cocaine

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
RBP-8000 100mg/Placebo
Arm Type
Experimental
Arm Description
Day 1: 50mg intravenous infusion of cocaine Day 3: 50mg intravenous infusion of cocaine followed by a 100mg intravenous infusion of RBP-8000 Day 6: 50mg intravenous infusion of cocaine followed by an intravenous infusion of placebo
Arm Title
Placebo/RBP-8000 100mg
Arm Type
Experimental
Arm Description
Day 1: 50mg intravenous infusion of cocaine Day 3: 50mg intravenous infusion of cocaine followed by an intravenous infusion of placebo Day 6: 50mg intravenous infusion of cocaine followed by a 100mg intravenous infusion of RBP-8000
Arm Title
RBP-8000 200mg/Placebo
Arm Type
Experimental
Arm Description
Day 1: 50mg intravenous infusion of cocaine Day 3: 50mg intravenous infusion of cocaine followed by a 200mg intravenous infusion of RBP-8000 Day 6: 50mg intravenous infusion of cocaine followed by an intravenous infusion of placebo
Arm Title
Placebo/RBP-8000 200mg
Arm Type
Experimental
Arm Description
Day 1: 50mg intravenous infusion of cocaine Day 3: 50mg intravenous infusion of cocaine followed by an intravenous infusion of placebo Day 6: 50mg intravenous infusion of cocaine followed by a 200mg intravenous infusion of RBP-8000
Intervention Type
Drug
Intervention Name(s)
RBP-8000 100 mg
Other Intervention Name(s)
T172R/G173G cocaine esterase
Intervention Description
RBP-8000 100 mg administered in the vein on either study day 3 or 6. There is a 72-hour washout between Days 3 and 6
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
IV infusion of Placebo administered 1 minute after cocaine infusion on either day 3 or 6.
Intervention Type
Drug
Intervention Name(s)
Cocaine
Other Intervention Name(s)
Benzoylmethylecgonine
Intervention Description
50 mg intravenous (IV) dose of cocaine administered over 10 minutes on Days 1, 3 and 6.
Intervention Type
Drug
Intervention Name(s)
RBP-8000 200 mg
Other Intervention Name(s)
T172R/G173G cocaine esterase
Intervention Description
RBP-8000 200 mg administered in the vein on either study day 3 or 6. There is a 72-hour washout between Days 3 and 6
Primary Outcome Measure Information:
Title
Maximum plasma concentration (Cmax) of Cocaine, (-)Ecgonine methyl ester and RBP-8000
Time Frame
21 samples from pre-dose of cocaine up to 731 minutes after start of cocaine infusion
Title
Time to Maximum Plasma Concentration (Tmax) of Cocaine, (-)Ecgonine methyl ester and RBP-8000
Time Frame
21 samples from pre-dose of cocaine up to 731 minutes after start of cocaine infusion
Title
Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUClast) of Cocaine, (-)Ecgonine methyl ester and RBP-8000
Time Frame
21 samples from pre-dose of cocaine up to 731 minutes after start of cocaine infusion
Title
Elimination half-life (t1/2) of Cocaine, (-)Ecgonine methyl ester and RBP-8000
Time Frame
21 samples from pre-dose of cocaine up to 731 minutes after start of cocaine infusion
Title
Area under the plasma concentration-time curve from time 0 to theoretical infinity (AUC0-inf) of Cocaine, (-)Ecgonine methyl ester and RBP-8000
Time Frame
21 samples from pre-dose of cocaine up to 731 minutes after start of cocaine infusion
Title
Distribution half-life (t1/2α) of Cocaine
Time Frame
21 samples from pre-dose of cocaine up to 731 minutes after start of cocaine infusion
Title
Clearance (CL) of Cocaine, (-)Ecgonine methyl ester and RBP-8000
Time Frame
21 samples from pre-dose of cocaine up to 731 minutes after start of cocaine infusion
Title
Volume of distribution (Vd) of Cocaine, (-)Ecgonine methyl ester and RBP-8000
Time Frame
21 samples from pre-dose of cocaine up to 731 minutes after start of cocaine infusion
Title
Elimination rate constant (λz) of Cocaine, (-)Ecgonine methyl ester and RBP-8000
Time Frame
21 samples from pre-dose of cocaine up to 731 minutes after start of cocaine infusion
Title
Mean residence time (MRT) of Cocaine, (-)Ecgonine methyl ester and RBP-8000
Time Frame
21 samples from pre-dose of cocaine up to 731 minutes after start of cocaine infusion
Secondary Outcome Measure Information:
Title
Behavioral effects - as Measured by the Participant Using the Brief Substance Craving Scale
Time Frame
Post dosing 30 min,1,0, 2.0, 3.0, 4.0, 7.0, 8.0, 12.0,24.0 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male and female volunteers aged 21-50 years, inclusive Body mass index (BMI)18-32 kg/m^2 and weight of at least 50 kg Not currently seeking treatment for substance abuse or substance dependence Subject is healthy, in the opinion of the Principal Investigator other than cocaine abuse; as determined by the absence of clinically significant medical/psychiatric history or findings, particularly cardiovascular or central nervous system (CNS) disease, physical examination, normal renal function, ECG findings, vital signs, and laboratory results at screening Males agree to refrain from sperm donations for the entire duration of the study, and for at least 90 days after the last dose of study drug Has experience using cocaine by the smoked or IV route at least 6 times in past 12 months and a positive urine drug screen for cocaine prior to study intake (Day -2). Has experience using cocaine by the smoked or IV route in the past 3 months and a positive urine drug screen for cocaine during screening prior to study check-in at the clinic Be able to verbalize understanding of the consent form, able to provide written informed consent, and verbalize willingness to complete study procedures, prior to the initiation of any protocol-specific procedures Meet DSM-IV-TR criteria for current cocaine abuse Be able to comply with protocol requirements, rules, and regulations of the study site, and be likely to complete all the study procedures in the opinion of the Principal Investigator Exclusion Criteria: Current or past history of seizure disorder, including alcohol- and/or stimulant-related seizure, febrile seizure, or significant family history of idiopathic seizure disorder. Have any previous clinically significant reaction to cocaine, including loss of consciousness or seizure Current alcohol dependence or current drug dependence according to DSM-IV-TR criteria (excluding nicotine and caffeine) Clinically significant history of cardiac disease, including cardiovascular and conduction abnormalities or ECG evidence of cardiac abnormalities QTcF greater than or equal to 450 for male subjects and 470 for female subjects as measured through a 12-lead ECG History of liver disease or current elevation of aspartate aminotransferase (AST) or alanine aminotransferase (ALT) exceeding 3x the upper limit of normal Be on probation or parole, and/or have current or pending legal charges with the potential for incarceration that could interfere with the study scheduling Women with a positive pregnancy test at screening; or women who are pregnant or lactating or who are seeking to become pregnant Women of childbearing potential (who are sexually active with a male) who fail to use medically acceptable contraception methods (e.g., an oral or injectable contraceptive, an approved hormonal implant or topical patch, an intrauterine device, a double barrier method, or barrier plus spermicide). A woman of childbearing potential is defined as any female who is less than 2 years post-menopausal or has not undergone a hysterectomy or surgical sterilization, e.g., bilateral tubal ligation, bilateral ovariectomy (oophorectomy). Females that are post-menopausal will be confirmed as such by the follicle stimulating hormone (FSH) test at initial screening Males who do not agree to use barrier contraception and spermicide when engaging in sexual activity with a female of child-bearing potential while on study medication, and for at least 28 days after the last dose of study medication History of clinically significant severe allergic or anaphylactic reactions
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bradley D Vince, DO
Organizational Affiliation
Vince and Associates Clinical Research
Official's Role
Principal Investigator
Facility Information:
Facility Name
Vince and Associates Clinical Research
City
Overland Park,
State/Province
Kansas
ZIP/Postal Code
66212
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Randomized, 4-sequence, 2-period, Double-blind, Placebo Controlled Study With a DSM-IV-TR Diagnosis of Cocaine Abuse

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