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Antagonism of Opioid-Induced Respiratory Depression by CX1739 With Preservation of Opioid Analgesia

Primary Purpose

Opiate Induced Respiratory Depression

Status
Unknown status
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
CX1739 - 300 mg
CX1739 - 600 mg
CX1739 - 900 mg
Placebo
Sponsored by
RespireRx
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Opiate Induced Respiratory Depression

Eligibility Criteria

18 Years - 50 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • To be eligible for this trial, subjects must meet all of the following criteria:

    1. Males 18 to 50 years of age, inclusive
    2. Body mass index of 18.0 to 30.0 kg/m2, inclusive, using the formula: weight (kg)/height (m)2
    3. Healthy, as determined by medical history, physical examination including vital signs, and clinical laboratory test results
    4. American Society of Anesthesiologists Physical Status Classification 1
    5. Willing and able to provide voluntary, written informed consent

Exclusion Criteria:

  • If a subject meets any of the following criteria, he cannot be enrolled in the study:

    1. History of any chronic illness or evidence of clinically significant organic or psychiatric disease on medical history or physical examination which, in the opinion of the principal investigator (PI), would confound the study results or present a risk to the subject
    2. Acute illness within 2 weeks before dosing
    3. History of any clinically significant pulmonary condition (eg, asthma) within the last 2 years requiring admission to the hospital
    4. Previous diagnosis of obstructive sleep apnea based on polysomnography
    5. Currently using any prescription medication or use within the last 30 days
    6. Laboratory values (clinical chemistry, hematology, urinalysis) outside the laboratory reference range considered clinically significant (NOTE: in the event of any parameter lying outside of the normal range, the sample may be repeated once; this value will be accepted if it lies within the normal range)
    7. Presence of QT interval corrected > 440 msec on ECG
    8. Resting HR while awake < 45 or > 90 beats/minute
    9. History of daily use of tobacco or other nicotine-containing products within 1 year of study entry or positive cotinine test at screening and subsequent study visits
    10. History of allergic hypersensitivity to ampakines (CX717, CX1739), remifentanil, naloxone, or any component of these formulations; history of multiple drug allergies
    11. History or current evidence of abuse of any drug substance, licit or illicit, including alcohol; positive urine drug screen (UDS) for drugs of abuse at screening
    12. Inability to understand the protocol requirements; instructions; study-related restrictions; or nature, scope, and possible consequences of the study
    13. Unlikely to complete the study, eg, because of inability to return for follow-up visits
    14. Participation in another study with any investigational drug in the 3 months preceding this study
    15. Blood or plasma donation of more than 500 mL during the month before randomization and more than 50 mL in the 2 weeks before randomization

Sites / Locations

  • Duke Clinical Research Unit

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Placebo Comparator

Experimental

Experimental

Arm Label

CX1739 - 300 mg

Placebo

CX1739 - 600 mg

CX1739 - 900 mg

Arm Description

Study Drug - low dose

Placebo

Study drug - mid Dose

Study drug - high dose

Outcomes

Primary Outcome Measures

Respiratory depression
Respiratory rate, tidal volume, minute volume as determined by plethysmography

Secondary Outcome Measures

Pain tolerance threshold
Analgesia assessed by pain tolerance threshold to 5, 250, and 2000 Hertz sine-wave electrical stimulation using the quantitative sensory testing device - Neurometer
Maintenance of sedation
Bispectral index (BIS) measure of sedation
The number of patients that experience an adverse drug reaction upon ingestion of CX1739 when used alone or in conjunction with remifentanil
Vital signs, including noninvasive blood pressure, heart rate, RR, end-tidal carbon dioxide, pulse oximetry saturation, and temperature Electrocardiograms Focused physical examinations Adverse events
Change in pupil size
Pupil size will be assessed intermittently with a noninvasive pupillometer incorporated into a pair of glasses placed on the subject's head

Full Information

First Posted
March 23, 2016
Last Updated
July 27, 2016
Sponsor
RespireRx
Collaborators
Duke University
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1. Study Identification

Unique Protocol Identification Number
NCT02735629
Brief Title
Antagonism of Opioid-Induced Respiratory Depression by CX1739 With Preservation of Opioid Analgesia
Official Title
Antagonism of Opioid-Induced Respiratory Depression by CX1739 With Preservation of Opioid Analgesia
Study Type
Interventional

2. Study Status

Record Verification Date
July 2016
Overall Recruitment Status
Unknown status
Study Start Date
March 2016 (undefined)
Primary Completion Date
August 2016 (Anticipated)
Study Completion Date
September 2016 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
RespireRx
Collaborators
Duke University

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The study is an investigation to assess the capacity of ascending doses of CX1739 to antagonize the respiratory depressive effect of remifentanil. The study will also investigate whether ascending doses of CX1739 reduce the analgesic effect of remifentanil or alter the BIS measure of sedation and will evaluate the safety of CX1739 when used in conjunction with remifentanil.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Opiate Induced Respiratory Depression

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
CX1739 - 300 mg
Arm Type
Experimental
Arm Description
Study Drug - low dose
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo
Arm Title
CX1739 - 600 mg
Arm Type
Experimental
Arm Description
Study drug - mid Dose
Arm Title
CX1739 - 900 mg
Arm Type
Experimental
Arm Description
Study drug - high dose
Intervention Type
Drug
Intervention Name(s)
CX1739 - 300 mg
Other Intervention Name(s)
Low dose
Intervention Description
Ampakine CX1739 - 300 mg
Intervention Type
Drug
Intervention Name(s)
CX1739 - 600 mg
Other Intervention Name(s)
mid dose
Intervention Description
CX1739 - 600 mg
Intervention Type
Drug
Intervention Name(s)
CX1739 - 900 mg
Other Intervention Name(s)
high dose
Intervention Description
CX1739 - 900 mg
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Placebo to 300 mg CX1739
Intervention Description
Placebo to 300 mg CX1739
Primary Outcome Measure Information:
Title
Respiratory depression
Description
Respiratory rate, tidal volume, minute volume as determined by plethysmography
Time Frame
Sequence #1 - 30 minutes
Secondary Outcome Measure Information:
Title
Pain tolerance threshold
Description
Analgesia assessed by pain tolerance threshold to 5, 250, and 2000 Hertz sine-wave electrical stimulation using the quantitative sensory testing device - Neurometer
Time Frame
Sequence #2 - 20 minutes
Title
Maintenance of sedation
Description
Bispectral index (BIS) measure of sedation
Time Frame
Sequence #1 - 30 minutes
Title
The number of patients that experience an adverse drug reaction upon ingestion of CX1739 when used alone or in conjunction with remifentanil
Description
Vital signs, including noninvasive blood pressure, heart rate, RR, end-tidal carbon dioxide, pulse oximetry saturation, and temperature Electrocardiograms Focused physical examinations Adverse events
Time Frame
up to 5 weeks
Title
Change in pupil size
Description
Pupil size will be assessed intermittently with a noninvasive pupillometer incorporated into a pair of glasses placed on the subject's head
Time Frame
Sequence #2 - 20 minutes

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: To be eligible for this trial, subjects must meet all of the following criteria: Males 18 to 50 years of age, inclusive Body mass index of 18.0 to 30.0 kg/m2, inclusive, using the formula: weight (kg)/height (m)2 Healthy, as determined by medical history, physical examination including vital signs, and clinical laboratory test results American Society of Anesthesiologists Physical Status Classification 1 Willing and able to provide voluntary, written informed consent Exclusion Criteria: If a subject meets any of the following criteria, he cannot be enrolled in the study: History of any chronic illness or evidence of clinically significant organic or psychiatric disease on medical history or physical examination which, in the opinion of the principal investigator (PI), would confound the study results or present a risk to the subject Acute illness within 2 weeks before dosing History of any clinically significant pulmonary condition (eg, asthma) within the last 2 years requiring admission to the hospital Previous diagnosis of obstructive sleep apnea based on polysomnography Currently using any prescription medication or use within the last 30 days Laboratory values (clinical chemistry, hematology, urinalysis) outside the laboratory reference range considered clinically significant (NOTE: in the event of any parameter lying outside of the normal range, the sample may be repeated once; this value will be accepted if it lies within the normal range) Presence of QT interval corrected > 440 msec on ECG Resting HR while awake < 45 or > 90 beats/minute History of daily use of tobacco or other nicotine-containing products within 1 year of study entry or positive cotinine test at screening and subsequent study visits History of allergic hypersensitivity to ampakines (CX717, CX1739), remifentanil, naloxone, or any component of these formulations; history of multiple drug allergies History or current evidence of abuse of any drug substance, licit or illicit, including alcohol; positive urine drug screen (UDS) for drugs of abuse at screening Inability to understand the protocol requirements; instructions; study-related restrictions; or nature, scope, and possible consequences of the study Unlikely to complete the study, eg, because of inability to return for follow-up visits Participation in another study with any investigational drug in the 3 months preceding this study Blood or plasma donation of more than 500 mL during the month before randomization and more than 50 mL in the 2 weeks before randomization
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Richard Purcell
Organizational Affiliation
RespireRx Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Duke Clinical Research Unit
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Antagonism of Opioid-Induced Respiratory Depression by CX1739 With Preservation of Opioid Analgesia

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