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Sofusa System With Sumatriptan (KC5010) Phase 1 Dose Escalation Safety and PK Study (KCC-SMT-002) (KCC-SMT-002)

Primary Purpose

Migraine Disorders

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Sumatriptan Succinate Oral Tablet
Transdermal delivery of sumatriptan succinate
Sponsored by
Sorrento Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Migraine Disorders

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Able to give voluntary written informed consent (personally signed and dated) and HIPPA Authorization prior to any study related procedures.
  2. Available to participate for the entire study period.
  3. Be a male or female person between 18 and 55 years (inclusive) of age.
  4. Healthy as determined by the investigator based on a medical evaluation including history, physical examination, electrocardiogram (ECG), and laboratory tests.
  5. Have systolic blood pressure (sitting) of < 140 mmHg and diastolic blood pressure of < 90 mmHg after 5 minutes of rest. Minor excursions in blood pressure outside of this range may be acceptable if determined not to be clinically significant by the study physician or medical monitor.
  6. Have resting pulse rate (sitting) within normal range of 60-100 bpm. Minor excursions in resting pulse outside of this range may be acceptable if determined not to be clinically significant by the study physician or the medical monitor.
  7. Females must be either postmenopausal for at least 1 year, surgically sterile (bilateral oophorectomy, tubal ligation, tubal occlusion, hysterectomy), or using adequate contraception from screening until 90 days after completion of study participation. Adequate contraception is defined as true abstinence, a vasectomized partner, or one of the following in combination with a diaphragm, cervical cap, or a condom:

    • Hormonal contraceptives (oral, implant, patch, injection)
    • Intrauterine device

    Males must use adequate contraception and must not donate sperm from first admission to the clinical research center until 90 days after completion of study participation. Adequate contraception is defined as true abstinence, vasectomy, a partner who is surgically sterile (bilateral oophorectomy, tubal ligation, tubal occlusion, hysterectomy), or one of the following in combination with a diaphragm, cervical cap, or a condom:

    • Hormonal contraceptives (oral, implant, patch, injection)
    • Intrauterine device
  8. Have a body weight above 50 kg and below 90 kg (inclusive).
  9. Be able to communicate effectively with the study personnel and understand and comply with all study requirements.

Exclusion criteria:

  1. Women who are pregnant or lactating.
  2. Current use or has used tobacco- or nicotine-containing products (e.g., cigarettes, cigars, chewing tobacco, snuff, etc.) 30 days prior to investigational product administration. A cotinine test (with a cut-off of 200 mg) will be performed at screening and admission to the study center.
  3. Recent history (i.e. within 2 years) of alcohol abuse, illicit drug use, or significant mental illness.
  4. Positive screen for substances of abuse.
  5. A positive screening result for human immunodeficiency virus (HIV) antibody, Hepatitis B surface antigen (HBsAg), or Hepatitis C antibody (anti-HCV).
  6. Any disease or condition (medical or surgical) that might compromise a major body system (e.g. cardiovascular, respiratory, etc.) or conditions that may interfere with the absorption, distribution, metabolism, or excretion of the study medication.
  7. Any bleeding disorders or use of anticoagulants.
  8. Any conditions (e.g. diabetes, edema, scleroderma) or receiving medications (e.g. steroids, antibiotics) that alter skin integrity and/or healing. Any known condition or receiving medications causing hypo/hyperpigmentation or photosensitivity.
  9. Presence or history of hypertension or other cardiovascular abnormalities such as, but not limited to, myocardial infarction, heart failure, arrhythmia, stroke, or peripheral vascular disease or any other cardiovascular disease that requires the subject to wear a pacemaker.
  10. Use of a drug therapy known to induce or inhibit hepatic drug metabolism within 30 days prior to the Treatment visit for dosing.
  11. Patient has received a live attenuated vaccine within the 4 weeks prior to treatment or plans to receive one during the study.
  12. Febrile illness within 7 days of Treatment visit for dosing.
  13. Has a positive history or known sensitivity to sumatriptan or other triptans.
  14. Any history of sensitivity to methylene blue, fluorescein or calcein, or other similar dye product.
  15. Subjects who have used ergotamine-containing or ergot-type medications (like dihydrogergotamine or methysergide) within the past week. The Imitrex® label specifies that these medication are contraindicated within 24 hours of use.
  16. Diagnosed with ischemic bowel disease or severe hepatic impairment which are known contraindications to sumatriptan.
  17. Concomitant therapy with the following medications which have significant drug interactions with sumatriptan: selective serotonin reuptake inhibitors (SSRIs), serotonin/norepinephrine reuptake inhibitor (SNRIs), tricyclic antidepressants, and monomine oxidase (MAO) inhibitors due to an increased risk of serotonin syndrome. Subjects receiving these medications may enroll in the study if these medications have been discontinued for 5 or more half-lives prior to the first Treatment visit.
  18. Subjects who are currently taking prescription or over-the-counter medications (including vitamins and herbal preparations) that could interfere with the evaluation or the safety of the subject, as determined by the Investigator.
  19. Participation in the treatment phase of a clinical study or receipt of an investigational drug or medical device within 30 days prior to the Treatment visit for dosing.
  20. History of difficulty with phlebotomy procedures.
  21. Donated blood (>400 mL) or blood products within 45 days prior to the Treatment visit for dosing.
  22. Subjects who have skin conditions or tattoos extensive enough to cover areas where the device is to be applied.
  23. Any history of skin contact sensitivity to metals, plastics or adhesives.
  24. Has a condition that, in the opinion of the Investigator, may increase the risk to the subject and/or the interpretation of the data.

Sites / Locations

  • Carolina Phase 1 Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Active Comparator

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Sumatriptan Succinate Oral Tablet

Sofusa Profile #1

Sofusa Dose Profile #2

Sofusa Dose Profile #3

Sofusa Dose Profile #4

Sofusa Dose Profile #5

Arm Description

100 mg oral tablet commercial Imitrex sumatriptan succinate tablet

Combination device for transdermal delivery of sumatriptan succinate Current approved dose (SC)

Combination device for transdermal delivery of sumatriptan succinate- adjust dose and flow rate to achieve PK profile based on results from Sofusa Dose Profile #1

Combination device for transdermal delivery of sumatriptan succinate- adjust dose and flow rate to achieve PK profile based on results from Sofusa Dose Profile #2

Combination device for transdermal delivery of sumatriptan succinate- adjust dose and flow rate to achieve PK profile based on results from Sofusa Dose Profile #3

Combination device for transdermal delivery of sumatriptan succinate- adjust dose and flow rate to achieve PK profile based on results from prior Sofusa Dose Profile #2-4

Outcomes

Primary Outcome Measures

PK Cmax
Pharmacokinetic profile with Cmax (maximum concentration) of drug in blood, ng/mL
PK AUC
Pharmacokinetic profile AUC (area under the curve) of drug in blood, ng-hr/mL

Secondary Outcome Measures

Dermatological skin response (Draize scale)
Skin response as measured on modified Draize scale (erythema, edema, etc.)
Pain of application and wear (VAS scale)
Pain as reported on Visual Analog Scale

Full Information

First Posted
July 20, 2017
Last Updated
August 5, 2022
Sponsor
Sorrento Therapeutics, Inc.
Collaborators
Kimberly-Clark Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT03229798
Brief Title
Sofusa System With Sumatriptan (KC5010) Phase 1 Dose Escalation Safety and PK Study (KCC-SMT-002)
Acronym
KCC-SMT-002
Official Title
An Open-Label Phase 1 Study to Establish the Pharmacokinetics and Safety of Sumatriptan Succinate Administered Via the Sofusa™ DoseConnect™ System at Escalating Doses Compared to Oral Imitrex® Single 100 mg Dose in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
January 17, 2018 (Actual)
Primary Completion Date
March 28, 2018 (Actual)
Study Completion Date
March 28, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sorrento Therapeutics, Inc.
Collaborators
Kimberly-Clark Corporation

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes

5. Study Description

Brief Summary
Study KCC-SMT-002, is a Phase 1, single-site, open-label, non-randomized, crossover, flexible dose design study to investigate the pharmacokinetic (PK) and safety comparing the Sofusa™ system with sumatriptan (KC5010) to Imitrex® oral tablets in 17 healthy volunteers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Migraine Disorders

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
19 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Sumatriptan Succinate Oral Tablet
Arm Type
Active Comparator
Arm Description
100 mg oral tablet commercial Imitrex sumatriptan succinate tablet
Arm Title
Sofusa Profile #1
Arm Type
Experimental
Arm Description
Combination device for transdermal delivery of sumatriptan succinate Current approved dose (SC)
Arm Title
Sofusa Dose Profile #2
Arm Type
Experimental
Arm Description
Combination device for transdermal delivery of sumatriptan succinate- adjust dose and flow rate to achieve PK profile based on results from Sofusa Dose Profile #1
Arm Title
Sofusa Dose Profile #3
Arm Type
Experimental
Arm Description
Combination device for transdermal delivery of sumatriptan succinate- adjust dose and flow rate to achieve PK profile based on results from Sofusa Dose Profile #2
Arm Title
Sofusa Dose Profile #4
Arm Type
Experimental
Arm Description
Combination device for transdermal delivery of sumatriptan succinate- adjust dose and flow rate to achieve PK profile based on results from Sofusa Dose Profile #3
Arm Title
Sofusa Dose Profile #5
Arm Type
Experimental
Arm Description
Combination device for transdermal delivery of sumatriptan succinate- adjust dose and flow rate to achieve PK profile based on results from prior Sofusa Dose Profile #2-4
Intervention Type
Drug
Intervention Name(s)
Sumatriptan Succinate Oral Tablet
Intervention Description
Sumatriptan succinate commercial Imitrex 100 mg tablet
Intervention Type
Combination Product
Intervention Name(s)
Transdermal delivery of sumatriptan succinate
Other Intervention Name(s)
Sofusa DoseDisc, Sofusa DoseConnect, KC5010
Intervention Description
Sumatriptan succinate transdermal drug delivery system
Primary Outcome Measure Information:
Title
PK Cmax
Description
Pharmacokinetic profile with Cmax (maximum concentration) of drug in blood, ng/mL
Time Frame
48 hours after dosing begins
Title
PK AUC
Description
Pharmacokinetic profile AUC (area under the curve) of drug in blood, ng-hr/mL
Time Frame
48 hours after dosing begins
Secondary Outcome Measure Information:
Title
Dermatological skin response (Draize scale)
Description
Skin response as measured on modified Draize scale (erythema, edema, etc.)
Time Frame
From Predose to 168 hours after device application
Title
Pain of application and wear (VAS scale)
Description
Pain as reported on Visual Analog Scale
Time Frame
Upon application and after wear

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Able to give voluntary written informed consent (personally signed and dated) and HIPPA Authorization prior to any study related procedures. Available to participate for the entire study period. Be a male or female person between 18 and 55 years (inclusive) of age. Healthy as determined by the investigator based on a medical evaluation including history, physical examination, electrocardiogram (ECG), and laboratory tests. Have systolic blood pressure (sitting) of < 140 mmHg and diastolic blood pressure of < 90 mmHg after 5 minutes of rest. Minor excursions in blood pressure outside of this range may be acceptable if determined not to be clinically significant by the study physician or medical monitor. Have resting pulse rate (sitting) within normal range of 60-100 bpm. Minor excursions in resting pulse outside of this range may be acceptable if determined not to be clinically significant by the study physician or the medical monitor. Females must be either postmenopausal for at least 1 year, surgically sterile (bilateral oophorectomy, tubal ligation, tubal occlusion, hysterectomy), or using adequate contraception from screening until 90 days after completion of study participation. Adequate contraception is defined as true abstinence, a vasectomized partner, or one of the following in combination with a diaphragm, cervical cap, or a condom: Hormonal contraceptives (oral, implant, patch, injection) Intrauterine device Males must use adequate contraception and must not donate sperm from first admission to the clinical research center until 90 days after completion of study participation. Adequate contraception is defined as true abstinence, vasectomy, a partner who is surgically sterile (bilateral oophorectomy, tubal ligation, tubal occlusion, hysterectomy), or one of the following in combination with a diaphragm, cervical cap, or a condom: Hormonal contraceptives (oral, implant, patch, injection) Intrauterine device Have a body weight above 50 kg and below 90 kg (inclusive). Be able to communicate effectively with the study personnel and understand and comply with all study requirements. Exclusion criteria: Women who are pregnant or lactating. Current use or has used tobacco- or nicotine-containing products (e.g., cigarettes, cigars, chewing tobacco, snuff, etc.) 30 days prior to investigational product administration. A cotinine test (with a cut-off of 200 mg) will be performed at screening and admission to the study center. Recent history (i.e. within 2 years) of alcohol abuse, illicit drug use, or significant mental illness. Positive screen for substances of abuse. A positive screening result for human immunodeficiency virus (HIV) antibody, Hepatitis B surface antigen (HBsAg), or Hepatitis C antibody (anti-HCV). Any disease or condition (medical or surgical) that might compromise a major body system (e.g. cardiovascular, respiratory, etc.) or conditions that may interfere with the absorption, distribution, metabolism, or excretion of the study medication. Any bleeding disorders or use of anticoagulants. Any conditions (e.g. diabetes, edema, scleroderma) or receiving medications (e.g. steroids, antibiotics) that alter skin integrity and/or healing. Any known condition or receiving medications causing hypo/hyperpigmentation or photosensitivity. Presence or history of hypertension or other cardiovascular abnormalities such as, but not limited to, myocardial infarction, heart failure, arrhythmia, stroke, or peripheral vascular disease or any other cardiovascular disease that requires the subject to wear a pacemaker. Use of a drug therapy known to induce or inhibit hepatic drug metabolism within 30 days prior to the Treatment visit for dosing. Patient has received a live attenuated vaccine within the 4 weeks prior to treatment or plans to receive one during the study. Febrile illness within 7 days of Treatment visit for dosing. Has a positive history or known sensitivity to sumatriptan or other triptans. Any history of sensitivity to methylene blue, fluorescein or calcein, or other similar dye product. Subjects who have used ergotamine-containing or ergot-type medications (like dihydrogergotamine or methysergide) within the past week. The Imitrex® label specifies that these medication are contraindicated within 24 hours of use. Diagnosed with ischemic bowel disease or severe hepatic impairment which are known contraindications to sumatriptan. Concomitant therapy with the following medications which have significant drug interactions with sumatriptan: selective serotonin reuptake inhibitors (SSRIs), serotonin/norepinephrine reuptake inhibitor (SNRIs), tricyclic antidepressants, and monomine oxidase (MAO) inhibitors due to an increased risk of serotonin syndrome. Subjects receiving these medications may enroll in the study if these medications have been discontinued for 5 or more half-lives prior to the first Treatment visit. Subjects who are currently taking prescription or over-the-counter medications (including vitamins and herbal preparations) that could interfere with the evaluation or the safety of the subject, as determined by the Investigator. Participation in the treatment phase of a clinical study or receipt of an investigational drug or medical device within 30 days prior to the Treatment visit for dosing. History of difficulty with phlebotomy procedures. Donated blood (>400 mL) or blood products within 45 days prior to the Treatment visit for dosing. Subjects who have skin conditions or tattoos extensive enough to cover areas where the device is to be applied. Any history of skin contact sensitivity to metals, plastics or adhesives. Has a condition that, in the opinion of the Investigator, may increase the risk to the subject and/or the interpretation of the data.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wayne L Harper, MD
Organizational Affiliation
Carolina Phase I Research, LLC
Official's Role
Principal Investigator
Facility Information:
Facility Name
Carolina Phase 1 Research
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27612
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
23186530
Citation
Kam KR, Walsh LA, Bock SM, Koval M, Fischer KE, Ross RF, Desai TA. Nanostructure-mediated transport of biologics across epithelial tissue: enhancing permeability via nanotopography. Nano Lett. 2013 Jan 9;13(1):164-71. doi: 10.1021/nl3037799. Epub 2012 Dec 24.
Results Reference
background
PubMed Identifier
25790174
Citation
Walsh L, Ryu J, Bock S, Koval M, Mauro T, Ross R, Desai T. Nanotopography facilitates in vivo transdermal delivery of high molecular weight therapeutics through an integrin-dependent mechanism. Nano Lett. 2015 Apr 8;15(4):2434-41. doi: 10.1021/nl504829f. Epub 2015 Mar 27.
Results Reference
background
PubMed Identifier
8962747
Citation
Owen K, Hartley K, Tucker ML, Parkinson MM, Tweats DJ, Jackson MR. The preclinical toxicological evaluation of sumatriptan. Hum Exp Toxicol. 1995 Dec;14(12):959-73. doi: 10.1177/096032719501401205.
Results Reference
background
Links:
URL
https://www.gsksource.com/pharma/content/dam/GlaxoSmithKline/US/en/Prescribing_Information/Imitrex_Tablets/pdf/IMITREX-TABLETS-PI-PIL.PDF
Description
Imitrex® oral prescribing information (November 2013)

Learn more about this trial

Sofusa System With Sumatriptan (KC5010) Phase 1 Dose Escalation Safety and PK Study (KCC-SMT-002)

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