Nasal Human Abuse Potential of PTI-821
Primary Purpose
Opioid Abuse Nondependent
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
PTI-821 capsule Manipulated
PTI-821 Non-manipulated
OxyContin
Placebo
Oxycodone
Sponsored by
About this trial
This is an interventional other trial for Opioid Abuse Nondependent
Eligibility Criteria
Inclusion Criteria::
- Healthy male and/or female subjects between the ages of 18 and 55 years,
- Subject is a recreational opioid user who is NOT dependent on opioids
- Body Mass Index (BMI) of 17.5 to 30.5 kg/m2; and body weight > 50 kg (110lbs).
- Evidence of a personally signed and dated informed consent document
- Subjects must be willing and able to comply with study procedures.
- Females who are physically incapable of childbearing, or practicing an acceptable method of birth control. Acceptable methods of birth control include surgical sterilization, hormonal contraceptives, or double-barrier methods (condom or diaphragm with a spermicidal agent or intrauterine device).
Exclusion Criteria:
- Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at time of dosing).
- Diagnosis of substance and/or alcohol dependence (excluding caffeine and nicotine).
- Has participated in, is currently participating in, or is seeking treatment for substance- and/or alcohol-related disorders (excluding nicotine and caffeine).
- Has a positive urine drug screen (UDS) excluding tetrahydrocannabinol (THC) at Screening and the admission for Qualification Phase.
- Has a positive alcohol breath test at Screening or upon admission to the study center for the Qualification Phase.
- Has any history of a condition in which an opioid is contraindicated
- History of sleep apnea in the past 5 years that has not been resolved.
- Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject unsuitable for entry into this study.
- Positive test for Hepatitis B, Hepatitis C, or HIV at Screening.
- Allergy or history of hypersensitivity to naloxone hydrochloride (HCl), oxycodone HCl, other opioids, and/or lactose.
- Any condition possibly affecting drug absorption.
- Physical (eg, constricted or collapsed veins) or mental obstruction (ie, phobia) that would prevent serial blood sample collection.
- Clinically significant illness in the judgment of the investigator within 30 days before Screening.
- Treatment with an investigational drug within 30 days (or as determined by the local requirement, whichever is longer) or 5 half-lives preceding the first treatment during the Qualification Period (Visit 2), if longer than 30 days.
- Screening BP > 140 mm Hg (systolic) or > 90 mm Hg (diastolic) following at least 5 minutes of rest. If BP is > 140 mm Hg (systolic) or > 90 mm Hg (diastolic), the BP should be repeated two more times and the average of the three BP values should be used to determine the subject's eligibility.
- Pregnant females; breastfeeding females; males and females of childbearing potential who are unwilling or unable to use a highly effective method of contraception as outlined in this protocol for the duration of the study and for 28 days after the last dose of study medication. Urine pregnancy tests must be collected and confirmed negative prior to dosing upon admission.
- Is currently taking a drug for a medical condition or a nutraceutical that poses a safety risk when administered with an opioid, cannot be safely withdrawn at Screening for the duration of the study, and/or will adversely affect the PD and safety assessments required by the study. Examples include antihypertensive agents, drugs for seizures, and diabetes medications. Hormonal contraceptives (oral, injected, intrauterine, transdermal or implanted) are allowed in this study provided the subject remains on the same treatment throughout the entire study and has been using that hormonal contraceptive for an adequate period of time to ensure effectiveness. Limited use of non-prescription medications that are not believed to affect subject safety or the overall results of the study may be permitted on a case-by-case basis following approval by the investigator. As an exception, acetaminophen may be used at doses of 1 g/day.
- Blood donation (excluding plasma donations) of approximately 1 pint (500 mL) or more within 30 days prior to dosing.
- Unwilling or unable to comply with the procedures described in this protocol.
- Unwilling to be searched (including personal effects) for illicit substances before admission to the study center.
- Subject is a heavy smoker (> 20 cigarettes per day on average in the past 30 days prior to Screening), chews tobacco, uses nicotine-containing products (including nicotine transdermal patches), and/or is unable to abstain from smoking for at least 10 hours during any day.
- Current pending legal charges or currently on probation.
- Subjects who are investigational site staff members directly involved in the conduct of the study and their family members, site staff members otherwise supervised by the investigator, or subjects who are PTI employees directly involved in the conduct of the study.
Sites / Locations
- PRA-EDS
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm Type
Experimental
Active Comparator
Active Comparator
Placebo Comparator
Experimental
Arm Label
PTI-821 Manipulated
Oxycodone
OxyContin
Placebo
PTI-821 Non-manipulated
Arm Description
oxycodone 40 mg capsule
Oxycodone 40 mg IR tablet crushed
Oxycodone ER 40 mg tablet crushed
Matching placebos for experimental and active comparator arms
Oxycodone 40 mg non-manipulated
Outcomes
Primary Outcome Measures
Drug Liking Emax
Peak effect for drug liking based on bipolar visual analog scale from 0-100 where 0 is most negative response, 50 is neutral, and 100 is most positive response.
Secondary Outcome Measures
Take Drug Again
Desire to take drug again if offered based on bipolar visual analog scale from 0-100 where o is most negative response, 50 is neutral, and 100 is the most positive response.
Drug effects questionnaire
Assesses various drug effects such as good drug effects, bad drug effects, high and nausea/dizziness
Peak Plasma Concentration (Cmax)
Maximum plasma concentration
Area under the plasma concentration versus time curve
Amount of drug absorbed at various timepoints
Time to maximum plasma concentration (Tmax)
The time intervals from the first dose to the peak plasma concentration
Full Information
NCT ID
NCT03475862
First Posted
March 7, 2018
Last Updated
March 22, 2018
Sponsor
Pain Therapeutics
Collaborators
PRA Health Sciences
1. Study Identification
Unique Protocol Identification Number
NCT03475862
Brief Title
Nasal Human Abuse Potential of PTI-821
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Double-Dummy, Single-Dose,4-Way Crossover Study With Exploratory Fifth Treatment to Determine the Relative Nasal Abuse Potential of PTI-821 (Oxycodone Extended-Release Capsules)
Study Type
Interventional
2. Study Status
Record Verification Date
March 2018
Overall Recruitment Status
Completed
Study Start Date
May 15, 2017 (Actual)
Primary Completion Date
July 31, 2017 (Actual)
Study Completion Date
December 15, 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pain Therapeutics
Collaborators
PRA Health Sciences
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 study will evaluate the human abuse liability of PTI-821 (oxycodone extended-release capsules) when administered nasally compared to crushed oxycodone IR tablets and crushed OxyContin tablets, also administered nasally.
Detailed Description
The nasal human abuse liability of PTI-821 will be compared to oxycodone IR using pharmacokinetic and pharmacodynamic assessments. A comparison to OxyContin will be dose using pharmacokinetic assessments.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Opioid Abuse Nondependent
7. Study Design
Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Model Description
4-way single-dose crossover with an exploratory 5th treatment arm
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Double-blind, double-dummy
Allocation
Randomized
Enrollment
38 (Actual)
8. Arms, Groups, and Interventions
Arm Title
PTI-821 Manipulated
Arm Type
Experimental
Arm Description
oxycodone 40 mg capsule
Arm Title
Oxycodone
Arm Type
Active Comparator
Arm Description
Oxycodone 40 mg IR tablet crushed
Arm Title
OxyContin
Arm Type
Active Comparator
Arm Description
Oxycodone ER 40 mg tablet crushed
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Matching placebos for experimental and active comparator arms
Arm Title
PTI-821 Non-manipulated
Arm Type
Experimental
Arm Description
Oxycodone 40 mg non-manipulated
Intervention Type
Drug
Intervention Name(s)
PTI-821 capsule Manipulated
Intervention Description
PTI-821 (oxycodone) 40 mg extended release capsule
Intervention Type
Drug
Intervention Name(s)
PTI-821 Non-manipulated
Intervention Description
PTI-821 (oxycodone) 40 mg capsule extended release capsule
Intervention Type
Drug
Intervention Name(s)
OxyContin
Intervention Description
Crushed OxyContin (oxycodone) extended-release 40 mg tablet
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Matching placebos for PTI-821 and oxycodone IR
Intervention Type
Drug
Intervention Name(s)
Oxycodone
Intervention Description
Crushed oxycodone 40 mg immediate release tablet
Primary Outcome Measure Information:
Title
Drug Liking Emax
Description
Peak effect for drug liking based on bipolar visual analog scale from 0-100 where 0 is most negative response, 50 is neutral, and 100 is most positive response.
Time Frame
Intervals from 0.5 hours to 12 hours post dose
Secondary Outcome Measure Information:
Title
Take Drug Again
Description
Desire to take drug again if offered based on bipolar visual analog scale from 0-100 where o is most negative response, 50 is neutral, and 100 is the most positive response.
Time Frame
12 and 25 hours
Title
Drug effects questionnaire
Description
Assesses various drug effects such as good drug effects, bad drug effects, high and nausea/dizziness
Time Frame
Intervals from 0.5 hours to 12 hours post dose
Title
Peak Plasma Concentration (Cmax)
Description
Maximum plasma concentration
Time Frame
Intervals from 15 minutes to 24 hours post-dose
Title
Area under the plasma concentration versus time curve
Description
Amount of drug absorbed at various timepoints
Time Frame
Intervals from 15 minutes to 24 hours post-dose
Title
Time to maximum plasma concentration (Tmax)
Description
The time intervals from the first dose to the peak plasma concentration
Time Frame
Intervals from 15 minutes to 24 hours post-dose
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::
Healthy male and/or female subjects between the ages of 18 and 55 years,
Subject is a recreational opioid user who is NOT dependent on opioids
Body Mass Index (BMI) of 17.5 to 30.5 kg/m2; and body weight > 50 kg (110lbs).
Evidence of a personally signed and dated informed consent document
Subjects must be willing and able to comply with study procedures.
Females who are physically incapable of childbearing, or practicing an acceptable method of birth control. Acceptable methods of birth control include surgical sterilization, hormonal contraceptives, or double-barrier methods (condom or diaphragm with a spermicidal agent or intrauterine device).
Exclusion Criteria:
Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at time of dosing).
Diagnosis of substance and/or alcohol dependence (excluding caffeine and nicotine).
Has participated in, is currently participating in, or is seeking treatment for substance- and/or alcohol-related disorders (excluding nicotine and caffeine).
Has a positive urine drug screen (UDS) excluding tetrahydrocannabinol (THC) at Screening and the admission for Qualification Phase.
Has a positive alcohol breath test at Screening or upon admission to the study center for the Qualification Phase.
Has any history of a condition in which an opioid is contraindicated
History of sleep apnea in the past 5 years that has not been resolved.
Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject unsuitable for entry into this study.
Positive test for Hepatitis B, Hepatitis C, or HIV at Screening.
Allergy or history of hypersensitivity to naloxone hydrochloride (HCl), oxycodone HCl, other opioids, and/or lactose.
Any condition possibly affecting drug absorption.
Physical (eg, constricted or collapsed veins) or mental obstruction (ie, phobia) that would prevent serial blood sample collection.
Clinically significant illness in the judgment of the investigator within 30 days before Screening.
Treatment with an investigational drug within 30 days (or as determined by the local requirement, whichever is longer) or 5 half-lives preceding the first treatment during the Qualification Period (Visit 2), if longer than 30 days.
Screening BP > 140 mm Hg (systolic) or > 90 mm Hg (diastolic) following at least 5 minutes of rest. If BP is > 140 mm Hg (systolic) or > 90 mm Hg (diastolic), the BP should be repeated two more times and the average of the three BP values should be used to determine the subject's eligibility.
Pregnant females; breastfeeding females; males and females of childbearing potential who are unwilling or unable to use a highly effective method of contraception as outlined in this protocol for the duration of the study and for 28 days after the last dose of study medication. Urine pregnancy tests must be collected and confirmed negative prior to dosing upon admission.
Is currently taking a drug for a medical condition or a nutraceutical that poses a safety risk when administered with an opioid, cannot be safely withdrawn at Screening for the duration of the study, and/or will adversely affect the PD and safety assessments required by the study. Examples include antihypertensive agents, drugs for seizures, and diabetes medications. Hormonal contraceptives (oral, injected, intrauterine, transdermal or implanted) are allowed in this study provided the subject remains on the same treatment throughout the entire study and has been using that hormonal contraceptive for an adequate period of time to ensure effectiveness. Limited use of non-prescription medications that are not believed to affect subject safety or the overall results of the study may be permitted on a case-by-case basis following approval by the investigator. As an exception, acetaminophen may be used at doses of 1 g/day.
Blood donation (excluding plasma donations) of approximately 1 pint (500 mL) or more within 30 days prior to dosing.
Unwilling or unable to comply with the procedures described in this protocol.
Unwilling to be searched (including personal effects) for illicit substances before admission to the study center.
Subject is a heavy smoker (> 20 cigarettes per day on average in the past 30 days prior to Screening), chews tobacco, uses nicotine-containing products (including nicotine transdermal patches), and/or is unable to abstain from smoking for at least 10 hours during any day.
Current pending legal charges or currently on probation.
Subjects who are investigational site staff members directly involved in the conduct of the study and their family members, site staff members otherwise supervised by the investigator, or subjects who are PTI employees directly involved in the conduct of the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lynn Webster, MD
Organizational Affiliation
PRA Health Sciences
Official's Role
Principal Investigator
Facility Information:
Facility Name
PRA-EDS
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84106
Country
United States
12. IPD Sharing Statement
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Nasal Human Abuse Potential of PTI-821
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