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Clinical Adhesion Study Between ZTlido 1.8% and Three Over-the-counter External Analgesic Lidocaine-containing Patches

Primary Purpose

Healthy

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
ZTlido (Lidocaine Topical System) 1.8%
Salonpas (Lidocaine Patch 4%)
Aspercreme (Lidocaine Patch 4%)
IcyHot (Lidocaine 4% + Menthol 1% Patch)
Sponsored by
Scilex Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Healthy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy, male and female subjects aged 18 years and older with a Body Mass Index (BMI) range 18.0-32.49 kg/m2 inclusive (according to the formula of BMI = weight (kg) / [height (m)2]).
  • Subjects who have no evidence of underlying disease during screening and check-in and whose screening is performed within 28 days of check-in.
  • Subjects whose screening laboratory values are within normal limits or considered by the physician or Principal Investigator to be of no clinical significance.
  • Absence of disease markers of HIV 1 & 2, hepatitis B & C virus.
  • Generally healthy as documented by the medical history, physical examination (including but may not be limited to an evaluation of the cardiovascular, gastrointestinal, respiratory, musculoskeletal and central nervous systems) and vital sign assessments.
  • Generally healthy as documented by 12-lead electrocardiogram (ECG), and clinical laboratory assessments.
  • Any abnormalities/deviations from the acceptable range of medical history, clinical laboratory values, ECG and vitals, that might be considered clinically relevant by the study physician or investigator will be evaluated as individual cases.
  • Subjects able to comply with study procedures, in the opinion of the Principal Investigator.
  • Willing to give written consent and adhere to all the requirements of this protocol.
  • Female subjects of childbearing potential;
  • Non-pregnant and non-lactating females practicing medically acceptable forms of Birth Control and willing to continue during the study.
  • Postmenopausal Female- Age > 45 years and Amenorrhea for at least 1 year; or Bilateral Oophorectomy with or without a hysterectomy and an absence of bleeding for at least 6 months; or Total hysterectomy and an absence of bleeding for at least 3 months.
  • Male volunteers must practice protected sex throughout the study.

Exclusion Criteria:

  • Evidence of allergy or known hypersensitivity to lidocaine, local anesthetics of the amide type e.g., bupivacaine, etidocaine, mepivacaine and prilocaine or to any of the components of formulation.Any major illness in the last three months or any significant chronic medical illness.
  • Subjects with history of addiction, abuse, and misuse of any drug - as per physician discretion.
  • Subjects with history of mental illness as per physician discretion.
  • Presence or history of a clinically significant disorder involving the cardiovascular, respiratory, renal, hepatic, dermatologic, musculoskeletal, gastrointestinal, immunologic, hematologic, endocrine or neurologic system(s) or psychiatric disease (as determined by the Medical Investigator).
  • Participation in any clinical trial within 30 days prior to product application.
  • Subjects with inflamed or injured skin, such as active herpes zoster lesions, atopic dermatitis or wounds where the product will be placed.
  • Presence of any skin condition such as scratches, cuts, scars, abrasions, excessive hair, tattoos, moles, recently shaved skin, uneven skin texture, open sores, irritated (redness, rash, or blisters, etc.) or excessively oily skin at the application areas that may affect the application of the study product.
  • Use of make-up, creams, lotions, powders, or other topical products to the skin area where the product will be placed, within 48 hours prior to product application.
  • Use of antihistamines at product application site within 72 hours prior to product application.
  • Using antiarrhythmic drugs (such as tocainide and mexiletine) and local anesthetics within 14 days prior to product application.
  • Radiation therapy within 3 weeks prior to product application
  • History of significant dermatologic cancers (e.g., melanoma, squamous cell carcinoma etc.) except basal cell carcinomas that were superficial and did not involve the investigative sites.
  • Use of nicotine containing products (including e-cigarettes, patches, gum, chewing tobacco, cigars, etc.) within 30 days prior to patch application.
  • Positive results for drugs of abuse and alcohol breath analysis prior to product application.
  • Female subjects:
  • Demonstrating a positive pregnancy screen
  • Who are currently breastfeeding
  • Use of hormone replacement therapy within three months prior to product application.

Sites / Locations

  • AXIS Clinicals

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Other

Other

Other

Other

Arm Label

ZTlido (Lidocaine Topical System) 1.8%

Salonpas (Lidocaine Patch 4%)

Aspercreme (Lidocaine Patch 4%)

IcyHot (Lidocaine 4% + Menthol 1% Patch)

Arm Description

Outcomes

Primary Outcome Measures

Change in Percent adhesion
The adhesion performance (i.e., degree of lifting or detachment) is assessed by clinicians at each time point. The adhesion of Test Products 1, 2, and 3 (each over-the-counter external analgesic lidocaine-containing patch) are compared to the adhesion performance observed for the Reference Product.

Secondary Outcome Measures

Adverse events
The number of adverse events observed in each treatment will be used to assess the safety and tolerability of the four interventions

Full Information

First Posted
October 11, 2021
Last Updated
October 22, 2021
Sponsor
Scilex Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05106400
Brief Title
Clinical Adhesion Study Between ZTlido 1.8% and Three Over-the-counter External Analgesic Lidocaine-containing Patches
Official Title
Open-label, Randomized, Four-treatment, Four-sequence, Four-period, Crossover, Single-application Study Evaluating and Comparing Product Adhesion in Healthy Adult Subjects Using ZTlido 1.8% Versus Salonpas(Lidocaine Patch 4%), Aspercreme(Lidocaine Patch 4%) and IcyHot(Lidocaine 4% + Menthol 1% Patch)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
July 1, 2021 (Actual)
Primary Completion Date
July 21, 2021 (Actual)
Study Completion Date
July 21, 2021 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The study is designed to evaluate and compare the clinical adhesion performance of the ZTlido (Lidocaine Topical System) 1.8% of Scilex Pharmaceuticals Inc. (Reference) versus Salonpas (Lidocaine Patch 4%), Aspercreme (Lidocaine Patch 4%) and IcyHot (Lidocaine 4% + Menthol 1% Patch), on the Mid to upper back while being worn for 12 hours in healthy adult human subjects.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Model Description
Subjects will be randomized to ZTlido (Lidocaine Topical System) 1.8% or Salonpas (Lidocaine Patch 4%) or Aspercreme (Lidocaine Patch 4%) or IcyHot (Lidocaine 4% + Menthol 1% Patch). Subjects will crossover to each treatment after a wash out period.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ZTlido (Lidocaine Topical System) 1.8%
Arm Type
Other
Arm Title
Salonpas (Lidocaine Patch 4%)
Arm Type
Other
Arm Title
Aspercreme (Lidocaine Patch 4%)
Arm Type
Other
Arm Title
IcyHot (Lidocaine 4% + Menthol 1% Patch)
Arm Type
Other
Intervention Type
Drug
Intervention Name(s)
ZTlido (Lidocaine Topical System) 1.8%
Intervention Description
1 ZTlido (Lidocaine Topical System) 1.8% is applied predetermined area on the right or left side of the mid to upper back and worn for 12 hours
Intervention Type
Drug
Intervention Name(s)
Salonpas (Lidocaine Patch 4%)
Intervention Description
1 Salonpas (Lidocaine Patch 4%) is applied predetermined area on the right or left side of the mid to upper back and worn for 12 hours
Intervention Type
Drug
Intervention Name(s)
Aspercreme (Lidocaine Patch 4%)
Intervention Description
1 Aspercreme (Lidocaine Patch 4%) is applied predetermined area on the right or left side of the mid to upper back and worn for 12 hours
Intervention Type
Drug
Intervention Name(s)
IcyHot (Lidocaine 4% + Menthol 1% Patch)
Intervention Description
1 IcyHot (Lidocaine 4% + Menthol 1% Patch) is applied predetermined area on the right or left side of the mid to upper back and worn for 12 hours
Primary Outcome Measure Information:
Title
Change in Percent adhesion
Description
The adhesion performance (i.e., degree of lifting or detachment) is assessed by clinicians at each time point. The adhesion of Test Products 1, 2, and 3 (each over-the-counter external analgesic lidocaine-containing patch) are compared to the adhesion performance observed for the Reference Product.
Time Frame
0, 3, 6, 8, 10, and 12 hours
Secondary Outcome Measure Information:
Title
Adverse events
Description
The number of adverse events observed in each treatment will be used to assess the safety and tolerability of the four interventions
Time Frame
12 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy, male and female subjects aged 18 years and older with a Body Mass Index (BMI) range 18.0-32.49 kg/m2 inclusive (according to the formula of BMI = weight (kg) / [height (m)2]). Subjects who have no evidence of underlying disease during screening and check-in and whose screening is performed within 28 days of check-in. Subjects whose screening laboratory values are within normal limits or considered by the physician or Principal Investigator to be of no clinical significance. Absence of disease markers of HIV 1 & 2, hepatitis B & C virus. Generally healthy as documented by the medical history, physical examination (including but may not be limited to an evaluation of the cardiovascular, gastrointestinal, respiratory, musculoskeletal and central nervous systems) and vital sign assessments. Generally healthy as documented by 12-lead electrocardiogram (ECG), and clinical laboratory assessments. Any abnormalities/deviations from the acceptable range of medical history, clinical laboratory values, ECG and vitals, that might be considered clinically relevant by the study physician or investigator will be evaluated as individual cases. Subjects able to comply with study procedures, in the opinion of the Principal Investigator. Willing to give written consent and adhere to all the requirements of this protocol. Female subjects of childbearing potential; Non-pregnant and non-lactating females practicing medically acceptable forms of Birth Control and willing to continue during the study. Postmenopausal Female- Age > 45 years and Amenorrhea for at least 1 year; or Bilateral Oophorectomy with or without a hysterectomy and an absence of bleeding for at least 6 months; or Total hysterectomy and an absence of bleeding for at least 3 months. Male volunteers must practice protected sex throughout the study. Exclusion Criteria: Evidence of allergy or known hypersensitivity to lidocaine, local anesthetics of the amide type e.g., bupivacaine, etidocaine, mepivacaine and prilocaine or to any of the components of formulation.Any major illness in the last three months or any significant chronic medical illness. Subjects with history of addiction, abuse, and misuse of any drug - as per physician discretion. Subjects with history of mental illness as per physician discretion. Presence or history of a clinically significant disorder involving the cardiovascular, respiratory, renal, hepatic, dermatologic, musculoskeletal, gastrointestinal, immunologic, hematologic, endocrine or neurologic system(s) or psychiatric disease (as determined by the Medical Investigator). Participation in any clinical trial within 30 days prior to product application. Subjects with inflamed or injured skin, such as active herpes zoster lesions, atopic dermatitis or wounds where the product will be placed. Presence of any skin condition such as scratches, cuts, scars, abrasions, excessive hair, tattoos, moles, recently shaved skin, uneven skin texture, open sores, irritated (redness, rash, or blisters, etc.) or excessively oily skin at the application areas that may affect the application of the study product. Use of make-up, creams, lotions, powders, or other topical products to the skin area where the product will be placed, within 48 hours prior to product application. Use of antihistamines at product application site within 72 hours prior to product application. Using antiarrhythmic drugs (such as tocainide and mexiletine) and local anesthetics within 14 days prior to product application. Radiation therapy within 3 weeks prior to product application History of significant dermatologic cancers (e.g., melanoma, squamous cell carcinoma etc.) except basal cell carcinomas that were superficial and did not involve the investigative sites. Use of nicotine containing products (including e-cigarettes, patches, gum, chewing tobacco, cigars, etc.) within 30 days prior to patch application. Positive results for drugs of abuse and alcohol breath analysis prior to product application. Female subjects: Demonstrating a positive pregnancy screen Who are currently breastfeeding Use of hormone replacement therapy within three months prior to product application.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dmitri Lissin, MD
Organizational Affiliation
Chief Medical Officer
Official's Role
Study Director
Facility Information:
Facility Name
AXIS Clinicals
City
Dilworth
State/Province
Minnesota
ZIP/Postal Code
56529
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Clinical Adhesion Study Between ZTlido 1.8% and Three Over-the-counter External Analgesic Lidocaine-containing Patches

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