A Study of Diazepam After Intranasal and Intravenous Administration to Healthy Volunteers
Primary Purpose
Epilepsy
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Diazepam
Diazepam
Sponsored by
About this trial
This is an interventional other trial for Epilepsy
Eligibility Criteria
Inclusion Criteria:
- Male and female subjects between the ages of 18 and 45 years (inclusive).
- Written informed consent to participate in the study.
- Body mass index (BMI) between 19 and 30 kg/m², inclusive.
- Female subjects of childbearing potential, defined as not surgically sterile or at least two years (2) postmenopausal, must agree to use one of the following forms of contraception from three (3) months prior through 12 days following the last dose of study drug: hormonal (oral, transdermal, implant, or injection), barrier (condom, diaphragm with spermicide), IUD, or vasectomized partner (six months minimum). Subjects must have used the same method for at least three (3) months prior to starting the study.
- No clinically significant abnormal findings in the medical history, on the physical examination, electrocardiogram (ECG), or clinical laboratory results during Screening.
- Subjects must agree to return to the study site for all study visits, including the three (3) confinement periods, and must be willing to comply with all required study procedures.
Exclusion Criteria:
- A history of clinically significant gastrointestinal, renal, hepatic, neurologic, hematologic, endocrine, oncologic, pulmonary, immunologic, psychiatric, or cardiovascular disease, severe seasonal or non seasonal allergies, nasal polyps or any nasal passage abnormality that could interfere with nasal spray administration, or any other condition which, in the opinion of the Principal Investigator, would jeopardize the safety of the subject or impact the validity of the study results.
- A history of allergic or adverse responses to diazepam or any comparable or similar product.
- Subjects who (for whatever reason) have been on an abnormal diet (such as one that severely restricts specific basic food groups [e.g., ketogenic diet], limits calories [e.g., fast], and/or requires the use of daily supplements as a substitute for the foods typically eaten at mealtimes), during the four (4) weeks preceding the study.
- Subjects who donated blood or plasma within 30 days of the first dose of study drug.
- Participation in a clinical trial within 30 days prior to the first dose of study drug. Participation in an observational (non interventional) study is not excluded as long as there are no scheduling conflicts with this study.
- Inadequate or difficult venous access that may jeopardize the quality or timing of the PK samples.
- Use of any over the counter (OTC) medication, including vitamins, within seven (7) days prior to the first dose of the study drug or during the study, unless approved by the Principal Investigator.
- Use of any prescription medication, including benzodiazepines, within 14 days prior to the first dose of study drug or during the study, with the exception of hormonal contraceptives for women of childbearing potential, unless approved by the Principal Investigator.
- Treatment with any known enzyme altering drugs such as barbiturates, phenothiazines, cimetidine, carbamazepine, etc., within 30 days prior to the first dose of study drug or during the study.
- Smoking or use of tobacco products within six (6) months prior to the first dose of study drug or during the study.
- Female subjects who are trying to conceive, are pregnant, or are lactating.
- Positive serum pregnancy test at Screening or urine pregnancy test prior to each administration of study drug for all women, regardless of childbearing potential.
- Positive blood screen for HIV, Hepatitis B surface antigen (HbSAg), or Hepatitis C, or a positive urine screen for alcohol, drugs of abuse, or cotinine.
Sites / Locations
- Prism Clinical Research Unit
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Active Comparator
Arm Label
Diazepam Nasal Spray Suspension
Diazepam Nasal Spray Solution
Diazepam injection
Arm Description
Diazepam Nasal Suspension - 10 mg
Diazepam Nasal Spray Solution - 10 mg
Diazepam injection IV - 5 mg
Outcomes
Primary Outcome Measures
Comparison of the Absolute Bioavailability of Two Intranasal Diazepam Formulations.
To calculate bioavailability we used the following formula:
Area Under the Curve (Intranasal Spray)*100/Area Under the Curve (Intravenous Injection)
Secondary Outcome Measures
Full Information
NCT ID
NCT01364558
First Posted
May 20, 2011
Last Updated
October 30, 2019
Sponsor
University of Minnesota
Collaborators
Neurelis, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT01364558
Brief Title
A Study of Diazepam After Intranasal and Intravenous Administration to Healthy Volunteers
Official Title
A Three-Period, Three-Treatment, Six-Sequence Randomized Crossover Study of the Bioavailability and Pharmacokinetics of Diazepam After Intranasal and Intravenous Administration to Healthy Volunteers",
Study Type
Interventional
2. Study Status
Record Verification Date
October 2019
Overall Recruitment Status
Completed
Study Start Date
February 2011 (undefined)
Primary Completion Date
April 2011 (Actual)
Study Completion Date
April 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Minnesota
Collaborators
Neurelis, Inc.
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this clinical research study is to assess the bioavailability and pharmacokinetics of two formulations of diazepam after intranasal (nasal spray) and injectable diazepam after intravenous (I.V.) administration
Detailed Description
Diazepam is a medication that is used for the treatment of seizures. It was approved by the Food and Drug Administration (FDA) for use in the United States and is currently sold as Valium® tablets, Diazepam Injection and Diastat® rectal gel.
This study will evaluate two intranasal (nasal spray) formulations of diazepam which will be supplied by Neurelis, Inc. The purpose of this clinical research study is to assess the bioavailability and pharmacokinetics of two formulations of diazepam after intranasal (nasal spray) and injectable diazepam after intravenous (I.V.) administration. "Bioavailability" is a measure of how much drug is absorbed and present in the blood. "Pharmacokinetics" means to study the way a drug enters and leaves the blood and tissues over time
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Epilepsy
7. Study Design
Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
24 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Diazepam Nasal Spray Suspension
Arm Type
Experimental
Arm Description
Diazepam Nasal Suspension - 10 mg
Arm Title
Diazepam Nasal Spray Solution
Arm Type
Experimental
Arm Description
Diazepam Nasal Spray Solution - 10 mg
Arm Title
Diazepam injection
Arm Type
Active Comparator
Arm Description
Diazepam injection IV - 5 mg
Intervention Type
Drug
Intervention Name(s)
Diazepam
Other Intervention Name(s)
Brand names include: Valium, Diastat
Intervention Description
Diazepam will be administered as a 5 mg dose given IV. The two nasal formulations will be given as a 10 mg dose.
Intervention Type
Drug
Intervention Name(s)
Diazepam
Other Intervention Name(s)
Valium Injectable, Diastat Rectal Gel
Intervention Description
IV diazepam will be given as a 5 mg dose. The two nasal formulations will be given as 10 mg doses.
Primary Outcome Measure Information:
Title
Comparison of the Absolute Bioavailability of Two Intranasal Diazepam Formulations.
Description
To calculate bioavailability we used the following formula:
Area Under the Curve (Intranasal Spray)*100/Area Under the Curve (Intravenous Injection)
Time Frame
2 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Male and female subjects between the ages of 18 and 45 years (inclusive).
Written informed consent to participate in the study.
Body mass index (BMI) between 19 and 30 kg/m², inclusive.
Female subjects of childbearing potential, defined as not surgically sterile or at least two years (2) postmenopausal, must agree to use one of the following forms of contraception from three (3) months prior through 12 days following the last dose of study drug: hormonal (oral, transdermal, implant, or injection), barrier (condom, diaphragm with spermicide), IUD, or vasectomized partner (six months minimum). Subjects must have used the same method for at least three (3) months prior to starting the study.
No clinically significant abnormal findings in the medical history, on the physical examination, electrocardiogram (ECG), or clinical laboratory results during Screening.
Subjects must agree to return to the study site for all study visits, including the three (3) confinement periods, and must be willing to comply with all required study procedures.
Exclusion Criteria:
A history of clinically significant gastrointestinal, renal, hepatic, neurologic, hematologic, endocrine, oncologic, pulmonary, immunologic, psychiatric, or cardiovascular disease, severe seasonal or non seasonal allergies, nasal polyps or any nasal passage abnormality that could interfere with nasal spray administration, or any other condition which, in the opinion of the Principal Investigator, would jeopardize the safety of the subject or impact the validity of the study results.
A history of allergic or adverse responses to diazepam or any comparable or similar product.
Subjects who (for whatever reason) have been on an abnormal diet (such as one that severely restricts specific basic food groups [e.g., ketogenic diet], limits calories [e.g., fast], and/or requires the use of daily supplements as a substitute for the foods typically eaten at mealtimes), during the four (4) weeks preceding the study.
Subjects who donated blood or plasma within 30 days of the first dose of study drug.
Participation in a clinical trial within 30 days prior to the first dose of study drug. Participation in an observational (non interventional) study is not excluded as long as there are no scheduling conflicts with this study.
Inadequate or difficult venous access that may jeopardize the quality or timing of the PK samples.
Use of any over the counter (OTC) medication, including vitamins, within seven (7) days prior to the first dose of the study drug or during the study, unless approved by the Principal Investigator.
Use of any prescription medication, including benzodiazepines, within 14 days prior to the first dose of study drug or during the study, with the exception of hormonal contraceptives for women of childbearing potential, unless approved by the Principal Investigator.
Treatment with any known enzyme altering drugs such as barbiturates, phenothiazines, cimetidine, carbamazepine, etc., within 30 days prior to the first dose of study drug or during the study.
Smoking or use of tobacco products within six (6) months prior to the first dose of study drug or during the study.
Female subjects who are trying to conceive, are pregnant, or are lactating.
Positive serum pregnancy test at Screening or urine pregnancy test prior to each administration of study drug for all women, regardless of childbearing potential.
Positive blood screen for HIV, Hepatitis B surface antigen (HbSAg), or Hepatitis C, or a positive urine screen for alcohol, drugs of abuse, or cotinine.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
James Cloyd, Pharm D.
Organizational Affiliation
University of Minnesota
Official's Role
Principal Investigator
Facility Information:
Facility Name
Prism Clinical Research Unit
City
Saint Paul
State/Province
Minnesota
ZIP/Postal Code
55114
Country
United States
12. IPD Sharing Statement
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A Study of Diazepam After Intranasal and Intravenous Administration to Healthy Volunteers
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