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A Study of the Pulmonary Safety and Pharmacokinetics of Zolmitriptan Inhalation Powder

Primary Purpose

Migraine

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
CVT-427 (zolmitriptan inhalation powder)
Sponsored by
Acorda Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Migraine focused on measuring Adult smokers, Asthma, Healthy volunteers

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • eligible subjects will be men or women aged 18 to 65 years inclusive;
  • body mass index (BMI) 18 to 30 kg/m2;
  • healthy adults must be in general good health with no clinically significant abnormalities that would affect ability to complete study.
  • subjects with asthma must be non-smokers who have a forced expiratory volume in one second (FEV1) ≥ 60% of predicted for race, age, sex, and height;
  • subjects who smoke must have at least a 12-month, 0.5 pack of cigarettes per day history or the equivalent consumption of cigars and a positive result for plasma cotinine.

Exclusion Criteria:

  • subjects with asthma will be excluded for more than 2 hospitalizations or emergency room visits, or more than 3 courses of systemic steroids in the past 12 months or 1 course within the past 8 weeks for respiratory illness;
  • asthma exacerbation within 8 weeks of before screening;
  • unscheduled or urgent visit to any medical facility for asthma-related problems within 8 weeks before screening;
  • history of intubation or intensive care unit admission for asthma in the past 5 years.
  • Subjects who smoke will be excluded if they have intrinsic lung disease including asthma or chronic obstructive pulmonary disease (COPD) with an FEV1 of <60% of predicted and a score of ≥2 on the Medical Research Council Dsypnea Scale (MRC);
  • any cardiovascular risk factor or contraindication for the use of triptans
  • use of nonselective monamine oxidase inhibitors (MAOI), serotonin reuptake inhibitors (SSRIs), propranolol, or cimetidine within 4 weeks prior to the Screening Visit, or planned use during the study;
  • positive serology test (hepatitis B virus surface antigen [HBsAg], hepatitis C virus [HCV] antibody, human immunodeficiency virus [HIV] 1 & 2 antibodies).

Sites / Locations

  • Site #103
  • Site #102
  • Site #101

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Adult Asthmatics

Adult Smokers

Adult Healthy Volunteers

Arm Description

Two doses of CVT-427, 2 hours apart. 3.0 mg zolmitriptan capsule administered via CVT-427 breath-actuated inhaler in adult asthmatics

Two doses of CVT-427, 2 hours apart. 3.0 mg zolmitriptan capsule administered via CVT-427 breath-actuated inhaler in adult smokers.

Two doses of CVT-427, 2 hours apart. 3.0 mg zolmitriptan capsule administered via CVT-427 breath-actuated inhaler in adult healthy volunteers.

Outcomes

Primary Outcome Measures

Change in measure of pulmonary function via Spirometry
Maximum observed plasma drug concentration (Cmax)
Maximum observed plasma drug concentration (tmax)
Area under the concentration time curve over the dosing interval (AUC0-last)

Secondary Outcome Measures

Number of subjects with Adverse Events (AEs) including Serious AEs

Full Information

First Posted
September 2, 2016
Last Updated
February 12, 2018
Sponsor
Acorda Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT02905227
Brief Title
A Study of the Pulmonary Safety and Pharmacokinetics of Zolmitriptan Inhalation Powder
Official Title
A Phase 1 Study of the Pulmonary Safety and Pharmacokinetics of Zolmitriptan Inhalation Powder in Chronic Smokers and People With Mild or Moderate Asthma Compared to Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
January 2017
Overall Recruitment Status
Completed
Study Start Date
September 2016 (undefined)
Primary Completion Date
December 2016 (Actual)
Study Completion Date
December 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Acorda Therapeutics

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is an open-label, parallel group study to evaluate acute pulmonary safety and Pharmacokinetics (PK) of two doses, separated by 2 hours, of CVT-427 zolmitriptan inhalation powder in three groups of adults: those with asthma, those who smoke and healthy volunteers.
Detailed Description
The purpose of this study is to evaluate acute pulmonary safety and PK of CVT-427 zolmitriptan inhalation powder in the study populations.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Migraine
Keywords
Adult smokers, Asthma, Healthy volunteers

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Adult Asthmatics
Arm Type
Experimental
Arm Description
Two doses of CVT-427, 2 hours apart. 3.0 mg zolmitriptan capsule administered via CVT-427 breath-actuated inhaler in adult asthmatics
Arm Title
Adult Smokers
Arm Type
Experimental
Arm Description
Two doses of CVT-427, 2 hours apart. 3.0 mg zolmitriptan capsule administered via CVT-427 breath-actuated inhaler in adult smokers.
Arm Title
Adult Healthy Volunteers
Arm Type
Experimental
Arm Description
Two doses of CVT-427, 2 hours apart. 3.0 mg zolmitriptan capsule administered via CVT-427 breath-actuated inhaler in adult healthy volunteers.
Intervention Type
Drug
Intervention Name(s)
CVT-427 (zolmitriptan inhalation powder)
Intervention Description
Each subject received 2 self-administered doses of 3.0 mg CVT-427 (zolmitriptan inhalation powder), 2 hours apart.
Primary Outcome Measure Information:
Title
Change in measure of pulmonary function via Spirometry
Time Frame
within 1 hour prior to dose and up to 24 hours post-dose.
Title
Maximum observed plasma drug concentration (Cmax)
Time Frame
up to 24 hours post-dose.
Title
Maximum observed plasma drug concentration (tmax)
Time Frame
up to 24 hours post-dose.
Title
Area under the concentration time curve over the dosing interval (AUC0-last)
Time Frame
up to 24 hours post-dose.
Secondary Outcome Measure Information:
Title
Number of subjects with Adverse Events (AEs) including Serious AEs
Time Frame
up to 5 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: eligible subjects will be men or women aged 18 to 65 years inclusive; body mass index (BMI) 18 to 30 kg/m2; healthy adults must be in general good health with no clinically significant abnormalities that would affect ability to complete study. subjects with asthma must be non-smokers who have a forced expiratory volume in one second (FEV1) ≥ 60% of predicted for race, age, sex, and height; subjects who smoke must have at least a 12-month, 0.5 pack of cigarettes per day history or the equivalent consumption of cigars and a positive result for plasma cotinine. Exclusion Criteria: subjects with asthma will be excluded for more than 2 hospitalizations or emergency room visits, or more than 3 courses of systemic steroids in the past 12 months or 1 course within the past 8 weeks for respiratory illness; asthma exacerbation within 8 weeks of before screening; unscheduled or urgent visit to any medical facility for asthma-related problems within 8 weeks before screening; history of intubation or intensive care unit admission for asthma in the past 5 years. Subjects who smoke will be excluded if they have intrinsic lung disease including asthma or chronic obstructive pulmonary disease (COPD) with an FEV1 of <60% of predicted and a score of ≥2 on the Medical Research Council Dsypnea Scale (MRC); any cardiovascular risk factor or contraindication for the use of triptans use of nonselective monamine oxidase inhibitors (MAOI), serotonin reuptake inhibitors (SSRIs), propranolol, or cimetidine within 4 weeks prior to the Screening Visit, or planned use during the study; positive serology test (hepatitis B virus surface antigen [HBsAg], hepatitis C virus [HCV] antibody, human immunodeficiency virus [HIV] 1 & 2 antibodies).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Charles Oh, MD
Organizational Affiliation
Acorda Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
Site #103
City
North Dartmouth
State/Province
Massachusetts
ZIP/Postal Code
02747
Country
United States
Facility Name
Site #102
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68502
Country
United States
Facility Name
Site #101
City
Dallas
State/Province
Texas
ZIP/Postal Code
75247
Country
United States

12. IPD Sharing Statement

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A Study of the Pulmonary Safety and Pharmacokinetics of Zolmitriptan Inhalation Powder

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