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A Study to Assess the Pharmacokinetics (PK) and Safety of Staccato Alprazolam in Adolescent Study Participants With Epilepsy

Primary Purpose

Epilepsy

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Alprazolam
Sponsored by
UCB Biopharma SRL
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Epilepsy focused on measuring Epilepsy, Staccato alprazolam, Phase 1, Adolescents, STAP-001, Alprazolam

Eligibility Criteria

12 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Participant must be 12 to 17 years of age inclusive, at the time of signing the Informed Consent form (ICF) and the Assent form
  • Participant has an established diagnosis of focal, generalized, or focal and generalized epilepsy
  • Participant is in good general health as determined by medical evaluation including medical history and physical examination
  • Participants with a body weight ≥29 kg and body mass index (BMI) within the range 14 to 32 kg/m^2 (inclusive)
  • A male participant must agree to use contraception
  • A female participant is eligible to participate if she is not pregnant
  • Participant is capable of and provides assent, and the study participant's parent/legal representative provides signed informed consent for minor study participants, which includes compliance with the requirements and restrictions listed in the ICF, Assent form, and in this protocol
  • Participant has a lifetime history of never smoking >5 cigarettes/day, and a current history (for at least 6 months prior to Screening Visit) of not smoking at all (including e-cigarette and vaping products)
  • Participant has forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) >80% predicted at Screening. In case of an out-of-range result, 1 repeat test will be allowed. If the readings are out-of-range again, the study participant will be excluded
  • Participant is willing and able to be confined to a clinical research facility for up to 36 hours (including 1 overnight stay) and comply with the study schedule and study requirements.

Note: If there are no clinical contraindications, as per Investigator's judgment, study participants may leave the clinical research facility after the 6-hour postdose assessments and return to the clinic on Day 2 for the 24-hour and 36-hour postdose assessments

  • Participant is currently taking at least 1 background antiepileptic drug (AED)
  • Participant is able to actuate the training device during Screening, according to Instructions for Use

Exclusion Criteria:

  • Participant has history or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrinological, neurological, hematological, cerebrovascular, or other major disorders capable of significantly altering the absorption, metabolism, or elimination of Investigational Medicinal Product (IMP); constituting a risk when taking the study intervention; or interfering with the interpretation of data in the opinion of the Investigator
  • Participant has a known hypersensitivity to any components of the IMP or comparative drugs (and/or an investigational device) as stated in the protocol
  • Participant has severe chronic cardio-respiratory disease
  • Participant has history of acute narrow angle glaucoma, hydrocephalus, or Myasthenia Gravis
  • Participant has history or has current airway disease such asthma, cystic fibrosis, or chronic obstructive pulmonary disease
  • Participant has any acute respiratory signs/symptoms (ie, wheezing) and active acute respiratory infection (or within 1 week of dosing) with exception of symptoms of mild rhinitis
  • Participant has a known hypersensitivity to albuterol or similar short-acting beta2-agonist (SABA) that may be used as rescue medication administered in response to potential bronchospasm
  • Participant is taking strong liver inducing agents (eg, phenytoin, phenobarbital, carbamazepine, and primidone) or strong Cytochrome P450 3A4 (CYP3A4) inhibitors
  • Participant has a SpO2 measured by pulse oximetry <95% for >30 seconds during the Screening Visit

Sites / Locations

  • Up0100 102
  • Up0100 110
  • Up0100 103
  • Up0100 101
  • Up0100 108
  • Up0100 106
  • Up0100 105
  • Up0100 107

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Staccato alprazolam

Arm Description

The study participants will receive a single dose of Staccato alprazolam.

Outcomes

Primary Outcome Measures

Maximum plasma concentration (Cmax) following single inhaled dose of Staccato alprazolam
Cmax = Maximum plasma concentration.
Area under the plasma concentration-time curve from zero to the last quantifiable concentration (AUC(0-t)) following single inhaled dose of Staccato alprazolam
AUC(0-t) = Area under the plasma concentration-time curve from zero to the last quantifiable concentration.
Area under the plasma concentration-time curve from time 0 to infinity (AUC) following single inhaled dose of Staccato alprazolam
AUC = Area under the plasma concentration-time curve from time 0 to infinity.
Apparent total body clearance (CL/F) following single inhaled dose of Staccato alprazolam
CL/F = Apparent total body clearance.
Percentage of participants with treatment-emergent adverse event (TEAEs)
An Adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant temporally associated with the use of IMP, whether or not considered related to the IMP.
Percentage of participants with serious treatment-emergent adverse event (serious TEAEs)
A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose: a. Results in death c. Requires inpatient hospitalization or prolongation of existing hospitalization d. Results in persistent disability/incapacity e. Is a congenital anomaly/birth defect f. Important medical events.

Secondary Outcome Measures

Full Information

First Posted
April 22, 2021
Last Updated
June 28, 2022
Sponsor
UCB Biopharma SRL
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1. Study Identification

Unique Protocol Identification Number
NCT04857307
Brief Title
A Study to Assess the Pharmacokinetics (PK) and Safety of Staccato Alprazolam in Adolescent Study Participants With Epilepsy
Official Title
A Multicenter, Open-Label Study to Evaluate the Pharmacokinetics, Tolerability, and Safety of a Single Dose of Staccato Alprazolam in Adolescent Study Participants With Epilepsy
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Completed
Study Start Date
April 28, 2021 (Actual)
Primary Completion Date
April 5, 2022 (Actual)
Study Completion Date
April 5, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
UCB Biopharma SRL

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
Yes

5. Study Description

Brief Summary
The purpose of the study is to assess the pharmacokinetics (PK), tolerability, and safety of Staccato alprazolam in adolescent study participants with epilepsy following single-dose administration.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Epilepsy
Keywords
Epilepsy, Staccato alprazolam, Phase 1, Adolescents, STAP-001, Alprazolam

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
14 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Staccato alprazolam
Arm Type
Experimental
Arm Description
The study participants will receive a single dose of Staccato alprazolam.
Intervention Type
Drug
Intervention Name(s)
Alprazolam
Other Intervention Name(s)
UCB7538
Intervention Description
Pharmaceutical form: Inhalation powder. Study participants will receive Staccato alprazolam at prespecified time-points.
Primary Outcome Measure Information:
Title
Maximum plasma concentration (Cmax) following single inhaled dose of Staccato alprazolam
Description
Cmax = Maximum plasma concentration.
Time Frame
Plasma samples will be taken on Day 1 of the Treatment Period, predose and then following administration of Investigational Medicinal Product (IMP) at 2 minutes, 10 minutes, 30 minutes, 1 hour, 2 hours, 6 hours, 24 hours, and 36 hours postdose.
Title
Area under the plasma concentration-time curve from zero to the last quantifiable concentration (AUC(0-t)) following single inhaled dose of Staccato alprazolam
Description
AUC(0-t) = Area under the plasma concentration-time curve from zero to the last quantifiable concentration.
Time Frame
Plasma samples will be taken on Day 1 of the Treatment Period, predose and then following administration of Investigational Medicinal Product (IMP) at 2 minutes, 10 minutes, 30 minutes, 1 hour, 2 hours, 6 hours, 24 hours, and 36 hours postdose.
Title
Area under the plasma concentration-time curve from time 0 to infinity (AUC) following single inhaled dose of Staccato alprazolam
Description
AUC = Area under the plasma concentration-time curve from time 0 to infinity.
Time Frame
Plasma samples will be taken on Day 1 of the Treatment Period, predose and then following administration of Investigational Medicinal Product (IMP) at 2 minutes, 10 minutes, 30 minutes, 1 hour, 2 hours, 6 hours, 24 hours, and 36 hours postdose.
Title
Apparent total body clearance (CL/F) following single inhaled dose of Staccato alprazolam
Description
CL/F = Apparent total body clearance.
Time Frame
Plasma samples will be taken on Day 1 of the Treatment Period, predose and then following administration of Investigational Medicinal Product (IMP) at 2 minutes, 10 minutes, 30 minutes, 1 hour, 2 hours, 6 hours, 24 hours, and 36 hours postdose.
Title
Percentage of participants with treatment-emergent adverse event (TEAEs)
Description
An Adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant temporally associated with the use of IMP, whether or not considered related to the IMP.
Time Frame
From baseline (Day 1) till end of Safety Follow-up (up to Day 9)
Title
Percentage of participants with serious treatment-emergent adverse event (serious TEAEs)
Description
A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose: a. Results in death c. Requires inpatient hospitalization or prolongation of existing hospitalization d. Results in persistent disability/incapacity e. Is a congenital anomaly/birth defect f. Important medical events.
Time Frame
From baseline (Day 1) till end of Safety Follow-up (up to Day 9)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participant must be 12 to 17 years of age inclusive, at the time of signing the Informed Consent form (ICF) and the Assent form Participant has an established diagnosis of focal, generalized, or focal and generalized epilepsy Participant is in good general health as determined by medical evaluation including medical history and physical examination Participants with a body weight ≥29 kg and body mass index (BMI) within the range 14 to 32 kg/m^2 (inclusive) A male participant must agree to use contraception A female participant is eligible to participate if she is not pregnant Participant is capable of and provides assent, and the study participant's parent/legal representative provides signed informed consent for minor study participants, which includes compliance with the requirements and restrictions listed in the ICF, Assent form, and in this protocol Participant has a lifetime history of never smoking >5 cigarettes/day, and a current history (for at least 6 months prior to Screening Visit) of not smoking at all (including e-cigarette and vaping products) Participant has forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) >80% predicted at Screening. In case of an out-of-range result, 1 repeat test will be allowed. If the readings are out-of-range again, the study participant will be excluded Participant is willing and able to be confined to a clinical research facility for up to 36 hours (including 1 overnight stay) and comply with the study schedule and study requirements. Note: If there are no clinical contraindications, as per Investigator's judgment, study participants may leave the clinical research facility after the 6-hour postdose assessments and return to the clinic on Day 2 for the 24-hour and 36-hour postdose assessments Participant is currently taking at least 1 background antiepileptic drug (AED) Participant is able to actuate the training device during Screening, according to Instructions for Use Exclusion Criteria: Participant has history or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrinological, neurological, hematological, cerebrovascular, or other major disorders capable of significantly altering the absorption, metabolism, or elimination of Investigational Medicinal Product (IMP); constituting a risk when taking the study intervention; or interfering with the interpretation of data in the opinion of the Investigator Participant has a known hypersensitivity to any components of the IMP or comparative drugs (and/or an investigational device) as stated in the protocol Participant has severe chronic cardio-respiratory disease Participant has history of acute narrow angle glaucoma, hydrocephalus, or Myasthenia Gravis Participant has history or has current airway disease such asthma, cystic fibrosis, or chronic obstructive pulmonary disease Participant has any acute respiratory signs/symptoms (ie, wheezing) and active acute respiratory infection (or within 1 week of dosing) with exception of symptoms of mild rhinitis Participant has a known hypersensitivity to albuterol or similar short-acting beta2-agonist (SABA) that may be used as rescue medication administered in response to potential bronchospasm Participant is taking strong liver inducing agents (eg, phenytoin, phenobarbital, carbamazepine, and primidone) or strong Cytochrome P450 3A4 (CYP3A4) inhibitors Participant has a SpO2 measured by pulse oximetry <95% for >30 seconds during the Screening Visit
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
UCB Cares
Organizational Affiliation
001 844 599 2273 (UCB)
Official's Role
Study Director
Facility Information:
Facility Name
Up0100 102
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
Facility Name
Up0100 110
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Up0100 103
City
Honolulu
State/Province
Hawaii
ZIP/Postal Code
96817
Country
United States
Facility Name
Up0100 101
City
Bethesda
State/Province
Maryland
ZIP/Postal Code
20817
Country
United States
Facility Name
Up0100 108
City
Rochester
State/Province
New York
ZIP/Postal Code
14642
Country
United States
Facility Name
Up0100 106
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States
Facility Name
Up0100 105
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38103
Country
United States
Facility Name
Up0100 107
City
Tacoma
State/Province
Washington
ZIP/Postal Code
98405
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Due to the small sample size in this trial, IPD cannot be adequately anonymized i.e., there is a reasonable likelihood that individual participants could be re-identified. For this reason, data from this trial cannot be shared.

Learn more about this trial

A Study to Assess the Pharmacokinetics (PK) and Safety of Staccato Alprazolam in Adolescent Study Participants With Epilepsy

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