Evaluate Sunosi® PK in Breast Milk and Plasma of Healthy Postpartum Women Following Single Dose Oral Administration
Primary Purpose
Narcolepsy, Obstructive Sleep Apnea, Excessive Daytime Somnolence
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Solriamfetol 150 mg Oral Tablet
Sponsored by
About this trial
This is an interventional treatment trial for Narcolepsy focused on measuring Sunosi, Solriamfetol, Healthy Postpartum Women, Breast Milk, Plasma
Eligibility Criteria
Inclusion Criteria:
- Healthy adult female 18 to 50 years of age, inclusive, at the time of consent.
- Weigh at least 50 kg, and have a body mass index within 18 to 35 kg/m2 inclusive.
- Between 10 days and 52 weeks postpartum, inclusive, after delivery of a normal, healthy infant by the time of dosing, and actively lactating from both breasts.
- If breastfeeding, agree to withhold breastfeeding their infant(s) from approximately 2 hours before dosing to approximately 72 hours after dosing and resume breastfeeding after completion of study Day 4 procedures OR have made a decision to wean their infant(s) before enrollment in the study.
- Agree not to use nicotine-containing products including tobacco (cigarettes, cigars, chewing tobacco, snuff), e-cigarettes, and nicotine lozenge/gum/patch within 3 days prior to check-in on Day -1, and for the duration of the study.
- Have used a medically acceptable method of contraception for at least the 2 months prior to dosing on Day 1, and consent to use a medically acceptable method of contraception throughout the entire study period and for 30 days after the study is completed.
- Agree to comply with study-specified diet while in the study.
- Able to understand and comply with study requirements.
- Ensure that their breastfed infant(s) is able to feed from a bottle before study participation begins.
- Agree to ensure nutrition is available for their infant(s) through stored breast milk, or alternative nutritional sources as necessary, for the duration of the study.
Exclusion Criteria:
- Are pregnant.
- History of any illness, physical finding, laboratory examination or electrocardiogram (ECG) finding that, in the opinion of the investigator, might confound the results or conduct of the study or pose a risk to the participant.
- History or presence of gastrointestinal, hepatic, or renal disease or any other condition that may interfere with absorption, distribution, metabolism, or excretion of drugs.
- Estimated creatinine clearance of < 90 mL/min.
- History of breast implants, breast augmentation, or breast reduction surgery.
- Presence of mastitis or other condition that would prevent the collection of milk from one or both breasts.
- Presence of active suicidal ideation as assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS).
- History or presence of any clinically significant cardiovascular conditions.
- Resting supine systolic blood pressure > 140 mmHg or < 90 mmHg or supine diastolic blood pressure > 90 mmHg or < 50 mmHg at the Screening Visit or at predose on Day 1. Blood pressure measurement may be repeated once at the discretion of the investigator.
- Resting supine pulse rate of < 45 beats per minute (bpm) or >100 bpm at the Screening Visit or at predose on Day 1. Pulse rate measurement may be repeated once at the discretion of the investigator.
- Unwilling to refrain from, or anticipates the use of, any medication, including prescription (with the exception of contraceptive agents) and non-prescription drugs (with the exception of acetaminophen no more than 2600 mg a day and ibuprofen no more than 1200 mg a day), antacids, vitamin supplements, or herbal remedies, beginning 14 days or 5 half-lives (whichever is longer) prior to Day 1 through the completion of breast milk collection and blood sampling.
- Use of a monoamine oxidase inhibitor within 14 days prior to Day 1 through the completion of breast milk collection and blood sampling.
- Unwilling to abstain from alcohol or caffeine/xanthine-containing products, including coffee, tea, chocolate, and cola, within 48 hours prior to Day 1 through the completion of breast milk collection and blood sampling.
- Self-reported routine consumption of more than 600 mg of caffeine per day.
- Positive breath alcohol or urine drug screen (including cannabinoids) at screening or at any point throughout the duration of the study.
- Current or past (within the past 2 years) diagnosis of a moderate or severe substance use disorder according to Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria.
- Current or history (within the past 2 years) of seeking treatment for a substance related disorder.
- History or presence of phenylketonuria or a hypersensitivity or idiosyncratic reaction to phenylalanine-derived products, or any excipient in the formulated drug product.
- Has participated in another clinical trial of an investigational drug or medical device within 30 days or five half-lives (whichever is longer) prior to Day 1.
- Any other condition that would cause a risk to the participant if they participate in the trial, or to the ability of the participant to complete the study, based on the judgement of the investigator.
- Employee of the study unit or Jazz Pharmaceuticals, anyone involved in the conduct of the trial, and first- and second-degree family member of anyone involved in the conduct of the trial.
Sites / Locations
- M3-Wake Research, Inc.
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Solriamfetol
Arm Description
Participants will receive a single oral dose of solriamfetol 150 mg with 240 mL water at 0 hour on the morning of Day 1, 2 hours after completion of a light breakfast.
Outcomes
Primary Outcome Measures
Maximum Concentration (Cmax) of Solriamfetol in Breast Milk and Plasma
The observed maximum breast milk and plasma concentrations (Cmax) of solriamfetol after administration.
Time to Reach Maximum Concentration (Cmax) (Tmax) in Breast Milk and Plasma
The time to reach the maximum breast milk and plasma concentrations (Tmax) of solriamfetol after administration.
Area Under the Concentration-Time Curve From Time 0 to the Time t of the Last Quantifiable Concentration (AUC 0-t) in Breast Milk and Plasma
The area under the plot of breast milk and plasma concentrations of solriamfetol against time after drug administration from predose (time 0) to Time t of the Last Quantifiable Concentration.
Area Under the Concentration-Time Curve From Time 0 to Infinity (AUC 0-inf) in Breast Milk and Plasma
The area under the plot of breast milk and plasma concentrations of solriamfetol against time after drug administration from predose (time 0) to Infinity.
Apparent Elimination Half-Life (t^1/2) of Solriamfetol in Breast Milk and Plasma
The half-life or the period of time required for the concentration of solriamfetol in breast milk and plasma to be reduced to one-half of the administered amount.
Apparent Oral Clearance (CL/F) of Solriamfetol
Apparent oral clearance (CL/F) of solriamfetol in plasma.
Apparent Volume of Distribution (Vd/F) of Solriamfetol
Apparent volume of distribution (Vd/F) of solriamfetol in plasma.
Milk:Plasma Ratio
Area Under the concentration-time curve (AUC) in breast milk divided by AUC in plasma.
Amount Excreted in Breast Milk Over 72 Hours (Amilk)
The amount of solriamfetol excreted in breast milk samples over 72 hours.
Daily Infant Dose
Daily solriamfetol dose that may be received by the infant through breastfeeding.
Relative Infant Dose
The percentage of the weight-adjusted maternal solriamfetol dose excreted in breast milk over 24 hours.
Secondary Outcome Measures
Incidence of Treatment-Emergent Adverse Events (TEAEs)
A treatment-emergent adverse event (TEAE) is defined as an adverse event (AE) that either began after first study drug dose or worsened after dosing.
Full Information
NCT ID
NCT05008341
First Posted
August 10, 2021
Last Updated
April 12, 2023
Sponsor
Axsome Therapeutics, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT05008341
Brief Title
Evaluate Sunosi® PK in Breast Milk and Plasma of Healthy Postpartum Women Following Single Dose Oral Administration
Official Title
A Phase 4, Open-Label, Single-Dose Study to Evaluate Sunosi® (Solriamfetol) Pharmacokinetics in Breast Milk and Plasma of Healthy Postpartum Women Following Oral Administration of Sunosi®
Study Type
Interventional
2. Study Status
Record Verification Date
April 2023
Overall Recruitment Status
Completed
Study Start Date
August 27, 2021 (Actual)
Primary Completion Date
April 15, 2022 (Actual)
Study Completion Date
April 15, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Axsome Therapeutics, Inc.
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 purpose of study JZP110-401 is to evaluate solriamfetol pharmacokinetics (PK) in the breast milk and plasma of healthy postpartum women following the administration of the drug. The study also aims to estimate the potential daily solriamfetol dose received by the infant from the breast milk of the nursing mother. The safety and tolerability of single oral doses of solriamfetol will also be assessed.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Narcolepsy, Obstructive Sleep Apnea, Excessive Daytime Somnolence, Excessive Sleepiness, Postpartum
Keywords
Sunosi, Solriamfetol, Healthy Postpartum Women, Breast Milk, Plasma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
6 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Solriamfetol
Arm Type
Experimental
Arm Description
Participants will receive a single oral dose of solriamfetol 150 mg with 240 mL water at 0 hour on the morning of Day 1, 2 hours after completion of a light breakfast.
Intervention Type
Drug
Intervention Name(s)
Solriamfetol 150 mg Oral Tablet
Other Intervention Name(s)
Sunosi®
Intervention Description
Single-dose 150 mg tablet orally administered.
Primary Outcome Measure Information:
Title
Maximum Concentration (Cmax) of Solriamfetol in Breast Milk and Plasma
Description
The observed maximum breast milk and plasma concentrations (Cmax) of solriamfetol after administration.
Time Frame
Predose, 1, 1.5, 3, 6, 8.5, 10, 13, 15, 21, 24, 28, 36, 44, and 72 hours post-dose.
Title
Time to Reach Maximum Concentration (Cmax) (Tmax) in Breast Milk and Plasma
Description
The time to reach the maximum breast milk and plasma concentrations (Tmax) of solriamfetol after administration.
Time Frame
Predose, 1, 1.5, 3, 6, 8.5, 10, 13, 15, 21, 24, 28, 36, 44, and 72 hours post-dose.
Title
Area Under the Concentration-Time Curve From Time 0 to the Time t of the Last Quantifiable Concentration (AUC 0-t) in Breast Milk and Plasma
Description
The area under the plot of breast milk and plasma concentrations of solriamfetol against time after drug administration from predose (time 0) to Time t of the Last Quantifiable Concentration.
Time Frame
Predose, 1, 1.5, 3, 6, 8.5, 10, 13, 15, 21, 24, 28, 36, 44, and 72 hours post-dose.
Title
Area Under the Concentration-Time Curve From Time 0 to Infinity (AUC 0-inf) in Breast Milk and Plasma
Description
The area under the plot of breast milk and plasma concentrations of solriamfetol against time after drug administration from predose (time 0) to Infinity.
Time Frame
Predose, 1, 1.5, 3, 6, 8.5, 10, 13, 15, 21, 24, 28, 36, 44, and 72 hours post-dose.
Title
Apparent Elimination Half-Life (t^1/2) of Solriamfetol in Breast Milk and Plasma
Description
The half-life or the period of time required for the concentration of solriamfetol in breast milk and plasma to be reduced to one-half of the administered amount.
Time Frame
Predose, 1, 1.5, 3, 6, 8.5, 10, 13, 15, 21, 24, 28, 36, 44, and 72 hours post-dose.
Title
Apparent Oral Clearance (CL/F) of Solriamfetol
Description
Apparent oral clearance (CL/F) of solriamfetol in plasma.
Time Frame
Predose, 1, 1.5, 3, 6, 8.5, 10, 13, 15, 21, 24, 28, 36, 44, and 72 hours post-dose.
Title
Apparent Volume of Distribution (Vd/F) of Solriamfetol
Description
Apparent volume of distribution (Vd/F) of solriamfetol in plasma.
Time Frame
Predose, 1, 1.5, 3, 6, 8.5, 10, 13, 15, 21, 24, 28, 36, 44, and 72 hours post-dose.
Title
Milk:Plasma Ratio
Description
Area Under the concentration-time curve (AUC) in breast milk divided by AUC in plasma.
Time Frame
Predose, 1, 1.5, 3, 6, 8.5, 10, 13, 15, 21, 24, 28, 36, 44, and 72 hours post-dose.
Title
Amount Excreted in Breast Milk Over 72 Hours (Amilk)
Description
The amount of solriamfetol excreted in breast milk samples over 72 hours.
Time Frame
Predose, 1, 1.5, 3, 6, 8.5, 10, 13, 15, 21, 24, 28, 36, 44, and 72 hours post-dose.
Title
Daily Infant Dose
Description
Daily solriamfetol dose that may be received by the infant through breastfeeding.
Time Frame
Predose, 1, 1.5, 3, 6, 8.5, 10, 13, 15, 21, 24, 28, 36, 44, and 72 hours post-dose.
Title
Relative Infant Dose
Description
The percentage of the weight-adjusted maternal solriamfetol dose excreted in breast milk over 24 hours.
Time Frame
Up to 24 hours post-dose.
Secondary Outcome Measure Information:
Title
Incidence of Treatment-Emergent Adverse Events (TEAEs)
Description
A treatment-emergent adverse event (TEAE) is defined as an adverse event (AE) that either began after first study drug dose or worsened after dosing.
Time Frame
Predose (-2 to 0 hours) up to Days 9-11 post-dose.
10. Eligibility
Sex
Female
Gender Based
Yes
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Healthy adult female 18 to 50 years of age, inclusive, at the time of consent.
Weigh at least 50 kg, and have a body mass index within 18 to 35 kg/m2 inclusive.
Between 10 days and 52 weeks postpartum, inclusive, after delivery of a normal, healthy infant by the time of dosing, and actively lactating from both breasts.
If breastfeeding, agree to withhold breastfeeding their infant(s) from approximately 2 hours before dosing to approximately 72 hours after dosing and resume breastfeeding after completion of study Day 4 procedures OR have made a decision to wean their infant(s) before enrollment in the study.
Agree not to use nicotine-containing products including tobacco (cigarettes, cigars, chewing tobacco, snuff), e-cigarettes, and nicotine lozenge/gum/patch within 3 days prior to check-in on Day -1, and for the duration of the study.
Have used a medically acceptable method of contraception for at least the 2 months prior to dosing on Day 1, and consent to use a medically acceptable method of contraception throughout the entire study period and for 30 days after the study is completed.
Agree to comply with study-specified diet while in the study.
Able to understand and comply with study requirements.
Ensure that their breastfed infant(s) is able to feed from a bottle before study participation begins.
Agree to ensure nutrition is available for their infant(s) through stored breast milk, or alternative nutritional sources as necessary, for the duration of the study.
Exclusion Criteria:
Are pregnant.
History of any illness, physical finding, laboratory examination or electrocardiogram (ECG) finding that, in the opinion of the investigator, might confound the results or conduct of the study or pose a risk to the participant.
History or presence of gastrointestinal, hepatic, or renal disease or any other condition that may interfere with absorption, distribution, metabolism, or excretion of drugs.
Estimated creatinine clearance of < 90 mL/min.
History of breast implants, breast augmentation, or breast reduction surgery.
Presence of mastitis or other condition that would prevent the collection of milk from one or both breasts.
Presence of active suicidal ideation as assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS).
History or presence of any clinically significant cardiovascular conditions.
Resting supine systolic blood pressure > 140 mmHg or < 90 mmHg or supine diastolic blood pressure > 90 mmHg or < 50 mmHg at the Screening Visit or at predose on Day 1. Blood pressure measurement may be repeated once at the discretion of the investigator.
Resting supine pulse rate of < 45 beats per minute (bpm) or >100 bpm at the Screening Visit or at predose on Day 1. Pulse rate measurement may be repeated once at the discretion of the investigator.
Unwilling to refrain from, or anticipates the use of, any medication, including prescription (with the exception of contraceptive agents) and non-prescription drugs (with the exception of acetaminophen no more than 2600 mg a day and ibuprofen no more than 1200 mg a day), antacids, vitamin supplements, or herbal remedies, beginning 14 days or 5 half-lives (whichever is longer) prior to Day 1 through the completion of breast milk collection and blood sampling.
Use of a monoamine oxidase inhibitor within 14 days prior to Day 1 through the completion of breast milk collection and blood sampling.
Unwilling to abstain from alcohol or caffeine/xanthine-containing products, including coffee, tea, chocolate, and cola, within 48 hours prior to Day 1 through the completion of breast milk collection and blood sampling.
Self-reported routine consumption of more than 600 mg of caffeine per day.
Positive breath alcohol or urine drug screen (including cannabinoids) at screening or at any point throughout the duration of the study.
Current or past (within the past 2 years) diagnosis of a moderate or severe substance use disorder according to Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria.
Current or history (within the past 2 years) of seeking treatment for a substance related disorder.
History or presence of phenylketonuria or a hypersensitivity or idiosyncratic reaction to phenylalanine-derived products, or any excipient in the formulated drug product.
Has participated in another clinical trial of an investigational drug or medical device within 30 days or five half-lives (whichever is longer) prior to Day 1.
Any other condition that would cause a risk to the participant if they participate in the trial, or to the ability of the participant to complete the study, based on the judgement of the investigator.
Employee of the study unit or Jazz Pharmaceuticals, anyone involved in the conduct of the trial, and first- and second-degree family member of anyone involved in the conduct of the trial.
Facility Information:
Facility Name
M3-Wake Research, Inc.
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27612
Country
United States
12. IPD Sharing Statement
Links:
URL
http://www.axsome.com
Description
Axsome Therapeutics Website
Learn more about this trial
Evaluate Sunosi® PK in Breast Milk and Plasma of Healthy Postpartum Women Following Single Dose Oral Administration
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