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Pharmacokinetic Study of Vivitrol in Healthy Participants

Primary Purpose

Opioid-use Disorder

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Naltrexone 380 MG
Sponsored by
Go Medical Industries Pty Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Opioid-use Disorder focused on measuring naltrexone, opioids, Opioid Use Disorder

Eligibility Criteria

18 Years - 57 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Have completed GM0017 (i.e. been administered OLANI (3.6 gram) and provided two consecutive monthly blood samples of NTX below 0.1 ng/mL)
  • Men or women between ≥18 and <58 years old Without DSM 5 - Substance Related Disorders classification; in sustained remission is not exclusionary
  • Able and willing to comply with the requirements of the protocol
  • Able and willing to provide written informed consent
  • Willing to undergo an injection of NTX to allow for investigational drug administration in the intramuscular tissue
  • Have an initial weight between 45.3 and 81.6 kilograms (inclusive) or have a BMI inclusive of 18.5 to 30.0.

Exclusion Criteria:

  • Is currently on active NTX medication.
  • Positive UDS at screening for illicit substances.
  • Has a condition which requires treatment with opioid based medication.
  • Has a known hypersensitivity to NTX.
  • Is prone to skin rashes, irritation or has a skin condition such as recurrent eczema that is likely to impact the injection site area, or as determined by the evaluating physician.
  • Demonstrates any abnormal skin tissue in the proposed injection area.
  • Is pregnant or planning to be. Women need to have negative pregnancy test at screening. Women need to agree to practice an effective method of contraception throughout participation.
  • Participant is breastfeeding or planning to be.
  • Has a current significant neurological (including cognitive and psychiatric disorders),
  • Any clinically important abnormal finding as determined by medical history, physical examination, ECG or clinical laboratory tests.
  • Any additional condition(s) that in the investigator's opinion would prohibit the participant from completing the study or would not be in the best interest of the participant.
  • ALT or AST >3 times the upper end of the laboratory normal range.
  • Any methadone use 14 days prior to screening, and up to Study Day 0.
  • Current DSM 5 diagnosis of schizophrenia, bipolar, anxiety, or depressive disorder, confirmed by MINI assessment, or currently treated with medications for anxiety or depression. Past history (in remission DSM 5 classification) of anxiety or depression is not exclusionary.
  • Any elevated risk for suicide measured using the Columbia Suicide Severity Rating Scale, endorsing any of the items in the past month (C-SSRS, Lifetime)
  • Is participating or intending to participate in any other clinical trial during the duration of this study.
  • Is allergic to any of the ingredients in Vivitrol or the diluent used to mix Vivitrol (i.e. carboxymethylcellulose sodium, polysorbate 20, sodium chloride, sodium hydroxide and hydrochloric acid as pH adjusters, in water for injection).

Sites / Locations

  • Columbia University Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Vivitrol (naltrexone)

Arm Description

Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart.

Outcomes

Primary Outcome Measures

Median Cmax of Naltrexone (After 1st Dose)
Single-dose PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after dosing on Day 0
Median Tmax of Naltrexone (After 1st Dose)
Single-dose PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 0
Median AUC0-inf of Naltrexone (After 1st Dose)
Single-dose PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0
Median Ctrough of Naltrexone (After 1st Dose)
Single-dose PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 0
Median Cmax of 6β-naltrexol (After First Dose)
Single-dose PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 0
Median Tmax of 6β-naltrexol (After 1st Dose)
Single-dose PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 0
Median AUC0-inf of 6β-naltrexol (After 1st Dose)
Single-dose PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0
Median Ctrough of 6β-naltrexol (After 1st Dose)
Single-dose PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 0
Median Cmax of Naltrexone (After 6th Dose)
PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after 6th dose on Day 140
Median Tmax of Naltrexone (After 6th Dose)
PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 140
Median AUC0-inf of Naltrexone (After 6th Dose)
PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140
Median Ctrough of Naltrexone (After 6th Dose)
PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 140
Median Cmax of 6β-naltrexol (After 6th Dose)
PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 140
Median Tmax of 6β-naltrexol (After th Dose)
PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 140
Median AUC0-inf of 6β-naltrexol (After 6th Dose)
PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140
Median Ctrough of 6β-naltrexol (After 6th Dose)
PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 140

Secondary Outcome Measures

Adverse Events (AEs)
Proportion of participants reporting AEs
Naltrexone Accumulation Ratio (AR) for Cmax
The naltrexone AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
Naltrexone Accumulation Ratio (AR) for Ctrough
The naltrexone AR was determined for Crough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
Naltrexone Accumulation Ratio (AR) for AUC0-inf
The naltrexone AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
6β-naltrexol Accumulation Ratio (AR) for Cmax
The 6β-naltrexol AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
6β-naltrexol Accumulation Ratio (AR) for Ctrough
The 6β-naltrexol AR was determined for Ctrough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
6β-naltrexol Accumulation Ratio (AR) for AUC0-inf
The 6β-naltrexol AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

Full Information

First Posted
January 17, 2021
Last Updated
May 12, 2023
Sponsor
Go Medical Industries Pty Ltd
Collaborators
National Institute on Drug Abuse (NIDA), New York State Psychiatric Institute, Columbia University, Clinilabs, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04716881
Brief Title
Pharmacokinetic Study of Vivitrol in Healthy Participants
Official Title
A Bioequivalence Study Comparing Vivitrol and O'Neil Long Acting Naltrexone Implant (OLANI) in Healthy Participants
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Completed
Study Start Date
January 25, 2021 (Actual)
Primary Completion Date
April 4, 2022 (Actual)
Study Completion Date
April 4, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Go Medical Industries Pty Ltd
Collaborators
National Institute on Drug Abuse (NIDA), New York State Psychiatric Institute, Columbia University, Clinilabs, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a Phase I, single-center, single arm, open-label study, to establish the pharmacokinetic (PK) parameters of Vivitrol 380 mg IM injection (IP), a US Food and Drug Administration (FDA) approved medication.
Detailed Description
This is a Phase I, single-center, single arm, open-label study, to establish the PK parameters of Vivitrol 380 mg IM injection (IP), a US FDA approved medication. Participants will be healthy volunteers with no significant medical or mental health disorders, who have completed participation in clinical trial GM0017 (i.e. have received the OLANI treatment and have subsequently provided two consecutive plasma levels of naltrexone (NTX) <0.1ng/mL). This study will examine the PK profile of Vivitrol IM 380 mg over 6 doses for a treatment period of 196 days. Intense sampling will occur after the 1st and 6th dose of Vivitrol. Participants will be without a DSM 5 - Substance Related Disorders classification. Participants will be required to undergo a Naloxone Challenge Test (NCT) to confirm opiate naivety before administration of the IP. No randomization will occur.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Opioid-use Disorder
Keywords
naltrexone, opioids, Opioid Use Disorder

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
9 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Vivitrol (naltrexone)
Arm Type
Experimental
Arm Description
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart.
Intervention Type
Drug
Intervention Name(s)
Naltrexone 380 MG
Other Intervention Name(s)
Vivitrol
Intervention Description
Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Primary Outcome Measure Information:
Title
Median Cmax of Naltrexone (After 1st Dose)
Description
Single-dose PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after dosing on Day 0
Time Frame
1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.
Title
Median Tmax of Naltrexone (After 1st Dose)
Description
Single-dose PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 0
Time Frame
1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.
Title
Median AUC0-inf of Naltrexone (After 1st Dose)
Description
Single-dose PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0
Time Frame
1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.
Title
Median Ctrough of Naltrexone (After 1st Dose)
Description
Single-dose PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 0
Time Frame
1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.
Title
Median Cmax of 6β-naltrexol (After First Dose)
Description
Single-dose PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 0
Time Frame
1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.
Title
Median Tmax of 6β-naltrexol (After 1st Dose)
Description
Single-dose PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 0
Time Frame
1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.
Title
Median AUC0-inf of 6β-naltrexol (After 1st Dose)
Description
Single-dose PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0
Time Frame
1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.
Title
Median Ctrough of 6β-naltrexol (After 1st Dose)
Description
Single-dose PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 0
Time Frame
1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.
Title
Median Cmax of Naltrexone (After 6th Dose)
Description
PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after 6th dose on Day 140
Time Frame
6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196
Title
Median Tmax of Naltrexone (After 6th Dose)
Description
PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 140
Time Frame
6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196
Title
Median AUC0-inf of Naltrexone (After 6th Dose)
Description
PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140
Time Frame
6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196
Title
Median Ctrough of Naltrexone (After 6th Dose)
Description
PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 140
Time Frame
6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196
Title
Median Cmax of 6β-naltrexol (After 6th Dose)
Description
PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 140
Time Frame
6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196
Title
Median Tmax of 6β-naltrexol (After th Dose)
Description
PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 140
Time Frame
6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196
Title
Median AUC0-inf of 6β-naltrexol (After 6th Dose)
Description
PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140
Time Frame
6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196
Title
Median Ctrough of 6β-naltrexol (After 6th Dose)
Description
PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 140
Time Frame
6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196
Secondary Outcome Measure Information:
Title
Adverse Events (AEs)
Description
Proportion of participants reporting AEs
Time Frame
Up to Day 196
Title
Naltrexone Accumulation Ratio (AR) for Cmax
Description
The naltrexone AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
Time Frame
196 days after the 6th dose
Title
Naltrexone Accumulation Ratio (AR) for Ctrough
Description
The naltrexone AR was determined for Crough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
Time Frame
196 days after the 6th dose
Title
Naltrexone Accumulation Ratio (AR) for AUC0-inf
Description
The naltrexone AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
Time Frame
196 days after the 6th dose
Title
6β-naltrexol Accumulation Ratio (AR) for Cmax
Description
The 6β-naltrexol AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
Time Frame
196 days after the 6th dose
Title
6β-naltrexol Accumulation Ratio (AR) for Ctrough
Description
The 6β-naltrexol AR was determined for Ctrough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
Time Frame
196 days after the 6th dose
Title
6β-naltrexol Accumulation Ratio (AR) for AUC0-inf
Description
The 6β-naltrexol AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
Time Frame
196 days after the 6th dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
57 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Have completed GM0017 (i.e. been administered OLANI (3.6 gram) and provided two consecutive monthly blood samples of NTX below 0.1 ng/mL) Men or women between ≥18 and <58 years old Without DSM 5 - Substance Related Disorders classification; in sustained remission is not exclusionary Able and willing to comply with the requirements of the protocol Able and willing to provide written informed consent Willing to undergo an injection of NTX to allow for investigational drug administration in the intramuscular tissue Have an initial weight between 45.3 and 81.6 kilograms (inclusive) or have a BMI inclusive of 18.5 to 30.0. Exclusion Criteria: Is currently on active NTX medication. Positive UDS at screening for illicit substances. Has a condition which requires treatment with opioid based medication. Has a known hypersensitivity to NTX. Is prone to skin rashes, irritation or has a skin condition such as recurrent eczema that is likely to impact the injection site area, or as determined by the evaluating physician. Demonstrates any abnormal skin tissue in the proposed injection area. Is pregnant or planning to be. Women need to have negative pregnancy test at screening. Women need to agree to practice an effective method of contraception throughout participation. Participant is breastfeeding or planning to be. Has a current significant neurological (including cognitive and psychiatric disorders), Any clinically important abnormal finding as determined by medical history, physical examination, ECG or clinical laboratory tests. Any additional condition(s) that in the investigator's opinion would prohibit the participant from completing the study or would not be in the best interest of the participant. ALT or AST >3 times the upper end of the laboratory normal range. Any methadone use 14 days prior to screening, and up to Study Day 0. Current DSM 5 diagnosis of schizophrenia, bipolar, anxiety, or depressive disorder, confirmed by MINI assessment, or currently treated with medications for anxiety or depression. Past history (in remission DSM 5 classification) of anxiety or depression is not exclusionary. Any elevated risk for suicide measured using the Columbia Suicide Severity Rating Scale, endorsing any of the items in the past month (C-SSRS, Lifetime) Is participating or intending to participate in any other clinical trial during the duration of this study. Is allergic to any of the ingredients in Vivitrol or the diluent used to mix Vivitrol (i.e. carboxymethylcellulose sodium, polysorbate 20, sodium chloride, sodium hydroxide and hydrochloric acid as pH adjusters, in water for injection).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Adam Bisaga, MD
Organizational Affiliation
New York State Psychiatric Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Columbia University Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Pharmacokinetic Study of Vivitrol in Healthy Participants

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