search
Back to results

Pharmacokinetics (PK) and Safety of Multiple Doses of Intranasal Naloxone in Healthy Adults

Primary Purpose

Opioid Overdose

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
16 mg naloxone AP003
8 mg naloxone NARCAN Nasal Spray
Sponsored by
Emergent BioSolutions
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Opioid Overdose focused on measuring NARCAN, Opioid Overdose, Naloxone, Intranasal

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Are able to consent and freely provide informed consent.
  • Females and males 18-55 years of age, inclusive.
  • Have a body mass index (BMI) less than or equal to 34.0 kg/m2.
  • Generally healthy, in the opinion of the Investigator, based on medical history, physical examination, vital signs, screening laboratory assessments and 12-lead ECG evaluation.
  • If female:

    1. Have a negative pregnancy test at Screening (serum pregnancy test) and before dosing at Day -1 (urine pregnancy test)
    2. Female subjects of non-childbearing potential must be:

      • Post-menopausal (spontaneous amenorrhea for at least 12 months prior to dosing) with confirmation by documented FSH levels ≥40 mIU/mL; or
      • Surgically sterile (bilateral oophorectomy, bilateral salpingectomy, hysterectomy, or tubal ligation) at least 3 months prior to dosing.
    3. Women of childbearing potential who are not planning to be pregnant during the study period and who are using one of the following effective methods of contraception during the study period and for at least 30 days after last study visit:

      • Simultaneous use of hormonal contraceptive (e.g. oral, patch, depot injection, implant, vaginal ring, intrauterine device) or non-hormonal intrauterine device for at least 4 weeks prior to dosing (must agree to use the same contraceptive throughout the study) and condom for the male partner.
      • Simultaneous use of diaphragm or cervical cap with spermicide and condom for the male partner, started at least 21 days prior to dosing.

Exclusion Criteria:

  • Subjects planning to become pregnant during the study or currently breastfeeding.
  • Any acute condition, in the opinion of the Investigator, that is not fully resolved at least 4 weeks prior to baseline.
  • Subject has a deviated septum, previous rhinoplasty, abnormal nasal anatomy, other nasal symptoms (i.e., blocked and/or runny nose), or other nasal surgeries (i.e., polyp removal) within 1 year, or needs to use another nasal spray product during study.
  • Subject with current upper respiratory infection (URI) or has had URI within 7 days prior to screening.
  • Subject has had an episode of epistaxis within 30 days prior screening or has experienced recurrent episodes of epistaxis within 1 year prior to screening.
  • Subject has used any prescription or nonprescription drugs/supplements with increased risk of bleeding within 28 days or 5 half-lives (whichever is longer) or complementary and alternative medicines within 28 days before the first dose of study drug with exception of oral contraceptives. All other prescription medications, over-the-counter, and natural health products within 14 days or 5 half-lives prior to the first dosing.
  • Subject is currently participating in another clinical study of an investigational drug or has been dosed with any investigational drug within 30 days or 5 half-lives (whichever is longer) of the compound.

Sites / Locations

  • Syneos Health Clinical Research Services

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Other

Arm Label

Arm 1 Interventional Therapy

Arm 2 Reference Therapy

Arm Description

Subjects will first receive 4 doses of 4 mg each (total: 16 mg) of naloxone through the AP003 device (Arm 1) before the washout period.

Subjects will first receive 2 doses of 4 mg each (total: 8 mg) of the naloxone through the NARCAN Nasal Spray device (reference therapy, Arm 2) before the washout period.

Outcomes

Primary Outcome Measures

Mean naloxone plasma concentration AP003 dosing periods.
The mean naloxone plasma concentration during the two AP003 dosing periods.
Mean naloxone plasma concentration Narcan dosing periods
The mean naloxone plasma concentration during the two Narcan dosing periods.
Incidence of treatment emergent adverse events (TEAEs), serious adverse events (SAE)
Incidence of treatment emergent adverse events (TEAEs), serious adverse events (SAE) by treatment thru End of Study Visit (within 7 days after 2nd dose).
Incidence of abnormal vital signs
Incidence of abnormal vital signs (heart rate, blood pressure, and respiration rate) by treatment thru End of Study Visit (within 7 days after 2nd dose).
Incidence of clinically significant ECG
Incidence of clinically significant ECG by treatment thru End of Study Visit (within 7 days after 2nd dose).
Incidence of clinical laboratory changes
Incidence of clinical laboratory changes by treatment thru End of Study Visit (within 7 days after 2nd dose).
Incidence of adverse events of special interest (AESI) indicating of nasal irritation
Incidence of adverse events of special interest (AESI) indicating of nasal irritation (erythema, edema, and erosion) by treatment thru End of Study Visit (within 7 days after 2nd dose).
Incidence of changes in B-SIT assessment
Incidence of changes in B-SIT assessment within an AP003 period thru End of Study Visit (within 7 days after 2nd dose).

Secondary Outcome Measures

Full Information

First Posted
March 11, 2022
Last Updated
February 3, 2023
Sponsor
Emergent BioSolutions
search

1. Study Identification

Unique Protocol Identification Number
NCT05377255
Brief Title
Pharmacokinetics (PK) and Safety of Multiple Doses of Intranasal Naloxone in Healthy Adults
Official Title
A Phase 1, Open Label, Randomized Study to Investigate the Pharmacokinetics and Safety of Multiple Doses of Intranasal Naloxone in Healthy Adult Participants
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
March 28, 2022 (Actual)
Primary Completion Date
May 10, 2022 (Actual)
Study Completion Date
May 10, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Emergent BioSolutions

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 study will be a Phase 1, single-center, open-label, randomized cross-over study to evaluate the PK of a new AP003 device which delivers two sprays of 4 mg naloxone hydrochloride intranasally.
Detailed Description
Based on the intended AP003 product presentation there will be two devices in each carton allowing for administration of a total of 16 mg. This study is designed for subjects to receive naloxone therapy either through the AP003 device or through the currently approved NARCAN® nasal spray (4 mg) device (per label), reference therapy. After administration of the therapy patients will be followed by a 48-hour washout period before treatment crossover. Key study parameters include safety and PK. Safety evaluations will include but not limited to complete and system directed physical examinations (including signs of nasal irritation such as erythema, edema, and erosion), administration of a Brief Smell Identification Test (B-SIT), assessments of vital signs, 12 lead electrocardiogram (ECG), continuous cardiac telemetry monitoring (CCT) , clinical laboratory tests (e.g., hematology, chemistry, urinalysis, pregnancy test), and evaluation of adverse events.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Opioid Overdose
Keywords
NARCAN, Opioid Overdose, Naloxone, Intranasal

7. Study Design

Primary Purpose
Treatment
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
Arm 1 Interventional Therapy
Arm Type
Other
Arm Description
Subjects will first receive 4 doses of 4 mg each (total: 16 mg) of naloxone through the AP003 device (Arm 1) before the washout period.
Arm Title
Arm 2 Reference Therapy
Arm Type
Other
Arm Description
Subjects will first receive 2 doses of 4 mg each (total: 8 mg) of the naloxone through the NARCAN Nasal Spray device (reference therapy, Arm 2) before the washout period.
Intervention Type
Combination Product
Intervention Name(s)
16 mg naloxone AP003
Intervention Description
4 doses of 4 mg each (total: 16 mg) of naloxone through the AP003 device
Intervention Type
Combination Product
Intervention Name(s)
8 mg naloxone NARCAN Nasal Spray
Intervention Description
2 doses of 4 mg each (total: 8 mg) of the naloxone through the NARCAN Nasal Spray device
Primary Outcome Measure Information:
Title
Mean naloxone plasma concentration AP003 dosing periods.
Description
The mean naloxone plasma concentration during the two AP003 dosing periods.
Time Frame
PK samples taken at various timepoints over the course of Pre-dose and post-dose for 12 hours.
Title
Mean naloxone plasma concentration Narcan dosing periods
Description
The mean naloxone plasma concentration during the two Narcan dosing periods.
Time Frame
PK samples taken at various timepoints over the course of Pre-dose and post-dose for 12 hours.
Title
Incidence of treatment emergent adverse events (TEAEs), serious adverse events (SAE)
Description
Incidence of treatment emergent adverse events (TEAEs), serious adverse events (SAE) by treatment thru End of Study Visit (within 7 days after 2nd dose).
Time Frame
Through end of study visit (within 7 days after second dose)
Title
Incidence of abnormal vital signs
Description
Incidence of abnormal vital signs (heart rate, blood pressure, and respiration rate) by treatment thru End of Study Visit (within 7 days after 2nd dose).
Time Frame
Through end of study visit (within 7 days after second dose)
Title
Incidence of clinically significant ECG
Description
Incidence of clinically significant ECG by treatment thru End of Study Visit (within 7 days after 2nd dose).
Time Frame
Through end of study visit (within 7 days after second dose)
Title
Incidence of clinical laboratory changes
Description
Incidence of clinical laboratory changes by treatment thru End of Study Visit (within 7 days after 2nd dose).
Time Frame
Through end of study visit (within 7 days after second dose)
Title
Incidence of adverse events of special interest (AESI) indicating of nasal irritation
Description
Incidence of adverse events of special interest (AESI) indicating of nasal irritation (erythema, edema, and erosion) by treatment thru End of Study Visit (within 7 days after 2nd dose).
Time Frame
Through end of study visit (within 7 days after second dose)
Title
Incidence of changes in B-SIT assessment
Description
Incidence of changes in B-SIT assessment within an AP003 period thru End of Study Visit (within 7 days after 2nd dose).
Time Frame
Through end of study visit (within 7 days after second dose)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Are able to consent and freely provide informed consent. Females and males 18-55 years of age, inclusive. Have a body mass index (BMI) less than or equal to 34.0 kg/m2. Generally healthy, in the opinion of the Investigator, based on medical history, physical examination, vital signs, screening laboratory assessments and 12-lead ECG evaluation. If female: Have a negative pregnancy test at Screening (serum pregnancy test) and before dosing at Day -1 (urine pregnancy test) Female subjects of non-childbearing potential must be: Post-menopausal (spontaneous amenorrhea for at least 12 months prior to dosing) with confirmation by documented FSH levels ≥40 mIU/mL; or Surgically sterile (bilateral oophorectomy, bilateral salpingectomy, hysterectomy, or tubal ligation) at least 3 months prior to dosing. Women of childbearing potential who are not planning to be pregnant during the study period and who are using one of the following effective methods of contraception during the study period and for at least 30 days after last study visit: Simultaneous use of hormonal contraceptive (e.g. oral, patch, depot injection, implant, vaginal ring, intrauterine device) or non-hormonal intrauterine device for at least 4 weeks prior to dosing (must agree to use the same contraceptive throughout the study) and condom for the male partner. Simultaneous use of diaphragm or cervical cap with spermicide and condom for the male partner, started at least 21 days prior to dosing. Exclusion Criteria: Subjects planning to become pregnant during the study or currently breastfeeding. Any acute condition, in the opinion of the Investigator, that is not fully resolved at least 4 weeks prior to baseline. Subject has a deviated septum, previous rhinoplasty, abnormal nasal anatomy, other nasal symptoms (i.e., blocked and/or runny nose), or other nasal surgeries (i.e., polyp removal) within 1 year, or needs to use another nasal spray product during study. Subject with current upper respiratory infection (URI) or has had URI within 7 days prior to screening. Subject has had an episode of epistaxis within 30 days prior screening or has experienced recurrent episodes of epistaxis within 1 year prior to screening. Subject has used any prescription or nonprescription drugs/supplements with increased risk of bleeding within 28 days or 5 half-lives (whichever is longer) or complementary and alternative medicines within 28 days before the first dose of study drug with exception of oral contraceptives. All other prescription medications, over-the-counter, and natural health products within 14 days or 5 half-lives prior to the first dosing. Subject is currently participating in another clinical study of an investigational drug or has been dosed with any investigational drug within 30 days or 5 half-lives (whichever is longer) of the compound.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nino Joy, MD
Organizational Affiliation
Emergent BioSolutions
Official's Role
Study Director
Facility Information:
Facility Name
Syneos Health Clinical Research Services
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Pharmacokinetics (PK) and Safety of Multiple Doses of Intranasal Naloxone in Healthy Adults

We'll reach out to this number within 24 hrs