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Safety and Tolerability of INP105 (Olanzapine by I231 POD® Device) Nasal Spray in Healthy Volunteers - SNAP 101 (SNAP101)

Primary Purpose

Acute Agitation

Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
Zyprexa IM
Zydis
INP105
I231 POD® Device
Sponsored by
Impel Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Agitation focused on measuring Agitation, Schizophrenia, Bipolar I disorder, OLZ, Olanzapine, Zyprexa, POD® device

Eligibility Criteria

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

Inclusion Criteria:

  1. Adult male (N=at least 9) and female (N=at least 9) 18 to 55 years of age (inclusive) at Screening, in good general health, with no significant medical history and no clinically significant abnormalities on physical examination at Screening or before first dose of IP.
  2. Subjects must have a Body Mass Index (BMI) between 18 and 32 kg/m2 inclusive.
  3. Negative urine drug screen/alcohol breath test at Screening and Day -1. Repeat tests may be performed if false positive results are suspected.
  4. Subjects must have the ability and willingness to attend the necessary visits at the study centre.
  5. Written informed consent signed prior to entry into the study.
  6. Female subjects of childbearing potential, and male subjects and their partners, must agree to use adequate contraception, defined as complete abstinence, documented evidence of surgical sterilization or condom plus approved contraceptive method

Exclusion Criteria:

  1. Known hypersensitivity to Zyprexa IM, Zyprexa Zydis or any of the ingredients in them or in INP105 or the placebo.
  2. Recently (within 3 months) or currently taking Zyprexa (any formulation).
  3. Subjects taking medications known to inhibit or induce CYP1A2 at any time during the study period, and any subjects taking prescription medications, over the counter medications or supplements that, in the opinion of the Investigator, may impact the subject's response to INP105 or impact the subject's participation in the study. Oral contraceptives are permitted.
  4. Subjects with medical history of hypotension or currently taking anti-hypertensives at Screening or throughout the study.
  5. Current or recent smokers (<3 months since quitting); inadvertent one-off smokers and social smokers will also be excluded.
  6. Females who are pregnant or lactating.
  7. Subjects with any underlying physical or psychological medical condition that, in the opinion of the Investigator, would make it unlikely that the subject will comply with the study.
  8. Abnormal and clinically significant laboratory test results.
  9. History or presence of alcohol or drug abuse within the 2 years prior to the first IP administration.
  10. Blood donation or significant blood loss within 60 days prior to the first IP administration.
  11. Plasma donation within 7 days prior to the first IP administration.
  12. Administration of IP in another trial within 30 days or 5 half-lives (whichever is longer) prior to the first IP administration.
  13. Significant surgery within the past 3 months prior to the first IP administration determined by the Investigator to be clinically relevant.
  14. Failure to satisfy the Investigator of fitness to participate for any other reason.
  15. Acute illness within 30 days prior to Day 1. Subjects with minor viral illnesses (for example, upper respiratory tract infection) within 30 days prior to Day 1 may be randomized if all symptoms are resolved by admission and at the discretion of the Investigator.
  16. Any nasal congestion, deviated septum, or physical blockage in either nostril.
  17. Positive for human immunodeficiency virus (HIV), Hepatitis B or Hepatitis C

Sites / Locations

  • Nucleus Network Pty Ltd

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Period 1

Period 2

Arm Description

Period 1 (n=36) assignment to 1 of 2 reference therapy treatment groups (Zyprexa 5mg IM or Zydis 10mg orally disintegrating wafer, 10mg) over 3 cohorts (single dose)

Period 2 (n=36) assignment to 1 of 3 IP treatment groups (INP105 of 5, 10, or 20mg or placebo) administered with the I231 POD® Device) over 3 cohorts (single dose)

Outcomes

Primary Outcome Measures

Safety and tolerability
AEs and SAEs as assessed from baseline by physical exam, ECG, vital signs, and clinical laboratory results
PK profile of OLZ INP105 Tmax
Tmax
PK profile of OLZ INP105 Cmax
Cmax
PK profile of Zyprexa IM Tmax
Tmax
PK profile of Zyprexa IM Cmax
Cmax
PK profile of Zyprexa Zydis Tmax
Tmax
PK profile of Zyprexa Zydis Cmax
Cmax
PD effects of INP105 vs placebo
Changes in motor function measured by PD assessment compared to overall PK profile following ascending doses of INP105
PD effects of Zyprexa IM
Changes in motor function measured by PD assessment compared to overall PK profile following a single dose of 5mg of Zyprexa IM
PD effects of Zyprexa Zydis
Changes in motor function measured by PD assessment compared to overall PK profile following a single 10mg dose of Zyprexa Zydis oral disintegrating wafer

Secondary Outcome Measures

Full Information

First Posted
July 25, 2018
Last Updated
October 3, 2018
Sponsor
Impel Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT03624322
Brief Title
Safety and Tolerability of INP105 (Olanzapine by I231 POD® Device) Nasal Spray in Healthy Volunteers - SNAP 101
Acronym
SNAP101
Official Title
Phase1 Randomized, Double-Blind, Placebo/Active-Controlled, SAD, 2-Way, Incomplete Block, 2-Period Crossover, Safety, Tolerability, PK/PD Study of 3 Doses INP105 (Olanzapine Delivered by I231 POD® Device) Nasal Spray in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
August 2018
Overall Recruitment Status
Completed
Study Start Date
August 5, 2018 (Actual)
Primary Completion Date
October 3, 2018 (Actual)
Study Completion Date
October 3, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Impel Pharmaceuticals

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety, pharmacokinetics (PK), and pharmacodynamics (PD) of INP105, which is an investigational drug-device combination product comprised of the drug component OLZ administered by a Precision Olfactory Delivery (POD®) nasal spray device (I231 POD® Device). The proposed indication for INP105 is the treatment of acute agitation associated with schizophrenia and bipolar I disorder.
Detailed Description
This is a randomized, double-blind, placebo- and active-controlled, ascending-dose, 2-way, 2- period, incomplete block, crossover, Phase 1 trial to compare the safety, tolerability, PK and PD of 3 single doses of INP105 with the safety, tolerability, PK and PD of 1 dose of Zyprexa IM (5 mg) and 1 dose of oral Zyprexa Zydis (10 mg). Randomization for Periods 1 and 2 will occur for each subject on Day 1.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Agitation
Keywords
Agitation, Schizophrenia, Bipolar I disorder, OLZ, Olanzapine, Zyprexa, POD® device

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Model Description
Period 1 (n=36) assignment to 1 of 2 reference therapy treatment groups over 3 cohorts Period 2 (n=36) assignment to 1 of 3 IP treatment groups over 3 cohorts
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Double-blind, placebo-controlled
Allocation
Randomized
Enrollment
38 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Period 1
Arm Type
Active Comparator
Arm Description
Period 1 (n=36) assignment to 1 of 2 reference therapy treatment groups (Zyprexa 5mg IM or Zydis 10mg orally disintegrating wafer, 10mg) over 3 cohorts (single dose)
Arm Title
Period 2
Arm Type
Experimental
Arm Description
Period 2 (n=36) assignment to 1 of 3 IP treatment groups (INP105 of 5, 10, or 20mg or placebo) administered with the I231 POD® Device) over 3 cohorts (single dose)
Intervention Type
Drug
Intervention Name(s)
Zyprexa IM
Intervention Description
5mg
Intervention Type
Drug
Intervention Name(s)
Zydis
Other Intervention Name(s)
Zyprexa Zydis
Intervention Description
10mg orally disintegrating wafer
Intervention Type
Drug
Intervention Name(s)
INP105
Other Intervention Name(s)
OLZ or placebo
Intervention Description
Single, ascending doses of 5, 10, or 20mg capsules OLZ (olanzapine) or placebo (MCC)
Intervention Type
Device
Intervention Name(s)
I231 POD® Device
Other Intervention Name(s)
POD®
Intervention Description
Precision Olfactory Delivery (POD) device
Primary Outcome Measure Information:
Title
Safety and tolerability
Description
AEs and SAEs as assessed from baseline by physical exam, ECG, vital signs, and clinical laboratory results
Time Frame
30 days
Title
PK profile of OLZ INP105 Tmax
Description
Tmax
Time Frame
72 hours
Title
PK profile of OLZ INP105 Cmax
Description
Cmax
Time Frame
72 hours
Title
PK profile of Zyprexa IM Tmax
Description
Tmax
Time Frame
72 hours
Title
PK profile of Zyprexa IM Cmax
Description
Cmax
Time Frame
72 hrs
Title
PK profile of Zyprexa Zydis Tmax
Description
Tmax
Time Frame
72 hours
Title
PK profile of Zyprexa Zydis Cmax
Description
Cmax
Time Frame
72 hours
Title
PD effects of INP105 vs placebo
Description
Changes in motor function measured by PD assessment compared to overall PK profile following ascending doses of INP105
Time Frame
72 hours
Title
PD effects of Zyprexa IM
Description
Changes in motor function measured by PD assessment compared to overall PK profile following a single dose of 5mg of Zyprexa IM
Time Frame
72 hours
Title
PD effects of Zyprexa Zydis
Description
Changes in motor function measured by PD assessment compared to overall PK profile following a single 10mg dose of Zyprexa Zydis oral disintegrating wafer
Time Frame
72 hours

10. Eligibility

Sex
All
Gender Based
Yes
Gender Eligibility Description
Adult male (N=at least 9) and female (N=at least 9) 18 to 55 years of age (inclusive) at Screening
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Adult male (N=at least 9) and female (N=at least 9) 18 to 55 years of age (inclusive) at Screening, in good general health, with no significant medical history and no clinically significant abnormalities on physical examination at Screening or before first dose of IP. Subjects must have a Body Mass Index (BMI) between 18 and 32 kg/m2 inclusive. Negative urine drug screen/alcohol breath test at Screening and Day -1. Repeat tests may be performed if false positive results are suspected. Subjects must have the ability and willingness to attend the necessary visits at the study centre. Written informed consent signed prior to entry into the study. Female subjects of childbearing potential, and male subjects and their partners, must agree to use adequate contraception, defined as complete abstinence, documented evidence of surgical sterilization or condom plus approved contraceptive method Exclusion Criteria: Known hypersensitivity to Zyprexa IM, Zyprexa Zydis or any of the ingredients in them or in INP105 or the placebo. Recently (within 3 months) or currently taking Zyprexa (any formulation). Subjects taking medications known to inhibit or induce CYP1A2 at any time during the study period, and any subjects taking prescription medications, over the counter medications or supplements that, in the opinion of the Investigator, may impact the subject's response to INP105 or impact the subject's participation in the study. Oral contraceptives are permitted. Subjects with medical history of hypotension or currently taking anti-hypertensives at Screening or throughout the study. Current or recent smokers (<3 months since quitting); inadvertent one-off smokers and social smokers will also be excluded. Females who are pregnant or lactating. Subjects with any underlying physical or psychological medical condition that, in the opinion of the Investigator, would make it unlikely that the subject will comply with the study. Abnormal and clinically significant laboratory test results. History or presence of alcohol or drug abuse within the 2 years prior to the first IP administration. Blood donation or significant blood loss within 60 days prior to the first IP administration. Plasma donation within 7 days prior to the first IP administration. Administration of IP in another trial within 30 days or 5 half-lives (whichever is longer) prior to the first IP administration. Significant surgery within the past 3 months prior to the first IP administration determined by the Investigator to be clinically relevant. Failure to satisfy the Investigator of fitness to participate for any other reason. Acute illness within 30 days prior to Day 1. Subjects with minor viral illnesses (for example, upper respiratory tract infection) within 30 days prior to Day 1 may be randomized if all symptoms are resolved by admission and at the discretion of the Investigator. Any nasal congestion, deviated septum, or physical blockage in either nostril. Positive for human immunodeficiency virus (HIV), Hepatitis B or Hepatitis C
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stephen B Shrewsbury, MD
Organizational Affiliation
Impel NeuroPharma
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Niquita Tugiono, MD
Organizational Affiliation
Nucleus Network Pty Ltd.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Nucleus Network Pty Ltd
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3004
Country
Australia

12. IPD Sharing Statement

Citations:
PubMed Identifier
32609960
Citation
Shrewsbury SB, Hocevar-Trnka J, Satterly KH, Craig KL, Lickliter JD, Hoekman J. The SNAP 101 Double-Blind, Placebo/Active-Controlled, Safety, Pharmacokinetic, and Pharmacodynamic Study of INP105 (Nasal Olanzapine) in Healthy Adults. J Clin Psychiatry. 2020 Jun 30;81(4):19m13086. doi: 10.4088/JCP.19m13086.
Results Reference
derived

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Safety and Tolerability of INP105 (Olanzapine by I231 POD® Device) Nasal Spray in Healthy Volunteers - SNAP 101

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