search
Back to results

Staccato Prochlorperazine Thorough QT/QTc

Primary Purpose

Cardiotoxicity

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Inhaled placebo
Oral placebo
Inhaled prochlorperazine 5 mg
Inhaled prochlorperazine 10 mg
Oral moxifloxacin
Sponsored by
Alexza Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cardiotoxicity focused on measuring Inhaled prochlorperazine, Thorough Qt/QTc,

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Male and female subjects between the ages of 18 to 65 years, inclusive.
  2. Body mass index (BMI) ≥21 and ≤30.
  3. Subjects who are willing and able to comply with the study schedule and requirements, and stay at the CRU for a 3-day period and 3 consecutive 2-day periods.
  4. Subjects who speak, read, and understand English and are willing and able to provide written informed consent on an IRB approved form prior to the initiation of any study procedures.
  5. Subjects who are in good general health prior to study participation as determined by a detailed medical history, physical examination, 12-lead ECG, blood chemistry profile, hematology, urinalysis, and in the opinion of the Principal Investigator.
  6. Female participants (if of child-bearing potential and sexually active) and male participants (if sexually active with a partner of child-bearing potential) who agree to use a medically acceptable and effective birth control method throughout the study and for one week following the end of the study.

Exclusion Criteria:

  1. Subjects who regularly consume large amounts of xanthine-containing substances must be excluded.
  2. Subjects who have taken prescription or nonprescription medication within 5 days of Treatment Period 1 must be excluded.
  3. Subjects who have had an acute illness within the last 5 days of Treatment Period 1 must be excluded.
  4. Subjects who have smoked tobacco within the last year must be excluded.
  5. Subjects who have a history of HIV positivity must be excluded.
  6. Subjects who have a history of allergy or intolerance to prochlorperazine or phenothiazines must be excluded.
  7. Subjects who have a history of contraindication to anticholinergics must be excluded.
  8. Subjects who have a history of pheochromocytoma, seizure disorder, Parkinson's disease, or Restless Leg Syndrome must be excluded.
  9. Subjects who have an ECG abnormality must be excluded.
  10. Subjects who have a history within the past 2 years of drug or alcohol dependence or abuse as defined by DSM-4 must be excluded.
  11. Subjects who have a history of syncope, unstable angina, myocardial infarction (within 6 months), congestive heart failure, transient ischemic attack, or pheochromocytoma must be excluded.
  12. Subjects who have a history of asthma or chronic obstructive lung disease must be excluded.
  13. Subjects who have hypotension (systolic ≤90 mmHg, diastolic ≤50 mmHg), or hypertension (systolic ≥140 mmHg, diastolic blood pressure ≥90 mmHg) must be excluded.
  14. Subjects who test positive for alcohol or have a positive urine drug screen must be excluded.
  15. Female subjects who have a positive pregnancy test at screening or during randomization visit, or are breastfeeding must be excluded.
  16. Subjects who have received an investigational drug within 30 days prior to the Screening Visit must be excluded.
  17. Subjects who are considered by the investigator, for any reason, to be an unsuitable candidate for receiving prochlorperazine, or unable to use the inhalation device, must be excluded.
  18. Subjects who have any other disease(s), by history, physical examination, or laboratory abnormalities (ALT or AST > 2-fold the upper limit of normal, bilirubin > 1.5 mg/dL, or creatinine > 1.8 mg/dL) or that in the investigator's opinion present undue risk to the subject or may confound the interpretation of study results must be excluded.

Sites / Locations

  • Covance Clinical Research Unit Inc.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Other

Other

Other

Other

Arm Label

Treatment Sequence ABCD

Treatment Sequence BDAC

Treatment Sequence CABD

Treatment Sequence DCBA

Arm Description

Treatment Sequence ABCD where Treatment: A = Inhaled prochlorperazine (10 mg) + oral placebo, B = Inhaled prochlorperazine (5 mg) + oral placebo, C = Inhaled placebo + oral placebo, D = Inhaled placebo + oral moxifloxacin 400 mg

Treatment Sequence BDAC where Treatment: A = Inhaled prochlorperazine (10 mg) + oral placebo, B = Inhaled prochlorperazine (5 mg) + oral placebo, C = Inhaled placebo + oral placebo, D = Inhaled placebo + oral moxifloxacin 400 mg

Treatment Sequence CABD where Treatment: A = Inhaled prochlorperazine (10 mg) + oral placebo, B = Inhaled prochlorperazine (5 mg) + oral placebo, C = Inhaled placebo + oral placebo, D = Inhaled placebo + oral moxifloxacin 400 mg

Treatment Sequence DCBA where Treatment: A = Inhaled prochlorperazine (10 mg) + oral placebo, B = Inhaled prochlorperazine (5 mg) + oral placebo, C = Inhaled placebo + oral placebo, D = Inhaled placebo + oral moxifloxacin 400 mg

Outcomes

Primary Outcome Measures

Maximum Effect of Inhaled Prochlorperazine on Cardiac Repolarization (QTc Interval Duration) at the Maximum Clinical Dose Compared to Placebo
Time-matched differences in QTcI values between the maximum of the mean difference from baseline of the QTcI interval after time-matched placebo subtraction for treatment at 11 post-inhalation times.

Secondary Outcome Measures

QTcI Versus Prochlorperazine Concentration
QTcI @ median prochlorperazine concentration (3.75 mcg/mL) based on linear and nonlinear regression of QTcI versus time matched serum prochlorperazine concentrations
Numbers and % of Subjects With QTcI > 450 ms
Numbers and Percents of Subjects with QTcI exceeding 450 ms
Numbers and % of Subjects With QTcI > 480 ms
Numbers and Percents of Subjects with QTcI exceeding 480 ms at any of the outcome measure time points
Numbers and % of Subjects With QTcI Change > 30 ms
Numbers and Percents of Subjects with QTcI increase from baseline exceeding 30 ms at any of the outcome measure time points
Numbers and % of Subjects With QTcI Change > 60 ms
Numbers and Percents of Subjects with QTcI increase from baseline exceeding 60 ms at any of the outcome measure time points

Full Information

First Posted
October 10, 2007
Last Updated
November 19, 2018
Sponsor
Alexza Pharmaceuticals, Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT00543062
Brief Title
Staccato Prochlorperazine Thorough QT/QTc
Official Title
Thorough QT/QTc Study of Staccato® Prochlorperazine for Inhalation in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
November 2008
Overall Recruitment Status
Completed
Study Start Date
October 2007 (undefined)
Primary Completion Date
December 2007 (Actual)
Study Completion Date
December 2007 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alexza Pharmaceuticals, 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
To assess the safety of Staccato Prochlorperazine on cardiac repolarization (QTc interval duration) at 2 dose levels compared to placebo in healthy volunteers.
Detailed Description
The planned study is a single dose, double-blind, double-dummy, active and placebo controlled, randomized, 4-period cross-over study investigating investigating 2 doses levels of Staccato Prochlorperazine, a positive control with known QT/QTc prolongation (oral moxifloxacin), and placebo.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cardiotoxicity
Keywords
Inhaled prochlorperazine, Thorough Qt/QTc,

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Model Description
Female and male subjects in approximately equal numbers were randomly assigned (1:1:1:1) to receive the 4 treatment sequences
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
This was a double-blind, double dummy, placebo controlled, randomized 4-period crossover study to assess the effects of single doses of 5 and 10 mg of Staccato Prochlorperazine on QT intervals.
Allocation
Randomized
Enrollment
48 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment Sequence ABCD
Arm Type
Other
Arm Description
Treatment Sequence ABCD where Treatment: A = Inhaled prochlorperazine (10 mg) + oral placebo, B = Inhaled prochlorperazine (5 mg) + oral placebo, C = Inhaled placebo + oral placebo, D = Inhaled placebo + oral moxifloxacin 400 mg
Arm Title
Treatment Sequence BDAC
Arm Type
Other
Arm Description
Treatment Sequence BDAC where Treatment: A = Inhaled prochlorperazine (10 mg) + oral placebo, B = Inhaled prochlorperazine (5 mg) + oral placebo, C = Inhaled placebo + oral placebo, D = Inhaled placebo + oral moxifloxacin 400 mg
Arm Title
Treatment Sequence CABD
Arm Type
Other
Arm Description
Treatment Sequence CABD where Treatment: A = Inhaled prochlorperazine (10 mg) + oral placebo, B = Inhaled prochlorperazine (5 mg) + oral placebo, C = Inhaled placebo + oral placebo, D = Inhaled placebo + oral moxifloxacin 400 mg
Arm Title
Treatment Sequence DCBA
Arm Type
Other
Arm Description
Treatment Sequence DCBA where Treatment: A = Inhaled prochlorperazine (10 mg) + oral placebo, B = Inhaled prochlorperazine (5 mg) + oral placebo, C = Inhaled placebo + oral placebo, D = Inhaled placebo + oral moxifloxacin 400 mg
Intervention Type
Drug
Intervention Name(s)
Inhaled placebo
Intervention Description
Inhaled Staccato placebo (0 mg)
Intervention Type
Drug
Intervention Name(s)
Oral placebo
Intervention Description
Oral placebo (identical to 400 mg moxifloxacin)
Intervention Type
Drug
Intervention Name(s)
Inhaled prochlorperazine 5 mg
Other Intervention Name(s)
ADASUVE
Intervention Description
Staccato prochlorperazine 5 mg, single dose
Intervention Type
Drug
Intervention Name(s)
Inhaled prochlorperazine 10 mg
Other Intervention Name(s)
ADASUVE
Intervention Description
Inhaled prochlorperazine 10 mg, single dose
Intervention Type
Drug
Intervention Name(s)
Oral moxifloxacin
Intervention Description
Oral moxifloxacin 400 mg, si/ngle dose
Primary Outcome Measure Information:
Title
Maximum Effect of Inhaled Prochlorperazine on Cardiac Repolarization (QTc Interval Duration) at the Maximum Clinical Dose Compared to Placebo
Description
Time-matched differences in QTcI values between the maximum of the mean difference from baseline of the QTcI interval after time-matched placebo subtraction for treatment at 11 post-inhalation times.
Time Frame
1, 2, 5, 9, 15, 30 min, 1, 3, 6, 10 and 22 hr
Secondary Outcome Measure Information:
Title
QTcI Versus Prochlorperazine Concentration
Description
QTcI @ median prochlorperazine concentration (3.75 mcg/mL) based on linear and nonlinear regression of QTcI versus time matched serum prochlorperazine concentrations
Time Frame
1, 2, 5, 9, 15, 30 min, 1, 3, 6, 10 and 22 hr
Title
Numbers and % of Subjects With QTcI > 450 ms
Description
Numbers and Percents of Subjects with QTcI exceeding 450 ms
Time Frame
24 hours
Title
Numbers and % of Subjects With QTcI > 480 ms
Description
Numbers and Percents of Subjects with QTcI exceeding 480 ms at any of the outcome measure time points
Time Frame
1, 2, 5, 9, 15, 30 min, 1, 3, 6, 10 and 22 hr
Title
Numbers and % of Subjects With QTcI Change > 30 ms
Description
Numbers and Percents of Subjects with QTcI increase from baseline exceeding 30 ms at any of the outcome measure time points
Time Frame
1, 2, 5, 9, 15, 30 min, 1, 3, 6, 10 and 22 hr
Title
Numbers and % of Subjects With QTcI Change > 60 ms
Description
Numbers and Percents of Subjects with QTcI increase from baseline exceeding 60 ms at any of the outcome measure time points
Time Frame
1, 2, 5, 9, 15, 30 min, 1, 3, 6, 10 and 22 hr
Other Pre-specified Outcome Measures:
Title
Maximum Effect of Moxifloxacin on Cardiac Repolarization (QTc Interval Duration) Compared to Placebo (Study Assay Sensitivity)
Description
A thorough QT/QTc study may be considered to have demonstrated assay sensitivity if 1 or more of the lower 95% CI values exceeds 5 msec
Time Frame
1, 1.5, 2, 2.5, 3, 5 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male and female subjects between the ages of 18 to 65 years, inclusive. Body mass index (BMI) ≥21 and ≤30. Subjects who are willing and able to comply with the study schedule and requirements, and stay at the CRU for a 3-day period and 3 consecutive 2-day periods. Subjects who speak, read, and understand English and are willing and able to provide written informed consent on an IRB approved form prior to the initiation of any study procedures. Subjects who are in good general health prior to study participation as determined by a detailed medical history, physical examination, 12-lead ECG, blood chemistry profile, hematology, urinalysis, and in the opinion of the Principal Investigator. Female participants (if of child-bearing potential and sexually active) and male participants (if sexually active with a partner of child-bearing potential) who agree to use a medically acceptable and effective birth control method throughout the study and for one week following the end of the study. Exclusion Criteria: Subjects who regularly consume large amounts of xanthine-containing substances must be excluded. Subjects who have taken prescription or nonprescription medication within 5 days of Treatment Period 1 must be excluded. Subjects who have had an acute illness within the last 5 days of Treatment Period 1 must be excluded. Subjects who have smoked tobacco within the last year must be excluded. Subjects who have a history of HIV positivity must be excluded. Subjects who have a history of allergy or intolerance to prochlorperazine or phenothiazines must be excluded. Subjects who have a history of contraindication to anticholinergics must be excluded. Subjects who have a history of pheochromocytoma, seizure disorder, Parkinson's disease, or Restless Leg Syndrome must be excluded. Subjects who have an ECG abnormality must be excluded. Subjects who have a history within the past 2 years of drug or alcohol dependence or abuse as defined by DSM-4 must be excluded. Subjects who have a history of syncope, unstable angina, myocardial infarction (within 6 months), congestive heart failure, transient ischemic attack, or pheochromocytoma must be excluded. Subjects who have a history of asthma or chronic obstructive lung disease must be excluded. Subjects who have hypotension (systolic ≤90 mmHg, diastolic ≤50 mmHg), or hypertension (systolic ≥140 mmHg, diastolic blood pressure ≥90 mmHg) must be excluded. Subjects who test positive for alcohol or have a positive urine drug screen must be excluded. Female subjects who have a positive pregnancy test at screening or during randomization visit, or are breastfeeding must be excluded. Subjects who have received an investigational drug within 30 days prior to the Screening Visit must be excluded. Subjects who are considered by the investigator, for any reason, to be an unsuitable candidate for receiving prochlorperazine, or unable to use the inhalation device, must be excluded. Subjects who have any other disease(s), by history, physical examination, or laboratory abnormalities (ALT or AST > 2-fold the upper limit of normal, bilirubin > 1.5 mg/dL, or creatinine > 1.8 mg/dL) or that in the investigator's opinion present undue risk to the subject or may confound the interpretation of study results must be excluded.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Randall R Stoltz, MD
Organizational Affiliation
Covance GFI Research, Evansville, IN 47714
Official's Role
Principal Investigator
Facility Information:
Facility Name
Covance Clinical Research Unit Inc.
City
Evansville
State/Province
Indiana
ZIP/Postal Code
47714
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
IPD submitted to regulatory authorities. Others may contact Alexza Pharmaceuticals, Inc. Please send your request to ClinicalTrialsInfo@alexza.com

Learn more about this trial

Staccato Prochlorperazine Thorough QT/QTc

We'll reach out to this number within 24 hrs