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Study of the Safety and Efficacy of DPI-386 Nasal Gel on Ocean-Going Vessels (INSCOP)

Primary Purpose

Prevention of Nausea Associated With Motion Sickness, Treatment of Nausea Associated With Motion Sickness

Status
Unknown status
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Scopolamine Transdermal Patch [Transderm Scop]
Scopolamine
Placebo Patch
Placebo Gel
Sponsored by
Naval Aeromedical Research Unit, Dayton
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Prevention of Nausea Associated With Motion Sickness focused on measuring Motion Sickness, INSCOP, Scopolamine, Defender, NAMRU

Eligibility Criteria

18 Years - 59 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • 1. Provision of signed and dated Informed consent document (ICD). 2. Stated willingness to comply with all study procedures and availability for the duration of the study.

    3. Male or female, aged 18 to 59 (inclusive). 4. Tricare health insurance beneficiary. All potential subjects must be able to provide a current military Identification (ID) or Department of Defense (DOD) dependent ID to be viewed by the research staff prior to signing the ICD.

    5. At least minimally susceptible to provocative motion as evidenced by a minimum score of 3.0 on the MSSQ.

    6. In good general health as evidenced by medical history with no recent history or current diagnosis of clinical problems as assessed by the research staff.

    7. Ability to take intranasal medication and willingness to adhere to the study schedule and time constraints.

    8. For females of child-bearing potential: willingness to provide a urine sample for the hCG pregnancy test during the Screening Visit and each day of the Treatment Period. Test must be negative or the subject will be excluded from the study. Note: Women of non-childbearing potential are defined as those who are non-surgically sterile (i.e., without menses for at least 12 consecutive months) or surgically sterile (i.e., those who underwent a hysterectomy with or without oophorectomy, fallopian tube ligation, and endometrial ablation).

    9. Agreement to adhere to the following lifestyle compliance considerations:

    1. Refrain from consumption of grapefruit and any substance containing grapefruit for seven days prior to, during, and for seven days after the Treatment Period.
    2. Abstain from alcohol for 24 hours prior to first dose of study medication and during the Treatment Period.
    3. Note: there will be no restriction on caffeine or nicotine use during the study; however, the actual use of these substances will be recorded as part of the CEBQ.

      Exclusion Criteria:

  • 1. Pregnancy, lactation, or positive urine pregnancy test at any time. 2. Known allergic reactions to any drugs. 3. Currently prescribed any of the following medication types: any form of scopolamine (including Transderm Scop®) within 5 days, belladonna alkaloids within 2 weeks, antihistamines (including meclizine) within 2 weeks, tricyclic antidepressants within 2 weeks (depending on reason taken), muscle relaxants and nasal decongestant within 4 days of Module 1.

    4. Hospitalization or significant medical event (to include childbirth) within the past six months.

    5. Treatment with another investigational drug or other intervention within the past 30 days.

    6. Having donated blood or plasma or suffered significant blood loss within the past 30 days.

    7. Having any of the following medical conditions within the last two years or if any of the following medical conditions were experienced more than two years ago and are deemed clinically significant by the PI or Study Physician:

    1. Any known drug allergies and/or severe year-round environmental allergies.
    2. Significant gastrointestinal disorder, asthma, or seizure disorders.
    3. History of vestibular disorders.
    4. History of narrow-angle glaucoma.
    5. History of urinary retention problems.
    6. History of alcohol or drug abuse.
    7. Nasal, nasal sinus, or nasal mucosa surgery.

Sites / Locations

  • NAMRU DaytonRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

Active Comparator

Arm Label

DPI-386 Nasal Gel

Placebo nasal gel

TDS Patch

Arm Description

Receives Active Nasal Gel 2 times per treatment day

Receives Nasal Gel 2 times per treatment day

Receives one patch per treatment.

Outcomes

Primary Outcome Measures

Determine the efficacy of DPI-386 nasal gel compared to the TDS patch and placebo nasal gel in the prevention and treatment of nausea associated with motion sickness.
The efficacy endpoint will be determined by comparing the Motion Sickness Assessment Questionnaire (MSAQ)(scale 1-10) scores over the treatment period across all three treatment arms
Determine the safety of DPI-386 Nasal Gel compared to the TDS patch and placebo nasal gel with an emphasis on cognitive effects.
the safety endpoint is the incidence of adverse events.

Secondary Outcome Measures

Determine the efficacy of DPI-386 Nasal Gel compared to the TDS patch and the placebo nasal gel in severity of nausea.
Severity of nausea will measured by the Nausea Assessment (VAS)(scale 1-9) over the treatment period.
Determine the safety of DPI-386 Nasal Gel as compared to the TDS patch and placebo nasal gel in terms of cognition.
Safety in terms of cognition will be measured by Computer task.

Full Information

First Posted
April 3, 2019
Last Updated
April 17, 2019
Sponsor
Naval Aeromedical Research Unit, Dayton
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1. Study Identification

Unique Protocol Identification Number
NCT03920644
Brief Title
Study of the Safety and Efficacy of DPI-386 Nasal Gel on Ocean-Going Vessels
Acronym
INSCOP
Official Title
A Randomized, Double-Blind, Placebo-Controlled Phase 3 Study of the Safety and Efficacy of Defender Pharmaceuticals Inc, (DPI)-386 Nasal Gel on Ocean-Going Vessels for the Prevention and Treatment of Nausea Associated With Motion Sickness
Study Type
Interventional

2. Study Status

Record Verification Date
April 2019
Overall Recruitment Status
Unknown status
Study Start Date
April 2019 (Anticipated)
Primary Completion Date
November 2019 (Anticipated)
Study Completion Date
March 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Naval Aeromedical Research Unit, Dayton

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
This multi-site Phase 3 clinical trial is a randomized, double-blind, placebo-controlled study to identify the safety and efficacy of DPI 386 nasal gel (intranasal scopolamine gel) for the prevention and treatment of nausea associated with motion sickness. The study will be conducted aboard military ships undergoing military operations or aboard commercial boats rented for the study to obtain data in a real world environment. The study will have three arms: DPI-386 nasal gel, placebo nasal gel, and Transderm Scop® (1.0 mg/72 hours; transdermal scopolamine patch [TDS], the current standard of care for the treatment of motion sickness). The study will include 120 subjects per arm, for a total of 360 subjects (n=360). A double-dummy design will be used to mask the treatment assignment. All subjects will receive both a patch and nasal gel: DPI-386 Nasal Gel + placebo patch, placebo nasal gel + placebo patch, or TDS patch + placebo nasal gel.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prevention of Nausea Associated With Motion Sickness, Treatment of Nausea Associated With Motion Sickness
Keywords
Motion Sickness, INSCOP, Scopolamine, Defender, NAMRU

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
The study will include 120 subjects per arm, for a total of 360 subjects (n=360). A double-dummy design will be used to mask the treatment assignment. All subjects will receive both a patch and nasal gel: DPI-386 Nasal Gel + placebo patch, placebo nasal gel + placebo patch, or TDS patch + placebo nasal gel.
Masking
ParticipantCare ProviderInvestigator
Masking Description
Double Blinded
Allocation
Randomized
Enrollment
320 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
DPI-386 Nasal Gel
Arm Type
Experimental
Arm Description
Receives Active Nasal Gel 2 times per treatment day
Arm Title
Placebo nasal gel
Arm Type
Placebo Comparator
Arm Description
Receives Nasal Gel 2 times per treatment day
Arm Title
TDS Patch
Arm Type
Active Comparator
Arm Description
Receives one patch per treatment.
Intervention Type
Drug
Intervention Name(s)
Scopolamine Transdermal Patch [Transderm Scop]
Other Intervention Name(s)
TDS, Patch
Intervention Description
Current Motion Sickness treatment, 1 patch behind the ear.
Intervention Type
Drug
Intervention Name(s)
Scopolamine
Other Intervention Name(s)
DPI-386
Intervention Description
IND, up to 6 administration of intranasal gel.
Intervention Type
Drug
Intervention Name(s)
Placebo Patch
Intervention Description
Placebo Patch, 1 patch behind the ear.
Intervention Type
Drug
Intervention Name(s)
Placebo Gel
Intervention Description
Placebo Gel,up to 6 administration of intranasal gel.
Primary Outcome Measure Information:
Title
Determine the efficacy of DPI-386 nasal gel compared to the TDS patch and placebo nasal gel in the prevention and treatment of nausea associated with motion sickness.
Description
The efficacy endpoint will be determined by comparing the Motion Sickness Assessment Questionnaire (MSAQ)(scale 1-10) scores over the treatment period across all three treatment arms
Time Frame
Through study completion, an average of 1 year
Title
Determine the safety of DPI-386 Nasal Gel compared to the TDS patch and placebo nasal gel with an emphasis on cognitive effects.
Description
the safety endpoint is the incidence of adverse events.
Time Frame
Through study completion, an average of 1 year
Secondary Outcome Measure Information:
Title
Determine the efficacy of DPI-386 Nasal Gel compared to the TDS patch and the placebo nasal gel in severity of nausea.
Description
Severity of nausea will measured by the Nausea Assessment (VAS)(scale 1-9) over the treatment period.
Time Frame
Through study completion, an average of 1 year
Title
Determine the safety of DPI-386 Nasal Gel as compared to the TDS patch and placebo nasal gel in terms of cognition.
Description
Safety in terms of cognition will be measured by Computer task.
Time Frame
Through study completion, an average of 1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
59 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: 1. Provision of signed and dated Informed consent document (ICD). 2. Stated willingness to comply with all study procedures and availability for the duration of the study. 3. Male or female, aged 18 to 59 (inclusive). 4. Tricare health insurance beneficiary. All potential subjects must be able to provide a current military Identification (ID) or Department of Defense (DOD) dependent ID to be viewed by the research staff prior to signing the ICD. 5. At least minimally susceptible to provocative motion as evidenced by a minimum score of 3.0 on the MSSQ. 6. In good general health as evidenced by medical history with no recent history or current diagnosis of clinical problems as assessed by the research staff. 7. Ability to take intranasal medication and willingness to adhere to the study schedule and time constraints. 8. For females of child-bearing potential: willingness to provide a urine sample for the hCG pregnancy test during the Screening Visit and each day of the Treatment Period. Test must be negative or the subject will be excluded from the study. Note: Women of non-childbearing potential are defined as those who are non-surgically sterile (i.e., without menses for at least 12 consecutive months) or surgically sterile (i.e., those who underwent a hysterectomy with or without oophorectomy, fallopian tube ligation, and endometrial ablation). 9. Agreement to adhere to the following lifestyle compliance considerations: Refrain from consumption of grapefruit and any substance containing grapefruit for seven days prior to, during, and for seven days after the Treatment Period. Abstain from alcohol for 24 hours prior to first dose of study medication and during the Treatment Period. Note: there will be no restriction on caffeine or nicotine use during the study; however, the actual use of these substances will be recorded as part of the CEBQ. Exclusion Criteria: 1. Pregnancy, lactation, or positive urine pregnancy test at any time. 2. Known allergic reactions to any drugs. 3. Currently prescribed any of the following medication types: any form of scopolamine (including Transderm Scop®) within 5 days, belladonna alkaloids within 2 weeks, antihistamines (including meclizine) within 2 weeks, tricyclic antidepressants within 2 weeks (depending on reason taken), muscle relaxants and nasal decongestant within 4 days of Module 1. 4. Hospitalization or significant medical event (to include childbirth) within the past six months. 5. Treatment with another investigational drug or other intervention within the past 30 days. 6. Having donated blood or plasma or suffered significant blood loss within the past 30 days. 7. Having any of the following medical conditions within the last two years or if any of the following medical conditions were experienced more than two years ago and are deemed clinically significant by the PI or Study Physician: Any known drug allergies and/or severe year-round environmental allergies. Significant gastrointestinal disorder, asthma, or seizure disorders. History of vestibular disorders. History of narrow-angle glaucoma. History of urinary retention problems. History of alcohol or drug abuse. Nasal, nasal sinus, or nasal mucosa surgery.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Joshua Baker, MS
Phone
9376562473
Email
Joshua.baker.16.ctr@us.af.mil
First Name & Middle Initial & Last Name or Official Title & Degree
Jackie Gomez, BS
Phone
937-938-3923
Email
jacqueline.gomez.3.ctr@us.af.mil
Facility Information:
Facility Name
NAMRU Dayton
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45433
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Joshua Baker, MS
Phone
937-656-2473
Email
Joshua.baker.16.ctr@uf.af.mil
First Name & Middle Initial & Last Name & Degree
Jackie Gomez, BS
Phone
937-938-3923
Email
jacqueline.gomez.3.ctr@us.af.mil
First Name & Middle Initial & Last Name & Degree
Leslie Drummond, Ph.D.

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Study of the Safety and Efficacy of DPI-386 Nasal Gel on Ocean-Going Vessels

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