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Completed

NCT Number: NCT04407377

Effects of Tolperisone on Measures of Drowsiness and Cognitive Function

A Randomized, 4-Period, Crossover Study to characterize the effects of tolperisone 200 mg and 400 mg (supratherapeutic dose) three times a day (TID) over 3 days of dosing on measures of simulated driving performance, cognitive function and drowsiness and compared to placebo and cyclobenzaprine (single-day, residual effect, multiple-day).

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Key information

Conditions

Age range

21 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

CNS Trial, Long Beach, California, United States

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Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Ambulatory male or female, between 21 and 65 years of age, inclusive, for the entire duration of the study (from Screening through Day 3 of last treatment period).
  • Body mass index (BMI) range between 18.5 and 30.0 kg/m2, inclusive.
  • Subject must possess a valid driver's license and be an active driver and have driven a minimum of 10,000 miles (about 16,000 km) per year for the previous 3 years.
  • Subject must demonstrate simulator sickness questionnaire scores that are not indicative of simulator sickness as defined in the driving simulation operations manual.
  • Subject must have a regular sleep pattern, not be engaged in shift-work, and in general, have at least 7 hours of sleep each night.

Exclusion criteria

  • History of sleep disorders, including insomnia, sleep apnea, Restless Legs Syndrome (RLS), or narcolepsy, night-shift workers, routine daytime napping or oversleeping on weekends days (off work) or a score higher than 10 on the Epworth Sleepiness Scale (ESS) at Screening.
  • A history of difficulty in falling asleep or staying asleep in the previous 3 months that is considered clinically significant by the Investigator.
  • Subject has traveled across 2 or more time zones (trans meridian travel) in the last 2 weeks prior to randomization or is expected to travel across 2 or more time zones during the study.
  • Subject has any physical condition (e.g., severe vision issues, hand use limitations) that would prevent the subject from performing the cognitive or drowsiness assessments.
  • Subject has a presence or history of any medically diagnosed, clinically significant psychiatric disorder, including depression, anxiety, insomnia, schizophrenia, or bipolar disorder.
  • Consumes more than 3 cups of coffee per day.
  • Female subjects who are pregnant or lactating.
  • Any clinically significant medical abnormality, any clinically significant chronic disease, or any clinically significant finding on physical examination.
  • Subject with a genotype status of poor-, ultrarapid-, or indeterminate- metabolizers of cytochrome CYP2D6.
  • Subject is unable to remain in the research unit for each of the treatment periods.
  • Subject has visual or auditory impairment which in the opinion of the Investigator would interfere with study related procedures or study conduct.

Treatment and study plan

Tolperisone Hydrochloride

Drug

Study Drug

Other names: Tolperisone

Cyclobenzaprine Hydrochloride 10 MG

Drug

Active Comparator

Placebo

Other

Placebo Comparator

Primary outcomes

  1. Driving Performance

    Time frame: Day 1

    Standard Deviation of Lateral Position, measured by simulated driving performance using Cognitive Research Corporation Driving Simulator-MiniSim (CRCDS-MiniSim), of tolperisone compared to placebo

Secondary outcomes

  1. Karolinska Sleepiness Scale

    Time frame: Day 1

    Measure of Drowsiness

  2. Epworth Sleepiness Scale

    Time frame: Day 3

    Measure of Drowsiness

  3. Reaction Time

    Time frame: Day 1

    Measure of Cognitive Function

  4. Rapid Visual Information Processing

    Time frame: Day 1

    Measure of Cognitive Function

  5. CogScreen Symbol Digit Coding Test

    Time frame: Day 1

    Measure of Cognitive Function

Sponsors and collaborators

Lead sponsor

Neurana Pharmaceuticals, Inc.

Industry

Registry information

Official study title

A Randomized, 4-Period, Crossover Study to Investigate the Effects of Tolperisone on Measures of Drowsiness and Cognitive Function Compared to Cyclobenzaprine and Placebo

Important dates

Study start
2020
Primary completion
2020
Study completion
2021
First posted
May 29, 2020
Registry last updated
Feb 1, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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