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Completed

NCT Number: NCT02641340

Fentanyl Sublingual Spray in Opioid Naive Participants

The primary objective of this trial is to determine the pharmacokinetic and pharmacodynamic relationship of multiple dose administration of fentanyl sublingual spray in opioid naive participants. The secondary objective is to determine the safety and tolerability of multiple dose administration of fentanyl sublingual spray in opioid naive subjects.

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Key information

Conditions

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Lotus Clinical Research, Inc.

Pasadena, California, 91105, United States

About this study

For all cycles, blood will be drawn according to the following schedule:

The 0 time (pre-dose) blood sample will be collected within 60 minutes prior to first study drug administration.

Cohort l: 0 (pre-dose), 5, 15 and 30 minutes after the first dose and at 1, 2, 4 (prior to second-dose), 4.083, 4.25, 4.5, 5, 6, 8 (prior to third-dose), 8.083, 8.25, 8.5, 9, 10, 12, 16 and 24 hours after the first dose.

Cohort 2: 0 (pre-dose), 5, 15 and 30 minutes after the first dose and at 1, 2 (prior to second-dose), 2.083, 2.25, 2.5, 3, 4 (prior to third-dose), 4.083, 4.25, 4.5, 5, 6, 8, 10, 12, 16 and 24 hours after the first dose.

Cohort 3: 0 (pre-dose), 5, 15, 30 and 45 minutes after the first dose and at 1 (prior to second-dose), 1.083, 1.25, l.5, 1.75, 2 (prior to third-dose), 2.083, 2.25, 2.5, 2.75, 3, 4, 8, 12, 16 and 24 hours after the first dose.

Cohort 4: 0 (pre-dose), 5, 15, 30 (prior to the second-dose), 35, and 45 minutes after the first dose and at I (prior to the third-dose), 1.083, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 2.75, 3, 4, 8, 12, 16 and 24 hours after the first dose.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Meets protocol-specified criteria for qualification and contraception
  • Willing and able to remain confined in the study unit for the entire duration of each treatment period and comply with restrictions related food, drink and medications
  • Voluntarily consents to participate and provides written informed consent prior to any protocol-specific procedures

Exclusion criteria

  • History or current use of over-the-counter medications, dietary supplements, or drugs (including nicotine and alcohol) outside protocol-specified parameters
  • Signs, symptoms or history of any condition that, per protocol or in the opinion of the investigator, might compromise:
  • the safety or well-being of the participant or study staff
  • the safety or well-being of the participant's offspring (such as through pregnancy or breast-feeding)
  • the analysis of results

Treatment and study plan

Fentanyl sublingual spray

Drug

Fentanyl delivered at low, medium and high doses by sublingual spray (FSS)

Other names: SUBSYS®

Fentanyl Citrate IV

Drug

Fentanyl Citrate 50 mcg, delivered intravenously

Primary outcomes

  1. Maximum concentration (Cmax)

    Time frame: within 24 hours (see detailed description)

  2. Time to reach peak or maximum concentration following drug administration (Tmax)

    Time frame: within 24 hours (see detailed description)

  3. Area under the concentration-time curve

    Time frame: within 24 hours (see detailed description)

    Categories: during a dosing interval (AUCtau ), from the time of dosing to infinity (AUC0-inf), from the time of dosing to the last quantifiable time point (AUC0-t)

  4. Apparent elimination rate constant in the terminal phase by non-compartmental analysis

    Time frame: within 24 hours (see detailed description)

  5. Corresponding half-life (t1/2)

    Time frame: within 24 hours (see detailed description)

  6. Trough concentration during multiple dosing prior to next dose (Ctrough)

    Time frame: within 24 hours (see detailed description)

  7. Accumulation ratios

    Time frame: within 24 hours (see detailed description)

    Categories: of Cmax (ARcmax), based on trough concentration (ARctrough), of AUCtau (ARauctau)

  8. Dose normalized Cmax

    Time frame: within 24 hours (see detailed description)

  9. Dose normalized AUC

    Time frame: within 24 hours (see detailed description)

    Categories: AUC0-1, AUC0-inf, AUCtau

Secondary outcomes

  1. Participants with respiratory depression requiring the use of naloxone

    Time frame: within 24 hours

  2. Participants with hypoxia requiring oxygen administration

    Time frame: within 24 hours

  3. Participants needing noninvasive respiratory maneuvers (e.g., jaw thrust, bag-valve mask) to improve respiratory status at any point during the study

    Time frame: within 24 hours

  4. Participants with hypotension requiring intervention

    Time frame: within 24 hours

Sponsors and collaborators

Lead sponsor

INSYS Therapeutics Inc

Industry

Registry information

Official study title

A Phase 1, Multiple Ascending Dose Study to Evaluate the Pharmacokinetics, Pharmacodynamics, Safety and Tolerability of Fentanyl Sublingual Spray in Opioid Naive Subjects

Important dates

Study start
2016
Primary completion
2016
Study completion
2016
First posted
Dec 29, 2015
Registry last updated
Mar 30, 2016

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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