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Completed

NCT Number: NCT00543062

Staccato Prochlorperazine Thorough QT/QTc

To assess the safety of Staccato Prochlorperazine on cardiac repolarization (QTc interval duration) at 2 dose levels compared to placebo in healthy volunteers.

Completed

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Covance Clinical Research Unit Inc.

Evansville, Indiana, 47714, United States

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

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

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.

Treatment and study plan

Inhaled placebo

Drug

Inhaled Staccato placebo (0 mg)

oral placebo

Drug

Oral placebo (identical to 400 mg moxifloxacin)

Inhaled prochlorperazine 5 mg

Drug

Staccato prochlorperazine 5 mg, single dose

Other names: ADASUVE

Inhaled prochlorperazine 10 mg

Drug

Inhaled prochlorperazine 10 mg, single dose

Other names: ADASUVE

Oral moxifloxacin

Drug

Oral moxifloxacin 400 mg, si/ngle dose

Primary outcomes

  1. Maximum Effect of Inhaled Prochlorperazine on Cardiac Repolarization (QTc Interval Duration) at the Maximum Clinical Dose Compared to Placebo

    Time frame: 1, 2, 5, 9, 15, 30 min, 1, 3, 6, 10 and 22 hr

    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 outcomes

  1. QTcI Versus Prochlorperazine Concentration

    Time frame: 1, 2, 5, 9, 15, 30 min, 1, 3, 6, 10 and 22 hr

    QTcI @ median prochlorperazine concentration (3.75 mcg/mL) based on linear and nonlinear regression of QTcI versus time matched serum prochlorperazine concentrations

  2. Numbers and % of Subjects With QTcI > 450 ms

    Time frame: 24 hours

    Numbers and Percents of Subjects with QTcI exceeding 450 ms

  3. Numbers and % of Subjects With QTcI > 480 ms

    Time frame: 1, 2, 5, 9, 15, 30 min, 1, 3, 6, 10 and 22 hr

    Numbers and Percents of Subjects with QTcI exceeding 480 ms at any of the outcome measure time points

  4. Numbers and % of Subjects With QTcI Change > 30 ms

    Time frame: 1, 2, 5, 9, 15, 30 min, 1, 3, 6, 10 and 22 hr

    Numbers and Percents of Subjects with QTcI increase from baseline exceeding 30 ms at any of the outcome measure time points

  5. Numbers and % of Subjects With QTcI Change > 60 ms

    Time frame: 1, 2, 5, 9, 15, 30 min, 1, 3, 6, 10 and 22 hr

    Numbers and Percents of Subjects with QTcI increase from baseline exceeding 60 ms at any of the outcome measure time points

Other outcomes

  1. Maximum Effect of Moxifloxacin on Cardiac Repolarization (QTc Interval Duration) Compared to Placebo (Study Assay Sensitivity)

    Time frame: 1, 1.5, 2, 2.5, 3, 5 hours

    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

Sponsors and collaborators

Lead sponsor

Alexza Pharmaceuticals, Inc.

Unknown

Registry information

Official study title

Thorough QT/QTc Study of Staccato® Prochlorperazine for Inhalation in Healthy Volunteers

Important dates

Study start
2007
Primary completion
2007
Study completion
2007
First posted
Oct 12, 2007
Registry last updated
Mar 11, 2019

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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