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Completed

NCT Number: NCT05547100

Study of the Breast Milk Pharmacokinetics of Olanzapine and Samidorphan

This clinical lactation study is to provide information regarding the PK and amount of OLZ/SAM in breast milk and estimated infant exposure.

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Key information

Age range

18 year–45 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 1

Primary location

Alkermes Investigator Site

Las Vegas, Nevada, 89113, United States

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Body mass index ≥18 and <35 kg/m2
  • Subject is lactating, at least 4 weeks post-partum at dosing, and is using or willing to use an electronic breast pump for sample collection
  • Subject is willing to temporarily discontinue breastfeeding for the duration of at least 11 days post-dose
  • Subject is exclusively breastfeeding and/or pumping milk, or if not exclusively breastfeeding/pumping, has an adequate milk supply as judged by the Investigator
  • Subject's infant is able to bottle-feed
  • Subject agrees to use contraception during the study

Exclusion criteria

  • Subject has a history of lumpectomy, mastectomy, breast implants, breast augmentation, or breast reduction surgery
  • Breastfeeding is not well-established or milk supply is low as judged by the Investigator
  • Subject has mastitis or other condition that may prevent the collection of milk from one or both breasts
  • Subject is pregnant or plans to become pregnant during the study
  • Subject has had a clinically significant illness within 30 days or has had a serious infection (eg, pneumonia or septicemia) within the 3 months
  • Subject has had any vaccination within 2 weeks prior to Screening or plans to have any vaccination during the study
  • Subject has a history of known or suspected intolerance, allergy, or hypersensitivity to olanzapine or opioid antagonists, , or any component of the study drug (eg naltrexone, naloxone)
  • Subject has a history of cardiovascular disease, cerebrovascular disease, a seizure disorder, personal or family history of neuroleptic malignant syndrome, or known risk of narrow-angle glaucoma or orthostatic hypotension
  • Subject has a current or anticipated need for prescribed opioid medication during the study period
  • Subject has a positive urine drug screen for amphetamine, barbiturates, cannabinoids, cocaine, or opioids or positive cotinine test

Treatment and study plan

LYBALVI

Drug

5 mg Olanzapine/10 mg Samidorphan dose approved for use in treatment for schizophrenia and bipolar I disorder

Other names: Olanzapine/samidorphan (OLZ/SAM), ALKS 3831

Primary outcomes

  1. Area under the concentration-time curve from time zero to 48 hours post-dose (AUC0 48)

    Time frame: Up to 15 days

  2. Area under the concentration-time curve from time zero to the time of the last quantifiable concentration (AUClast)

    Time frame: Up to 15 days

  3. Area under the concentration-time curve from time zero to infinity (AUC∞)

    Time frame: Up to 15 days

  4. \Maximum observed concentration (Cmax)

    Time frame: Up to 15 days

  5. Time to reach Cmax (tmax)

    Time frame: Up to 15 days

  6. Terminal half-life (t½)

    Time frame: Up to 15 days

Secondary outcomes

  1. Total amount of drug excreted in milk (milligrams)

    Time frame: Up to 15 days

  2. Relative drug excreted in milk to dose percentage

    Time frame: Up to 15 days

  3. Estimated infant dose (mg/kg)

    Time frame: Up to 15 days

  4. Estimated relative infant dose to the weight-adjusted maternal dose (%)

    Time frame: Up to 15 days

  5. Incidence of adverse events

    Time frame: Up to 15 days

Sponsors and collaborators

Lead sponsor

Alkermes, Inc.

Industry

Registry information

Official study title

A Phase 1, Open-Label Study of the Breast Milk Pharmacokinetics of Olanzapine and Samidorphan in Healthy Lactating Women

Important dates

Study start
2022
Primary completion
2022
Study completion
2022
First posted
Sep 21, 2022
Registry last updated
Feb 10, 2023

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.