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The purpose of the study is to determine the relative pharmacodynamic effects and safety of crushed and whole ALO-01 compared to MSIR and to Placebo, and of crushed ALO-01 to whole ALO-01; to determine the relative bioavailability of plasma morphine from crushed and whole ALO-01 compared to MSIR, and from crushed ALO-01 to whole ALO-01; and to determine the relative bioavailability of plasma naltrexone and 6-β-naltrexol from crushed ALO-01 to whole ALO-01.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A | Experimental | 2 Placebo capsules (whole) + ALO-01 2 x 60 mg capsules (crushed) in apple juice + apple juice (MSIR placebo) |
|
| B | Experimental | 2 x 60 mg ALO-01 (whole) + 2 x placebo capsules (crushed) in apple juice + apple juice (MSIR placebo) |
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| C | Active Comparator | 2 x placebo capsules (whole) + 2 X placebo capsules (crushed) in apple juice + 120 mg MSIR in apple juice |
|
| D | Placebo Comparator | 2 x placebo capsules (whole) + 2 X placebo capsules (crushed) in apple juice + apple juice (MSIR placebo) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ALO-01 | Drug | ALO-01 capsules |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Pupillometry - Minimum Apparent Post-dose Pupil Diameter | Up to 24 hours post dosing | |
| Pupillometry - Time to Minimum Apparent Post-dose Pupil Diameter | Up to 24 hours post dosing | |
| VAS-Drug Liking - Peak effect (Emax) | Up to 24 hours post dosing | |
| VAS-Drug Liking - Time of peak effect (TEmax) | Up to 24 hours post dosing | |
| Cole/ARCI-Stimulation-Euphoria - Peak effect (Emax) | Up to 24 hours post dosing | |
| Cole/ARCI-Stimulation-Euphoria - Time of peak effect (TEmax) | Up to 24 hours post dosing | |
| VAS-High - Peak effect (Emax) | Up to 24 hours post dosing | |
| VAS-High - Time of peak effect (TEmax) | Up to 24 hours post dosing |
| Measure | Description | Time Frame |
|---|---|---|
| Morphine Cmax | Up to 24 hours post dosing | |
| Morphine Tmax | Up to 24 hours post dosing | |
| Morphine AUC (0-8 h) |
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Inclusion Criteria:
Exclusion Criteria:
Subjects excluded from the study were those:
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| Name | Affiliation | Role |
|---|---|---|
| Myroslav Romach, MSC, MD | DecisionLine Clinical research | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| DecisionLine Clinical Research | Toronto | Ontario | M5V 2T3 | Canada |
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| MSIR | Drug | immediate release morphine sulfate |
|
| Placebo | Drug | Placebo |
|
| 0 - 8 hours post dosing |
| Morphine AUC (0-last) | Up to 24 hours post dosing |
| Morphine AUC (0-inf) | Up to 24 hours post dosing |
| Naltrexone Cmax | Up to 24 hours post dosing |
| Naltrexone Tmax | Up to 24 hours post dosing |
| Naltrexone AUC (0-8 h) | 0-8 hours post dosing |
| Naltrexone AUC (0-last) | Up to 24 hours post dosing |
| Naltrexone AUC (0-inf) | Up to 24 hours post dosing |
| ID | Term |
|---|---|
| D003668 | Pressure Ulcer |
| ID | Term |
|---|---|
| D012883 | Skin Ulcer |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| C550436 | morphine, naltrexone combination |
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