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Please see 'Further study details as provided by Acorda Therapeutics' for explanation of why study stopped.
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| Name | Class |
|---|---|
| Syneos Health | OTHER |
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A Single-Dose, Phase 1b, Multicenter, Open-Label Study to Assess the Pharmacokinetics, Safety and Tolerability, and Pharmacodynamics of Tizanidine at 4 Different Oral Dose Levels in Pediatric Subjects 2 to 16 Years Old With Mild to Moderate Spasticity Due to Cerebral Palsy.
Evaluation of the study's progress after the amendment remained challenging with continued pre-screen failures noted in areas of Botox injection inclusion; family participation refusal / disinterest and gastric or jejunostomy tube placement. A third protocol amendment to improve enrollment was discussed with the Investigators who did not believe further amendment would overcome the barriers expressed by parents that would subject their children to an intense study time commitment without direct benefit. The investigative sites were notified that the study was closed to enrollment March 27, 2012.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Level 1 | Experimental |
| |
| Dose Level 2 | Experimental |
| |
| Dose Level 3 | Experimental |
| |
| Dose Level 4 | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Zanaflex Capsules | Drug | 0.025 mg/kg |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic (PK) Parameter AUC0-8 (Area Under the Concentration-time Curve From Time 0 to 8 Hours) of a Single Dose of Tizanidine at 4 Different Dose Levels in Children and Adolescents With Cerebral Palsy and Mild to Moderate Spasticity. | Baseline: immediately before the standardized meal (i.e., before administration of tizanidine) on dosing day 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours after administration of tizanidine PK parameters will be derived by using WinNonlin Pro (version 5.0.1 or later, Pharsight Corp). | Baseline and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic (PK) Parameter Cmax (Maximum Observed Drug Concentration in Plasma) of a Single Dose of Tizanidine at 4 Different Dose Levels in Children and Adolescents With Cerebral Palsy and Mild to Moderate Spasticity. | Baseline: immediately before the standardized meal (i.e., before administration of tizanidine) on dosing day 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours after administration of tizanidine PK parameters will be derived by using WinNonlin Pro (version 5.0.1 or later, Pharsight Corp). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Herbert Henney, PharmD | Acorda Therapeutics | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Louisville Department of Neurology dba Kentucky Neuroscience Research Health Care Outpatient Center (HCOC) | Louisville | Kentucky | 40202 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Dose Level 1 | Zanaflex Capsules : 0.025 mg/kg |
| FG001 | Dose Level 2 | Zanaflex Capsules : 0.05 mg/kg |
| FG002 | Dose Level 3 | Zanaflex Capsules : 0.075 mg/kg |
| FG003 | Dose Level 4 | Zanaflex Capsules : 0.1 mg/kg |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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|
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| ID | Title | Description |
|---|---|---|
| BG000 | Dose Level 1 | Zanaflex Capsules : 0.025 mg/kg |
| BG001 | Dose Level 2 | Zanaflex Capsules : 0.05 mg/kg |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Number |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Pharmacokinetic (PK) Parameter AUC0-8 (Area Under the Concentration-time Curve From Time 0 to 8 Hours) of a Single Dose of Tizanidine at 4 Different Dose Levels in Children and Adolescents With Cerebral Palsy and Mild to Moderate Spasticity. | Baseline: immediately before the standardized meal (i.e., before administration of tizanidine) on dosing day 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours after administration of tizanidine PK parameters will be derived by using WinNonlin Pro (version 5.0.1 or later, Pharsight Corp). | Pharmacokinetics Population | Posted | Mean | Standard Error | hour*nanogram/mililiter | Baseline and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours |
|
Up to 30 days.
Treatment-emergent adverse events (TEAE) were defined as AEs with date/time of onset (or worsening) on or after the start-date/time of administration of study drug and no more than 1 day after the last dose of study drug.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Dose Level 1 | Zanaflex Capsules : 0.025 mg/kg |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Musculoskeletal Stiffness | Musculoskeletal and connective tissue disorders | MedDRA (13.1) |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Herbert Henney, PharmD | Acorda Therapeutics, Inc. | 914-347-4300 | 5138 | hhenney@acorda.com |
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| ID | Term |
|---|---|
| C023754 | tizanidine |
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| Zanaflex Capsules | Drug | 0.05 mg/kg |
|
|
| Zanaflex Capsules | Drug | 0.075 mg/kg |
|
|
| Zanaflex Capsules | Drug | 0.1 mg/kg |
|
|
| Baseline and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours |
| BG002 |
| Total |
Total of all reporting groups |
| participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
Zanaflex Capsules : 0.05 mg/kg |
| OG002 | Dose Level 3 | Zanaflex Capsules: 0.075 mg/kg |
| OG003 | Dose Level 4 | Zanaflex Capsules: 0.1 mg/kg |
|
|
| Secondary | Pharmacokinetic (PK) Parameter Cmax (Maximum Observed Drug Concentration in Plasma) of a Single Dose of Tizanidine at 4 Different Dose Levels in Children and Adolescents With Cerebral Palsy and Mild to Moderate Spasticity. | Baseline: immediately before the standardized meal (i.e., before administration of tizanidine) on dosing day 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours after administration of tizanidine PK parameters will be derived by using WinNonlin Pro (version 5.0.1 or later, Pharsight Corp). | Pharmacokinetics Population | Posted | Mean | Standard Error | nanogram/mililiter | Baseline and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours |
|
|
|
| 0 |
| 8 |
| 1 |
| 8 |
| EG001 | Dose Level 2 | Zanaflex Capsules : 0.05 mg/kg | 0 | 2 | 2 | 2 |
| Somnolence | Nervous system disorders | MedDRA (13.1) |
|
Sponsor (Acorda) has right to review and comment on proposed publications within a specified time frame, up to 60 days; multi-center trials require joint publication unless specifically permitted otherwise.