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This study aims to compare the pharmacokinetics of naloxone when administered as the Mitovie nasal spray (Test Product) and as a solution for injection (Comparator Product) administered intranasally using a mucosal atomization device (MAD).
Naloxone hydrochloride is currently only recommended and licensed for intravenous, intramuscular and subcutaneous administration. It has also been used by intranasal administration (off-label use) when the intravenous route is not suitable by administering the Solution for Injection using a mucosal atomization device (MAD). However, due to the volume of naloxone solution administered this way, some of it may be inadvertently swallowed and not absorbed into the nasal mucosa and the product requires administration by medically trained personnel. The study aims to investigate intranasal administration of naloxone using a more concentrated solution and a nasal delivery device.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Test Product Dose 1 | Experimental |
| |
| Test Product Dose 2 | Experimental |
| |
| Comparator Product | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MVP005 | Drug | 2 mg single dose administered intranasally |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics | Plasma concentration time profiles and area under the curve (AUC), maximum concentation (Cmax), Time to maximum concentration (Tmax), elimination rate constant (Kel) and terminal half life (t1/2) | 0, 5, 10, 15, 20, 30 and 45 minutes and 1.00, 1.50, 2.00, 3.00, 4.00, 6.00, 8.00 and 12.00 hours for each arm |
| Measure | Description | Time Frame |
|---|---|---|
| Number of subjects with adverse events | Continuous adverse event monitoring during the study with prompted assessments in the 12 hours post-dose | 14 days |
| Physical Examination | Complete physical examination at screening and final follow-up and specific nasal examination post-dose |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rana Hassan, MSc | Contact | +96265627651 | r.hassan@iprc.com.jo | |
| Halah Zqqout, BSc | Contact | +96265627651 | h.zqqout@iprc.com.jo |
| Name | Affiliation | Role |
|---|---|---|
| Abdullah Hiyari, MD | IPRC, Jordan | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| International Pharmaceutical Research Center (IPRC) | Amman | Jordan |
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| ID | Term |
|---|---|
| D000083682 | Opiate Overdose |
| D062787 | Drug Overdose |
| ID | Term |
|---|---|
| D063487 | Prescription Drug Misuse |
| D000076064 | Drug Misuse |
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
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| ID | Term |
|---|---|
| D007267 | Injections |
| ID | Term |
|---|---|
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
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| MVP005 |
| Drug |
4 mg single dose administered intranasally |
|
| Naloxone hydrochloride solution for injection with mucosal atomization device | Drug | 2 mg single dose administered intranasally |
|
| 14 days |
| Vital signs | Vital signs at screening, final follow-up and pre- and post-dose | 14 days |
| ECGs | ECGs at screening and final follow-up | 14 days |
| Safety Laboratory Tests | Haematology, biochemistry and urinalysis at screening and final follow-up | 14 days |
| D009293 | Opioid-Related Disorders |
| D000079524 | Narcotic-Related Disorders |
| D001523 | Mental Disorders |