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Very low dose (VLD) cyclobenzaprine at bedtime has shown promise as a treatment for fibromyalgia, but the chemistry of cyclobenzaprine requires new formulation technology for bedtime use. The present trial is designed to assess the safety and tolerability of sublingual TNX-102 2.4 mg (a new formulation of cyclobenzaprine designed to result in increased dosage precision and decreased potential for morning grogginess) at pH 3.5 and 7.1 and to compare the bio-availability of sublingual TNX-102 2.4 mg at pH 3.5 and 7.1 and cyclobenzaprine (5 mg tablets, or 2.4 mg iv).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SL TNX-102 at pH 3.5 | Experimental | 2.4 mg TNX-102 sublingual solution (2.4 mg/mL) in PBS at pH 3.5 |
|
| SL TNX-102 at pH 7.1 | Experimental | 2.4 mg TNX-102 sublingual solution (2.4 mg/mL) in PBS at pH 7.1 |
|
| Cyclobenzaprine tablets | Active Comparator | 5 mg cyclobenzaprine tablet once |
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| Cyclobenzaprine IV | Active Comparator | 2.4 mg cyclobenzaprine USP in PBS (0.6 mg/mL) at pH 7.4 |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SL TNX-102 2.4 mg at pH 3.5 | Drug | 1 dose of 2.4 mg TNX-102 sublingual solution (2.4 mg/mL) in PBS at pH 3.5, administered as 1 mL held under the tongue for 90 seconds without swallowing |
| Measure | Description | Time Frame |
|---|---|---|
| • Measured levels of cyclobenzaprine and norcyclobenzaprine in plasma and urine | Blood samples will be taken per period: within 30 minutes pre-dose and 2, 3.5, 5, 10, 20, 30, and 45 minutes and 1, 2, 2.5, 3, 3.33, 3.67, 4, 4.33, 4.67, 5, 5.5, 6, 8, 12, 16, 24, 36, 48, and 72 hours post-dose. A single urine sample will be collected within 30 minutes pre-dose (one sample), and urine will be pooled from 0-24, 24-48 and 48-72 hours post-dose. | 27 time points per period for blood assessment ; 3 pooled analyses in urine. |
| Safety and tolerability of sublingual TNX-102 2.4 mg at pH 3.5 and pH 7.1. | Every adverse events occurring during the study period will be reported. | Continuously until the end (day 4) of the study period + Telephone follow-up 7-13 days after dosing (total duration: about 1 month) |
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Inclusion Criteria: Healthy adults
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Seth M. Lederman, MD | Tonix Pharmaceuticals, Inc. | Study Chair |
| Jeffrey P. Kitrelle, MD | Tonix Pharmaceuticals, Inc. | Study Director |
| Denis Audet, MD | PharmaNet | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PharmaNet, Inc. | Québec | Quebec | G1P 0A2 | Canada |
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| SL TNX-102 2.4 mg at pH 7.1 | Drug | 1 dose of 2.4 mg TNX-102 sublingual solution (2.4 mg/mL) in PBS at pH 7.1, administered as 1 mL held under the tongue for 90 seconds without swallowing |
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| Cyclobenzaprine Tablet | Drug | 1 x 5 mg cyclobenzaprine tablet, swallowed with 240 mL of room-temperature water |
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| Cyclobenzaprine IV | Drug | 1 dose of 2.4 mg cyclobenzaprine USP in PBS (0.6 mg/mL) at pH 7.4, administered intravenously as a 4 mL bolus injection over 30 seconds |
|
| ID | Term |
|---|---|
| C004704 | cyclobenzaprine |
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