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Determine whether the amount of drug absorbed is different if the tablet is placed under the tongue, placed between the cheek and gum, or swallowed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sequence 1 - Treatment A, B, C, D | Experimental | 15 mcg: Sufentanil IV, Sufentanil NanoTab Sublingual, Sufentanil NanoTab Buccal, Sufentanil NanoTab Oral |
|
| Sequence 2 - Treatment A, B, D, C | Experimental | 15 mcg: IV, Sufentanil NanoTab Sublingual, Sufentanil NanoTab Oral,Sufentanil NanoTab Buccal |
|
| Sequence 3 - Treatment A, C, B, D | Experimental | 15 mcg: Sufentanil IV, Sufentanil NanoTab Buccal, Sufentanil NanoTab Sublingual, Sufentanil NanoTab Oral |
|
| Sequence 4 - Treatment A, C, D, B | Experimental | 15 mcg: Sufentanil IV, Sufentanil NanoTab Buccal, Sufentanil NanoTab Oral, Sufentanil NanoTab Sublingual |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Treatment A: Sufentanil IV | Drug | Sufenta IV (50 mcg/mL) 15 mcg push over 1 minute (IV) |
|
| Measure | Description | Time Frame |
|---|---|---|
| AUC (0 - Inf) | total amount of sufentanil absorbed | 24 hours |
| Cmax | maximum plasma concentration | 24 hours |
| Tmax | time to maximum plasma concentration | 24 hours |
| CST 1/2 | time for maximum plasma concentration to decrease by 50% | 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pamela Palmer, M.D. | Talphera, Inc | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PRA | Lenexa | Kansas | 66219 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25544247 | Background | Willsie SK, Evashenk MA, Hamel LG, Hwang SS, Chiang YK, Palmer PP. Pharmacokinetic properties of single- and repeated-dose sufentanil sublingual tablets in healthy volunteers. Clin Ther. 2015 Jan 1;37(1):145-55. doi: 10.1016/j.clinthera.2014.11.001. Epub 2014 Dec 24. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Sequence 1: Treatment A, B, C, D |
A 48-hour washout period will separate each treatment period. The washout begins with the start of dosing. |
| FG001 | Sequence 2: A, B, D, C |
A 48-hour washout period will separate each treatment period. The washout begins with the start of dosing. |
| FG002 | Sequence 3: Treatment A, C, B, D |
A 48-hour washout period will separate each treatment period. The washout begins with the start of dosing. |
| FG003 | Sequence 4: Treatment A, C, D, B |
A 48-hour washout period will separate each treatment period. The washout begins with the start of dosing. |
| FG004 | Sequence Five: Treatments A, D, B, C |
A 48-hour washout period will separate each treatment period. The washout begins with the start of dosing. |
| FG005 | Sequence 6: Treatments A, D, C, B |
A 48-hour washout period will separate each treatment period. The washout begins with the start of dosing. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Randomly assigned to one of 6 sequences
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| ID | Title | Description |
|---|---|---|
| BG000 | Treatment A, Followed by Treatment B, C and D in Random Order | Treatment A: Sufenta IV (50 mcg/mL) 15 mcg push over 1 minute (IV) Treatment B: Single Sufentanil NanoTab 15 mcg given sublingually (SL) Treatment C: Single Sufentanil NanoTab 15 mcg given buccally (BU) Treatment D: Single Sufentanil NanoTab 15 mcg swallowed (PO) Sequence 1: A, B, C, D Sequence 2: A, B, D, C Sequence 3: A, C, B, D Sequence 4: A, C, D, B Sequence 5: A, D, B, C Sequence 6: A, D, C, B A 48-hour washout period separated each treatment period. The washout began with the start of dosing. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| 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 | AUC (0 - Inf) | total amount of sufentanil absorbed | A The number of subjects (n) in Treatment D was less than the total 22 subjects for the following PK parameters: AUC 0-inf (n=18). | Posted | Mean | Standard Deviation | h.pg/mL | 24 hours |
|
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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 | Sufentanil IV | Sufentanil : 15 mcg IV |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| nausea | Gastrointestinal disorders | MedDRA (11.0) | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Pamela Palmer | AcelRx | 650-216-3500 | ppalmer@acelrx.com |
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| Sequence 5 - Treatment A, D, B, C | Experimental | 15 mcg: Sufentanil IV, Sufentanil NanoTab Oral, Sufentanil NanoTab Sublingual, Sufentanil NanoTab Buccal |
|
| Sequence 6 - Treatment A, D, C, B | Experimental | 15 mcg: Sufentanil IV, Sufentanil NanoTab Oral, Sufentanil NanoTab Buccal, Sufentanil NanoTab Sublingual |
|
| Treatment B: Sufentanil NanoTab Sublingual | Drug | Single Sufentanil NanoTab 15 mcg given sublingually (SL) |
|
| Treatment C: Sufentanil NanoTab Buccal | Drug | Treatment C: Single Sufentanil NanoTab 15 mcg given buccally (BU) |
|
| Treatment D: Sufentanil NanoTab Oral | Drug | Single Sufentanil NanoTab 15 mcg swallowed (PO) |
|
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| OG002 | Sufentanil NanoTab Sublingual | Sufentanil : 15 mcg sublingual PK sampling 0 (predose), 10, 20, 30, 40, 50, 60, 70, 80, 90, 120, 180, 240, 360, 480, 600, 720, and 840 minutes and 24 hours after dosing. |
| OG003 | Sufentanil NanoTab Oral | Sufentanil : 15 mcg oral PK sampling 0 (predose), 10, 20, 30, 40, 50, 60, 70, 80, 90, 120, 180, 240, 360, 480, 600, 720, and 840 minutes and 24 hours after dosing. |
|
|
| Primary | Cmax | maximum plasma concentration | Posted | Mean | Standard Deviation | pg/mL | 24 hours |
|
|
|
| Primary | Tmax | time to maximum plasma concentration | Posted | Median | Full Range | hours | 24 hours |
|
|
|
| Primary | CST 1/2 | time for maximum plasma concentration to decrease by 50% | The number of subjects (n) in Treatment D was less than the total 22 subjects for the following PK parameters: CST½ (n=16). | Posted | Median | Full Range | hours | 24 hours |
|
|
|
| 0 |
| 25 |
| 8 |
| 25 |
| EG001 | Sufentanil NanoTab Buccal | Sufentanil : 15 mcg buccal | 0 | 24 | 4 | 24 |
| EG002 | Sufentanil NanoTab Sublingual | Sufentanil : 15 mcg sublingaul | 0 | 24 | 5 | 24 |
| EG003 | Sufentanil NanoTab Oral | Sufentanil : 15 mcg oral | 0 | 23 | 3 | 23 |
| headache | Nervous system disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| photophobia | Eye disorders | MedDRA (11.0) | Non-systematic Assessment | all subjects received naltrexone 50 mg BID |
|
| abdominal pain | Gastrointestinal disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| diarrhea | Gastrointestinal disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| hypoaesthesia oral | Gastrointestinal disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| paraesthesia oral | Gastrointestinal disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| vomiting | Gastrointestinal disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| fatigue | General disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| decreased appetite | Metabolism and nutrition disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| paraesthesia | Nervous system disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| flat effect | Psychiatric disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| hyperhidrosis | Skin and subcutaneous tissue disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| infusion site pain | General disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| dizziness | Nervous system disorders | MedDRA (11.0) | Non-systematic Assessment |
|
requires prior approval