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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 3 different formulations of TNX-102 2.8 mg SL Tablets (a new formulation of cyclobenzaprine designed to result in increased dosage precision and decreased potential for morning grogginess) and to compare the bio-availability of 3 different formulations of TNX-102 2.8 mg SL Tablets (TNX-102 with potassium phosphate, TNX-102-B with sodium phosphate, and TNX-102-C with trisodium citrate) to that of cyclobenzaprine (5 mg tablets).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TNX-102 SL Tablets at 2.8 mg | Experimental | 1 x TNX-102 SL Tablets (with potassium phosphate) at 2.8 mg |
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| TNX-102-B SL Tablets at 2.8 mg | Experimental | 1 x TNX-102-B SL Tablets (with sodium phosphate) at 2.8 mg |
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| TNX-102-C SL Tablets at 2.8 mg | Experimental | 1 x TNX-102-C SL Tablets (with trisodium citrate) at 2.8 mg |
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| Cyclobenzaprine tablets | Active Comparator | 1 x 5 mg cyclobenzaprine oral tablet |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TNX-102 SL Tablets at 2.8 mg | Drug | 1 x TNX-102 SL Tablet (with potassium phosphate) at 2.8 mg held under the tongue until dissolution, without swallowing or chewing it. |
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| 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, and 48 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 and 24-48 hours post-dose. | 26 time points per period for blood assessment ; 2 pooled analyses in urine. |
| Safety and tolerability of the 3 formulations of TNX-102 SL Tablets at 2.8 mg | Every adverse events occurring during the study period will be reported. | Continuously until the end (day 3) of the study period + Telephone follow-up 7-13 days after dosing (total duration: about 1 month) |
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Inclusion Criteria:
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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| TNX-102-B SL Tablets at 2.8 mg | Drug | 1 x TNX-102-B SL Tablet (with sodium phosphate) at 2.8 mg held under the tongue until dissolution, without swallowing or chewing it. |
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| TNX-102-C SL Tablets at 2.8 mg | Drug | 1 x TNX-102-C SL Tablet (with trisodium citrate) at 2.8 mg held under the tongue until dissolution, without swallowing or chewing it. |
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| Cyclobenzaprine tablets | Drug | 1 x 5 mg cyclobenzaprine tablet, swallowed with 240 mL of room-temperature water |
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| ID | Term |
|---|---|
| C004704 | cyclobenzaprine |
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