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| Name | Class |
|---|---|
| Kyowa Hakko Kirin Pharma, Inc. | INDUSTRY |
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This study is to evaluate the abuse potential of single-doses of istradefylline compared to placebo and phentermine in recreational stimulant users. Subjects will participate in an outpatient medical Screening visit, a 5-day Qualification (Drug Discrimination) Phase, a 6-period Treatment Phase, and an outpatient safety Follow-Up visit. Study will be approximately 25 weeks total.
Within 28 days of the Screening visit, eligible subjects will be admitted to the CRU (Day -1) for the Qualification Phase. During the Qualification Phase, subjects will receive single oral doses of phentermine 60 mg and matching placebo in a randomized, double blind, crossover manner, with each drug administration separated by approximately 48 hours (Day 1 and Day 3), to ensure that they can discriminate and show positive subjective effects of the active controls. Following evaluation of eligibility, subjects may be discharged (those who fail Qualification criteria) or remain in the CRU (those who pass criteria and are eligible) and then proceed directly to the Treatment Phase. The washout interval between last drug administration in the Qualification Phase and first drug administration in the Treatment Phase will be at least 96 hours (4 days).
Following confirmation of eligibility from the Qualification Phase, subjects will be randomized to one of 6 treatment sequences according to a 6x6 Williams square. Subjects will receive single oral doses of each of the 6 treatments in a randomized, double-blind, crossover manner, Istradefylline 40 mg, Istradefylline 80 mg, Istradefylline 160 mg, Phentermine 45 mg, Phentermine 90 mg, Placebo.
Each drug administration will be separated by at least 21 days. Serial pharmacodynamic evaluations will be conducted up to 24 hours after each study drug administration to confirm exposure to istradefylline.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Istradefylline 40 mg | Experimental | 40 mg istradefylline (1 × 40 mg tablet + 3 × placebo tablets + 3 × placebo capsules) |
|
| Istradefylline 80 mg | Experimental | 80 mg istradefylline (2 × 40 mg tablets + 2 × placebo tablets + 3 × placebo capsules) |
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| Istradefylline 160 mg | Experimental | 160 mg istradefylline (4 × 40 mg tablets + 3 × placebo capsules) |
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| Phentermine 45 mg | Active Comparator | 45 mg phentermine (4 x placebo tablets + 3 × 15 mg phentermine hydrochloride capsules) |
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| Phentermine 90 mg | Active Comparator | 90 mg phentermine (4 × placebo tablets + 3 × 30 mg phentermine hydrochloride capsules) |
|
| Placebo |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Istradefylline | Drug | Istradefylline 40, 80, 160 mg |
|
| Measure | Description | Time Frame |
|---|---|---|
| Drug Liking VAS | To evaluate the abuse potential of istradefylline compared to phentermine and placebo. | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| C-SSRS (Columbia Suicide Severity Rating Scale) | To evaluate the safety and tolerability of istradefylline. | 24 hours |
| Alerness/Drowsiness, Agitation/Relaxation VAS | To evaluate the safety and tolerability of istradefylline. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kyowa Hakko Kirin Pharma, Inc. | Kyowa Hakko Kirin Pharma, Inc. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pharmaceutical Research Associates, Inc | Salt Lake City | Utah | 84106 | United States |
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| ID | Term |
|---|---|
| D019966 | Substance-Related Disorders |
| ID | Term |
|---|---|
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| C111599 | istradefylline |
| D010645 | Phentermine |
| ID | Term |
|---|---|
| D000662 | Amphetamines |
| D010627 | Phenethylamines |
| D005021 | Ethylamines |
| D000588 | Amines |
| D009930 |
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| Placebo Comparator |
Placebo (4 × placebo tablets + 3 × placebo capsules) |
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| Phentermine 45 mg | Drug | Phentermine 45 or 90 mg |
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| Placebo | Other | Placebo |
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| 24 hours |
| Caffine Withdrawal/Symptom Questionnaire | To evaluate the safety and tolerability of istradefylline. | 24 hours |
| Overall Drug Liking, Take Drug Again VAS | To evaluate the safety and tolerability of istradefylline. | 24 hours |
| Drug Similarity VAS | To evaluate the safety and tolerability of istradefylline. | 24 hours |
| Organic Chemicals |