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A study to assess the steady-state bioequivalence of once-weekly Corplex™ Donepezil 10 mg Transdermal Delivery System (TDS) compared to daily administration of Aricept®
Open label, randomized, 2-period, multiple-dose crossover study.
Approximately 86 healthy, adult male and female subjects will be enrolled.
Subjects will be randomized to 1 of 2 treatment sequences prior to the first study product treatment in treatment period 1.
For each treatment period; subjects will receive donepezil for 5 consecutive weeks. Blood samples for donepezil PK will be collected pre-dose through week 10.
Adhesion and skin irritation will be monitored throughout TDS treatments. Safety will be monitored throughout the study by adverse event reporting, repeated clinical and laboratory evaluations.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Donepezil TDS | Experimental | Corplex Donepezil TDS 5 mg/day followed by Donepezil TDS 10mg/day applied weekly for 5 consecutive weeks |
|
| Aricept | Active Comparator | Aricept 5 mg/day followed by Aricept 10 mg/day once daily for 5 consecutive weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Donepezil TDS | Drug | Donepezil Hydrochloride Transdermal Delivery System |
| |
| Measure | Description | Time Frame |
|---|---|---|
| PK, AUC | To assess the plasma concentration (AUC) of once-weekly Corplex Donepezil (TDS) compared to once-daily (QD) administration of Aricept (donepezil hydrochloride [HCl]). | Blood samples for donepezil PK will be collected pre dose until the end of each treatment period, approximately 10 weeks total |
| PK, Cmax | To assess the maximum observed concentrations (Cmax) of once-weekly Corplex Donepezil (TDS) compared to once-daily (QD) administration of Aricept (donepezil hydrochloride [HCl]). | Blood samples for donepezil PK will be collected pre dose until the end of each treatment period, approximately 10 weeks total |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 | General Safety (AE and SAE as reported by subject following guidance CTCAE v4.0) | Daily during 5 week treatment period and during the 5 week follow-on period |
| PI assessment of local skin irritation response to TDS |
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Inclusion Criteria:
Key Exclusion Criteria:
History or presence of hypersensitivity or idiosyncratic reaction to the study drugs or related compounds (including piperidine derivatives and other cholinesterase inhibitors)
Has intolerance to venipuncture and/or inability to comply with the extensive blood sampling required for this study or does not have suitable veins in both arms
Potential for occupational exposure to anticholinesterase agents.
Female subjects with a positive pregnancy test or lactating
Positive urine drug or alcohol results
Estimated creatinine clearance in non-elderly subjects <80 mL/min at screening and in elderly subjects (i.e., ≥55 years of age) <60 mL/min at screening
Hemoglobin value of less than 11.5 g/dl for females, 13.0 g/dl for males at screening and first check-in
Any of the following drugs for 28 days prior to the first dose of study drug in Treatment Period 1 and throughout the study:
Muscle relaxants, anti-Parkinsonian or neuroleptic medications prior to the first dose of study drug
History or presence of excessive hairy skin on application sites as deemed by the Investigator to potentially interfere with drug absorption
History or presence of significant skin damage, diffuse skin diseases, scars, tattoos on the application sites or other skin disturbances as deemed by the Investigator to potentially interfere with drug absorption or irritation assessments
Use of donepezil hydrochloride or related drugs within 30 days prior to the first study drug administration
Participation in another clinical study within 30 days prior to the first study drug administration
Clinically significant depression symptoms or suicidal ideation or behavior as determined by the Investigator
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| Name | Affiliation | Role |
|---|---|---|
| Danielle Armas, MD | Celerion | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Celerion Inc. | Phoenix | Arizona | 85283 | United States |
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| ID | Term |
|---|---|
| D000544 | Alzheimer Disease |
| ID | Term |
|---|---|
| D003704 | Dementia |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D000077265 | Donepezil |
| ID | Term |
|---|---|
| D007189 | Indans |
| D007192 | Indenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
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| Aricept |
| Drug |
Aricept Tablet |
|
To evaluate the safety and tolerability (including local skin irritation) of once-weekly Corplex Donepezil TDS. Dermal Response assessed using 8 point categorical scale. Other effects assessed using a 6 point scale. |
| 0.5hr, 24hr, 48hr and 72hr after each TDS removal. (5 consecutive weeks) |
| PI assessment of TDS Adhesion | Adhesion data will be collected during each 7-day patch wear period throughout 5 week treatment period. Percent adherence will be assessed using 12 point categorical scale. | Daily during 5 week treatment period |
| D024801 |
| Tauopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D006844 |
| Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011083 | Polycyclic Compounds |