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The purpose of this study is to evaluate the safety, pharmacokinetics (PK), and pharmacodynamics (PD) of INP105, which is an investigational drug-device combination product comprised of the drug component OLZ administered by a Precision Olfactory Delivery (POD®) nasal spray device (I231 POD® Device). The proposed indication for INP105 is the treatment of acute agitation associated with schizophrenia and bipolar I disorder.
This is a randomized, double-blind, placebo- and active-controlled, ascending-dose, 2-way, 2- period, incomplete block, crossover, Phase 1 trial to compare the safety, tolerability, PK and PD of 3 single doses of INP105 with the safety, tolerability, PK and PD of 1 dose of Zyprexa IM (5 mg) and 1 dose of oral Zyprexa Zydis (10 mg). Randomization for Periods 1 and 2 will occur for each subject on Day 1.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Period 1 | Active Comparator | Period 1 (n=36) assignment to 1 of 2 reference therapy treatment groups (Zyprexa 5mg IM or Zydis 10mg orally disintegrating wafer, 10mg) over 3 cohorts (single dose) |
|
| Period 2 | Experimental | Period 2 (n=36) assignment to 1 of 3 IP treatment groups (INP105 of 5, 10, or 20mg or placebo) administered with the I231 POD® Device) over 3 cohorts (single dose) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Zyprexa IM | Drug | 5mg |
| |
| Zydis |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability | AEs and SAEs as assessed from baseline by physical exam, ECG, vital signs, and clinical laboratory results | 30 days |
| PK profile of OLZ INP105 Tmax | Tmax | 72 hours |
| PK profile of OLZ INP105 Cmax | Cmax | 72 hours |
| PK profile of Zyprexa IM Tmax | Tmax | 72 hours |
| PK profile of Zyprexa IM Cmax | Cmax | 72 hrs |
| PK profile of Zyprexa Zydis Tmax | Tmax | 72 hours |
| PK profile of Zyprexa Zydis Cmax | Cmax | 72 hours |
| PD effects of INP105 vs placebo | Changes in motor function measured by PD assessment compared to overall PK profile following ascending doses of INP105 | 72 hours |
| PD effects of Zyprexa IM | Changes in motor function measured by PD assessment compared to overall PK profile following a single dose of 5mg of Zyprexa IM |
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Inclusion Criteria:
Exclusion Criteria:
Adult male (N=at least 9) and female (N=at least 9) 18 to 55 years of age (inclusive) at Screening
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| Name | Affiliation | Role |
|---|---|---|
| Stephen B Shrewsbury, MD | Impel NeuroPharma | Study Director |
| Niquita Tugiono, MD | Nucleus Network Pty Ltd. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nucleus Network Pty Ltd | Melbourne | Victoria | 3004 | Australia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32609960 | Derived | Shrewsbury SB, Hocevar-Trnka J, Satterly KH, Craig KL, Lickliter JD, Hoekman J. The SNAP 101 Double-Blind, Placebo/Active-Controlled, Safety, Pharmacokinetic, and Pharmacodynamic Study of INP105 (Nasal Olanzapine) in Healthy Adults. J Clin Psychiatry. 2020 Jun 30;81(4):19m13086. doi: 10.4088/JCP.19m13086. |
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| ID | Term |
|---|---|
| D011595 | Psychomotor Agitation |
| D012559 | Schizophrenia |
| ID | Term |
|---|---|
| D020820 | Dyskinesias |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D011596 | Psychomotor Disorders |
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| ID | Term |
|---|---|
| D000077152 | Olanzapine |
| ID | Term |
|---|---|
| D001569 | Benzodiazepines |
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
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Period 1 (n=36) assignment to 1 of 2 reference therapy treatment groups over 3 cohorts Period 2 (n=36) assignment to 1 of 3 IP treatment groups over 3 cohorts
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Double-blind, placebo-controlled
| Drug |
10mg orally disintegrating wafer |
|
|
| INP105 | Drug | Single, ascending doses of 5, 10, or 20mg capsules OLZ (olanzapine) or placebo (MCC) |
|
|
| I231 POD® Device | Device | Precision Olfactory Delivery (POD) device |
|
|
| 72 hours |
| PD effects of Zyprexa Zydis | Changes in motor function measured by PD assessment compared to overall PK profile following a single 10mg dose of Zyprexa Zydis oral disintegrating wafer | 72 hours |
| D019954 |
| Neurobehavioral Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000096762 | Aberrant Motor Behavior in Dementia |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
| D006571 | Heterocyclic Compounds |