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This is a single-center, open-label, randomized, four-way crossover study. Each subject will receive each of the four study treatments once, followed by in-clinic monitoring and extensive blood sample collection for pharmacokinetic analysis.
Dosing will occur approximately 48 hours apart, until completion of dosing in randomized order per the treatment sequence tables. Plasma samples from the dosing days will be sent to the analytical laboratory for analysis and tolerability for each of the dose levels will be summarized.
After completion of the four dosing days, subjects will be assessed one final time and dismissed from the study.
This is a single-center, open-label, randomized, four-way crossover study to compare the pharmacokinetics, safety and tolerability of:
M207 3.8 mg administered to the upper arm to M207 3.8 mg administered to the thigh, particularly with respect to skin irritation (erythema, edema, bruising, bleeding):
M207 3.8 mg worn for 30 minutes on the upper arm to M207 3.8 mg worn for 1 hour on the upper arm; and M207 3.8 mg to intranasal zolmitriptan 2.5 mg.
Each subject will receive each of the four study treatments once, followed by in-clinic monitoring and extensive blood sample collection for pharmacokinetic analysis.
M207 application sites will be observed for erythema, edema, bruising, and bleeding at various timepoints throughout the study.
Dosing will occur approximately 48 hours apart, until completion of dosing in randomized order per the treatment sequence tables. Plasma samples from the dosing days will be sent to the analytical laboratory for analysis and tolerability for each of the dose levels will be summarized.
After completion of the four dosing days, subjects will be assessed one final time and dismissed from the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment A | Experimental | Treatment A: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (upper arm application) |
|
| Treatment B | Experimental | Treatment B: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (thigh application) |
|
| Treatment C | Experimental | Treatment C: M207 3.8 mg administered as two 1.9 mg patches, 1 hour wear time (upper arm application) |
|
| Treatment D | Active Comparator | Treatment D: Intranasal zolmitriptan 2.5 mg |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| A: M207 3.8mg, 30 min, upper arm | Drug | A: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (upper arm application) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cmax | maximum observed plasma concentration | pre-dose, 2, 5, 10, 15, 20, 30, 45, 60, 90 minutes, 2, 4, 8, 12, 24 hours post-dose |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events | number of subjects that experienced at least one adverse event | 24 hours |
| t(1/2) | apparent half-life | pre-dose, 2, 5, 10, 15, 20, 30, 45, 60, 90 minutes, 2, 4, 8, 12, 24 hours post-dose |
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Inclusion Criteria:
Exclusion Criteria:
Evidence of significant history of hepatic, reproductive, gastrointestinal, renal, bleeding, or hematological disorders including coagulation, pulmonary, neurological, respiratory, endocrine, or cardiovascular system abnormalities (especially hypertension, peripheral vascular disease, coronary artery disease, transient ischemic attacks, or cardiac rhythm abnormalities), psychiatric disorders, acute infection, or other conditions that would interfere with study participation or with the absorption, distribution, metabolism, or excretion of drugs.
Presence of two or more risk factors for cardiovascular disease (family history of premature heart disease, hyperlipidemia, or hypertension)
Any contraindication to zolmitriptan administration including:
History of contact dermatitis or known dermatological disorders that would interfere with the study procedures or assessments
Planned participation in activities which cause inflammation, irritation, sunburn, lesions, or tattoos at the intended application sites from 2 weeks prior to screening through their last day of study participation
Use of warfarin within 1 month prior to the first dose or heparin within 1 week prior to study drug administration
Use of prescription and over the counter medications other than the following:
Subjects who have a known allergy or sensitivity to zolmitriptan or its derivatives or formulations
Known allergy or sensitivity to tapes, adhesives, or zolmitriptan
Regular or recent intake of prescription drugs, particularly drugs with an influence on blood pressure.
Use of any other investigational compound within one month of planned study drug dosing
On-going drug or alcohol abuse, or history of either deemed to be clinically significant by the investigator
Systolic BP (measured after remaining sitting for 5 minutes) greater than 140 mmHg and diastolic BP greater than 90 mmHg at screening
History of nasal pathology (e.g., polyps) or abnormal nasal exam
Body Mass Index (BMI) greater than 35 kg/m2
If, in the opinion of the investigator, the subject is not suitable for the study
Any positive urine drug screen result or alcohol breath test
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| Name | Affiliation | Role |
|---|---|---|
| Don Kellerman, Pharm.D. | Zosano Pharma Corporation | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hill Top Research, Inc. | Neptune City | New Jersey | 07753 | United States |
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4-way crossover, each subject randomized to receive A, B, C, and D in one of four sequences.
A: M207 3.8 mg, two 1.9 mg patches, 30 min, upper arm B: M207 3.8 mg, two 1.9 mg patches, 30 min, thigh C: M207 3.8 mg, two 1.9 mg patches, 1 hr, upper arm D: Intranasal zolmitriptan 2.5 mg One subject randomized to CADB was given ABCD.
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| ID | Title | Description |
|---|---|---|
| FG000 | ABCD | A: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (upper arm application) B: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (thigh application) C: M207 3.8 mg administered as two 1.9 mg patches, 1 hour wear time (upper arm application) D: Intranasal zolmitriptan 2.5 mg |
| FG001 | BDAC | B: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (thigh application) D: Intranasal zolmitriptan 2.5 mg A: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (upper arm application) C: M207 3.8 mg administered as two 1.9 mg patches, 1 hour wear time (upper arm application) |
| FG002 | CADB | C: M207 3.8 mg administered as two 1.9 mg patches, 1 hour wear time (upper arm application) A: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (upper arm application) D: Intranasal zolmitriptan 2.5 mg B: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (thigh application) |
| FG003 | DCBA | D: Intranasal zolmitriptan 2.5 mg C: M207 3.8 mg administered as two 1.9 mg patches, 1 hour wear time (upper arm application) B: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (thigh application) A: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (upper arm application) |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Entire Study Population | Each subject received each of the four treatments below in one of four treatment sequences. A: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (upper arm application) B: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (thigh application) C: M207 3.8 mg administered as two 1.9 mg patches, 1 hour wear time (upper arm application) D: Intranasal zolmitriptan 2.5 mg |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | Cmax | maximum observed plasma concentration | Posted | Geometric Mean | Standard Deviation | pg/mL | pre-dose, 2, 5, 10, 15, 20, 30, 45, 60, 90 minutes, 2, 4, 8, 12, 24 hours post-dose |
|
8 days
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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 | Treatment A | Treatment A: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (upper arm application) A: M207 3.8mg, 30 min, upper arm: A: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (upper arm application) |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal discomfort | Gastrointestinal disorders | MedDRA (21.0) | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Don Kellerman, Sr. VP, Clinical Development and Medical Affairs | Zosano Pharma Corporation | +1 (510) 745-4004 | dkellerman@zosanopharma.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Sep 12, 2018 | Nov 16, 2019 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jan 5, 2019 | Nov 16, 2019 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D008881 | Migraine Disorders |
| ID | Term |
|---|---|
| D051270 | Headache Disorders, Primary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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Randomized, open-label four-way crossover
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|
| B: M207 3.8 mg, 30 min, thigh | Drug | B: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (thigh application) |
|
|
| C: M207 3.8 mg, 1 hr, upper arm | Drug | C: M207 3.8 mg administered as two 1.9 mg patches, 1 hour wear time (upper arm application) |
|
|
| D:zolmitriptan nasal spray | Drug | D: 2.5 mg/0.1 mL intranasal zolmitriptan |
|
|
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| BMI | Mean | Standard Deviation | kg/m^2 |
|
| OG002 | Treatment C | Treatment C: M207 3.8 mg administered as two 1.9 mg patches, 1 hour wear time (upper arm application) C: M207 3.8 mg, 1 hr, upper arm: C: M207 3.8 mg administered as two 1.9 mg patches, 1 hour wear time (upper arm application) |
| OG003 | Treatment D | Treatment D: Intranasal zolmitriptan 2.5 mg D:zolmitriptan nasal spray: D: 2.5 mg/0.1 mL intranasal zolmitriptan |
|
|
| Secondary | Adverse Events | number of subjects that experienced at least one adverse event | Subjects who received treatment | Posted | Number | Participants | 24 hours |
|
|
|
| Secondary | t(1/2) | apparent half-life | Posted | Mean | Standard Deviation | hours | pre-dose, 2, 5, 10, 15, 20, 30, 45, 60, 90 minutes, 2, 4, 8, 12, 24 hours post-dose |
|
|
|
| 0 |
| 23 |
| 0 |
| 23 |
| 4 |
| 23 |
| EG001 | Treatment B | Treatment B: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (thigh application) B: M207 3.8 mg, 30 min, thigh: B: M207 3.8 mg administered as two 1.9 mg patches, 30 min wear time (thigh application) | 0 | 23 | 0 | 23 | 3 | 23 |
| EG002 | Treatment C | Treatment C: M207 3.8 mg administered as two 1.9 mg patches, 1 hour wear time (upper arm application) C: M207 3.8 mg, 1 hr, upper arm: C: M207 3.8 mg administered as two 1.9 mg patches, 1 hour wear time (upper arm application) | 0 | 24 | 0 | 24 | 1 | 24 |
| EG003 | Treatment D | Treatment D: Intranasal zolmitriptan 2.5 mg D:zolmitriptan nasal spray: D: 2.5 mg/0.1 mL intranasal zolmitriptan | 0 | 23 | 0 | 23 | 1 | 23 |
| Diarrhoea | Gastrointestinal disorders | MedDRA (21.0) | Non-systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | MedDRA (21.0) | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA (21.0) | Non-systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (21.0) | Non-systematic Assessment |
|
| Presyncope | Nervous system disorders | MedDRA (21.0) | Non-systematic Assessment |
|
| Somnolence | Nervous system disorders | MedDRA (21.0) | Non-systematic Assessment |
|
| Intranasal hypoaesthesia | Respiratory, thoracic and mediastinal disorders | MedDRA (21.0) | Non-systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (21.0) | Non-systematic Assessment |
|
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| D009422 | Nervous System Diseases |