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This is a single-center, open-label, randomized, four-way crossover study. Subjects will receive the four study treatments once, followed by in-clinic monitoring and extensive pharmacokinetic analysis. Dosing occurs ~48 hours apart from patch application, in randomized order. Subjects will have final assessment and be dismissed from the study.
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 from the time of patch application, until completion of dosing in randomized order per the treatment sequence schedule. 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 |
|---|---|---|---|
| ABDC | Experimental | A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose |
|
| BCAD | Experimental | A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose |
|
| CDBA | Experimental | A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| M207 3.8 mg "Sled" (two 1.9 mg patches made on a "Sled" coater, foil pouches) | Drug | M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min wear time made on a "Sled" coater and packaged in foil pouches |
| 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, and 24 hours post-dose |
| Adverse Events | Subjects with treatment emergent adverse events | 48 hours |
| Tmax | Time to maximum concentration | pre-dose, 2, 5, 10, 15, 20, 30, 45, 60, 90 minutes; 2, 4 , 8, 12, and 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 three or more of the following CAD risk factors for cardiovascular disease:
A. Current tobacco use (subjects who have smoked within 30 days of screening)
B. Hypertension (systolic BP > 140 or diastolic BP > 90) or receiving anti-hypertensive medication for treatment of hypertension
C. Hyperlipidemia - LDL > 159 mg/dL and/or HDL < 40 mg/dL (or on prescribed anti-cholesterol treatment)
D. Family history of premature coronary artery disease (CAD) (< 55 years of age in male first-degree relatives or < 65 years of age in female first degree relatives)
E. Diabetes mellitus
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 dosing through their last day of study participation
Use of any prescription anticoagulant within 1 month prior to the first dose
Use of prescription and over the counter medications within one week of dosing other than the following:
Subject has a known allergy or sensitivity to zolmitriptan or its derivatives or formulations
Subject has a known allergy or sensitivity to tapes or adhesives
Use of any other investigational compound within 30 days of planned study drug dosing
Current use or history of drug and/or alcohol abuse within 6 months of screening and deemed to be clinically significant by the investigator
History of nasal pathology (e.g., polyps) or abnormal nasal exam deemed to be clinically significant by the investigator
Body Mass Index (BMI) lower than 18 kg/m2 or 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 test
Subject currently smokes or is a nicotine a user
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| Name | Affiliation | Role |
|---|---|---|
| Don Kellerman, PharmD | Zosano Pharma Corporation | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Celerion | Tempe | Arizona | 85283 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | ABDC | A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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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 | Apr 15, 2019 | Oct 18, 2021 |
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Subjects are randomized to receive one of four treatment sequences of four open-label treatments 48 hours apart.
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|
| DACB | Experimental | A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose |
|
|
| M207 3.8 mg "MACAP" (two 1.9 mg patches made on a "MACAP" coater, foil cups) | Drug | M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min wear time made on a "MACAP" coater and packaged in foil cups |
|
|
| M207 3.8 mg "MiniMac" (two 1.9 mg patches made on a "MiniMac" coater, foil cups | Drug | M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min wear time made on a "miniMac" coater and packaged in foil pouches |
|
|
| Zolmitriptan 2.5 mg/0.1 mL nasal spray [ZOMIG] single dose | Drug | Zolmitriptan 2.5 mg/0.1 mL nasal spray [ZOMIG] single dose |
|
|
| FG001 | BCAD | A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose |
| FG002 | CDBA | A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose |
| FG003 | DACB | A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose |
| COMPLETED |
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| NOT COMPLETED |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | ABDC | A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose |
| BG001 | BCAD | A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose |
| BG002 | CDBA | A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose |
| BG003 | DACB | A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Number | participants |
| ||||||||||||||||
| Body Mass Index | Mean | Standard Deviation | kg/m2 |
|
| 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, and 24 hours post-dose |
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| Primary | Adverse Events | Subjects with treatment emergent adverse events | Subjects who received treatment | Posted | Count of Participants | Participants | 48 hours |
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| Primary | Tmax | Time to maximum concentration | Posted | Median | Full Range | hour | pre-dose, 2, 5, 10, 15, 20, 30, 45, 60, 90 minutes; 2, 4 , 8, 12, and 24 hours post-dose |
|
|
8 days total, 48 hours per intervention
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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 | M207 3.8 mg (Sled) | A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches | 0 | 24 | 0 | 24 | 18 | 24 |
| EG001 | M207 3.8 mg (MACAP) | B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups | 0 | 24 | 0 | 24 | 15 | 24 |
| EG002 | M207 3.8 mg (MiniMac) | C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups | 0 | 24 | 0 | 24 | 13 | 24 |
| EG003 | Zolmitriptan 2.5 mg (Intranasal) | D: Zolmitriptan intranasal 2.5 mg/0.1 mL single dose | 0 | 24 | 0 | 24 | 4 | 24 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Lymphadenopathy | Blood and lymphatic system disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Ear pain | Ear and labyrinth disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Photophobia | Eye disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Photophobia | Eye disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Abdominal ditension | Gastrointestinal disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Rectal tenesmus | Gastrointestinal disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Application site discolouration | General disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Application site pain | General disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Feeling hot | General disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Vessel puncture site pain | General disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Vessel puncture site swelling | General disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA (20.1) | Non-systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDRA (20.1) | Non-systematic Assessment |
| |
| Heart rate increased | Investigations | MedDRA (20.1) | Non-systematic Assessment |
| |
| Weight decreased | Investigations | MedDRA (20.1) | Non-systematic Assessment |
| |
| Muscle tightness | Musculoskeletal and connective tissue disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Musculoskeletal sstiffness | Musculoskeletal and connective tissue disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Head discomfort | Nervous system disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Hypoaesthesia | Nervous system disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Paraesthesea | Nervous system disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Somnolence | Nervous system disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Dysmenorrhoea | Reproductive system and breast disorders | MedDRA (20.1) | Non-systematic Assessment |
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| Menorrhagia | Reproductive system and breast disorders | MedDRA (20.1) | Non-systematic Assessment |
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| Polymenorrhoea | Reproductive system and breast disorders | MedDRA (20.1) | Non-systematic Assessment |
| |
| Throat irritation | Respiratory, thoracic and mediastinal disorders | MedDRA (20.1) | Non-systematic Assessment |
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| Dry skin | Skin and subcutaneous tissue disorders | MedDRA (20.1) | 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 |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jul 4, 2019 | Oct 18, 2021 | SAP_001.pdf |
| ID | Term |
|---|---|
| D008881 | Migraine Disorders |
| ID | Term |
|---|---|
| D051270 | Headache Disorders, Primary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| C089750 | zolmitriptan |
| D059085 | Nasal Sprays |
| ID | Term |
|---|---|
| D000336 | Aerosols |
| D003102 | Colloids |
| D045424 | Complex Mixtures |
| D004304 | Dosage Forms |
| D004364 | Pharmaceutical Preparations |
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| Male |
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| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
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| Counts |
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| Participants |
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