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This will be a randomized, double-blind, double-dummy, placebo- and active controlled, 5 treatment, 10 sequence, 5 period crossover single dose, Williams square design study in healthy adult, non drug dependent male and female participants with drug abuse experience with sedative drugs.
The study includes Screening, a Qualification Phase consisting of a Naloxone Challenge and Drug Discrimination crossover study, a Treatment Phase and Follow-up. Following successful completion of the Qualification Phase the participants will be enrolled in the Treatment phase. The Treatment Phase is a randomized, double-blind, double dummy, placebo- and active controlled, 5 treatment, 10-sequence, 5 period crossover, single-dose, Williams square design study in healthy male and/or female adult, non drug-dependent recreational users. On Day 1 of each of the Treatment Phase 5 periods, which will be separated by a washout of at least 14 days, participants will receive an oral dose of either NEURONTIN® 1800 mg, 1200 mg or 600 mg or 20 mg diazepam, or placebo. Study treatments will be administered under fasted conditions (overnight fast and no food until 4 hours after dosing). Water will be allowed without restriction until 1 hour prior to dosing and 1 hour after dosing.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| gabapentin 600 mg | Experimental | single dose |
|
| diazepam 20 mg | Active Comparator | single dose |
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| placebo | Placebo Comparator | single dose |
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| gabapentin 1200 mg | Experimental | single dose |
|
| gabapentin 1800 mg | Experimental | single dose |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| gabapentin 600 mg | Drug | participants will receive an oral dose of gabapentin 600 mg |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Bipolar Visual Analog Scale (VAS) for "Drug Liking" Maximum Effect (Emax). | Drug liking assesses how much a participant likes or dislikes a drug effect at the time the question is being asked. It is scored using a 100 mm visual analogue scale (VAS), where 0 mm = "Strong Disliking", 50 mm = "Neither Like nor Dislike", and 100 mm = "Strong Liking" | up to 72 hours after treatments |
| Measure | Description | Time Frame |
|---|---|---|
| Bipolar VAS for "Drug Liking" (Time for Maximum Effect, Emax [TEmax]) | Time after dosing when the maximum effect for Drug Liking VAS is reached | up to 72 hours after treatments |
| Bipolar VAS for "Drug Liking" (Area Under the Effect-time Profile From Time 0 to the Time of the Last Quantifiable Concentration [AUEClast]) |
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Inclusion Criteria:
Exclusion Criteria
Participants with current or past diagnosis of any type of drug dependence within the past year. Diagnosis of substance and/or alcohol dependence (excluding caffeine and nicotine) will be assessed by the Investigator using the Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV) criteria performed at Screening. Current drug use will be allowed if the candidate can produce a negative urine sample and are free of any signs/symptoms of withdrawal. The candidate will be informed if they have a positive breathalyzer test.
Participants are heavy smokers or users of other types of nicotine products (>20 cigarettes equivalents per day)
Participants are unable to abstain from smoking for at least 2 hours before and at least 8 hours after study drug administration.
Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurological, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at the time of dosing).
Participants with any history of sleep apnea, myasthenia or glaucoma.
Any condition possibly affecting drug absorption (eg, gastrectomy) excluding cholecystectomy within 1 year prior to study.
Clinical or laboratory evidence of active hepatitis A infection or a history of human immunodeficiency virus (HIV) infection, hepatitis B, or hepatitis C, and/or positive testing for HIV, hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb), or hepatitis C antibody (HCVAb).
Participants with active suicidal ideation or suicidal behavior within 5 year prior to Screening as determined through the use of the Columbia-Suicide Severity Rating Scale (C-SSRS) or active ideation identified at Screening or on Day -1.
Other acute or chronic medical or psychiatric condition including recent (within the past year) or active suicidal ideation or behavior or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study.
Use of prescription or nonprescription drugs and dietary supplements within 7 days or 5 half-lives (whichever is longer) prior to the first dose of investigational product. (Refer to Section 6.5 for additional details).
Herbal supplements and herbal medications must be discontinued at least 28 days prior to the first dose of study medication.
Previous administration with an investigational drug within 30 days (or as determined by the local requirement) or 5 half-lives (whichever is longer) preceding the first dose of investigational product used in this study.
Positive urine drug screen (UDS) for substances of abuse at each admission in Qualification and Treatment Phase, excluding tetrahydrocannabinol (THC). If a participant presents with a positive UDS excluding THC at any admission or any visit, the investigator, at his/her discretion, may reschedule a repeat UDS until the UDS is negative, excluding THC, before the participant is permitted to participate in any phase of the study.
Participants unable to abstain from using THC during the Qualification and Treatment Phases of the study..
Has participated in, is currently participating in, or is seeking treatment for substance-and/or alcohol-related disorders (excluding nicotine and caffeine).
Has a positive alcohol breathalyzer test at Screening or upon admission to the study center at Visits 2-6. Positive results may be repeated and/or participants re-scheduled at the Investigator's discretions.
Screening sitting BP >=140 mm Hg (systolic) or >=90 mm Hg (diastolic), following at least 5 minutes of rest. If BP is >=140 mm Hg (systolic) or >=90 mm Hg (diastolic), the BP should be repeated 2 more times and the average of the 3 BP values should be used to determine the participant's eligibility. Repeated BP tests should be spaced at least 5 minutes apart.
Baseline (screening) 12-lead electrocardiogram (ECG) that demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results (eg, baseline corrected QT (QTc) interval >450 msec, complete left bundle branch block [LBBB], signs of an acute or indeterminate-age myocardial infarction, ST-T interval changes suggestive of myocardial ischemia, second- or third-degree atrioventricular [AV] block, or serious bradyarrhythmias or tachyarrhythmias). If the baseline uncorrected QT interval is >450 msec, this interval should be rate-corrected using the Fridericia method and the resulting QTcF should be used for decision making and reporting. If QTc exceeds 450 msec, or QRS exceeds 120 msec, the ECG should be repeated 2 more times and the average of the 3 QTc or QRS values should be used to determine the participant's eligibility. Computer-interpreted ECGs should be overread by a physician experienced in reading ECGs before excluding participants.
Participants with ANY of the following abnormalities in clinical laboratory tests at screening, as assessed by the study-specific laboratory and confirmed by a single repeat test, if deemed to be clinically significant in the opinion of the investigator:
Blood donation (excluding plasma donations) of approximately 1 pint (500 mL) or more within 60 days prior to dosing.
History of sensitivity to heparin or heparin-induced thrombocytopenia.
Unwilling or unable to comply with the criteria in the Lifestyle Considerations section of this protocol.
History of hypersensitivity to gabapentin or diazepam or any of the components in the formulation of the study products.
Investigator site staff members directly involved in the conduct of the study and their family members, site staff members otherwise supervised by the investigator, or Sponsor employees, including their family members, directly involved in the conduct of the study.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pharmaceutical Research Associates, Inc. | Salt Lake City | Utah | 84124 | United States |
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Subjects entered a Qualification phase involving a naloxone challenge test (to exclude subjects who were opioid dependent) and a drug discrimination test (to confirm they can tell the difference between diazepam and placebo). Only subjects who passed the tests in the Qualification phase were randomized into the Treatment phase where they received the 5 different single dose study treatments, each separated by a washout of at least 14 days, in the order specified for Sequences 1-10 below
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| ID | Title | Description |
|---|---|---|
| FG000 | Sequence 1 | Period 1 Gabapentin 600 mg - Period 2 Gabapentin 1200 mg - Period 3 Placebo - Period 4 Gabapentin 1800 mg - Period 5 Diazepam 20 mg |
| FG001 | Sequence 2 | Period 1 Gabapentin 600 mg - Period 2 Placebo - Period 3 Gabapentin 1200 mg - Period 4 Diazepam 20 mg - Period 5 Gabapentin 1800 mg |
| 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 29, 2022 | Nov 6, 2023 |
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| gabapentin 1200 mg |
| Drug |
participants will receive an oral dose of gabapentin 1200 mg |
|
| gabapentin 1800 mg | Drug | participants will receive an oral dose of gabapentin 1800 mg |
|
| diazepam 20 mg | Drug | participants will receive an oral dose of 20 mg dose of diazepam |
|
| placebo | Other | participants will receive an oral dose of placebo |
|
Area under the effect-time profile from time 0 to the time of the last available data for the "Drug liking" visual analog scale which assesses how much a participant likes or dislikes a drug effect at the time the question ("at this moment, my liking this drug is") is being asked. It is scored using a 100 mm visual analogue scale (VAS), where 0 mm = "Strong Disliking", 50 mm = "Neither Like nor Dislike", and 100 mm = "Strong Liking". The minimum and maximum possible scores are approximately 0 and 7200 if a subject scores 0 mm (strong disliking) and 100 mm (strong liking) respectively at every timepoint up to 72 hours. |
| Up to 72 hours after treatments (Assessments were made at the following timepoints after each treatment: 0, 0.25, 0.5,1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, and 72 hours) |
| Unipolar VAS for "High" (Maximum Effect, Emax) | Maximum effect on the 100 mm visual analog scale for the question "I am feeling high" where 0 = "not at all" and 100 ="extremely" | up to 72 hours after treatments |
| Unipolar VAS for "High" (Time for Maximum Effect, Emax [TEmax]) | Time after dosing when the maximum effect for "High" VAS is reached | up to 72 hours after treatments |
| Unipolar VAS for "High" (Area Under the Effect-time Profile From Time 0 to the Time of the Last Quantifiable Concentration [AUEClast]) | Area under the effect-time profile from time 0 to the time of the last available data for the "High" visual analog scale which measures on a 100 mm visual analog scale the subject's response to the question "I am feeling high" where 0 ="not at all" and 100 ="extremely". The minimum and maximum possible scores are 0 and approximately 7200 if a subject scores 0 mm (not at all) and 100 mm (extremely) respectively at every timepoint up to 72 hours. | Up to 72 hours after treatments (Assessments were made at the following timepoints after each treatment: 0, 0.25, 0.5,1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, and 72 hours) |
| Bipolar VAS for "Take Drug Again" at 24 Hour Post Dose | 100 mm visual analog scale for the question "I would take this drug again" where 0 ="definitely not", 50 = "neutral", and 100 = "definitely so". | At 24 hours after treatment |
| Bipolar VAS for "Take Drug Again" at 36 Hour Post Dose | 100 mm visual analog scale for the question "I would take this drug again" where 0 ="definitely not", 50 = "neutral", and 100 = "definitely so". | At 36 hours after treatment |
| Bipolar VAS for "Take Drug Again" at 48 Hour Post Dose | 100 mm visual analog scale for the question "I would take this drug again" where 0 ="definitely not", 50 = "neutral", and 100 = "definitely so". | At 48 hours after treatment |
| Bipolar VAS for "Take Drug Again" at 72 Hour Post Dose | 100 mm visual analog scale for the question "I would take this drug again" where 0 ="definitely not", 50 = "neutral", and 100 = "definitely so". | At 72 hours after treatment |
| Bipolar VAS for "Overall Drug Liking" at 24 Hour Post Dose | 100 mm visual analog scale for the question "Overall, my liking for this drug is" where0 = "definitely not", 50 = "neutral", and 100 = "definitely so". | At 24 hours after treatment |
| Bipolar VAS for "Overall Drug Liking" at 36 Hour Post Dose | 100 mm visual analog scale for the question "Overall, my liking for this drug is" where0 = "definitely not", 50 = "neutral", and 100 = "definitely so". | At 36 hours after treatment |
| Bipolar VAS for "Overall Drug Liking" at 48 Hour Post Dose | 100 mm visual analog scale for the question "Overall, my liking for this drug is" where0 = "definitely not", 50 = "neutral", and 100 = "definitely so". | At 48 hours after treatment |
| Bipolar VAS for "Overall Drug Liking" at 72 Hour Post Dose | 100 mm visual analog scale for the question "Overall, my liking for this drug is" where0 = "definitely not", 50 = "neutral", and 100 = "definitely so". | At 72 hours after treatment |
| Cmax of Gabapentin | Maximum plasma concentration (Cmax) of gabapentin | Up to 72 hours after treatments (concentrations were measured at the following timepoints after each treatment for this outcome measure: 0, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, and 72 hours) |
| Tmax of Gabapentin | Time when the maximum concentration of gabapentin is reached | Up to 72 hours after treatments (concentrations were measured at the following timepoints after each treatment for thisoutcome measure: 0, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48 and 72 hours) |
| AUClast of Gabapentin | Area under the effect time profile from time 0 to the time of the last quantifiable concentration (AUClast) of gabapentin | up to 72 hours after treatment (concentrations were measured at the following timepoints after each treatment for thisoutcome measure: 0, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48 and 72 hours) |
| Terminal Half-life of Gabapentin | Terminal half-life (t½) of gabapentin | up to 72 hours after treatment (concentrations were measured at the following timepoints after each treatment for thisoutcome measure: 0, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48 and 72 hours) |
| FG002 | Sequence 3 | Period 1 Gabapentin 1200 mg - Period 2 Gabapentin 600 mg - Period 3 Gabapentin 1800 mg - Period 4 Placebo - Period 5 Diazepam 20 mg |
| FG003 | Sequence 4 | Period 1 Gabapentin 1200 mg - Period 2 Gabapentin 1800 mg - Period 3 Gabapentin 600 mg - Period 4 Diazepam 20 mg - Period 5 Placebo |
| FG004 | Sequence 5 | Period 1 Gabapentin 1800 mg - Period 2 Gabapentin 1200 mg - Period 3 Diazepam 20 mg - Period 4 Gabapentin 600 mg - Period 5 Placebo |
| FG005 | Sequence 6 | Period 1 Gabapentin 1800 mg - Period 2 Diazepam 20 mg - Period 3 Gabapentin 1200 mg - Period 4 Placebo - Period 5 Gabapentin 600 mg |
| FG006 | Sequence 7 | Period 1 Diazepam 20 mg - Period 2 Gabapentin 1800 mg - Period 3 Placebo - Period 4 Gabapentin 1200 mg - Period 5 Gabapentin 600 mg |
| FG007 | Sequence 8 | Period 1 Diazepam 20 mg - Period 2 Placebo - Period 3 Gabapentin 1800 mg - Period 4 Gabapentin 600 mg - Period 5 Gabapentin 1200 mg |
| FG008 | Sequence 9 | Period 1 Placebo - Period 2 Gabapentin 600 mg - Period 3 Diazepam 20 mg - Period 4 Gabapentin 1200 mg -Period 5 Gabapentin 1800 mg |
| FG009 | Sequence 10 | Period 1 Placebo - Period 2 Diazepam 20 mg - Period 3 Gabapentin 600 mg - Period 4 Gabapentin 1800 mg - Period 5 Gabapentin 1200 mg |
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| NOT COMPLETED |
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All participants who completed all 5 treatment periods of the Treatment Phase, excluding those subjects who had scores for the primary endpoint (maximum Drug Liking Visual Analog Scale score) that were within 5 points across all 5 treatments and/or had high placebo scores for the primary endpoint (maximum Drug Liking Visual Analog Scale score for placebo was > 60 on a 100 point scale and the primary endpoint for placebo was 5 or more points greater than that for the positive control, diazepam)
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| ID | Title | Description |
|---|---|---|
| BG000 | Modified Completer Population | All participants who completed all 5 treatment periods of the Treatment Phase but excluding those subjects who had scores for the primary endpoint (maximum Drug Liking Visual Analog Scale score) that were within 5 points across all 5 treatments and/or had high placebo scores for the primary endpoint (maximum Drug Liking Visual Analog Scale score for placebo was > 60 on a 100 point scale and the primary endpoint for placebo was 5 or more points greater than that for the positive control, diazepam). This was the primary analysis population. |
| Units | Counts |
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| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
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| Age, Continuous | Mean | Standard Deviation | Years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| 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 | Bipolar Visual Analog Scale (VAS) for "Drug Liking" Maximum Effect (Emax). | Drug liking assesses how much a participant likes or dislikes a drug effect at the time the question is being asked. It is scored using a 100 mm visual analogue scale (VAS), where 0 mm = "Strong Disliking", 50 mm = "Neither Like nor Dislike", and 100 mm = "Strong Liking" | Modified completer population | Posted | Mean | Standard Error | Score on a scale | up to 72 hours after treatments |
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| Secondary | Bipolar VAS for "Drug Liking" (Time for Maximum Effect, Emax [TEmax]) | Time after dosing when the maximum effect for Drug Liking VAS is reached | Modified completer population | Posted | Median | Full Range | Hours | up to 72 hours after treatments |
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| Secondary | Bipolar VAS for "Drug Liking" (Area Under the Effect-time Profile From Time 0 to the Time of the Last Quantifiable Concentration [AUEClast]) | Area under the effect-time profile from time 0 to the time of the last available data for the "Drug liking" visual analog scale which assesses how much a participant likes or dislikes a drug effect at the time the question ("at this moment, my liking this drug is") is being asked. It is scored using a 100 mm visual analogue scale (VAS), where 0 mm = "Strong Disliking", 50 mm = "Neither Like nor Dislike", and 100 mm = "Strong Liking". The minimum and maximum possible scores are approximately 0 and 7200 if a subject scores 0 mm (strong disliking) and 100 mm (strong liking) respectively at every timepoint up to 72 hours. | Modified completer population | Posted | Mean | Standard Error | units on a scale * hour | Up to 72 hours after treatments (Assessments were made at the following timepoints after each treatment: 0, 0.25, 0.5,1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, and 72 hours) |
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| Secondary | Unipolar VAS for "High" (Maximum Effect, Emax) | Maximum effect on the 100 mm visual analog scale for the question "I am feeling high" where 0 = "not at all" and 100 ="extremely" | Modified completer population | Posted | Mean | Standard Error | Score on a scale | up to 72 hours after treatments |
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| Secondary | Unipolar VAS for "High" (Time for Maximum Effect, Emax [TEmax]) | Time after dosing when the maximum effect for "High" VAS is reached | Modified completer population | Posted | Median | Full Range | Hours | up to 72 hours after treatments |
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| Secondary | Unipolar VAS for "High" (Area Under the Effect-time Profile From Time 0 to the Time of the Last Quantifiable Concentration [AUEClast]) | Area under the effect-time profile from time 0 to the time of the last available data for the "High" visual analog scale which measures on a 100 mm visual analog scale the subject's response to the question "I am feeling high" where 0 ="not at all" and 100 ="extremely". The minimum and maximum possible scores are 0 and approximately 7200 if a subject scores 0 mm (not at all) and 100 mm (extremely) respectively at every timepoint up to 72 hours. | Modified completer population | Posted | Mean | Standard Error | units on a scale * hour | Up to 72 hours after treatments (Assessments were made at the following timepoints after each treatment: 0, 0.25, 0.5,1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, and 72 hours) |
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| Secondary | Bipolar VAS for "Take Drug Again" at 24 Hour Post Dose | 100 mm visual analog scale for the question "I would take this drug again" where 0 ="definitely not", 50 = "neutral", and 100 = "definitely so". | Modified completer population | Posted | Mean | Standard Error | Score on a scale | At 24 hours after treatment |
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| Secondary | Bipolar VAS for "Take Drug Again" at 36 Hour Post Dose | 100 mm visual analog scale for the question "I would take this drug again" where 0 ="definitely not", 50 = "neutral", and 100 = "definitely so". | Modified completer population | Posted | Mean | Standard Error | Score on a scale | At 36 hours after treatment |
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| Secondary | Bipolar VAS for "Take Drug Again" at 48 Hour Post Dose | 100 mm visual analog scale for the question "I would take this drug again" where 0 ="definitely not", 50 = "neutral", and 100 = "definitely so". | Modified completer population | Posted | Mean | Standard Error | Score on a scale | At 48 hours after treatment |
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| Secondary | Bipolar VAS for "Take Drug Again" at 72 Hour Post Dose | 100 mm visual analog scale for the question "I would take this drug again" where 0 ="definitely not", 50 = "neutral", and 100 = "definitely so". | Modified completer population | Posted | Mean | Standard Error | Score on a scale | At 72 hours after treatment |
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| Secondary | Bipolar VAS for "Overall Drug Liking" at 24 Hour Post Dose | 100 mm visual analog scale for the question "Overall, my liking for this drug is" where0 = "definitely not", 50 = "neutral", and 100 = "definitely so". | Modified completer population | Posted | Mean | Standard Error | Score on a scale | At 24 hours after treatment |
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| Secondary | Bipolar VAS for "Overall Drug Liking" at 36 Hour Post Dose | 100 mm visual analog scale for the question "Overall, my liking for this drug is" where0 = "definitely not", 50 = "neutral", and 100 = "definitely so". | Modified completer population | Posted | Mean | Standard Error | Score on a scale | At 36 hours after treatment |
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| Secondary | Bipolar VAS for "Overall Drug Liking" at 48 Hour Post Dose | 100 mm visual analog scale for the question "Overall, my liking for this drug is" where0 = "definitely not", 50 = "neutral", and 100 = "definitely so". | Modified completer population | Posted | Mean | Standard Error | Score on a scale | At 48 hours after treatment |
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| Secondary | Bipolar VAS for "Overall Drug Liking" at 72 Hour Post Dose | 100 mm visual analog scale for the question "Overall, my liking for this drug is" where0 = "definitely not", 50 = "neutral", and 100 = "definitely so". | Modified completer population | Posted | Mean | Standard Error | Score on a scale | At 72 hours after treatment |
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| Secondary | Cmax of Gabapentin | Maximum plasma concentration (Cmax) of gabapentin | Pharmacokinetic population: all enrolled participants who received study medication and have pharmacokinetic data for the parameters of interest. | Posted | Mean | Standard Deviation | nanograms/milliliter | Up to 72 hours after treatments (concentrations were measured at the following timepoints after each treatment for this outcome measure: 0, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, and 72 hours) |
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| Secondary | Tmax of Gabapentin | Time when the maximum concentration of gabapentin is reached | Pharmacokinetic population: all enrolled participants who received study medication and have pharmacokinetic data for the parameters of interest | Posted | Median | Full Range | Hours | Up to 72 hours after treatments (concentrations were measured at the following timepoints after each treatment for thisoutcome measure: 0, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48 and 72 hours) |
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| Secondary | AUClast of Gabapentin | Area under the effect time profile from time 0 to the time of the last quantifiable concentration (AUClast) of gabapentin | Pharmacokinetic population: all enrolled participants who received study medication and have pharmacokinetic data for the parameters of interest | Posted | Mean | Standard Deviation | nanograms*hour/milliliter | up to 72 hours after treatment (concentrations were measured at the following timepoints after each treatment for thisoutcome measure: 0, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48 and 72 hours) |
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| Secondary | Terminal Half-life of Gabapentin | Terminal half-life (t½) of gabapentin | Pharmacokinetic population: all enrolled participants who received study medication and have pharmacokinetic data for the parameters of interest | Posted | Mean | Standard Deviation | Hours | up to 72 hours after treatment (concentrations were measured at the following timepoints after each treatment for thisoutcome measure: 0, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48 and 72 hours) |
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During the entire Treatment Phase of the study, which encompassed the time interval from admission of the subject to their first Treatment Period until 28 days after study drug dosing in their last (6th) Treatment Period, including the washout in between. The total duration of the Treatment Phase for each subject was dependent on visit scheduling and whether the subject completed treatment periods, and it lasted up to approximately 13 weeks.
Adverse events that occur during the washout interval between treatment visits or during the follow up after the final study drug dosing counted under the previous treatment visit
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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 | Placebo | Participants received a single oral dose of placebo | 0 | 50 | 0 | 50 | 11 | 50 |
| EG001 | Diazepam 20 mg | Participants received a single oral dose of 20 mg dose of diazepam | 0 | 50 | 0 | 50 | 30 | 50 |
| EG002 | Gabapentin 600 mg | Participants received a single oral dose of gabapentin 600 mg | 0 | 52 | 0 | 52 | 20 | 52 |
| EG003 | Gabapentin 1200 mg | Participants received a single oral dose of gabapentin 1200 mg | 0 | 52 | 0 | 52 | 24 | 52 |
| EG004 | Gabapentin 1800 mg | Participants received a single oral dose of gabapentin 1800 mg | 0 | 51 | 0 | 51 | 23 | 51 |
Not provided
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Somnolence | Nervous system disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Lethargy | Nervous system disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Depressed level of consciousness | Nervous system disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Fatigue | General disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Feeling of relaxation | General disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Euphoric mood | Psychiatric disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Sedation | Nervous system disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Cognitive idsorder | Nervous system disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Abdominal discomfort | Gastrointestinal disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Abdominal distension | Gastrointestinal disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Scleral disorder | Eye disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Visual impairment | Eye disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Diplopia | Eye disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| COVID-19 | Infections and infestations | MedDRA 23.1 | Non-systematic Assessment |
| |
| Muscle tightness | Musculoskeletal and connective tissue disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Hyperhidrosis | Skin and subcutaneous tissue disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| SARS-CoV-2 test positive | Investigations | MedDRA 23.1 | Non-systematic Assessment |
| |
| Hiccups | Respiratory, thoracic and mediastinal disorders | MedDRA 23.1 | Non-systematic Assessment |
| |
| Tachycardia | Cardiac disorders | MedDRA 23.1 | Non-systematic Assessment |
|
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dik WH Ng | Viatris | +44 (0)1304 626895 | dik.ng@viatris.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jan 27, 2023 | Nov 6, 2023 | SAP_001.pdf |
Not provided
| ID | Term |
|---|---|
| D000077206 | Gabapentin |
| D003975 | Diazepam |
| ID | Term |
|---|---|
| D000588 | Amines |
| D009930 | Organic Chemicals |
| D005680 | gamma-Aminobutyric Acid |
| D000613 | Aminobutyrates |
| D002087 | Butyrates |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D003509 | Cyclohexanecarboxylic Acids |
| D000146 | Acids, Carbocyclic |
| D003510 | Cyclohexanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D001570 | Benzodiazepinones |
| D001569 | Benzodiazepines |
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
Not provided
Not provided
| Unknown or Not Reported |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
The primary analysis evaluated whether gabapentin (T) produced mean responses that show abuse potential similar to placebo. H0: μT - μP ≥ δ3 versus Ha: μT - μP < δ3 where δ3 =11 |
| Mixed Models Analysis |
| 0.3581 |
| Mean Difference (Final Values) |
| 10.0 |
| Standard Error of the Mean |
| 2.84 |
| 1-Sided |
| 95 |
| 14.7 |
| Non-Inferiority |
Non-inferiority margin = 11 |
| The primary analysis evaluated whether gabapentin (T) produced mean responses that show abuse potential similar to placebo. H0: μT - μP ≥ δ3 versus Ha: μT - μP < δ3 where δ3 =11 | Mixed Models Analysis | 0.3051 | Mean Difference (Final Values) | 9.5 | Standard Error of the Mean | 2.85 | 1-Sided | 95 | 14.3 | Non-Inferiority | Non-inferiority margin = 11 |
| The primary analysis evaluated whether gabapentin (T) produced mean responses that show abuse potential similar to placebo. H0: μT - μP ≥ δ3 versus Ha: μT - μP < δ3 where δ3 =11 | Mixed Models Analysis | 0.2179 | Mean Difference (Final Values) | 8.8 | Standard Error of the Mean | 2.83 | 1-Sided | 95 | 13.5 | Non-Inferiority | Non-inferiority margin = 11 |
| The null and alternative hypotheses for evaluating whether gabapentin (T) produced mean responses that show less abuse potential than diazepam (C) were: H0: μC - μT ≤ δ2 versus Ha: μC - μT > δ2 where δ2 =0 | Mixed Models Analysis | <0.0001 | Mean Difference (Final Values) | 20.9 | Standard Error of the Mean | 2.84 | 1-Sided | 95 | 16.3 | Non-Inferiority | Non-inferiority margin = 0 |
| The null and alternative hypotheses for evaluating whether gabapentin (T) produced mean responses that show less abuse potential than diazepam (C) were: H0: μC - μT ≤ δ2 versus Ha: μC - μT > δ2 where δ2 =0 | Mixed Models Analysis | <0.0001 | Mean Difference (Final Values) | 21.4 | Standard Error of the Mean | 2.84 | 1-Sided | 95 | 16.7 | Non-Inferiority | Non-inferiority margin = 0 |
| The null and alternative hypotheses for evaluating whether gabapentin (T) produced mean responses that show less abuse potential than diazepam (C) were: H0: μC - μT ≤ δ2 versus Ha: μC - μT > δ2 where δ2 =0 | Mixed Models Analysis | <0.0001 | Mean Difference (Final Values) | 22.1 | Standard Error of the Mean | 2.85 | 1-Sided | 95 | 17.4 | Non-Inferiority | Non-inferiority margin = 0 |
|
|
Participants received a single oral dose of gabapentin 600 mg
| OG003 | Gabapentin 1200 mg | Participants received a single oral dose of gabapentin 1200 mg |
| OG004 | Gabapentin 1800 mg | Participants received a single oral dose of gabapentin 1800 mg |
|
|
|
|
|
|
|
|
| OG003 |
| Gabapentin 1200 mg |
Participants received a single oral dose of gabapentin 1200 mg |
| OG004 | Gabapentin 1800 mg | Participants received a single oral dose of gabapentin 1800 mg |
|
|
|
Participants received a single oral dose of gabapentin 1800 mg
|
|
Participants received a single oral dose of gabapentin 1800 mg
|
|
Participants received a single oral dose of gabapentin 1800 mg
|
|
Participants received a single oral dose of gabapentin 1800 mg
|
|
Participants received a single oral dose of gabapentin 1800 mg
|
|
Participants received a single oral dose of gabapentin 1800 mg
|
|
Participants received a single oral dose of gabapentin 1800 mg
|
|
Participants received a single oral dose of gabapentin 1800 mg
|
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| Participants |
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