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Phase 1, open-label, randomized, 3-period, 3-treatment, crossover pharmacokinetic study to evaluate the steady-state pharmacokinetics of 5 mg/day and 10 mg/day Corplex™ Donepezil TDS manufactured with the commercial process compared to 10 mg Aricept® in healthy volunteers.
Screening Period:
Subjects will undergo a Screening Period up to 28 days prior to entering the Treatment Phase.
Treatment Phase consisting of 3 Treatment periods with 3 Treatments A, B, C.
Treatment Period 1: All Subjects will receive Treatment A; 5 mg/day Donepezil Transdermal Delivery System (TDS); 1-week wear and applied for 5 consecutive weeks.
Treatment Periods 2 and 3: Subjects will be randomized (by gender) to receive either sequences of Treatments B-C or Treatments C-B.
Treatment B: 10 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks Treatment C: 10 mg/day Aricept® donepezil tablet administered daily (QD) for 5 weeks.
Blood samples for pharmacokinetics and safety assessments will be collected during the Treatment Phase.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment A | Experimental | 5 mg/day Donepezil Transdermal Delivery System (TDS) 1-week wear and applied weekly for 5 consecutive weeks |
|
| Treatment B | Experimental | 10 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks |
|
| Treatment C | Active Comparator | 10 mg/day Aricept® donepezil tablet administered QD for 5 consecutive weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Donepezil TDS | Combination Product | Transdermal Delivery System |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Concentration (Cmax) | To evaluate steady-state donepezil plasma exposure (Cmax) following 5 weeks of treatment. | 35 days of each Treatment |
| Area Under the Curve (AUC) | To evaluate steady-state donepezil plasma exposure (AUC) following 5 weeks of treatment | 35 days each Treatment |
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Inclusion Criteria:
Exclusion Criteria:
History or presence of clinically significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, oncologic, or psychiatric disease or any other condition that, in the opinion of the Investigator, would jeopardize the safety of the subject or the validity of the study results.
After resting seated for at least 3 minutes, subjects should be excluded from the study with the following vital signs at Screening
Has an isolated ALT ≥1.5x the ULN or AST ≥1.5x the ULN at Screening; or both ALT and AST exceeding the ULN.
Estimated creatinine clearance at screening <70 mL/min/1.73 m2.
Prolonged corrected QT (Fridericia) on screening ECG (≥450 ms for both females and males).
History or presence of excessive hairy skin on application sites as deemed by the Investigator to potentially interfere with patch adhesion or 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 skin tolerability assessments
Use of donepezil hydrochloride or related drugs within 60 days prior to the first study drug administration.
Has participated in another clinical trial within 30 days prior to Day -1.
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| Name | Affiliation | Role |
|---|---|---|
| Robert Bass, MD | Worldwide Clinical Trials | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Worldwide Clinical Trials | San Antonio | Texas | 78217 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36120781 | Derived | Tariot PN, Braeckman R, Oh C. Comparison of Steady-State Pharmacokinetics of Donepezil Transdermal Delivery System with Oral Donepezil. J Alzheimers Dis. 2022;90(1):161-172. doi: 10.3233/JAD-220530. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Treatment Sequence ABC or ACB in Crossover Fashion | All subjects were assigned to receive all treatments, with a different sequence in treatment periods 2 and 3. Treatment A: 5 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment B: 10 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment C: 10 mg/day Aricept® donepezil tablet administered QD for 5 consecutive weeks, then 1 day washout; |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Treatment A - 5 mg TDS |
|
| |||||||||||||||||||||
| Treatment B - 10 mg TDS |
| ||||||||||||||||||||||
| Treatment C - 10 mg Oral |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | All Study Participants | Participants were assigned to receive treatment sequence ABC or ACB in a crossover fashion. Treatment A: 5 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment B: 10 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment C: 10 mg/day Aricept® donepezil tablet administered QD for 5 consecutive weeks, then 1 day washout; |
| 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 | Maximum Concentration (Cmax) | To evaluate steady-state donepezil plasma exposure (Cmax) following 5 weeks of treatment. | all subjects without major protocol deviations that could affect PK and who had at least one PK parameter derived | Posted | Mean | Standard Deviation | Cmax ng/ml | 35 days of each Treatment |
|
Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 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 - 5 mg TDS | Participants received treatment sequence ABC or ACB in a randomized, crossover fashion. Treatment A: 5 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment B: 10 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment C: 10 mg/day oral donepezil tablet administered QD for 5 consecutive weeks, then 1 day washout; |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Constipation | Gastrointestinal disorders | MedDRA v23.1 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Ronald Tashjian, Sr. Director of Clinical Operations | Corium, Inc. | 6172337474 | rtashjian@coriumintl.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 | Oct 26, 2020 | Mar 22, 2022 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jul 15, 2021 | Mar 22, 2022 | SAP_001.pdf |
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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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Phase 1, open-label, randomized, 3-period, 3-treatment, crossover PK study to evaluate the steady-state pharmacokinetics
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open label
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| Aricept |
| Drug |
Oral |
|
|
|
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| OG002 | Treatment C 10 mg Oral | Treatment C: 10 mg/day oral donepezil tablet administered QD for 5 consecutive weeks, then 1 day washout; |
|
|
| Primary | Area Under the Curve (AUC) | To evaluate steady-state donepezil plasma exposure (AUC) following 5 weeks of treatment | all subjects without major protocol deviations that could affect PK and who had at least one PK parameter derived | Posted | Mean | Standard Deviation | AUC h*ng/mL | 35 days each Treatment |
|
|
|
| 0 |
| 60 |
| 0 |
| 60 |
| 32 |
| 60 |
| EG001 | Treatment B - 10 mg TDS | Participants received treatment sequence ABC or ACB in a randomized, crossover fashion. Treatment A: 5 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment B: 10 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment C: 10 mg/day oral donepezil tablet administered QD for 5 consecutive weeks, then 1 day washout; | 0 | 55 | 0 | 55 | 30 | 55 |
| EG002 | Treatment C - 10 mg Oral | Participants received treatment sequence ABC or ACB in a randomized, crossover fashion. Treatment A: 5 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment B: 10 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment C: 10 mg/day oral donepezil tablet administered QD for 5 consecutive weeks, then 1 day washout; | 0 | 56 | 0 | 56 | 32 | 56 |
| Nausea | Gastrointestinal disorders | MedDRA v23.1 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA v23.1 | Systematic Assessment |
|
| Abdominal Pain | Gastrointestinal disorders | MedDRA v23.1 | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA v23.1 | Systematic Assessment |
|
| Application Site Pruritis | General disorders | MedDRA v23.1 | Systematic Assessment |
|
| Application Site Dermatitis | General disorders | MedDRA v23.1 | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA v23.1 | Systematic Assessment |
|
| Application Site Irritation | General disorders | MedDRA v23.1 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA v23.1 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA v23.1 | Systematic Assessment |
|
| Somnolence | Nervous system disorders | MedDRA v23.1 | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA v23.1 | Systematic Assessment |
|
| Nightmare | Psychiatric disorders | MedDRA v23.1 | Systematic Assessment |
|
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA v23.1 | Systematic Assessment |
|
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| D006844 |
| Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011083 | Polycyclic Compounds |