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This study is an open-label drug-drug interaction (DDI) study of ZYN002 transdermal gel and multiple drugs.
This study is a Phase 1, open-label, 2-part, fixed-sequence, 3-period DDI study to evaluate the effect of ZYN002 transdermal gel on the pharmacokinetics (PK) of probe substrates and their metabolites. In addition, this study is designed to evaluate the safety and tolerability of ZYN002 transdermal gel after multiple-dose topical application to healthy adult participants.
Part 1 - DDI with probe substrates for cytochrome P450 (CYP)3A4, CYP2C19, CYP2C9, CYP2D6, CYP1A2 administered as single oral doses followed by the staggered dosing of probe substrates for CYP2C8 and for CYP2B6 administered as single oral doses.
Part 2 - DDI with valproate (valproic acid [VPA]), a probe substrate for β-oxidation and glucuronidation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: Interaction of ZYN002 and substrates | Experimental | Substrates: midazolam, omeprazole, losartan, dextromethorphan, caffeine, repaglinide, and bupropion |
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| Part 2: Interaction of ZYN002 and VPA | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Part 1 | Drug | ZYN002 (transdermal), midazolam (oral), omeprazole (oral), losartan (oral), dextromethorphan (oral), caffeine (oral), repaglinide (oral), bupropion (oral) |
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| Measure | Description | Time Frame |
|---|---|---|
| Maximum measure plasma concentration (Cmax) of probe substrates and metabolites | Blood samples collected at pre dose, and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, and 48 hours post dose. | Days 1-3 (Period 1), Days 24-26 (Period 3) |
| Cmax of repaglinide and metabolite | Blood samples collected at pre dose, and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, and 24 hours post dose. | Days 3 and 4 (Period 1), Days 26 and 27 (Period 3) |
| Cmax of bupropion and metabolite | Blood samples collected at pre dose and at 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 48, 72, 96, 120, and 144 hours post dose. | Days 4-10 (Period 1), Days 27-33 (Period 3) |
| Cmax of CBD, delta-9-tetrahydrocannabinol (THC), and CBD metabolites | Blood samples collected at pre dose and at 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 36, 48, 72, 96, 120, and 144 hours post dose. | Days 24-33 (Period 3) |
| Amount excreted in urine over the collection period (Ae0-12) of CBD and its metabolites | Urine samples collected over a 12-hour period. | Day 17 (Period 2), Days 24 and 32 (Period 3) |
| Cmax of VPA and metabolite | Blood samples collected at pre dose and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours post dose. | Days 1-4 (Period 1), Days 18-21 (Period 3) |
| Cmax of CBD, THC, and CBD metabolites |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with skin irritation in ZYN002 application areas | Skin assessment examination | Up to 33 days |
| Number of participants with abnormal physical examination results | Targeted physical examination |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Thomas Polasek, MD, PhD | CMAX Clinical Research | Principal Investigator |
| Kristen Bzdek, MD | Harmony Biosciences Management, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CMAX Clinical Research | Adelaide | South Australia | 5000 | Australia |
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Part 1: Participants will receive probe substrates in Periods 1 and 3 and ZYN002 treatment in Periods 2 and 3.
Part 2: Participants will receive probe substrate in Periods 1 and 3 and ZYN002 treatment in Periods 2 and 3.
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This is an open-label, 2-part, fixed-sequence DDI study.
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| Part 2 | Drug | ZYN002 (transdermal), VPA (oral) |
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Blood samples collected at pre dose and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours post dose. |
| Days 18-21 (Period 3) |
| Ae0-12 of VPA and metabolites | Urine samples collected over a 12-hour period. | Days 1-4 (Period 1), Day 17 (Period 2), Days 18-20 (Period 3) |
| Ae0-12 of ZYN002 and metabolites | Urine samples collected over a 12-hour period. | Day 17 (Period 2), Days 18 and 20 (Period 3) |
| Up to 33 days |
| Number of participants with abnormal clinical laboratory results | Laboratory testing | Up to 33 days |
| Number of participants with abnormal vital sign results | Vital Sign measures | Up to 33 days |
| Number of participants with abnormal continuous pulse oximetry results | Continuous pulse oximeter | Up to 33 days |
| Number of participants with abnormal electrocardiogram (ECG) | 12-lead ECG | Up to 33 days |