CompletedPhase 1ACTRN12618000205235

A healthy volunteer study to test the safety and tolerability of a single dose of the Dexmedetomidine Transdermal System as well as how your body takes it in and disposes and breaks it down.

A Safety and Pharmacokinetics Study of Single Dose Dexmedetomidine Transdermal System in Healthy Subjects


Sponsor

Clinical Network Services Pty Ltd

Enrollment

36 participants

Start Date

Jan 17, 2018

Study Type

Interventional

Conditions

Summary

The DMTS has been evaluated in 3 completed clinical studies. This study was designed to evaluate the safety and pharmacokinetics of a 4-day application of DMTS as well as to identify an appropriate oral water/liquid hydration volume to be administered starting 2 hours before DMTS application through 6 to 12 hours after DMTS application.


Eligibility

Sex: Both males and femalesMin Age: 18 YearssMax Age: 45 Yearss

Inclusion Criteria9

  • Healthy male or female subjects 18 to 45 years of age, inclusive.
  • Subjects must be non-smokers for at least 1 year prior to screening.
  • Body mass index (BMI) within the range of 18.0 to 38.0 , inclusive, and a weight of at least 50 kilograms.
  • Free of any dermatologic conditions, excessive hair, skin allergies, or sensitivities that may compromise the subject’s ability to wear the investigational product at any of the application sites for the specified duration of treatment.
  • Female subjects of childbearing potential must be practicing abstinence or using and willing to continue using a medically acceptable form of contraception for at least 1 month prior to screening (at least 3 months for oral contraceptives) and for at least 30 days after the last study drug administration. Female subjects of non-childbearing potential must be amenorrheic for at least 2 years or had a hysterectomy, a bilateral tubal ligation and/or a bilateral oophorectomy (as determined by medical history). Male subjects who are not surgically sterile and have female partners of childbearing potential must ensure that they and their partners use the methods of contraception outlined above.
  • Female subjects must have a negative pregnancy test at screening and prior to dosing.
  • Must be able to speak, read, and understand English sufficiently to understand the nature of the study, to provide written informed consent, and to allow completion of all study assessments.
  • Must understand and provide written informed consent, prior to the initiation of any protocol-specific procedures.
  • Must be willing and able to abide by all study requirements and restrictions.

Exclusion Criteria22

  • A history or presence of drug or alcohol dependence (excluding caffeine), including subjects who have ever been in a drug rehabilitation program based on medical history of the past 10 years.
  • Clinically significant abnormalities as judged by the investigator or designee and determined by physical examination , medical history, 12-lead electrocardiogram , vital signs, laboratory values, including serum kidney and liver function tests.
  • Presence and/or history of postural hypotension (determined through examination by the investigator or designee), or recent history of severe dizziness or fainting on standing.
  • Subjects with a history of seizures, asthma (except for childhood asthma which has been asymptomatic for greater than or equal to 10 years), or obstructive pulmonary disease.
  • Presence or history of any of the following disorders that are deemed clinically significant by the investigator or designee: a psychiatric disorder (including suicidal ideation and behaviour), organic brain disorder, or seizure disorder.
  • Presence or history of clinically significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal (including ulcers or gastrointestinal bleeding), endocrine, immunologic, dermatologic, neurologic, oncologic, psychiatric disease, or any other condition, which, in the opinion of the investigator, would jeopardize the safety of the subject or the validity of the study results.
  • Abnormality (for example, scar, tattoo) or unhealthy skin (for example, burns, wounds) at the application site, according to examination by the investigator at screening, admission to the clinic, or prior treatment period of the study.
  • An existing chronic skin disease or history of skin disease at the application site within the 30 days prior to screening.
  • Use of any drugs containing estrogens within 30 days prior to study drug administration and throughout the study.
  • Use of any prescription drug (except acceptable forms of birth control) within 14 days prior to study drug administration and throughout the study.
  • Use of any prescription or non-prescription product containing any sympathomimetic amine (for example, pseudoephedrine, phenylephrine, and others commonly found in cold preparations) within 14 days prior to study drug administration and throughout the study.
  • Use of any natural health products (except vitamin or mineral supplements) within 14 days prior to study drug administration and throughout the study, unless in the opinion of the investigator or designee, the product will not interfere with the study procedures or data integrity, or compromise the safety of the subject.
  • Use of a non-prescription drug within 7 days prior to study drug administration; subjects who have taken over-the-counter medications, other than those described above, may still be entered into the study, if in the opinion of the investigator or designee, the medication received will not interfere with the study procedures or data integrity, or compromise the safety of the subject.
  • Positive test result for drugs of abuse at screening or prior to study drug dosing.
  • Positive alcohol test at screening or prior to study drug dosing.
  • Female subjects who are currently pregnant or lactating or who are planning to become pregnant within 30 days of last study drug administration.
  • History of allergy or hypersensitivity to dexmedetomidine or dexmedetomidine hydrochloride.
  • Positive for hepatitis B, hepatitis C, or the human immunodeficiency virus (HIV).
  • Donation of blood or loss of blood (greater than 100 mL) within 30 days prior to study drug administration.
  • Subject has a personal responsibility or already confirmed appointment(s) or court date(s) that would in any way prevent him/her from meeting the time commitments and visits required by the study.
  • Treatment with any investigational drug, device, or biologic within 30 days prior to study drug administration.
  • A subject who, in the opinion of the investigator or designee, is considered unsuitable for study entry and/or is unlikely to comply with the study protocol for any reason.

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Interventions

Dexmedetomidine Transdermal System (DMTS) is a 3 cm squared patch with each patch containing 0.73 mg of dexmedetomidine. The patch will be applied by the trained site staff and worn for 4 consecutive

Dexmedetomidine Transdermal System (DMTS) is a 3 cm squared patch with each patch containing 0.73 mg of dexmedetomidine. The patch will be applied by the trained site staff and worn for 4 consecutive days without any patch changes. Each patch will be applied to a non-hairy portion of the subject's upper arm. Each patch will be visually checked for adhesion everyday (6, 12, 24, 28, and 72 hours after patch application and immediately prior to patch removal) by the trained site staff to ensure each patch is still properly adhered to the subject This study is also looking to identify an appropriate hydration regimen. This will be administered 2 hours before patch application through to 6-12 hours after patch application. There are 5 cohorts. Cohort 1 - 4 will receive 1 application of 2 patches and cohort 5 will receive 1 application of 1 patch. Subjects will be required to drink a defined amount of liquid based on cohort: Cohort 1 subjects will be required to drink 4 litres of liquid over a 14-hour period starting 2 hours prior to patch application. Cohort 2 subjects will be required to drink 4 litres of liquid over an 8-hour period, starting 2 hours prior to patch application. Cohort 3 subjects will be required to drink 3 litres of liquid over an 8-hour period, starting 2 hours prior to patch application. Cohort 4 subjects will be required to drink 2 litres of liquid over an 8-hour period, starting 2 hours prior to patch application. Cohort 5 subjects will receive a hydration regimen determined to be acceptable based on findings from Cohorts 2 - 4. The Safety Monitoring Committee will review the findings and a decision will be made when the Safety Monitoring Committee meets after the completion of Cohort 4. Each subject will be instructed to drink 1 litre of liquid 2 hours prior to patch application. After patch application, the subjects will be asked to drink the following: Cohort 1: 1 litre to drink every 4 hours until 3 litres are orally ingested. Cohort 2: 1 litre every 2 hours to drink until 3 litres are orally ingested. Cohort 3: 1 litre every 3 hours to drink until 2 litres are orally ingested. Cohort 4: 0.5 litre every 3 hours until 1 litre is orally ingested. Cohort 5's liquid consumption schedule will be determined after the safety meeting. Each subject's liquid consumption will be supervised by the site staff. Once the patches are removed, there is a 48 hour washout period before the subject can be discharged from the clinic.


Locations(1)

Linear Clinical Research - Nedlands

WA, Australia

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ACTRN12618000205235