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Phase 1 N=48 Randomized Quadruple-blind Treatment

Staccato Prochlorperazine Thorough QT/QTc

Cardiotoxicity

Enrolled (actual)
48
Serious AEs
0.0%
Results posted
Mar 2019
Primary outcome: Primary: Maximum Effect of Inhaled Prochlorperazine on Cardiac Repolarization (QTc Interval Duration) at the Maximum Clinical Dose Compared to Placebo — 5.493; 5.229 milliseconds

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
Inhaled placebo (Drug); Oral placebo (Drug); Inhaled prochlorperazine 5 mg (Drug); Inhaled prochlorperazine 10 mg (Drug); Oral moxifloxacin (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Alexza Pharmaceuticals, Inc.
Primary completion
Dec 2007

Outcome Measures

OutcomeResultp-value
PRIMARY
Maximum Effect of Inhaled Prochlorperazine on Cardiac Repolarization (QTc Interval Duration) at the Maximum Clinical Dose Compared to Placebo
5.493; 5.229
SECONDARY
QTcI Versus Prochlorperazine Concentration
2.83
SECONDARY
Numbers and % of Subjects With QTcI > 450 ms
3; 4; 6
SECONDARY
Numbers and % of Subjects With QTcI > 480 ms
0; 0; 1
SECONDARY
Numbers and % of Subjects With QTcI Change > 30 ms
0; 1; 0
SECONDARY
Numbers and % of Subjects With QTcI Change > 60 ms
0; 0; 0

Summary

To assess the safety of Staccato Prochlorperazine on cardiac repolarization (QTc interval duration) at 2 dose levels compared to placebo in healthy volunteers.

Eligibility Criteria

Inclusion Criteria

  • Male and female subjects between the ages of 18 to 65 years, inclusive.
  • Body mass index (BMI) ≥21 and ≤30.
  • Subjects who are willing and able to comply with the study schedule and requirements, and stay at the CRU for a 3-day period and 3 consecutive 2-day periods.
  • Subjects who speak, read, and understand English and are willing and able to provide written informed consent on an IRB approved form prior to the initiation of any study procedures.
  • Subjects who are in good general health prior to study participation as determined by a detailed medical history, physical examination, 12-lead ECG, blood chemistry profile, hematology, urinalysis, and in the opinion of the Principal Investigator.
  • Female participants (if of child-bearing potential and sexually active) and male participants (if sexually active with a partner of child-bearing potential) who agree to use a medically acceptable and effective birth control method throughout the study and for one week following the end of the study.

Exclusion Criteria

  • Subjects who regularly consume large amounts of xanthine-containing substances must be excluded.
  • Subjects who have taken prescription or nonprescription medication within 5 days of Treatment Period 1 must be excluded.
  • Subjects who have had an acute illness within the last 5 days of Treatment Period 1 must be excluded.
  • Subjects who have smoked tobacco within the last year must be excluded.
  • Subjects who have a history of HIV positivity must be excluded.
  • Subjects who have a history of allergy or intolerance to prochlorperazine or phenothiazines must be excluded.
  • Subjects who have a history of contraindication to anticholinergics must be excluded.
  • Subjects who have a history of pheochromocytoma, seizure disorder, Parkinson's disease, or Restless Leg Syndrome must be excluded.
  • Subjects who have an ECG abnormality must be excluded.
  • Subjects who have a history within the past 2 years of drug or alcohol dependence or abuse as defined by DSM-4 must be excluded.
  • Subjects who have a history of syncope, unstable angina, myocardial infarction (within 6 months), congestive heart failure, transient ischemic attack, or pheochromocytoma must be excluded.
  • Subjects who have a history of asthma or chronic obstructive lung disease must be excluded.
  • Subjects who have hypotension (systolic ≤90 mmHg, diastolic ≤50 mmHg), or hypertension (systolic ≥140 mmHg, diastolic blood pressure ≥90 mmHg) must be excluded.
  • Subjects who test positive for alcohol or have a positive urine drug screen must be excluded.
  • Female subjects who have a positive pregnancy test at screening or during randomization visit, or are breastfeeding must be excluded.
  • Subjects who have received an investigational drug within 30 days prior to the Screening Visit must be excluded.
  • Subjects who are considered by the investigator, for any reason, to be an unsuitable candidate for receiving prochlorperazine, or unable to use the inhalation device, must be excluded.
  • Subjects who have any other disease(s), by history, physical examination, or laboratory abnormalities (ALT or AST > 2-fold the upper limit of normal, bilirubin > 1.5 mg/dL, or creatinine > 1.8 mg/dL) or that in the investigator's opinion present undue risk to the subject or may confound the interpretation of study results must be excluded.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00543062). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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