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Phase 1 N=12 Randomized Double-blind Basic Science

A Study in Opioid-Experienced, Non-Dependent Recreational Drug Users to Determine the Abuse Potential and Safety of CL-108 Tablets Administered Via the Oral Route

Pain · Nausea · Vomiting

Enrolled (actual)
12
Serious AEs
0.0%
Results posted
Oct 2019
Primary outcome: Primary: Subjective Effects: Maximum Effect (Emax) and Minimum Effect (Emin) of High Visual Analog Scale (VAS) in Dose Selection Phase — 85.0; 42.0; 75.5; 94.0 units on a scale

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
CL-108 (Drug); M366 (Drug); Placebo (Drug)
Age
Adult · 18+ yrs
Sex
All
Sponsor
Charleston Laboratories, Inc
Primary completion
Sep 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Subjective Effects: Maximum Effect (Emax) and Minimum Effect (Emin) of High Visual Analog Scale (VAS) in Dose Selection Phase
85.0; 42.0; 75.5; 94.0; 2.3; 3.0
PRIMARY
Subjective Effects: Emax of Any Effects VAS in Dose Selection Phase
86.0; 48.5; 75.0; 94.0; 4.3
PRIMARY
Emax of Drug Liking VAS in Treatment Phase
77.3; 81.4; 74.4; 79.8; 54.5 <0.0001 sig
SECONDARY
Number of Adverse Events in Dose Selection Phase
16; 14; 0; 0
SECONDARY
Balance of Effects: Emin of Drug Liking VAS in Treatment Phase
49.0; 46.6; 44.8; 46.5; 47.1
SECONDARY
Balance of Effects: Time-averaged Area Under the Effect Curve (TA_AUE) of Drug Liking VAS in Treatment Phase
12.071; 13.772; 9.773; 11.162; 1.183
SECONDARY
Balance of Effects: Emax and Emin of Overall Drug Liking VAS in Treatment Phase
70.4; 75.8; 65.2; 71.1; 52.2; 61.2 <.0001 sig
SECONDARY
Balance of Effects: Emax and Emin of Take Drug Again VAS in Treatment Phase
74.6; 75.2; 68.9; 71.3; 51.1; 66.4 <.0001 sig
SECONDARY
Positive Effects: Emax of High VAS in Treatment Phase
58.9; 71.8; 54.6; 67.5; 5.4 <.0001 sig
SECONDARY
Positive Effects: TA_AUE of High VAS in Treatment Phase
1.055; 27.850; 36.363; 24.500; 32.050 <.0001 sig
SECONDARY
Positive Effects: Emax of Good Effects VAS in Treatment Phase
6.3; 59.3; 68.3; 52.5; 62.2 <.0001 sig
SECONDARY
Positive Effects: TA_AUE of Good Effects VAS in Treatment Phase
28.108; 34.894; 25.541; 29.327; 1.140 <.0001 sig
SECONDARY
Negative Effects: Emax of Bad Effects VAS in Treatment Phase
14.8; 30.1; 20.1; 36.1; 2.4 <0.001 sig
SECONDARY
Negative Effects: TA_AUE of Bad Effects VAS in Treatment Phase
5.487; 12.535; 7.171; 13.830; 0.217 0.0001 sig
SECONDARY
Sedative and Other Effects: Emin of Alertness/Drowsiness VAS in Treatment Phase
25.3; 20.2; 33.3; 27.9; 47.9 0.0001 sig
SECONDARY
Sedative and Other Effects: TA_AUE of Alertness/Drowsiness VAS in Treatment Phase
-12.103; -16.919; -6.751; -8.737; -0.348 0.0024 sig
SECONDARY
Sedative and Other Effects: Emax of Any Effects VAS in Treatment Phase
62.4; 71.9; 55.4; 68.9; 7.4 <0.0001 sig
SECONDARY
Sedative and Other Effects: TA_AUE of Any Effects VAS in Treatment Phase
29.720; 38.504; 26.371; 34.030; 1.537 <0.0001 sig
SECONDARY
Objective Measures: Change From Baseline in Choice Reaction Time (CRT) in Treatment Phase
74.0; 51.9; 51.2; 56.8; 55.0; -7.0
SECONDARY
Change From Baseline in Number of Errors (Any Errors) in CRT Test in Treatment Phase
0.6; 0.4; 0.5; 0.8; 0.90; 0.1
SECONDARY
Pupillometry: Maximum Pupil Constriction (MPC)
2.51; 3.15; 2.34; 2.75; 0.39 <0.0001 sig
SECONDARY
Pupillometry: TA_AUE of MPC in Treatment Phase
1.565; 2.355; 1.317; 1.888; -0.153 <0.0001 sig

Summary

The purpose of this study is to assess the abuse potential of CL-108 tablets, including the abuse deterrent effects of promethazine, following oral administration, relative to hydrocodone/acetaminophen (APAP) tablets and placebo in non-dependent, recreational opioid users.

Eligibility Criteria

Inclusion Criteria

  • BMI within 18.0 to 33.0 kg/m2, inclusive (minimum weight of 50.0 kg at Screening)
  • Healthy, as determined by no clinically significant medical history, physical examination findings, 12-lead ECG findings, vital signs measurements, and laboratory results at screening, as judged by the investigator
  • Current opioid users who had used oral opioids for recreational (non-therapeutic) purposes, at least 10 times in the past year

Exclusion Criteria

  • Drug or alcohol dependence within the last 12 months (except nicotine)
  • Subjects who had ever been in treatment for substance use disorders (except smoking cessation
  • History of presence of any clinically significant cardiac, neurologic, pulmonary, psychiatric, endocrine, hematologic, hepatic, immunologic, metabolic, urologic, dermatologic, renal, or other major disease at screening, which in the opinion of the investigator, would have jeopardized the safety of the subject or the validity of the study results
  • History or presence of hypotension, judged to be clinically significant based on investigator judgement
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02712554). 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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