Phase 4
N=52
Evaluating the Abuse Potential of NEURONTIN® When Taken Orally in Healthy Non-drug Dependent Participants With Sedative Drug Abuse Experience
Abuse Potential
Bottom Line
View on ClinicalTrials.gov: NCT04570436 ↗Enrolled (actual)
52
Serious AEs
0.0%
Results posted
Dec 2023
Primary outcome: Primary: Bipolar Visual Analog Scale (VAS) for "Drug Liking" Maximum Effect (Emax). — 51.98; 79.37; 61.95; 61.39 Score on a scale — p=<0.0001
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 4
- Interventions
- gabapentin 600 mg (Drug); gabapentin 1200 mg (Drug); gabapentin 1800 mg (Drug); diazepam 20 mg (Drug); placebo (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Viatris Specialty LLC
- Primary completion
- Nov 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Bipolar Visual Analog Scale (VAS) for "Drug Liking" Maximum Effect (Emax). |
51.98; 79.37; 61.95; 61.39; 60.95 | <0.0001 sig |
| SECONDARY Bipolar VAS for "Drug Liking" (Time for Maximum Effect, Emax [TEmax]) |
0.2; 1.51; 2.0; 2.0; 2.5 | — |
| SECONDARY Bipolar VAS for "Drug Liking" (Area Under the Effect-time Profile From Time 0 to the Time of the Last Quantifiable Concentration [AUEClast]) |
3441.77; 3778.02; 3588.67; 3601.72; 3652.27 | 0.0023 sig |
| SECONDARY Unipolar VAS for "High" (Maximum Effect, Emax) |
5.80; 61.56; 23.02; 26.93; 27.66 | <0.0001 sig |
| SECONDARY Unipolar VAS for "High" (Time for Maximum Effect, Emax [TEmax]) |
0.20; 1.96; 1.50; 2.00; 2.50 | — |
| SECONDARY Unipolar VAS for "High" (Area Under the Effect-time Profile From Time 0 to the Time of the Last Quantifiable Concentration [AUEClast]) |
15.06; 250.38; 83.08; 112.74; 109.07 | <0.0001 sig |
| SECONDARY Bipolar VAS for "Take Drug Again" at 24 Hour Post Dose |
48.66; 63.10; 58.28; 55.63; 54.90 | — |
| SECONDARY Bipolar VAS for "Take Drug Again" at 36 Hour Post Dose |
49.27; 64.95; 55.33; 55.73; 54.93 | — |
| SECONDARY Bipolar VAS for "Take Drug Again" at 48 Hour Post Dose |
49.24; 62.24; 55.90; 52.80; 53.59 | — |
| SECONDARY Bipolar VAS for "Take Drug Again" at 72 Hour Post Dose |
49.17; 63.88; 55.90; 53.76; 54.46 | — |
| SECONDARY Bipolar VAS for "Overall Drug Liking" at 24 Hour Post Dose |
48.20; 63.66; 57.10; 54.15; 53.90 | — |
| SECONDARY Bipolar VAS for "Overall Drug Liking" at 36 Hour Post Dose |
49.59; 61.83; 54.75; 55.63; 53.49 | — |
| SECONDARY Bipolar VAS for "Overall Drug Liking" at 48 Hour Post Dose |
49.68; 61.07; 54.83; 54.66; 53.37 | — |
| SECONDARY Bipolar VAS for "Overall Drug Liking" at 72 Hour Post Dose |
49.56; 61.46; 55.68; 55.10; 53.46 | — |
| SECONDARY Cmax of Gabapentin |
4223.47; 6106.90; 7373.15 | — |
| SECONDARY Tmax of Gabapentin |
2.78; 2.55; 2.55 | — |
| SECONDARY AUClast of Gabapentin |
41848.88; 66972.60; 80483.05 | — |
| SECONDARY Terminal Half-life of Gabapentin |
7.69; 13.83; 14.43 | — |
Summary
This will be a randomized, double-blind, double-dummy, placebo- and active controlled, 5 treatment, 10 sequence, 5 period crossover single dose, Williams square design study in healthy adult, non drug dependent male and female participants with drug abuse experience with sedative drugs.
Eligibility Criteria
Inclusion Criteria
- Male and female participants must be 18 to 65 years of age, inclusive, at the time of screening.
- Participants must meet reproductive criteria as outlined in the protocol.
- Male and female participants who are overtly healthy. Healthy is defined as no clinically relevant abnormalities identified by a detailed medical history, complete physical examination, vital signs, 12-lead electrocardiogram (ECG), and/or clinical laboratory tests.
- Participants must be recreational sedative users, defined as those reporting using a sedative agent (eg, barbiturates, benzodiazepines) for its intoxicating effects on at least 10 lifetime occasions and at least once in the 12 weeks before the Screening Visit (Visit 1), but who have no signs of dependence and are not seeking treatment for their sedative use.
- Participants must satisfactorily complete both the Naloxone Challenge and the Drug Discrimination phases.
- Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures.
- Body mass index (BMI) of 17.5 to 34 kg/m2, inclusive; and a total body weight >50 kg (110 lb).
- Capable of giving signed informed consent as described in the protocol, which includes compliance with the requirements and restrictions listed in the informed consent document (ICD) and in this protocol.
Exclusion Criteria
- Participants with current or past diagnosis of any type of drug dependence within the past year. Diagnosis of substance and/or alcohol dependence (excluding caffeine and nicotine) will be assessed by the Investigator using the Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV) criteria performed at Screening. Current drug use will be allowed if the candidate can produce a negative urine sample and are free of any signs/symptoms of withdrawal. The candidate will be informed if they have a positive breathalyzer test.
- Participants are heavy smokers or users of other types of nicotine products (>20 cigarettes equivalents per day)
- Participants are unable to abstain from smoking for at least 2 hours before and at least 8 hours after study drug administration.
- Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurological, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at the time of dosing).
- Participants with any history of sleep apnea, myasthenia or glaucoma.
- Any condition possibly affecting drug absorption (eg, gastrectomy) excluding cholecystectomy within 1 year prior to study.
- Clinical or laboratory evidence of active hepatitis A infection or a history of human immunodeficiency virus (HIV) infection, hepatitis B, or hepatitis C, and/or positive testing for HIV, hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb), or hepatitis C antibody (HCVAb).
- Participants with active suicidal ideation or suicidal behavior within 5 year prior to Screening as determined through the use of the Columbia-Suicide Severity Rating Scale (C-SSRS) or active ideation identified at Screening or on Day -1.
- Other acute or chronic medical or psychiatric condition including recent (within the past year) or active suicidal ideation or behavior or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study.
- Use of prescription or nonprescription drugs and dietary supplements within 7 days or 5 half-lives (whichever is longer) prior to the first dose of investigational product. (Refer to Section 6.5 for additional details).
- Herbal supplements and herbal medications must be discontinued at least 28 days prio
Data sourced from ClinicalTrials.gov (NCT04570436). 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.