Single-Dose, Phase 1b Study to Assess Pharmacokinetics, Safety and Tolerability, and Pharmacodynamics of Tizanidine at 4 Different Oral Dose Levels in Pediatric Subjects With Mild to Moderate Spasticity Due to Cerebral Palsy
Overview
- Phase
- Phase 1
- Intervention
- Zanaflex Capsules
- Conditions
- Spasticity Due to Cerebral Palsy
- Sponsor
- Acorda Therapeutics
- Enrollment
- 10
- Locations
- 1
- Primary Endpoint
- Pharmacokinetic (PK) Parameter AUC0-8 (Area Under the Concentration-time Curve From Time 0 to 8 Hours) of a Single Dose of Tizanidine at 4 Different Dose Levels in Children and Adolescents With Cerebral Palsy and Mild to Moderate Spasticity.
- Status
- Terminated
- Last Updated
- 12 years ago
Overview
Brief Summary
A Single-Dose, Phase 1b, Multicenter, Open-Label Study to Assess the Pharmacokinetics, Safety and Tolerability, and Pharmacodynamics of Tizanidine at 4 Different Oral Dose Levels in Pediatric Subjects 2 to 16 Years Old With Mild to Moderate Spasticity Due to Cerebral Palsy.
Detailed Description
Evaluation of the study's progress after the amendment remained challenging with continued pre-screen failures noted in areas of Botox injection inclusion; family participation refusal / disinterest and gastric or jejunostomy tube placement. A third protocol amendment to improve enrollment was discussed with the Investigators who did not believe further amendment would overcome the barriers expressed by parents that would subject their children to an intense study time commitment without direct benefit. The investigative sites were notified that the study was closed to enrollment March 27, 2012.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Have clinically diagnosed spasticity resulting from cerebral palsy
- •Have a motor disability resulting from a static, nonprogressive brain injury or malformation occurring prenatally or before the age of 2 years
- •Have mild to moderate spasticity at screening
- •Have a parent or legally accepted representative able to understand and comply with study requirements who voluntarily provides informed consent and agrees to be primarily responsible for adhering to the requirements of the study
Exclusion Criteria
- •Have a history of hypersensitivity or allergic reaction to tizanidine or any of the capsule components
- •Have dietary restrictions or food allergies that conflict with a standardized meal
- •Have clinically significant psychiatric, gastrointestinal, pulmonary, hematologic, endocrine, cardiovascular, renal, or hepatic disease that requires pharmacologic intervention
- •Have an ongoing seizure disorder that requires medical therapy
Arms & Interventions
Dose Level 1
Intervention: Zanaflex Capsules
Dose Level 2
Intervention: Zanaflex Capsules
Dose Level 3
Intervention: Zanaflex Capsules
Dose Level 4
Intervention: Zanaflex Capsules
Outcomes
Primary Outcomes
Pharmacokinetic (PK) Parameter AUC0-8 (Area Under the Concentration-time Curve From Time 0 to 8 Hours) of a Single Dose of Tizanidine at 4 Different Dose Levels in Children and Adolescents With Cerebral Palsy and Mild to Moderate Spasticity.
Time Frame: Baseline and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours
Baseline: immediately before the standardized meal (i.e., before administration of tizanidine) on dosing day 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours after administration of tizanidine PK parameters will be derived by using WinNonlin Pro (version 5.0.1 or later, Pharsight Corp).
Secondary Outcomes
- Pharmacokinetic (PK) Parameter Cmax (Maximum Observed Drug Concentration in Plasma) of a Single Dose of Tizanidine at 4 Different Dose Levels in Children and Adolescents With Cerebral Palsy and Mild to Moderate Spasticity.(Baseline and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours)