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A Study of the Pulmonary Safety and Pharmacokinetics of Zolmitriptan Inhalation Powder

Phase 1
Completed
Conditions
Migraine
Interventions
Drug: CVT-427 (zolmitriptan inhalation powder)
Registration Number
NCT02905227
Lead Sponsor
Acorda Therapeutics
Brief Summary

This study is an open-label, parallel group study to evaluate acute pulmonary safety and Pharmacokinetics (PK) of two doses, separated by 2 hours, of CVT-427 zolmitriptan inhalation powder in three groups of adults: those with asthma, those who smoke and healthy volunteers.

Detailed Description

The purpose of this study is to evaluate acute pulmonary safety and PK of CVT-427 zolmitriptan inhalation powder in the study populations.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • eligible subjects will be men or women aged 18 to 65 years inclusive;
  • body mass index (BMI) 18 to 30 kg/m2;
  • healthy adults must be in general good health with no clinically significant abnormalities that would affect ability to complete study.
  • subjects with asthma must be non-smokers who have a forced expiratory volume in one second (FEV1) ≥ 60% of predicted for race, age, sex, and height;
  • subjects who smoke must have at least a 12-month, 0.5 pack of cigarettes per day history or the equivalent consumption of cigars and a positive result for plasma cotinine.
Exclusion Criteria
  • subjects with asthma will be excluded for more than 2 hospitalizations or emergency room visits, or more than 3 courses of systemic steroids in the past 12 months or 1 course within the past 8 weeks for respiratory illness;
  • asthma exacerbation within 8 weeks of before screening;
  • unscheduled or urgent visit to any medical facility for asthma-related problems within 8 weeks before screening;
  • history of intubation or intensive care unit admission for asthma in the past 5 years.
  • Subjects who smoke will be excluded if they have intrinsic lung disease including asthma or chronic obstructive pulmonary disease (COPD) with an FEV1 of <60% of predicted and a score of ≥2 on the Medical Research Council Dsypnea Scale (MRC);
  • any cardiovascular risk factor or contraindication for the use of triptans
  • use of nonselective monamine oxidase inhibitors (MAOI), serotonin reuptake inhibitors (SSRIs), propranolol, or cimetidine within 4 weeks prior to the Screening Visit, or planned use during the study;
  • positive serology test (hepatitis B virus surface antigen [HBsAg], hepatitis C virus [HCV] antibody, human immunodeficiency virus [HIV] 1 & 2 antibodies).

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Adult AsthmaticsCVT-427 (zolmitriptan inhalation powder)Two doses of CVT-427, 2 hours apart. 3.0 mg zolmitriptan capsule administered via CVT-427 breath-actuated inhaler in adult asthmatics
Adult SmokersCVT-427 (zolmitriptan inhalation powder)Two doses of CVT-427, 2 hours apart. 3.0 mg zolmitriptan capsule administered via CVT-427 breath-actuated inhaler in adult smokers.
Adult Healthy VolunteersCVT-427 (zolmitriptan inhalation powder)Two doses of CVT-427, 2 hours apart. 3.0 mg zolmitriptan capsule administered via CVT-427 breath-actuated inhaler in adult healthy volunteers.
Primary Outcome Measures
NameTimeMethod
Change in measure of pulmonary function via Spirometrywithin 1 hour prior to dose and up to 24 hours post-dose.
Maximum observed plasma drug concentration (Cmax)up to 24 hours post-dose.
Area under the concentration time curve over the dosing interval (AUC0-last)up to 24 hours post-dose.
Maximum observed plasma drug concentration (tmax)up to 24 hours post-dose.
Secondary Outcome Measures
NameTimeMethod
Number of subjects with Adverse Events (AEs) including Serious AEsup to 5 days

Trial Locations

Locations (3)

Site #102

🇺🇸

Lincoln, Nebraska, United States

Site #103

🇺🇸

North Dartmouth, Massachusetts, United States

Site #101

🇺🇸

Dallas, Texas, United States

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