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Clinical Trials/NCT04679623
NCT04679623
Completed
Phase 1

Phase 1, Open-Label, Comparison Study to Evaluate the Safety and Pharmacokinetics of a Single Intramuscular Administration of 10 mg Midazolam Using an Auto-Injector vs Marketed Midazolam Vials in Healthy Adults.

Rafa Laboratories1 site in 1 country40 target enrollmentJune 9, 2021

Overview

Phase
Phase 1
Intervention
Midazolam
Conditions
Status Epilepticus
Sponsor
Rafa Laboratories
Enrollment
40
Locations
1
Primary Endpoint
The AUC from time 0 to the time of the last measurable concentration (AUC0-last) and the AUC from time zero to infinite time (AUC0-∞)
Status
Completed
Last Updated
4 years ago

Overview

Brief Summary

This study is a phase 1, open-label, crossover, comparison study to evaluate the safety and pharmacokinetics (PK) of a single IM administration of 10 mg midazolam using Rafa's auto-injector compared with seizalam in healthy adults. All subjects will participate in both study periods which will span 28 days following a pre study screening visit.

Registry
clinicaltrials.gov
Start Date
June 9, 2021
End Date
September 17, 2021
Last Updated
4 years ago
Study Type
Interventional
Study Design
Crossover
Sex
All

Investigators

Sponsor
Rafa Laboratories
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Can understand and provide signed informed consent
  • Is a healthy male or healthy, non-pregnant, non-lactating female whose screening, physical exam, labs, vitals, and ECG are within normal range
  • Has a willingness to comply and be available for all protocol procedures
  • Is between age 18 and 55 years, inclusive on the day of injection
  • If the subject is female and of childbearing potential, she has a negative serum pregnancy test at screening and negative urine test within 24 hours prior to injection Note: A woman is considered of childbearing potential unless post-menopausal (≥ 1 year without menses) or surgically sterilized via bilateral oophorectomy, or hysterectomy or bilateral tubal ligation or successful Essure placement with documented confirmation test at least 3 months after the procedure
  • If the subject is female and of childbearing potential, she agrees to practice abstinence from sexual intercourse with men or use acceptable contraception up to 1 month after the end of study visit Note: Acceptable contraception methods are restricted to effective devices (approved oral contraceptives, Intrauterine Contraceptive Devices, NuvaRing®)
  • If the subject is male, he agrees to practice abstinence from sexual intercourse with women or use acceptable contraception up to 1 month after the end of study visit
  • Has a body mass index (BMI) ≥18.0 and ≤26.0 kg/m2 at screening
  • Has a negative urine drug screen
  • Has a negative breathalyzer test

Exclusion Criteria

  • Received treatment with another investigational drug within 28 days of initial dosing
  • Has a current or history of drug and /or alcohol abuse
  • Is pregnant or breastfeeding woman
  • Has hypersensitivity or allergy to midazolam
  • Has hypersensitivity or allergy to benzodiazepines
  • Has a history of cardiovascular, pulmonary, neurological, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, or psychiatric disease or any other reason, in the opinion of the investigator, that the patient should not participate
  • Tests positive for HIV-1, HIV-2, HbsAg, hepatitis C antibody, or syphilis
  • Has had a blood donation in the 8 weeks prior to the study period start date

Arms & Interventions

Midazolam Injection

Midazolam injection, 10 mg

Intervention: Midazolam

Seizalam™

Seizalam, 10 mg

Intervention: Seizalam

Outcomes

Primary Outcomes

The AUC from time 0 to the time of the last measurable concentration (AUC0-last) and the AUC from time zero to infinite time (AUC0-∞)

Time Frame: 28 days

number of participants with vital signs changes resulting in a serious adverse event

Time Frame: 28 days

number of participants with local injection site changes

Time Frame: 28 days

number of participants with systemic changes in physical exam

Time Frame: 28 days

number of participants with ECG changes resulting in a serious adverse event

Time Frame: 28 days

time to reach Cmax (Tmax) will be obtained directly from the plasma concentration-time profile data for each patient following IM injection

Time Frame: 28 days

The elimination rate constant (ke) will be estimated

Time Frame: 28 days

number of participants with laboratory changes resulting in a serious adverse event

Time Frame: 28 days

Secondary Outcomes

  • Relative bioavailability will be obtained by analysis of AUC0-∞(28 days)
  • Relative bioavailability will be obtained by analysis of Cmax(28 days)
  • Relative bioavailability will be obtained by analysis of AUC0-last(28 days)

Study Sites (1)

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