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临床试验/NL-OMON51024
NL-OMON51024已完成不适用

A randomised, double-blind, placebo-controlled crossover study to investigate the effect of buprenorphine on fentanyl induced effects on nociceptive thresholds and CNS functioning in opioid tolerant patients. - Fentanyl Blockade Study in OT patients

Centre for Human Drug Research0 个研究点目标入组 12 人开始时间: 待定最近更新:

试验速览

阶段
不适用
状态
已完成
入组人数
12

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • 1. Signed the ICF and able to comply with the requirements and restrictions
  • listed therein;
  • 2. Male and female, age 18 to 55 years, inclusive;
  • 3. Women of childbearing potential (defined as all women who are not surgically
  • sterile or postmenopausal for at least 1 year prior to informed consent) must
  • have a negative pregnancy test prior to enrolment and must agree to use a
  • medically acceptable means of contraception from screening through at least 3
  • months after the last dose of study drug.
  • 4. BMI 18 to 32 kg/m2, inclusive;
  • 5. Opioid-tolerant patients administered opioids at daily doses >= 60 mg oral
  • morphine equivalents (See Appendix A);
  • 6. Stable as defined by the Investigator, based on a medical evaluation that
  • includes the patient*s medical and surgical history, physical examination,
  • vital signs, 12-lead ECG, haematology, blood chemistry, and urinalysis;
  • 7. No current use of any CNS depressants, besides opioids, prescribed or
  • otherwise for 5 half-lives of the product before first study drug
  • administration unless assessed as safe by the principal investigator.

排除标准

  • 1. Clinically significant risk factors of Torsades de Pointes (e.g., heart
  • failure, hypokalaemia, family history of Long QT Syndrome) or an ECG
  • demonstrating a Fridericia*s corrected QT interval (QTcF) > 450 msec in males
  • and QTcF > 470 msec in females at screening;
  • 2. Currently meet the criteria for diagnosis of moderate or severe substance
  • use disorder according to the DSM-5 criteria on any substances other than
  • opioids, caffeine, or nicotine;
  • 3. Any active medical condition, organ disease or concurrent medication or
  • treatment that may either compromise subject safety or interfere with study
  • endpoints (including sleep apnoea, other significant respiratory illness,
  • history or risk of difficult intubation, limited cervical spine mobility or
  • limited oral excursion);
  • 4. Not able to abstain from smoking cigarettes during each dose administration
  • 5. Consume, on average, >27 units/week of alcohol in men and >20 units/week of
  • alcohol in women (1 unit = 1 glass (250 mL) beer, 125 mL glass of wine or 25 mL
  • of 40% spirit);
  • 6. Use of buprenorphine 10 days prior to the first study drug administration;
  • 7. Use of prescription or OTC medications that are clinically relevant CYP P450
  • 3A4 or CYP P450 2D6 inducers or inhibitors from 14 days prior to study drug
  • administration;
  • 8. History of suicidal ideation within 30 days prior to informed consent or
  • history of a suicide attempt in the 6 months prior to informed consent;
  • 9. Measured systolic blood pressure greater than 160 or less than 95 mmHg or
  • diastolic pressure greater than 95 mmHg prior to Day 1;
  • 10. History or presence of allergic response to buprenorphine or fentanyl;
  • 11. Opioid-tolerant patients who have demonstrated allergic reactions (e.g.,
  • food, drug, atopic reactions or asthmatic episodes) which, in the opinion of
  • the Investigator and sponsor, interfere with their ability to participate in
  • 12. Estimated glomerular filtration rate <60 mL/min as estimated by the CKD-EPI
  • 13. Clinical significant anaemia at screening or donation of > 250 mL of blood
  • or plasma within the last 3 months;
  • 14. Positive serology tests for HIV, acute hepatitis B, or acute hepatitis C
  • (OT patients with asymptomatic hepatitis B or C infection may be enrolled);
  • 15. AST or ALT levels >3.0 times the upper limit of normal at screening;
  • 16. Any current, clinically significant, known medical condition in particular
  • any existing conditions that would affect sensitivity to cold (such as
  • atherosclerosis, Raynaud*s disease, urticaria, hypothyroidism);
  • 17. Treatment with another investigational drug within 3 months prior to dosing
  • or having participated in more than 4 investigational drug studies within 1
  • year prior to screening;
  • 18. Site staff or subjects affiliated with, or a family member of, site staff
  • directly involved in the study.

研究者

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