Pharmacokinetics of Amiloride Nasal Spray in Healthy Volunteers
1 other identifier
interventional
15
1 country
1
Brief Summary
This study is a single-center, open-label study of the plasma pharmacokinetics of amiloride nasal spray at three different doses in healthy volunteers.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for early_phase_1
Started Sep 2020
Typical duration for early_phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 26, 2019
CompletedFirst Posted
Study publicly available on registry
November 29, 2019
CompletedStudy Start
First participant enrolled
September 28, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 30, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
March 6, 2023
CompletedMarch 8, 2023
March 1, 2023
1.9 years
November 26, 2019
March 7, 2023
Conditions
Outcome Measures
Primary Outcomes (9)
amiloride plasma concentration
10 minutes
amiloride plasma concentration
15 minutes
amiloride plasma concentration
30 minutes
amiloride plasma concentration
60 minutes
amiloride plasma concentration
2 hours
amiloride plasma concentration
4 hours
amiloride plasma concentration
6 hours
amiloride plasma concentration
8 hours
amiloride plasma concentration
24 hours
Study Arms (3)
0.2 mg
EXPERIMENTAL0.4 mg
EXPERIMENTAL0.6 mg
EXPERIMENTALInterventions
Eligibility Criteria
You may qualify if:
- Males between 18 to 30 years of age.
- Females between 18 to 30 years of age.
- Provide written informed consent and authorization.
- Study participants must be able to complete consent, all study evaluations, olfactory testing, and study-related health questionnaires written in the English language.
You may not qualify if:
- History of chronic drug, or narcotic abuse.
- Chronic use of tranquilizers, sedatives, aspirin, antibiotics, or other medications.
- Non-English speaking / English translation services required
- Unwilling or unable to provide informed, written consent.
- History or presence of major organ dysfunction.
- History of malignancy, stroke, or diabetes; cardiac, renal, liver, or severe gastrointestinal disease; or other serious illness.
- History of conditions which might contraindicate or require caution be used in the administration of amiloride including hyperkalemia with elevated serum potassium levels (greater than 5.5 mEq per liter), currently receiving other potassium-conserving agents such as spironolactone or triamterene, currently receiving potassium supplementation in the form of medication, potassium-containing salt substitutes or a potassium-rich diet, history or diagnosis of hypersensitivity to Amiloride.
- Subjects with abnormal kidney function tests \[estimated glomerular filtration (eGFR) - \< 60, and albumin to creatinine ratio (ACR) - \> 30\]
- Female subjects who are pregnant or nursing at the time of screening.
- Subjects who underwent any kind of surgery of nose and septum within the past one year.
- Subjects diagnosed with chronic rhinosinusitis.
- Treatment with any other investigational drug during the 30 days prior to enrollment into the study.
- Subjects who smoke, have a history of smoking or use nicotine-containing products.
- Subjects who have donated blood within 30 days prior to study entry, including that withdrawn during the conduct of any other clinical study.
- Subjects presenting with acute illness.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Utahlead
- Center for Addiction and Mental Healthcollaborator
Study Sites (1)
University of Utah
Salt Lake City, Utah, 84112, United States
Related Publications (18)
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PMID: 26580136BACKGROUNDMeuret AE, Rosenfield D, Wilhelm FH, Zhou E, Conrad A, Ritz T, Roth WT. Do unexpected panic attacks occur spontaneously? Biol Psychiatry. 2011 Nov 15;70(10):985-91. doi: 10.1016/j.biopsych.2011.05.027. Epub 2011 Jul 23.
PMID: 21783179BACKGROUNDMaddock RJ, Buonocore MH, Miller AR, Yoon JH, Soosman SK, Unruh AM. Abnormal activity-dependent brain lactate and glutamate+glutamine responses in panic disorder. Biol Psychiatry. 2013 Jun 1;73(11):1111-9. doi: 10.1016/j.biopsych.2012.12.015. Epub 2013 Jan 17.
PMID: 23332354BACKGROUNDBattaglia M, Pesenti-Gritti P, Medland SE, Ogliari A, Tambs K, Spatola CA. A genetically informed study of the association between childhood separation anxiety, sensitivity to CO(2), panic disorder, and the effect of childhood parental loss. Arch Gen Psychiatry. 2009 Jan;66(1):64-71. doi: 10.1001/archgenpsychiatry.2008.513.
PMID: 19124689BACKGROUNDSpatola CA, Scaini S, Pesenti-Gritti P, Medland SE, Moruzzi S, Ogliari A, Tambs K, Battaglia M. Gene-environment interactions in panic disorder and CO(2) sensitivity: Effects of events occurring early in life. Am J Med Genet B Neuropsychiatr Genet. 2011 Jan;156B(1):79-88. doi: 10.1002/ajmg.b.31144. Epub 2010 Nov 30.
PMID: 21184587BACKGROUNDD'Amato FR, Zanettini C, Lampis V, Coccurello R, Pascucci T, Ventura R, Puglisi-Allegra S, Spatola CA, Pesenti-Gritti P, Oddi D, Moles A, Battaglia M. Unstable maternal environment, separation anxiety, and heightened CO2 sensitivity induced by gene-by-environment interplay. PLoS One. 2011 Apr 8;6(4):e18637. doi: 10.1371/journal.pone.0018637.
PMID: 21494633BACKGROUNDCittaro D, Lampis V, Luchetti A, Coccurello R, Guffanti A, Felsani A, Moles A, Stupka E, D' Amato FR, Battaglia M. Histone Modifications in a Mouse Model of Early Adversities and Panic Disorder: Role for Asic1 and Neurodevelopmental Genes. Sci Rep. 2016 Apr 28;6:25131. doi: 10.1038/srep25131.
PMID: 27121911BACKGROUNDGiannese F, Luchetti A, Barbiera G, Lampis V, Zanettini C, Knudsen GP, Scaini S, Lazarevic D, Cittaro D, D'Amato FR, Battaglia M. Conserved DNA Methylation Signatures in Early Maternal Separation and in Twins Discordant for CO2 Sensitivity. Sci Rep. 2018 Feb 2;8(1):2258. doi: 10.1038/s41598-018-20457-3.
PMID: 29396481BACKGROUNDSmoller JW, Gallagher PJ, Duncan LE, McGrath LM, Haddad SA, Holmes AJ, Wolf AB, Hilker S, Block SR, Weill S, Young S, Choi EY, Rosenbaum JF, Biederman J, Faraone SV, Roffman JL, Manfro GG, Blaya C, Hirshfeld-Becker DR, Stein MB, Van Ameringen M, Tolin DF, Otto MW, Pollack MH, Simon NM, Buckner RL, Ongur D, Cohen BM. The human ortholog of acid-sensing ion channel gene ASIC1a is associated with panic disorder and amygdala structure and function. Biol Psychiatry. 2014 Dec 1;76(11):902-10. doi: 10.1016/j.biopsych.2013.12.018. Epub 2014 Jan 18.
PMID: 24529281BACKGROUNDBattaglia M, Rossignol O, Bachand K, D'Amato FR, De Koninck Y. Amiloride modulation of carbon dioxide hypersensitivity and thermal nociceptive hypersensitivity induced by interference with early maternal environment. J Psychopharmacol. 2019 Jan;33(1):101-108. doi: 10.1177/0269881118784872. Epub 2018 Jul 3.
PMID: 29968500BACKGROUNDChapman CD, Frey WH 2nd, Craft S, Danielyan L, Hallschmid M, Schioth HB, Benedict C. Intranasal treatment of central nervous system dysfunction in humans. Pharm Res. 2013 Oct;30(10):2475-84. doi: 10.1007/s11095-012-0915-1. Epub 2012 Nov 8.
PMID: 23135822BACKGROUNDYellepeddi VK. Stability of extemporaneously prepared preservative-free prochlorperazine nasal spray. Am J Health Syst Pharm. 2018 Jan 1;75(1):e28-e35. doi: 10.2146/ajhp160531.
PMID: 29273610BACKGROUNDKnowles MR, Church NL, Waltner WE, Yankaskas JR, Gilligan P, King M, Edwards LJ, Helms RW, Boucher RC. Aerosolized amiloride as treatment of cystic fibrosis lung disease: a pilot study. Adv Exp Med Biol. 1991;290:119-28; discussion 129-32. doi: 10.1007/978-1-4684-5934-0_14. No abstract available.
PMID: 1950741BACKGROUNDKnowles MR, Church NL, Waltner WE, Yankaskas JR, Gilligan P, King M, Edwards LJ, Helms RW, Boucher RC. A pilot study of aerosolized amiloride for the treatment of lung disease in cystic fibrosis. N Engl J Med. 1990 Apr 26;322(17):1189-94. doi: 10.1056/NEJM199004263221704.
PMID: 2157983BACKGROUNDNoone PG, Regnis JA, Liu X, Brouwer KL, Robinson M, Edwards L, Knowles MR. Airway deposition and clearance and systemic pharmacokinetics of amiloride following aerosolization with an ultrasonic nebulizer to normal airways. Chest. 1997 Nov 5;112(5):1283-90. doi: 10.1378/chest.112.5.1283.
PMID: 9367469BACKGROUNDOlivier KN, Bennett WD, Hohneker KW, Zeman KL, Edwards LJ, Boucher RC, Knowles MR. Acute safety and effects on mucociliary clearance of aerosolized uridine 5'-triphosphate +/- amiloride in normal human adults. Am J Respir Crit Care Med. 1996 Jul;154(1):217-23. doi: 10.1164/ajrccm.154.1.8680683.
PMID: 8680683BACKGROUNDSood N, Bennett WD, Zeman K, Brown J, Foy C, Boucher RC, Knowles MR. Increasing concentration of inhaled saline with or without amiloride: effect on mucociliary clearance in normal subjects. Am J Respir Crit Care Med. 2003 Jan 15;167(2):158-63. doi: 10.1164/rccm.200204-293OC. Epub 2002 Oct 31.
PMID: 12411282BACKGROUND
Related Links
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Venkata K Yellepeddi, PhD
University of Utah
Study Design
- Study Type
- interventional
- Phase
- early phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor, Division of Clinical Pharmacology
Study Record Dates
First Submitted
November 26, 2019
First Posted
November 29, 2019
Study Start
September 28, 2020
Primary Completion
August 30, 2022
Study Completion
March 6, 2023
Last Updated
March 8, 2023
Record last verified: 2023-03
Data Sharing
- IPD Sharing
- Will not share