A Phase 1 Study to Evaluate Pregabalin and Acetaminophen in Healthy Volunteers

NCT04265456 | Completed Phase 1 FDA Drug

• 1 other identifier: CP-NVK009-0004
• Study Type: interventional
• Target: 63
• Locations: 1 country
• Sites: 1

Brief Summary

This is a Phase 1, randomized, double-blind, placebo-controlled, single and multiple ascending dose study to determine a maximum tolerated dose of IV PGB and to evaluate the safety, tolerability, and PK of an admixture of IV PGB and a fixed dose of 1300 mg IV APAP in healthy adult volunteers.

Conditions

Postoperative Pain

Outcome Measures

Primary Outcomes (2)

• Treatment Related Adverse Events

  The incidence and severity of treatment-emergent adverse events

  7 days

• Treatment related Drowsiness and Dizziness

  The incidence and severity of somnolence and dizziness

  7 days

Secondary Outcomes (19)

• Plasma PK endpoints for APAP and PGB, SAD Phase, Cmax

  7 days

• Plasma PK endpoints for APAP and PGB, SAD Phase, Tmax

  7 days

• Plasma PK endpoints for APAP and PGB, SAD Phase, t1/2

  7 days

• Plasma PK endpoints for APAP and PGB, SAD Phase, AUC0-last

  7 days

• Plasma PK endpoints for APAP and PGB, SAD Phase, AUC0-inf

  7 days

Study Arms (3)

1300 mg Acetaminophen and 100 mg IV Pregabalin

EXPERIMENTAL

The dose for the first cohort will be 1300 mg APAP and 100 mg PGB. For subsequent cohorts, the dose of APAP will remain constant at 1300 mg while the dose of PGB will be varied (will start with 100 mg TID and then based on tolerability will be either increased or decreased by 25 mg based on Safety Monitoring Committee decision).

Drug: Pregabalin 100mg; Drug: Acetaminophen 1300mg

Placebo

NO INTERVENTION

Saline solution

1300 mg Acetaminophen and 100 mg +/- 25 IV Pregabalin

EXPERIMENTAL

Decisions to escalate or decrease the dose for Cohorts 2 through 6 will be dependent upon blinded review of emerging safety and tolerability data by the Safety Monitoring Committee (SMC). However, PK data is not part of the SMC review, but may be reviewed by a SMC designee at a later time.

Drug: Pregabalin 100mg; Drug: Acetaminophen 1300mg

Interventions

Pregabalin 100mg DRUG

Pregabalin is a structural derivative of the inhibitory neurotransmitter gamma aminobutyric acid with anticonvulsant, anxiolytic and sleep-modulating properties.

Also known as: PGB

1300 mg Acetaminophen and 100 mg +/- 25 IV Pregabalin; 1300 mg Acetaminophen and 100 mg IV Pregabalin

Acetaminophen 1300mg DRUG

Acetaminophen is a non-salicylate antipyretic and non-opioid analgesic agent.

Also known as: Ofirmev

1300 mg Acetaminophen and 100 mg +/- 25 IV Pregabalin; 1300 mg Acetaminophen and 100 mg IV Pregabalin

Eligibility Criteria

• Age: 18 Years - 55 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Male or female aged 18 to 55 years, inclusive at time of Screening
• Body mass index (BMI) between 18.5 and 28.0 kg/m2 inclusive, with a minimum weight of 50 kg and a maximum of 100 kg
• Healthy as determined by pre-study medical history, physical examination, vital signs, complete neurological examination, and 12-lead ECG confirming normal sinus rhythm
• Negative tests for Hepatitis B surface antigen (HbsAg), hepatitis C virus antibody (anti-HCV), human immunodeficiency virus (HIV)-1 and HIV-2 antibody at Screening
• Routine clinical laboratory tests should be within normal limits at Screening and Admission (Day -1) or abnormalities deemed not clinically significant by the Investigator; for liver function tests, AST and ALT values should not be greater than 1.5 times the upper limit of normal range
• Negative screen for drugs of abuse or exhibit detectable alcohol levels by breathalyzer at the time of Screening or Admission
• Non-smokers or ex-smokers (must have ceased smoking ≥3 months prior Screening visit)
• Female subjects:
• Must be of non-childbearing potential by surgical sterilization or postmenopausal OR Must not be pregnant, breast feeding, or planning to become pregnant AND must be practicing both a highly effective method of birth control from Screening until at least 90 days after the last dose of study drug.
• Women of childbearing potential must have a negative pregnancy test result at Screening and upon admission to the Clinical Trial Unit.

You may not qualify if:

• Has a clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, endocrine, connective tissue diseases or disorders
• Has a history of severe drug allergy, or severe hypersensitivity or severe food allergy, including anaphylaxis or known allergy or sensitivity to any component of PGB or APAP
• Has a history of alcoholism or drug abuse
• Has acute gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea) at the time of Screening or Admission
• Consumption of drugs with enzyme-inducing properties, within 3 weeks prior to the initial dose of study drug and throughout the treatment phase
• Has used any prescription medicines, over the counter medicines, or herbal supplements, within 7 days of dosing
• Has used any investigational product or participated in any clinical trial within 30 days prior to Screening
• Has donated or received any blood or blood products within the 3 months prior to Screening;
• Not able to comply with the requirements of this study, including assessments, duration of admission of the study and expected follow up visits
• Is unwilling or unable to give written informed consent

Sponsors & Collaborators

• Nevakar, Inc.: lead

Study Sites (1)

Lotus Clinical Resarch,LLC

Pasadena, California, 91105, United States

Location

MeSH Terms

Conditions

Pain, Postoperative

Interventions

Pregabalin; Prostaglandins B; Acetaminophen

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Intervention Hierarchy (Ancestors)

gamma-Aminobutyric Acid; Aminobutyrates; Butyrates; Acids, Acyclic; Carboxylic Acids; Organic Chemicals; Amino Acids; Amino Acids, Peptides, and Proteins; Prostaglandins; Eicosanoids; Fatty Acids, Unsaturated; Fatty Acids; Lipids; Autacoids; Inflammation Mediators; Biological Factors; Acetanilides; Anilides; Amides; Aniline Compounds; Amines

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR
• Masking Details: Up to 60 healthy male and female volunteers will be enrolled into one (1) of up to six (6) cohorts (n=10 per cohort). Within each cohort, subjects will be randomized at a ratio of 4:1 to receive IP (1300 mg of IV APAP plus a cohort specific dose of IV PGB) or placebo (saline) (8 active:2 placebo).
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 29, 2020
• First Posted: February 11, 2020
• Study Start: January 14, 2020
• Primary Completion: June 15, 2020
• Study Completion: July 22, 2020
• Last Updated: August 5, 2020

Record last verified: 2020-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)