Study of PF614 Compared to OxyContin® in Healthy Volunteers (PF614-101) (SAD)
A Phase 1, Single-Center, Dose-Escalation Study to Determine the Safety and Pharmacokinetics of a Single Oral Dose of PF614 in Healthy Subjects Compared to OxyContin®
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
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Kansas
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Lenexa, Kansas, United States, 66219
- PRA Health Sciences - Early Development Services
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Males and females, ages 18-50 years (inclusive) in good general health;
- Body mass index (BMI) between 18.0 and 32.0 kg/m2 (inclusive);
- Minimum weight of 50.0 kg, inclusive;
- Subjects must have a negative screen for drugs of abuse, cotinine, alcohol, hepatitis B-surface antigen, hepatitis C antibody and antibodies against HIV 1 and 2;
- Female subjects must have a negative serum pregnancy test at screening and a negative pregnancy test on Day -1;
- Females of childbearing potential and males and their female partner(s) of childbearing potential must agree to use 2 forms of contraception, 1 of which must be a barrier method, during the study and for 90 days after the last drug administration. Acceptable barrier forms of contraception are condom and diaphragm. Acceptable nonbarrier forms of contraception for this study are a nonhormonal intrauterine device (IUD), oral contraceptives and/or spermicide;
- Male subjects must agree not to donate sperm throughout the study and for 90 days after the last study drug administration;
- Subjects must have normal or no evidence of clinically significant findings in physical examination and 12-lead electrocardiogram (ECG) according to the Investigator, and normal vital signs (respiratory rate between 10 and 18 breaths per minute, blood pressure between 100-139/50-89 mmHg, heart rate between 40-100 beats per minute, temperature between 96.44°F and 100.04°F (between 35.8°C and 37.8°C), and oxygen saturation (SpO2) > 97% in the absence of supplemental oxygen;
- Clinical laboratory values must be within the normal limits as defined by the clinical laboratory, unless the Investigator decides that out-of-range values are not clinically significant;
- Subjects must be able to provide meaningful written informed consent;
- Subjects must be willing and able to follow study instructions and be likely to complete all study requirements.
Exclusion Criteria:
- History of allergy or sensitivity to oxycodone, OxyContin, any other opiate, naltrexone, or naloxone;
- History of loud snoring or sleep apnea;
- History of medical problems encountered with opioid therapy;
- Urinary cotinine levels indicative of smoking or history of regular use of tobacco-containing or nicotine-containing products within 2 months prior to screening;
- History of alcoholism or drug abuse (prescription or illicit drugs) according to Diagnostic and Statistical Manual IV-Text Revision (DSM IV-TR) criteria;
- Use of prescription medications within 14 days of study drug administration, except for contraceptive medications used by female subjects; use of over-the-counter (OTC) medications within 7 days prior to study drug administration;
- Use of any opioid within 30 days prior to screening;
- Donation of blood within 60 days prior to screening;
- Donation of plasma, platelets, or white blood cells within 7 days prior to dosing;
- Acute illness (eg, gastrointestinal illness, infection such as influenza, upper respiratory tract infection, or known inflammatory process) within 7 days of dosing
- History of gastrointestinal disturbance requiring frequent use of antacid;
- History of clinically significant gastrointestinal disease and/or surgery which would result in the subject's inability to absorb or metabolize the study drug (eg, gastrectomy, gastric bypass, cholecystectomy);
- Anticipated need for surgery or hospitalization during the study or follow-up period;
- Dosing with an investigational drug or participation in an investigation device study within 30 days or 5 half-lives of first dose of the study drug;
- Women who are lactating;
- Any other condition, that, in the Investigator's opinion, (i) puts the subject at increased risk, (ii) could confound the study results (iii) may interfere significantly with the subject's participation in the study or (IV) has the potential to limit the subject's ability to complete the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: PF614
PF614 is the drug under evaluation.
Doses may range from 15 mg to 640 mg.
N=6 subjects per cohort.
For Cohort 7, N=16 subjects in crossover study ± naltrexone.
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PF614 is an oxycodone prodrug
Other Names:
Naltrexone HCl tablets, 50 mg, will be used to block high dose opioid effects in healthy volunteers
Other Names:
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Active Comparator: Oxycodone extended-release (OxyContin)
Initial dose (Cohort 1) will be 10 mg.
Subsequent doses will be 10, 20, 40, or 80 mg.
N=2 subjects per cohort.
Active comparator will not be used in Cohort 7.
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Naltrexone HCl tablets, 50 mg, will be used to block high dose opioid effects in healthy volunteers
Other Names:
Oxycodone extended-release is the comparator drug
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Safety
Time Frame: 30 days
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Adverse events
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30 days
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Pharmacokinetics (Cmax)
Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours post dose
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Peak plasma concentrations of oxycodone derived from PF614 and OxyContin
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Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours post dose
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Pharmacokinetics (Tmax)
Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours post dose
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Time to peak plasma concentrations of oxycodone derived from PF614 and OxyContin
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Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours post dose
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Pharmacokinetics (AUC)
Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours post dose
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Area under the plasma concentration vs. time curve (AUC) for oxycodone derived from PF614 and OxyContin
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Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours post dose
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Dose Selection (Identify doses of PF614 with pharmacokinetics comparable to OxyContin)
Time Frame: 4 days
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Identify doses of PF614 with pharmacokinetics comparable to OxyContin
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4 days
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Prodrug Fragments (plasma concentration)
Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours post dose
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Evaluate appearance and plasma concentrations of metabolic fragments derived from PF614
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Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours post dose
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Pharmacokinetics (Cmax) in fed vs. fasted state
Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours post dose
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Peak plasma concentrations of oxycodone derived from PF614
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Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours post dose
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Pharmacokinetics (Tmax) in fed vs. fasted state
Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours post dose
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Time to peak plasma concentrations of oxycodone derived from PF614
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Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours post dose
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Pharmacokinetics (AUC) in fed vs. fasted state
Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours post dose
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Area under the plasma concentration vs. time curve (AUC) for oxycodone derived from PF614
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Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours post dose
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Effect of naltrexone on PF614 and oxycodone plasma PK in a crossover design
Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours post dose
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Cmax and AUC of plasma oxycodone
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Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours post dose
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: William K Schmidt, PhD, Ensysce Biosciences
Publications and helpful links
General Publications
- Kirkpatrick DL, Evans C, Pestano LA, Millard J, Johnston M, Mick E, Schmidt WK. Clinical evaluation of PF614, a novel TAAP prodrug of oxycodone, versus OxyContin in a multi-ascending dose study with a bioequivalence arm in healthy volunteers. Clin Transl Sci. 2024 Mar;17(3):e13765. doi: 10.1111/cts.13765.
- Schmidt WK, Dickerson DS, Fisher DM, Kirkpatrick DL. First-in-human pharmacokinetics & safety study of PF614: orally activated oxycodone prodrug. Anesth Analg. 2017;124(5):752-753.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- PF614-101
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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