دورية أكاديمية

Pharmacokinetics of Staccato ® alprazolam in healthy adult participants in two phase 1 studies: An open-label smoker study and a randomized, placebo-controlled ethnobridging study.

التفاصيل البيبلوغرافية
العنوان: Pharmacokinetics of Staccato ® alprazolam in healthy adult participants in two phase 1 studies: An open-label smoker study and a randomized, placebo-controlled ethnobridging study.
المؤلفون: Hayakawa Y; UCB Pharma, Tokyo, Japan., Rospo C; UCB Pharma, Braine-l'Alleud, Belgium., Bartmann AP; UCB Pharma, Braine-l'Alleud, Belgium., King A; UCB Pharma, Smyrna, Georgia, USA., Roebling R; UCB Pharma, Monheim am Rhein, Germany., Chanteux H; UCB Pharma, Braine-l'Alleud, Belgium.
المصدر: Epilepsia [Epilepsia] 2024 Apr; Vol. 65 (4), pp. 887-899. Date of Electronic Publication: 2024 Feb 24.
نوع المنشور: Randomized Controlled Trial; Clinical Trial, Phase I; Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Science Country of Publication: United States NLM ID: 2983306R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1528-1167 (Electronic) Linking ISSN: 00139580 NLM ISO Abbreviation: Epilepsia Subsets: MEDLINE
أسماء مطبوعة: Publication: Malden, MA : Blackwell Science
Original Publication: Copenhagen : Munskgaard
مواضيع طبية MeSH: Alprazolam* , Smokers*, Adult ; Humans ; Sleepiness ; Seizures/drug therapy ; Double-Blind Method
مستخلص: Objective: Staccato ® alprazolam is a single-use, drug-device combination delivering alprazolam to the deep lung that is being evaluated as treatment for rapid and early seizure termination. This article reports pharmacokinetic (PK) data from two phase 1 studies of Staccato alprazolam in healthy adult participants.
Methods: The smoker study (EPK-002/NCT03516305) was an open-label, nonrandomized, single-dose, PK study in smokers and nonsmokers aged 21-50 years, administered a single inhaled dose of 1 mg Staccato alprazolam. The ethnobridging study (UP0101/NCT04782388) was a double-blind, placebo-controlled study in Japanese, Chinese, and Caucasian participants aged 18-55 years randomized 4:1 to a single inhaled dose of Staccato alprazolam 2 mg or Staccato placebo.
Results: In the smoker study, 36 participants (18 smokers, 18 nonsmokers) were enrolled and received Staccato alprazolam. Following Staccato administration, alprazolam was rapidly absorbed, with a median time to peak drug plasma concentration (T max ) of 2 min in both smokers (range = 2-30 min) and nonsmokers (range = 2-60 min). Staccato alprazolam was rapidly absorbed to a similar extent in both smokers and nonsmokers. The most commonly reported treatment-emergent adverse events (TEAEs) were somnolence and dizziness. In the ethnobridging study, 10 participants each of Japanese, Chinese, and Caucasian ethnicities were randomized 4:1 to Staccato alprazolam or Staccato placebo. Following Staccato administration, alprazolam was rapidly absorbed and distributed, with a median T max of 1.5-2 min in Japanese (range = 1-2 min), Chinese (range = 1-34 min), and Caucasian (range = 1-120 min) participants. Somnolence and sedation were the most commonly reported TEAEs. In both studies, there were no deaths, and no participants reported serious or severe TEAEs, or discontinued due to TEAEs.
Significance: Alprazolam was rapidly absorbed, and therapeutic drug levels were achieved within 2 min postdose when administered to the lung with the Staccato device. Staccato alprazolam was generally well tolerated and displayed a safety profile consistent with that known from other alprazolam applications. No new safety signals were identified.
(© 2024 UCB Biopharma SRL. Epilepsia published by Wiley Periodicals LLC on behalf of International League Against Epilepsy.)
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معلومات مُعتمدة: UCB Pharma
فهرسة مساهمة: Keywords: fast onset of action; inhaled alprazolam; non‐IV formulation; prolonged seizures; rapid and early seizure termination
المشرفين على المادة: YU55MQ3IZY (Alprazolam)
تواريخ الأحداث: Date Created: 20240224 Date Completed: 20240416 Latest Revision: 20240419
رمز التحديث: 20240419
DOI: 10.1111/epi.17901
PMID: 38400813
قاعدة البيانات: MEDLINE
الوصف
تدمد:1528-1167
DOI:10.1111/epi.17901