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Multidose PK Study of Staccato Loxapine
This study has been completed.
Sponsored by: Alexza Pharmaceuticals, Inc.
Information provided by: Alexza Pharmaceuticals, Inc.
ClinicalTrials.gov Identifier: NCT00555412
  Purpose

The objectives of this trial are to assess the safety, tolerability, and pharmacokinetics of multiple inhaled doses of Staccato Loxapine.


Condition Intervention Phase
Volunteers on Chronic, Stable Antipsychotic Regimens
Drug: loxapine
Drug: placebo
Phase I

Drug Information available for: Loxapine Loxapine succinate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Pharmacokinetics Study
Official Title: Safety, Tolerability, and Pharmacokinetics of Multiple Doses of Staccato® Loxapine for Inhalation in Subjects on Chronic, Stable Antipsychotic Regimens

Further study details as provided by Alexza Pharmaceuticals, Inc.:

Primary Outcome Measures:
  • Tolerability will be assessed based on treatment emergent adverse events, vital signs, ECG and a visual-analog sedation scale. [ Time Frame: 48 hours ]

Secondary Outcome Measures:
  • Plasma concentration-time (PK) profiles will be produced for each subject and a mean PK profile for subjects completing for each dose group [ Time Frame: 24 hours ]
  • PK parameters: tmax, Cmax, AUClast, AUCinf, ke, t1/2 and clearance will be estimated for each subject and for the population using noncompartmental methods. [ Time Frame: 24 hours ]

Enrollment: 40
Study Start Date: October 2007
Study Completion Date: December 2007
Primary Completion Date: December 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Experimental Drug: loxapine
loxapine aerosol inhalation high dose regimen
B: Experimental Drug: loxapine
loxapine aerosol inhalation middle dose regimen
C: Experimental Drug: loxapine
loxapine aerosol inhalation low dose regimen
D: Placebo Comparator Drug: placebo
placebo aerosol inhalation

Detailed Description:

The purpose of the present Phase 1 study in schizophrenic patients is to assess the safety and pharmacokinetics of multiple doses of Staccato Loxapine given within a 24 hour time period. The study will be conducted in schizophrenic patients who are on chronic, stable antipsychotic medication. Patients meeting entry criteria will be randomized to one of three dose sequences of Staccato Loxapine or to Staccato Placebo. Following administration of medications, safety, tolerability and pharmacokinetic assessments will be conducted at serial time points.

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria include:

  1. Male and female subjects between the ages of 18 to 65 years, inclusive.
  2. Subjects who are on stable, oral, chronic (>2 mos) antipsychotic medication regimen and who are able to tolerate the rapid oral dose taper and substitution regimen.

Exclusion Criteria include:

  1. Subjects who are currently treated with injectable depot neuroleptics within one dose interval must be excluded.
  2. Subjects who have received loxapine or amoxapine within the last 30 days must be excluded.
  3. Subjects with a history of allergy or intolerance to dibenzoxazepines (loxapine and amoxapine) must be excluded.
  4. Subjects with a history of movement disorders including Parkinson's disease or a history of neuroleptic malignant syndrome must be excluded.
  5. Subjects who have a history within the past year of drug or alcohol dependence or abuse as defined by DSM-4 must be excluded.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00555412

Locations
United States, Georgia
Atlanta Center for Medical Research
Atlanta, Georgia, United States, 30308
Sponsors and Collaborators
Alexza Pharmaceuticals, Inc.
Investigators
Principal Investigator: Robert Riesenberg, MD Atlanta Center for Medical Research
  More Information

Responsible Party: Atlanta Center for Medical Research ( Robert Riesenberg, MD )
Study ID Numbers: AMDC-004-102
Study First Received: November 6, 2007
Last Updated: June 2, 2008
ClinicalTrials.gov Identifier: NCT00555412  
Health Authority: United States: Food and Drug Administration

Keywords provided by Alexza Pharmaceuticals, Inc.:
pharmacokinetic
multidose
Staccato Loxapine

Study placed in the following topic categories:
Dopamine
Loxapine

Additional relevant MeSH terms:
Neurotransmitter Agents
Tranquilizing Agents
Molecular Mechanisms of Pharmacological Action
Therapeutic Uses
Physiological Effects of Drugs
Psychotropic Drugs
Central Nervous System Depressants
Dopamine Agents
Dopamine Antagonists
Antipsychotic Agents
Central Nervous System Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 15, 2009