Dermatology/Skin - Other Clinical Trial
Official title:
An Exploratory Pilot Study in Healthy Volunteers to Assess the Parameters for the Design of Bioequivalence Studies on Moderately Lipophilic, Moderately to Highly Protein Bound Drugs Using Dermal Open Flow Microperfusion (dOFM)
The overall aim of this clinical pilot study is to develop an optimal design (e.g. dose, study duration) for the main clinical study. In the main study factors that influence dOFM data variability will be measured to develop a general BE testing method using dOFM for dermatological drug products.
In this herein described pilot study 6 subjects will receive three different topical doses of
Lidocaine 2.5% and Prilocaine 2.5% cream (2.5% lidocaine, 2.5% prilocaine, ACTAVIS
LABORATORIES UT INC, US ) to select an optimal dose for the main study. Oraqix® gel (2.5%
lidocaine, 2.5% prilocaine, Dentsply Pharmaceutical Inc., US) will be applied to assess
whether it can be used as negative control in the main study. Blood samples will also be
drawn at prior to dosing to establish a baseline, and at defined time points post-dose to
assess systemic drug levels. Furthermore, lateral diffusion from a dosed site to an adjacent
(non-dosed) test site will be evaluated in this pilot study. Different non-invasive devices
will be tested to identify influencing factors for skin penetration in order to complete the
available information on skin characteristics for the main study.
This pilot will be a single center, open label, exploratory research study to assess the
dermal PK of marketed topical formulations of lidocaine/prilocaine in six healthy volunteers
using dOFM. The study will be performed at the Clinical Research Center of the Medical
University of Graz/Austria.The study comprises three visits, a screening visit (Visit 1), a
study visit of approximately 28 h (Visit 2) for application of dermatological drug products,
and an End-of-Study visit (Visit 3). In Visit 2 each subject will have nine test sites, four
on the left thigh, four on the right thigh (resulting in 8 test sites on both thighs) and one
on the arm. Each of the nine test site will have 2 dOFM probes resulting in 18 dOFM probes
per subject. On six of the eight test sites on the thighs three different doses of Lidocaine
2.5% and Prilocaine 2.5% cream cream will be applied (5 mg/cm², 10 mg/cm² or 15 mg/cm²) to
assess the dose for the main study. On another test site on the thighs Oraqix® gel will be
applied to check if Oraqix® can be used as negative control in the main study. On the
remaining test site on the thighs as well as on the test site on the arm no products will be
applied to test for potential cross-talk between test sites by lateral diffusion and systemic
redistribution, resulting in seven treated and two non-treated sites per subject.
Additionally 8 blood samples will be drawn to rule out systemic appearance of lidocaine
and/or prilocaine. Further, devices to identify possible factors influencing skin penetration
will be measured on each thigh (e.g. TEWL).
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