| Eligibility |
Inclusion Criteria:
1. Women or men 18 to 50 years of age (inclusive)
2. Good general health with no clinically significant abnormalities as determined by
medical history, physical examination, CBC, blood chemistry, urinalysis, and ECG.
3. Negative serum pregnancy tests (for female subjects) at the screening and admission
visit.
4. Consent of female subjects to use a medically effective method of contraception
throughout the entire study period and for 30 days after the subject completes the
study. Medically effective methods of contraception that may be used by the subject
include abstinence, use of diaphragm and spermicide, intrauterine device (IUD), rings,
condom and vaginal spermicide, non-oral hormonal contraceptives (subjects must be
stable on non-oral hormonal contraceptives for at least 3 months prior to screening),
surgical sterilization (hysterectomy, bilateral tubal ligation or oophorectomy,
hysteroscopic sterilization) and post-menopausal (= 2 years of amenorrhea).
5. Ability to read, understand, and provide written informed consent that they understand
the purpose of the study and procedures required for the study before enrolling in the
study, and willingness to comply with all study procedures and restrictions.
Exclusion Criteria:
1. Evidence of significant history of hepatic, reproductive, gastrointestinal, renal,
bleeding, or hematological disorders including coagulation, pulmonary, neurological,
respiratory, endocrine, or cardiovascular system abnormalities (especially
hypertension, peripheral vascular disease, coronary artery disease, transient ischemic
attacks, or cardiac rhythm abnormalities), psychiatric disorders, acute infection, or
other conditions that would interfere with study participation or with the absorption,
distribution, metabolism, or excretion of drugs.
2. Presence of three or more of the following CAD risk factors for cardiovascular
disease:
A. Current tobacco use (subjects who have smoked within 30 days of screening) B.
Hypertension (systolic BP > 140 or diastolic BP > 90) or receiving anti-hypertensive
medication for treatment of hypertension C. Hyperlipidemia - LDL > 159 mg/dL and/or
HDL < 40 mg/dL (or on prescribed anti-cholesterol treatment) D. Family history of
premature coronary artery disease (CAD) (< 55 years of age in male first-degree
relatives or < 65 years of age in female first degree relatives) E. Diabetes mellitus
3. Any contraindication to zolmitriptan administration including:
- History of coronary artery disease or coronary vasospasm
- Symptomatic Wolf-Parkinson-White syndrome or other cardiac accessory conduction
pathway disorders
- History of stroke, transient ischemic attack, or hemiplegic or basilar migraine
- History or current Peripheral Vascular Disease
- History or current Ischemic bowel disease
- Hypertension (greater than or equal to 140/90 mmHg at either the screening or
admission/baseline visit
- Any history of hepatic impairment defined as ALT > 150 U/L, AST > 130 U/L or
bilirubin > 2 times the ULN
4. History of contact dermatitis or known dermatological disorders that would interfere
with the study procedures or assessments
5. Planned participation in activities which cause inflammation, irritation, sunburn,
lesions, or tattoos at the intended application sites from 2 weeks prior to dosing
through the duration of the trial
6. Use of any prescription anticoagulant within 30 days prior to the first dose through
the duration of the trial
7. Use of prescription and over the counter medications within one week of dosing other
than the following:
- Hormone Replacement Therapy (HRT)
- Non-oral hormonal birth control such as patches, IUD, rings, injections, or
implants (all non-oral hormonal contraceptives) are allowed provided the dose has
been stable for at least three months prior to screening and may be continued
throughout the study
- Antihistamines
- Intermittently used NSAIDS
- Acetaminophen if medically necessary (not more than 1000 mg/day)
8. Current known allergy or sensitivity to zolmitriptan or its derivatives or
formulations
9. Current known allergy or sensitivity to tapes or adhesives
10. Use of any other investigational compound within 30 days of planned study drug dosing
11. Current use or history of drug and/or alcohol abuse within 6 months of screening and
deemed to be clinically significant by the investigator
12. History of nasal pathology (e.g., polyps, significant septal deviation or perforation)
or abnormal nasal exam (with findings such as nose piercing, gross deformities, and/or
severe congestion) deemed to be clinically significant by the investigator
13. Body Mass Index (BMI) lower than 18 kg/m2 or greater than 35 kg/m2
14. In the opinion of the investigator, the subject is not suitable for the study
15. Any positive urine drug result or alcohol test at screening or admission, and/or a
positive COVID-19 test performed at admission.
16. Any planned COVID-19 vaccination within a week of dosing through the duration of the
trial
17. Currently a smoker or a nicotine user
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