Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00603980
Other study ID # AMDC-002-102
Secondary ID 22 January 2008
Status Completed
Phase Phase 1
First received
Last updated
Start date January 2008
Est. completion date January 2009

Study information

Verified date January 2009
Source Alexza Pharmaceuticals, Inc.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Compare the abuse liabilities of Staccato Alprazolam, oral immediate-release alprazolam, and Staccato Placebo.


Description:

The Phase 1 clinical study compared the abuse liabilities of Staccato Alprazolam, oral immediate-release alprazolam, and Staccato Placebo in 14 subjects with a history of sedative abuse. Subjects who met the inclusion/exclusion criteria received 2 mg of oral alprazolam and matching placebo over 2 sessions. Those who demonstrated greater liking for alprazolam versus placebo were eligible to participate in the study.


Recruitment information / eligibility

Status Completed
Enrollment 31
Est. completion date January 2009
Est. primary completion date January 2009
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years to 55 Years
Eligibility Inclusion Criteria:

- Male and female subjects between the ages of 18 to 55 years, inclusive, who have a history of substance abuse or dependence on barbiturates and/or benzodiazepine receptor agonists for their intoxicating effects

Exclusion Criteria:

- Subjects with a significant current psychiatric illness or taking any psychotropic prescription medications for therapeutic uses.

Study Design


Related Conditions & MeSH terms

  • Abuse Liability of Staccato Alprazolam

Intervention

Drug:
Inhaled placebo + oral placebo
Inhaled Staccato placebo + oral placebo
Inhaled alprazolam 0.5 mg
Inhaled Staccato alprazolam 0.5 mg + oral placebo
Inhaled alprazolam 1 mg
Inhaled Staccato alprazolam 1 mg + oral placebo
Inhaled alprazolam 2 mg
Inhaled Staccato alprazolam 2 mg + oral placebo
Oral alprazolam 1 mg
Oral alprazolam 1 mg + Inhaled placebo
Oral alprazolam 2 mg
Oral alprazolam 2 mg + Inhaled placebo
Oral alprazolam 4 m
Oral alprazolam 4 mg + Inhaled placebo
Oral alprazolam 2 mg qualifying session
Qualifying session (2 mg oral alprazolam)
Oral placebo qualifying session
Qualifying control session (oral placebo)

Locations

Country Name City State
United States Johns Hopkins University School of Medicine Baltimore Maryland

Sponsors (1)

Lead Sponsor Collaborator
Alexza Pharmaceuticals, Inc.

Country where clinical trial is conducted

United States, 

References & Publications (1)

Reissig CJ, Harrison JA, Carter LP, Griffiths RR. Inhaled vs. oral alprazolam: subjective, behavioral and cognitive effects, and modestly increased abuse potential. Psychopharmacology (Berl). 2015 Mar;232(5):871-83. doi: 10.1007/s00213-014-3721-0. Epub 20 — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Response to EDQ Question Number 5, "Rate the Degree to Which You Would Like to Take the Drug Again" The End of Day Questionnaire (EDQ) is a 7-question computerized instrument in which subjects rate the overall effect of the drug they received that day. The primary outcome measure for this trial is the categorical response to question number 5, "Rate the degree to which you would like to take the drug again", with a numerical value assigned to each of the responses allowed: 0=Not at all, 1=A little, 2=Moderately, 3=Quite a bit, 4=Very much End of day for each of the 7 crossover treatments
Secondary EDQ Question Number 2 "Rate Your Overall Liking of the Drug Effect" The within patient rank (1-7) of End of Day question number 2 (of primary interest), "Rate your overall liking of the drug effect", response options range from -4 to +4:
4=Dislike very much
3=Dislike quite a bit
2=Dislike somewhat
1=Dislike, but not very much 0=NEUTRAL OR NO EFFECT
1=Like, but not very much
2=Like somewhat
3=Like quite a bit
4=Like very much Thus a higher rank means a stronger drug effect and a lower rank a lesser drug effect
End of day for each of the 7 crossover treatments
Secondary EDQ Question Number 6 " Estimate the Amount of Money You Think the Drug You Took Today Would be Worth on the Street". EDQ question number 6 (of primary interest)," Estimate the amount of money you think the drug you took today would be worth on the street". End of day for each of the 7 crossover treatments
Secondary EDQ Question Number 1, "Rate the Overall Strength of the Drug Effect" The within patient rank (1-7) of End of Day question number 1, "Rate the overall strength of the drug effect", response options range from 0-4:
0=No drug effect at all
Possible mild effect, but not sure
Definite mild effect
Moderate strong drug effect
Very strong drug effect Thus a higher rank means a stronger drug effect and a lower rank a lesser drug effect
End of day for each of the 7 crossover treatments
Secondary EDQ Question Number 7,"What Would You be Willing to Pay for Today's Drug?" EDQ question number 7," What would you be willing to pay for today's drug?" End of day for each of the 7 crossover treatments
Secondary Maximum of DEQ Question 1 "Rate the Strength of the Drug Effect" (at the 10 Time Points, Predose Through 9 Hours) The within patient rank (1-7) of Drug Effect Questionnaire question number 1: Rate the STRENGTH of the drug effect you are feeling RIGHT NOW; response options range for 0 to 4:
"No drug effect at all"=0, "Possible mild effect, but not sure"=1, "Definite mild effect"=2, "Moderate strong drug effect"=3, "Very strong drug effect"=4 Maximum of the 10 time points (predose through 9 hours) Thus a higher rank means a stronger drug effect and a lower rank a lesser drug effect
DEQ was assessed at the 10 time points (predose through 9 hours)
Secondary Maximum of DEQ Question 2 "Rate Your Liking of the Drug Effect" at the 10 Time Points (Predose Through 9 Hours) The within patient rank (1-7) of maximum of the Rate your LIKING of the drug effect you are feeling RIGHT NOW; response options range from -4 to +4:
"Dislike very much"=-4, "Dislike quite a bit"=-3, "Dislike somewhat"=-2, "Dislike, but not very much"=-1, "NEUTRAL OR NO EFFECT"=0, "Like, but not very much"=1, "Like somewhat"=2, "Like quite a bit"=3, "Like very much"=4 Thus a higher rank means a stronger drug effect and a lower rank a lesser drug effect
DEQ was assessed at the 10 time points (predose through 9 hours)
Secondary Observer Rated Questionnaire 1) Maximum of Sedation/Sleepiness The within patient rank (1-7) of Maximum of Observer Rated Questionnaire (ORQ): A trained and blinded staff member completed observer ratings as the subject completed the questionnaires and psychomotor assessment testing at each time point.
The observer rated the subject on sedation/sleepiness, muscle relaxation, impaired posture, impaired speech, confusion/disorientation, stimulation/arousal and strength of drug effect on a five-point scale from 0 (indicating normal or no effect) to 4 (indicating extreme drug effect).
Maximum of the 10 time points (predose through 9 hours) Thus a higher rank means a stronger drug effect and a lower rank a lesser drug effect
ORQ was assessed at the 10 time points (predose through 9 hours)
Secondary Observer Rated Questionnaire 2) Maximum of Muscle Relaxation Locomotor The within patient rank (1-7) of maximum of the observer rated the subject on muscle relaxation (locomotor) on a five-point scale from 0 (indicating normal or no effect) to 4 (indicating extreme drug effect).
Maximum of the 10 time points (predose through 9 hours) Thus a higher rank means a stronger drug effect and a lower rank a lesser drug effect
ORQ was assessed at the 10 time points (predose through 9 hours)
Secondary Observer Rated Questionnaire 3) Maximum of Muscle Relaxation Non-locomotor The within patient rank (1-7) of maximum of the observer rated the subject on muscle relaxation (non-locomotor) on a five-point scale from 0 (indicating normal or no effect) to 4 (indicating extreme drug effect).
Thus a higher rank means a stronger drug effect and a lower rank a lesser drug effect
ORQ was assessed at the 10 time points (predose through 9 hours)
Secondary Observer Rated Questionnaire 4) Maximum of Muscle Relaxation Posture The within patient rank (1-7) of maximum of the observer rated the subject on muscle relaxation (posture) on a five-point scale from 0 (indicating normal or no effect) to 4 (indicating extreme drug effect).
Thus a higher rank means a stronger drug effect and a lower rank a lesser drug effect
ORQ was assessed at the 10 time points (predose through 9 hours)
Secondary Observer Rated Questionnaire 5) Maximum of Speech The within patient rank (1-7) of maximum of the observer rated the subject on speech on a five-point scale from 0 (indicating normal or no effect) to 4 (indicating extreme drug effect).
Thus a higher rank means a stronger drug effect and a lower rank a lesser drug effect
ORQ was assessed at the 10 time points (predose through 9 hours)
Secondary Observer Rated Questionnaire 6) Maximum of Confusion/Disorientation The within patient rank (1-7) of maximum of the observer rated the subject on Confusion/Disorientation on a five-point scale from 0 (indicating normal or no effect) to 4 (indicating extreme drug effect).
Thus a higher rank means a stronger drug effect and a lower rank a lesser drug effect
ORQ was assessed at the 10 time points (predose through 9 hours)
Secondary Observer Rated Questionnaire 7) Maximum of Stimulation/Arousal The within patient rank (1-7) of maximum of the observer rated the subject on Stimulation/Arousal on a five-point scale from 0 (indicating normal or no effect) to 4 (indicating extreme drug effect).
Thus a higher rank means a stronger drug effect and a lower rank a lesser drug effect
ORQ was assessed at the 10 time points (predose through 9 hours)
Secondary Observer Rated Questionnaire 8) Maximum of Drug Strength The within patient rank (1-7) of maximum of the observer rated the subject on Drug Strength on a five-point scale from 0 (indicating normal or no effect) to 4 (indicating extreme drug effect).
Thus a higher rank means a stronger drug effect and a lower rank a lesser drug effect
ORQ was assessed at the 10 time points (predose through 9 hours)