A Phase I clinical trial to compare the bioavailability of dihydroergotamine mesylate (DHE) following a single dose administration of INP104 (DHE administered by I123 Precision Olfactory Delivery (POD) Device Nasal Spray) to that of D.H.E. 45 for Injection (Intravenous) and Migranal Nasal Spray in healthy adult subjects. It is hypothesized that INP104 will address the current variability in nasal administration and give more reproducible dose delivery compared to Migranal nasal spray. Blood concentrations of all three investigational products will be compared for 48 hours following dosing. The safety and tolerability of INP104 will be monitored throughout the study. INP104 has been developed for the treatment of acute migraine headache. The device in which the drug will be delivered has been designed to deliver the medication to the upper nasal cavity with minimal variation in dose absorption, eg loss via dripping out of the nose or the dose being swallowed. Approximately 36 participants in general good health (equal ratio of males and females desired) will be enrolled and will be allocated to receive 3 treatments in a randomized sequence. They will receive a single dose of INP104, a single dose of DHE via intravenous injection, and a single dose of Migranal Nasal Spray. There will be a wash out period where no treatment will be administered for 7 days in between each treatment. Participants are required to attend 3 inpatient periods and 1 final outpatient visit. Each participant will be in the study for up to 43 days.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
36
Dihydroergotamine Mesylate (DHE) administered via I123 Precision Olfactory Delivery (POD) Device
Dihydroergotamine Mesylate (DHE) injection (intravenous)
Dihydroergotamine Mesylate (DHE) delivered via Migranal Nasal Spray pump
Centre for Clinical Studies/Nucleus Network
Melbourne, Victoria, Australia
DHE pharmacokinetics
Cmax
Time frame: 48 hours
DHE pharmacokinetics
Tmax
Time frame: 48 hours
DHE pharmacokinetics
AUC(0-t)
Time frame: 48 hours
DHE pharmacokinetics
kel
Time frame: 48 hours
DHE pharmacokinetics
T(1/2)
Time frame: 48 hours
DHE pharmacokinetics
AUC(0-inf)
Time frame: 48 hours
DHE pharmacokinetics
CL/F (CL for IV administration)
Time frame: 48 hours
Incidence of treatment-emergent adverse events
Incidence of treatment-emergent adverse events after one dose of INP-104, Migranal Nasal Spray or DHE45 by IV injection
Time frame: Day 1 to day 22 post first dosing
8'-OH-DHE pharmacokinetics
Cmax
Time frame: 48 hours
8'-OH-DHE pharmacokinetics
Tmax
Time frame: 48 hours
8'-OH-DHE pharmacokinetics
AUC(0-t)
Time frame: 48 hours
8'-OH-DHE pharmacokinetics
kel
Time frame: 48 hours
8'-OH-DHE pharmacokinetics
T(1/2)
Time frame: 48 hours
8'-OH-DHE pharmacokinetics
AUC(0-inf)
Time frame: 48 hours
8'-OH-DHE pharmacokinetics
CL/F (CL for IV administration)
Time frame: 48 hours
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