The purpose of this clinical study was to evaluate whether healthy adults, who sometimes take drugs for pleasure, are likely to abuse GRT0151Y. This abuse potential is assessed at three different doses of GRT0151Y. During a Qualification Phase, a single dose of hydromorphone IR 8 mg and a single dose of placebo were separately administered orally over 4 days in a randomized, double-blinded manner. During the Treatment Phase, single doses of GRT0151Y free base (100 mg, 200 mg and 400 mg), hydromorphone Immediate-release (IR) (4 mg, 8 mg, and 16 mg), and placebo were administered orally over 7 Treatment Periods. Participants received the treatments according to a 7-sequence, 7-period balanced design.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
76
GRT0151Y 50 mg capsule
Hydromorphone IR 4 mg tablet (encapsulated)
Matching placebo
DecisionLine Clinical Research Corporation
Toronto, Ontario, Canada
Overall Drug Liking
100-point bipolar VAS ratings after each investigational medicinal product (IMP) administration in response to the statement "Overall, my liking for this drug is". The 100 mm bipolar VAS is anchored in the center with a neutral anchor of "neither like nor dislike" (score of 50 mm), to the left with "strong disliking" (score of 0 mm) and to the right with "strong liking" (score of 100 mm).
Time frame: at 24 hours post-dose
Overall Drug Liking
100-point bipolar VAS ratings after each investigational medicinal product (IMP) administration in response to the statement "Overall, my liking for this drug is". The 100 mm bipolar VAS is anchored in the center with a neutral anchor of "neither like nor dislike" (score of 50 mm), to the left with "strong disliking" (score of 0 mm) and to the right with "strong liking" (score of 100 mm).
Time frame: at 48 hours post-dose
Subjective Drug Value (SDV)
The SDV is a proxy measure of reinforcing efficacy that involves a series of independent, theoretical forced choices between drug administered and different monetary values. Participants were asked to choose between receiving another dose of the same drug or an envelope containing a specified amount of money, but they did not receive drug or money as described.
Time frame: at 24 hours post-dose
Subjective Drug Value (SDV)
The SDV is a proxy measure of reinforcing efficacy that involves a series of independent, theoretical forced choices between drug administered and different monetary values. Participants were asked to choose between receiving another dose of the same drug or an envelope containing a specified amount of money, but they did not receive drug or money as described.
Time frame: at 48 hours post-dose
Addiction Research Center Inventory (ARCI)
The ARCI contains 5 scales (49-item), which measure: Euphoria: Morphine-Benzedrine Group, 'MBG' scale. Stimulant-like effects: Amphetamine, 'A' scale and Benzedrine Group, 'BG' scale. Dysphoria: Lysergic Acid Diethylamide, 'LSD' scale. Sedation: Pentobarbital-Chlorpromazine-Alcohol Group, 'PCAG' scale. Participants indicate their responses by selecting "False" or "True" with a mouse. One point is given for each response that agrees with the scoring direction on the scale (i.e., True items receive a score of 1 if the answer is "True", False items receive a score of 1 if the answer is "False". No points (0) are given when the answer is opposite to the scoring direction). Higher scores indicated higher effects.
Time frame: pre-dose and at 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10 and 12 hours post-dose
Drug Liking "at this moment"
100-point bipolar visual analog scale (VAS) ratings after each IMP administration in response to the statement "At this moment, my liking for this drug is". The 100 millimeter (mm) bipolar VAS is anchored in the center with a neutral anchor of "neither like nor dislike" (score of 50 mm), to the left with "strong disliking" (score of 0 mm) and to the right with "strong liking" (score of 100 mm).
Time frame: at 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12 and 24 hours post-dose
Good Effects
100-point unipolar VAS ratings after each IMP administration in response to the statement "At this moment, I can feel good drug effects". The 100 mm unipolar VAS is anchored to the left with 'definitely not' (score of 0 mm) and to the right with 'definitely so' (score of 100).
Time frame: at 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12 and 24 hours post-dose
Bad Effects
100-point unipolar VAS ratings after each IMP administration in response to the statement "At this moment, I can feel bad drug effects". The 100 mm unipolar VAS is anchored to the left with 'definitely not' (score of 0 mm) and to the right with 'definitely so' (score of 100).
Time frame: at 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12 and 24 hours post-dose
Any Effects
100-point unipolar VAS ratings after each IMP administration in response to the statement "At this moment, I can feel a drug effect". The 100 mm unipolar VAS, is anchored to the left with 'definitely not' (score of 0 mm) and to the right with 'definitely so' (score of 100).
Time frame: at 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12 and 24 hours post-dose
Subject-rated Opiate Agonist Scale (SROAS)
16 VAS items: Nodding, Dry Mouth, Turning of Stomach, Skin Itchy, Relaxed, Coasting, Pleasant Sick, Drive \[Energy\]' Nervous, Good Mood, High, Sleepy, Drunken, Soapbox \[Talkative\], Rush, and Friendly. Participants will be asked to respond to the following question: "Indicate how much you feel the following symptom right now." These assessments will be administered as a 0-100 VAS anchored by "Not at all" (0) and "Extremely" (100).
Time frame: at 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12 and 24 hours post-dose
Observer-rated
VAS scales (Scratching, Nervous, Drunken, Talkative, Sleepy). A trained observer will respond to each item following a 5-minute period of observation and indicate how the participant appeared during the period. These assessments will be administered as 0 to 100 VAS anchored by "Definitely not" (0) and "Definitely so" (100).
Time frame: at 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12 and 24 hours post-dose
Take Drug Again
100-point bipolar VAS ratings after each IMP administration in response to the statement "I would take this drug again". The 100 mm bipolar VAS is anchored in the center with a neutral anchor of "neutral" (score of 50 mm), to the left with "definitely not" (score of 0 mm) and to the right with "definitely so" (score of 100 mm).
Time frame: at 12, 24, and 48 hours post-dose
Divided Attention test (DA) - Time over the road
Manual-tracking test with a simultaneous visual target detection component. Participant is provided with joystick and presented with the image of an airplane and a randomly curving road; participant has to position the airplane over the center of the road while being distracted repeatedly by visual targets they have to respond to. Percentage of time over the road will be recorded.
Time frame: pre-dose and at 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 24, 32 and 48 hours post-dose
Divided Attention test (DA) - Response latency
Manual-tracking test with a simultaneous visual target detection component. Participant is provided with joystick and presented with the image of an airplane and a randomly curving road; participant has to position the airplane over the center of the road while being distracted repeatedly by visual targets they have to respond to. Response latency of correct responses (milliseconds) will be recorded.
Time frame: pre-dose and at 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 24, 32 and 48 hours post-dose
Divided Attention test (DA) - Target hits
Manual-tracking test with a simultaneous visual target detection component. Participant is provided with joystick and presented with the image of an airplane and a randomly curving road; participant has to position the airplane over the center of the road while being distracted repeatedly by visual targets they have to respond to. Percentage of target hits will be recorded.
Time frame: pre-dose and at 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 24, 32 and 48 hours post-dose
Choice Reaction Time (CRT)
Choice reaction time (CRT) is a computerized assessment that trains the participant to respond to stimuli presented on the screen. The task requires the participant to react as soon as a colored key appears in one of up to eight locations. The participant must respond by lifting their finger from the central start button and depressing the corresponding response key as quickly as possible. This is the reaction time (RT). Lower scores indicate better performance.
Time frame: pre-dose and at 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 24, 32, and 48 hours post-dose
Pharmacokinetic parameter: AUC0-t
Area under the plasma concentration-time curve from dosing time to the last measured concentration equal or above the lower limit of quantification (LLOQ)
Time frame: Day 1 pre-dose and 0.75, 1.25, 2.25, 4.25 6.25, 8.25 and 12.25 hours post-dose and on Days 2 and 3 at 24.25, 32.25 and 48.25 hours
Pharmacokinetic parameter: Cmax
Apparent maximum plasma concentration (will be directly read from the measured concentration-time profile)
Time frame: Day 1 pre-dose and 0.75, 1.25, 2.25, 4.25 6.25, 8.25 and 12.25 hours post-dose and on Days 2 and 3 at 24.25, 32.25 and 48.25 hours
Pharmacokinetic parameter: tmax
Time to reach the apparent maximum plasma concentration (will be directly obtained from the blood sampling time as time from administration to the time of first occurrence of Cmax)
Time frame: Day 1 pre-dose and 0.75, 1.25, 2.25, 4.25 6.25, 8.25 and 12.25 hours post-dose and on Days 2 and 3 at 24.25, 32.25 and 48.25 hours
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