This is a pilot randomized, double-blind, active-controlled, 2-treatment, crossover study to evaluate the PK, user experience and abuse liability of manipulated ADAIR compared to a manipulated commercially-available d-amphetamine sulfate IR formulation administered intranasally in non-dependent recreational stimulant users. The study is comprised of 4 phases: Screening, Qualification, Treatment, and Follow-up/Early Termination.
VAL-103 is a phase 1, pilot, randomized, double-blind, active-controlled, 2-treatment crossover study. The study objectives include assessing the safety, pharmacokinetics (PK), and pharmacodynamics (PD) of manipulated ADAIR 30 mg compared to crushed d-amphetamine sulfate IR 30 mg (DEX) administered IN in non-dependent recreational stimulant users. The primary PD endpoint is mean maximum drug liking (Emax) on a bipolar 100mm visual analog scale. A total of 16 qualified subjects demonstrating a confirmed positive response to stimulants will enter the treatment phase. Safety will be assessed via adverse events, vital signs, ECGs, clinical laboratory tests, and Columbia Suicide Severity Rating Scale (C-SSRS).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
16
manipulated ADAIR IR 3x10 mg capsules
crushed d-amphetamine sulfate IR 6 x 5 mg tablets
BioPharma Services Inc.
Toronto, Ontario, Canada
Treatment-emergent adverse event reporting
Assess the safety and tolerability as measured by the incidence, frequency, and severity of treatment-emergent adverse events
Time frame: Day 1 to Day 9 (Treatment Phase)
Abnormal Vital Signs
Number and percent of subjects with abnormal vital sign values
Time frame: Day 1 to Day 9 (Treatment Phase)
Abnormal ECG Values
Number and percent of abnormal ECG values
Time frame: Day 1 to Day 9 (Treatment Phase)
Abnormal clinical laboratory results
Number and percent of abnormal clinical laboratory results
Time frame: Day 1 to Day 9 (Treatment Phase)
Maximum Plasma Concentration (Cmax)
Maximum plasma concentration
Time frame: Up to 24 hours post dose
Time to Maximum Plasma Concentration (tmax)
Time to maximum plasma concentration
Time frame: Up to 24 hours post dose
Area Under the Plasma Concentration AUC0-1h
Area under the plasma concentration vs time curve from time 0 to 1 hour (AUC 0-1h)
Time frame: Up to 24 hours post dose
Area Under the Plasma Concentration AUC0-2h
Area under the plasma concentration vs time curve from time 0 to 2 hours (AUC0-2h)
Time frame: Up to 24 hours post dose
Area Under the Plasma Concentration AUC0-4h
Area under the plasma concentration vs time curve from time 0 to 4 hours (AUC0-4h)
Time frame: Up to 24 hours post dose
Area Under the Plasma Concentration AUCt
Area under the plasma concentration vs time curve from time 0 to the time of the last measurable concentration, or last sampling time t (AUCt)
Time frame: Up to 24 hours post dose
Area Under the Plasma Concentration AUCinf
Area under the plasma concentration vs time curve extrapolated to infinity (AUCinf)
Time frame: Up to 24 hours post dose
Abuse quotient (AQ)
Abuse quotient (AQ): Cmax/tmax
Time frame: Up to 24 hours post dose
Terminal elimination rate constant λz
Terminal elimination rate constant (λz)
Time frame: Up to 24 hours post dose
Terminal elimination half-life t½
Terminal elimination half-life (t½)
Time frame: Up to 24 hours post dose
Bipolar Ease of Snorting visual analog scale (VAS)
Bipolar Ease of Snorting VAS minimum (peak) effect (Emin)
Time frame: Up to 24 hours post dose
Bipolar Likeability of Snorting VAS
Bipolar Likeability of Snorting VAS -minimum (peak) effect (Emin), maximum (peak) effect (Emax), time-averaged area under the effect curve from time 0 to 24 hours postdose (TA\_AUE)
Time frame: Up to 24 hours post dose
Bipolar Comfort of Snorting VAS
Bipolar Comfort of Snorting VAS - minimum (peak) effect (Emin), maximum (peak) effect (Emax), time-averaged area under the effect curve from time 0 to 24 hours postdose (TA\_AUE)
Time frame: Up to 24 hours post dose
Subject-Rated Assessment of Intranasal Irritation (SRAII)
Subject-Rated Assessment of Intranasal Irritation (SRAII) - maximum (peak) effect (Emax)and TEmax: time to maximum effect)
Time frame: Up to 24 hours post dose
Percent of dose insufflated
Percent of dose insufflated
Time frame: 0 min (dosing time)
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