This is an open-label, sequential 2 cohort, intramuscular injection study in healthy volunteers. The study will enroll approximately 24 healthy volunteers to examine the safety, pharmacokinetics, and bioavailability after intramuscular injection of NALDEBAIN ER Injection and nalbuphine injection.
Each subject in a cohort will be evaluated for study eligibility during the screening period, which is within 28 days prior to receiving the study drug (Day 1). Eligible subjects will be admitted into the study site on Day -1 and will be required to stay in clinical site for 5 (Cohort 1) or 2 nights (Cohort 2) for study procedures in each cohort. Eligible subjects will undergo additional eligibility assessments on Day -1 and those reconfirmed eligible will intramuscularly receive NALDEBAIN ER Injection (Cohort 1) or nalbuphine (Cohort 2) on Day 1. The blood sampling timepoints for Cohort 1 will be at predose, 6, 12, 24, 48, 56, 64, 72, 80, 88, and 96 hours after dosing. Subjects will be discharged after the 96-hour blood sample and return to the clinical site for the sample collection at 120, 168, 216, 288 and 360 hours post dosing. The blood sampling timepoints for Cohort 2 will be predose, 5, 15, and 30 minutes postdose, and 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose. Subjects will return for a follow-up visit to complete safety evaluations for approximately 15 days after study drug administration in cohort 1; and 1 days after study drug administration in Cohort 2.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
24
150 mg Dinalbuphine sebacate
20 mg Nalbuphine
WCCT Global Inc.
Cypress, California, United States
Bioavailability of nalbuphine after intramuscular injection of NALDEBAIN and Nalbuphine.
To evaluate the relative bioavailability of nalbuphine after intramuscular injection of NALDEBAIN and Nalbuphine.
Time frame: Cohort 1: From predose to 360 hours post dosing. Cohort 2 : From predose to 24 hours post dosing.
Maximum plasma concentration (Cmax) of nalbuphine, sebacoyl mononalbuphine ester (SME) and dinalbuphine sebacate.
Cmax for NALDEBAIN and Nalbuphine.
Time frame: Cohort 1: From predose to 360 hours post dosing. Cohort 2 : From predose to 24 hours post dosing.
Tmax of nalbuphine, sebacoyl mononalbuphine ester (SME) and dinalbuphine sebacate.
Tmax for NALDEBAIN and Nalbuphine.
Time frame: Cohort 1: From predose to 360 hours post dosing. Cohort 2 : From predose to 24 hours post dosing.
AUCinf of nalbuphine, sebacoyl mononalbuphine ester (SME) and dinalbuphine sebacate.
AUCinf for NALDEBAIN and Nalbuphine.
Time frame: Cohort 1: From predose to 360 hours post dosing. Cohort 2 : From predose to 24 hours post dosing.
AUClast of nalbuphine, sebacoyl mononalbuphine ester (SME) and dinalbuphine sebacate.
AUClast for NALDEBAIN and Nalbuphine.
Time frame: Cohort 1: From predose to 360 hours post dosing. Cohort 2 : From predose to 24 hours post dosing.
Elimination half-life (t1/2) of nalbuphine, sebacoyl mononalbuphine ester (SME) and dinalbuphine sebacate.
Elimination half-life for NALDEBAIN and Nalbuphine.
Time frame: Cohort 1: From predose to 360 hours post dosing. Cohort 2 : From predose to 24 hours post dosing.
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Total body clearance of the drug from plasma (CL) of nalbuphine, sebacoyl mononalbuphine ester (SME) and dinalbuphine sebacate.
Total body clearance for NALDEBAIN and Nalbuphine.
Time frame: Cohort 1: From predose to 360 hours post dosing. Cohort 2 : From predose to 24 hours post dosing.
Volume of distribution (Vd) of nalbuphine, sebacoyl mononalbuphine ester (SME) and dinalbuphine sebacate.
Volume of distribution for NALDEBAIN and Nalbuphine.
Time frame: Cohort 1: From predose to 360 hours post dosing. Cohort 2 : From predose to 24 hours post dosing.
Incidence and severity of adverse events (AEs)
To evaluate the systemic and local safety and tolerance.
Time frame: Cohort 1: From predose to 360 hours post dosing. Cohort 2 : From predose to 24 hours post dosing.
Number of subjects with AEs
To evaluate number of subjects with adverse events.
Time frame: Cohort 1: From predose to 360 hours post dosing. Cohort 2 : From predose to 24 hours post dosing.