The purpose of this study is to assess the pharmacokinetic (PK) properties, safety and tolerability following a single dose administration of GOPRELTO® or NUMBRINO™ as an anesthetic for diagnostic procedures and surgeries on or through the mucous membranes of the nasal cavities in pediatric adolescent subjects.
GOPRELTO® and NUMBRINO™ (cocaine hydrochloride nasal solution, 4%) are approved anesthetic products in adults. The purpose of this study is to assess the pharmacokinetic (PK) properties, safety, tolerability, and dosing of GOPRELTO® and NUMBRINO™ each as an anesthetic for diagnostic procedures and surgeries on or through the mucous membranes of the nasal cavities in pediatric adolescent subjects. The primary objectives for each treatment of the study are: * To assess the safety and tolerability of GOPRELTO® and NUMBRINO™ nasal solution in pediatric adolescent subjects as an anesthetic for diagnostic procedures and surgeries on or through the mucous membranes of the nasal cavities, respectively. * To evaluate the PK properties and define the dosing for GOPRELTO® and NUMBRINO™ nasal solution, respectively, in pediatric adolescent subjects as an anesthetic for diagnostic procedures and surgeries on or through the mucous membranes of the nasal cavities.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
40
Topical Anesthetic
Topical Anesthetic
SCENT Sleep and Allergy, 110 Highland Center Drive
Columbia, South Carolina, United States
RECRUITINGSCENT Sleep and Allergy, 145 Park Central
Columbia, South Carolina, United States
RECRUITINGSouth Carolina ENT, Sleep and Allergy
Columbia, South Carolina, United States
Changes in Blood pressure
Changes in blood pressure from baseline of 20 mmHg systolic or 15 mmHg diastolic OR when blood pressure reaches 150/90 mmHg in the automated blood pressure monitoring system during the mentioned time frame. Measurements will be taken in supine position with 3 measurements 5-6 minutes apart.
Time frame: Baseline and every 5 minutes through 90 minutes post-pledget application.
Changes in Heart rate
Increase in heart rate from baseline of 20 bpm OR when heart rate of 125 bpm is reached at any point in the automated vital sign monitoring system during the mentioned time frame.
Time frame: Baseline and every 5 minutes through 90 minutes post-pledget application.
Changes in Respiratory Rate
Any changes in respiratory rate (increase or decrease) while on study medication.
Time frame: Baseline and every 15 minutes through 90 minutes post-pledget application.
Physical examination
Assessment of skin, head, ears, eyes, nose, throat, neck, thyroid, lungs, heart, cardiovascular, abdomen, lymph nodes, and musculoskeletal system/extremities; oral temperature, height, weight; BMI as well as height and weight percentiles.
Time frame: Screening Visit
Electrocardiogram
Any changes or delays in heart rhythm while on medication. Electrocardiogram will be performed in the supine position.
Time frame: Screening Visit, and on Day 1 at Baseline (pre-dose), continuously during treatment, and through 90 minutes post-pledget application
Pulse Oximetry
Any changes in the amount of oxygen in the blood while on study medication.
Time frame: Screening Visit, and on Day 1 at Baseline (pre-dose), continuously during treatment, and through 90 minutes post-pledget application
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SCENT Sleep and Allergy, 15 Exchange Dr.
Lugoff, South Carolina, United States
RECRUITINGIncidence of Adverse events (AEs)
The number and percentage of subjects with AEs, AEs severity, causality, Serious Adverse Events (SAEs), Adverse Events of Special Interest (AESIs).
Time frame: From Day 1 (pledget application) through the final follow-up call at Day 10.
Maximum observed plasma concentration (Cmax)
Measurement of the amount of the study medication (cocaine topical solution) in the blood over 8 hours to define the Cmax.
Time frame: Screening Visit, Baseline (pre-dose), 20, 40, 60, and 90 minutes, and 2, 4, and 8 hours after pledget application.
Time to maximum observed plasma concentration (Tmax)
Measurement of the time it takes after dosing for the study medication (cocaine topical solution) to reach its highest observed concentration in the blood over 8 hours.
Time frame: Screening Visit, Baseline (pre-dose), 20, 40, 60, and 90 minutes, and 2, 4, and 8 hours after pledget application.
Area under the plasma concentration versus time curve from time of dosing (0) to the time of last quantifiable concentration (AUClast)
Measurement of the amount of the study medication (cocaine topical solution) in the blood over 8 hours to define the AUC.
Time frame: Screening Visit, Baseline (pre-dose), 20, 40, 60, and 90 minutes, and 2, 4, and 8 hours after pledget application.
Area under the plasma concentration versus time curve from time of dosing (0) to infinity (AUCinf)
Measurement of the total exposure to the study medication in the blood over 8 hours, starting from dosing and extrapolated to infinity.
Time frame: Screening Visit, Baseline (pre-dose), 20, 40, 60, and 90 minutes, and 2, 4, and 8 hours after pledget application.
Terminal rate constant in plasma from the negative of the regression line slope through the ln plasma concentration versus time data defining the terminal phase [kel (λz)]
Measurement of the time it takes for the concentration of the study medication in the blood to decrease by half during the terminal elimination phase, over 8 hours, calculated using kel as ln(2)/kel.
Time frame: Screening Visit, Baseline (pre-dose), 20, 40, 60, and 90 minutes, and 2, 4, and 8 hours after pledget application.
Terminal half-life in plasma calculated from the kel as ln(2)/kel (t½)
Measurement of the rate at which the study medication is eliminated from the blood during the terminal phase, calculated from the slope of the log-transformed concentration versus time data.
Time frame: Baseline (pre-dose), 20, 40, 60, and 90 minutes, and 2, 4, and 8 hours after pledget application.