This study proposes to examine the safety, tolerability, and pharmacokinetics (PK) of NYX-783 50 mg and 150 mg versus Placebo (PBO) in combination with acute Oxycodone 15 mg and 30 mg in an inpatient randomized, cross-over study in non-treatment seeking non-dependent, opioid experienced individuals with current recreational use.
Outcomes will be cardiovascular (ECG monitoring, heart rate, blood pressure), respiratory, Clinical Opioid Withdrawal Scale (COWS), treatment emergent adverse events (TEAEs), and PK of NYX-783 levels in combination with Oxycodone. Secondary outcomes will be drug effects, subjective opiate withdrawal scale (SOWS), Drug Effects Questionnaire (DEQ), pupillary diameter, the Opioid Symptom Checklist (OSC), craving, stress and pain, and study drug levels during NYX-783 and Oxycodone combination challenge sessions.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
QUADRUPLE
Enrollment
9
This study proposes to examine the safety, tolerability, and pharmacokinetics (PK) of NYX-783 at 50 mg and 150 mg doses versus Placebo (PBO) in combination with acute Oxycodone 15 mg and 30 mg in an inpatient randomized, cross-over study over 6 experimental sessions.
This study proposes to examine the safety, tolerability, and pharmacokinetics (PK) of NYX-783 at 50 mg and 150 mg doses versus Placebo (PBO) in combination with acute Oxycodone 15 mg and 30 mg in an inpatient randomized, cross-over study over 6 experimental sessions.
This study proposes to examine the safety, tolerability, and pharmacokinetics (PK) of NYX-783 at 50 mg and 150 mg doses versus Placebo (PBO) in combination with acute Oxycodone 15 mg and 30 mg in an inpatient randomized, cross-over study over 6 experimental sessions.
Cmhc/Cnru
New Haven, Connecticut, United States
The Yale Stress Center: Yale University
New Haven, Connecticut, United States
Change in respiratory rate
Change in respiratory rate pre and post drug administration measured by counting breaths
Time frame: over 6 sessions from baseline up to 3 weeks
Change in oxygenation saturation
Change in oxygenation saturation pre and post drug administration measured by pulse-oximeter
Time frame: over 6 sessions from baseline up to 3 weeks
Change in blood pressure
Change in blood pressure pre and post drug administration measured by blood pressure monitor
Time frame: over 6 sessions from baseline up to 3 weeks
Change in heart rate
Change in heart rate pre and post drug administration measured by blood pressure monitor
Time frame: over 6 sessions from baseline up to 3 weeks
Change in body temperature
Change in body temperature pre and post drug administration measured by temperature monitor
Time frame: over 6 sessions from baseline up to 3 weeks
Change in cardiac rate
Change in cardiac rate pre and post drug administration measured by EKG cardiac monitor
Time frame: over 6 sessions from baseline up to 3 weeks
Change in cardiac rhythm
Change in cardiac rhythm pre and post drug administration measured by EKG cardiac monitor
Time frame: over 6 sessions from baseline up to 3 weeks
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treatment emergent adverse events (TEAES) from Systematic Assessment for Treatment Emergent Effects (SAFTEE)
The SAFTEE is a technique for the systematic assessment of side effects in clinical trials that rates the current severity of a wide range of somatic, behavioral and affective symptoms and tabulates occurrence of each TEAE symptom
Time frame: over 6 sessions from baseline up to 3 weeks
Change in Clinical Opiate Withdrawal Scale (COWS)
COWS is an 11-item scale to rate common signs and symptoms of opiate withdrawal and monitor these symptoms over time. The summed score determines the stage/severity of opiate withdrawal and assess the level of physical dependence on opioids. Score: 5- 12 = mild; 13-24 = moderate; 25-36 = moderately severe; more than 36 = severe withdrawal
Time frame: over 6 sessions from baseline up to 3 weeks
Change in Subjective Opioid Withdrawal Scale (SOWS)
SOWS is a self-administered scale for opioid withdrawal symptoms. It has16 symptoms whose intensity is rated on a scale of 0 (not at all) to 4 (extremely). Mild Withdrawal = score of 1-10, Moderate withdrawal = 11-20, Severe withdrawal = 21-30
Time frame: over 6 sessions from baseline up to 3 weeks
Change in Drug Effects Questionnaire (DEQ)
The DEQ measures Good Drug Effect and consists of 11 questions with total score range from 0-100. Higher scores indicate more positive effects.
Time frame: over 6 sessions from baseline up to 3 weeks
Change in Visual Analog Scale (VAS)
The VAS scales are 5 item drug effect self report ratings The visual analog questions were "Do you feel any Drug Effect?" "Do you like the drug?" "How high are you?" "Does the drug have any Good Effects?" "Does the drug have any Bad Effects?" and "How much do you DESIRE opiates?" The subjects responded by positioning an arrow along a 100-point line labeled with "not at all" at one end and "extremely" at the other. High scores show drug effect and craving, low scores show low drug effect and low craving
Time frame: over 6 sessions from baseline up to 3 weeks
Change in Opioid Symptom Checklist (OSC)
The OSC is a 13-item opioid symptom checklist consisting of true/false questions designed to measure opioid effects (e.g., "My skin is itchy"). True scores total up to acute opiate positive and negative symptoms and low true scores will mean not feeling any of the negative and positive symptoms.
Time frame: over 6 sessions from baseline up to 3 weeks
Change in pupillary diameter
pupil diameter size using pupilometer
Time frame: over 6 sessions from baseline up to 3 weeks