This is a double-blind, placebo-controlled, parallel group study to compare the effects of STP7 (mavoglurant) vs placebo control on i.v. cocaine's physiological and subjective effects in non-treatment seeking, cocaine-experienced males or females participants between 18 and 59 years of age. The primary objective of this study is to determine if there are clinically meaningful interactions between oral STP7 (mavoglurant) treatment concurrent with 20 and 40 mg i.v. cocaine infusions by measuring adverse events and cardiovascular responses including heart rate, blood pressure, and electrocardiogram (including corrected QT interval). The secondary objectives are: * To evaluate whether administration of STP7 (mavoglurant) alters the pharmacokinetics of cocaine and/or its major metabolite, benzoylecgonine. * To determine the pharmacokinetic of STP7 (mavoglurant) administered at a dose of 200 mg twice a day. * To evaluate whether STP7 (mavoglurant) treatment alters the subjective effects of cocaine measured by Visual Analog Scales (VAS) and Brief Substance Craving Scale (BSCS).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
21
STP7 (mavoglurant) twice a day (BID) from Days 3 to 9 according to the following dosing schedule: Day 3: 50 mg BID; Day 4: 100 mg BID; Days 5-9: 200 mg BID, and will take only the morning dose of STP7 (200 mg) on Day 10.
Placebo twice a day (BID) from Days 3 to 9, and will take only the morning dose of Placebo on Day 10.
Participants will undergo cocaine/saline i.v. challenge sessions according to the schedule and doses: * Screening (Session 1, Day -2): 20 mg cocaine, followed by a saline infusion, followed by 40 mg cocaine * Baseline (Session 2, Day 1): saline or 20 mg cocaine followed by either 20 mg cocaine or saline. * Baseline (Session 3, Day 2): saline or 40 mg cocaine followed by either 40 mg cocaine or saline. * Treatment (Session 4, Day 9): saline or 20 mg cocaine followed by either 20 mg cocaine or saline. * Treatment (Session 5, Day 10): saline or 40 mg cocaine followed by either 40 mg cocaine or saline.
Altasciences Clinical Kansas
Overland Park, Kansas, United States
Incidence of Treatment-Emergent Adverse Events.
Any events spontaneously reported by the participant or observed by the investigative staff will also be recorded.
Time frame: On day -2, day -1, day 1, day 2, day 3, day 4, day 5, day 6, day 7, day 8, day 9, day10, day 11, day 12 and the follow-up (window from day 19 to day 26).
Heart Rate response following the STP7 treatment with the cocaine infusion.
Change of the Heart Rate.
Time frame: Collected at day -2 at the time points (relative to the first infusion of the day): -30, - 15, 5, 10, 15, 20, 25, 30, 45, 55, 65, 70, 75, 80, 85, 90, 105, 115, 125, 130, 135, 140, 145, 150, 165, 180, 210, 240, 270, 300, 330 and 360 minutes
Heart Rate response following the STP7 treatment with the cocaine infusion.
Change of the Heart Rate.
Time frame: Collected at day 1, day 2, day 9 and day 10 at the time points (relative to the first infusion of the day): -30, -15, 5, 10, 15, 20, 25, 30, 45, 55, 65, 70, 75, 80, 85, 90, 105, 120, 150, 180, 210, 240, 270 and 300 minutes
Blood Pressure (diastolic) response following the STP7 treatment with the cocaine infusion .
Change of the diastolic Blood Pressure.
Time frame: Collected at day -2 at the time points (relative to the first infusion of the day): -30, - 15, 5, 10, 15, 20, 25, 30, 45, 55, 65, 70, 75, 80, 85, 90, 105, 115, 125, 130, 135, 140, 145, 150, 165, 180, 210, 240, 270, 300, 330 and 360 minutes
Blood Pressure (diastolic) response following the STP7 treatment with the cocaine infusion.
Change of the diastolic Blood Pressure.
Time frame: Collected at day 1, day 2, day 9 and day 10 at the time points (relative to the first infusion of the day): -30, -15, 5, 10, 15, 20, 25, 30, 45, 55, 65, 70, 75, 80, 85, 90, 105, 120, 150, 180, 210, 240, 270 and 300 minutes
Blood Pressure (systolic) response following the STP7 treatment with the cocaine infusion.
Change of the systolic Blood Pressure.
Time frame: Collected at day -2 at the time points (relative to the first infusion of the day): -30, - 15, 5, 10, 15, 20, 25, 30, 45, 55, 65, 70, 75, 80, 85, 90, 105, 115, 125, 130, 135, 140, 145, 150, 165, 180, 210, 240, 270, 300, 330 and 360 minutes
Blood Pressure (systolic) response following the STP7 treatment with the cocaine infusion.
Change of the systolic Blood Pressure.
Time frame: Collected at day 1, day 2, day 9 and day 10 at the time points (relative to the first infusion of the day): -30, -15, 5, 10, 15, 20, 25, 30, 45, 55, 65, 70, 75, 80, 85, 90, 105, 120, 150, 180, 210, 240, 270 and 300 minutes
ECG changes (HR) following the STP7 treatment with the cocaine infusion.
Changes in ECG (HR) following STP7 treatment with the cocaine infusion at screening.
Time frame: As collected at day -2 at -10 minutes and at 5, 10, 15, 30, 45, 65, 70, 75, 90, 105, 125, 130, 135, 150, 165, 180 and 360 minutes after the first infusion.
ECG changes (RR) following the STP7 treatment with the cocaine infusion.
Changes in ECG (RR) following STP7 treatment with the cocaine infusion at screening.
Time frame: As collected at day -2 at -10 minutes and at 5, 10, 15, 30, 45, 65, 70, 75, 90, 105, 125, 130, 135, 150, 165, 180 and 360 minutes after the first infusion.
ECG changes (PR) following the STP7 treatment with the cocaine infusion.
Changes in ECG (PR) following STP7 treatment with the cocaine infusion at screening.
Time frame: As collected at day -2 at -10 minutes and at 5, 10, 15, 30, 45, 65, 70, 75, 90, 105, 125, 130, 135, 150, 165, 180 and 360 minutes after the first infusion.
ECG changes (QRS) following the STP7 treatment with the cocaine infusion.
Changes in ECG (QRS) following STP7 treatment with the cocaine infusion at screening.
Time frame: As collected at day -2 at -10 minutes and at 5, 10, 15, 30, 45, 65, 70, 75, 90, 105, 125, 130, 135, 150, 165, 180 and 360 minutes after the first infusion.
ECG changes (QT) following the STP7 treatment with the cocaine infusion.
Changes in ECG (QT) following STP7 treatment with the cocaine infusion at screening.
Time frame: As collected at day -2 at -10 minutes and at 5, 10, 15, 30, 45, 65, 70, 75, 90, 105, 125, 130, 135, 150, 165, 180 and 360 minutes after the first infusion.
ECG changes (HR) following the STP7 treatment with the cocaine infusion.
Changes in ECG (HR) following STP7 treatment with the cocaine infusion (baseline and treatment period).
Time frame: As collected at day 1, day 2, day 9 and day 10 at -10 minutes and at 5, 10, 15, 30, 45, 65, 70, 75, 90, 120, 150, 180 and 300 minutes after the first infusion.
ECG changes (RR) following the STP7 treatment with the cocaine infusion.
Changes in ECG (RR) following STP7 treatment with the cocaine infusion (baseline and treatment period).
Time frame: As collected at day 1, day 2, day 9 and day 10 at -10 minutes and at 5, 10, 15, 30, 45, 65, 70, 75, 90, 120, 150, 180 and 300 minutes after the first infusion.
ECG changes (PR) following the STP7 treatment with the cocaine infusion.
Changes in ECG (PR) following STP7 treatment with the cocaine infusion (baseline and treatment period).
Time frame: As collected at day 1, day 2, day 9 and day 10 at -10 minutes and at 5, 10, 15, 30, 45, 65, 70, 75, 90, 120, 150, 180 and 300 minutes after the first infusion.
ECG changes (QRS) following the STP7 treatment with the cocaine infusion.
Changes in ECG (QRS) following STP7 treatment with the cocaine infusion (baseline and treatment period).
Time frame: As collected at day 1, day 2, day 9 and day 10 at -10 minutes and at 5, 10, 15, 30, 45, 65, 70, 75, 90, 120, 150, 180 and 300 minutes after the first infusion.
ECG changes (QT) following the STP7 treatment with the cocaine infusion.
Changes in ECG (QT) following STP7 treatment with the cocaine infusion (baseline and treatment period).
Time frame: As collected at day 1, day 2, day 9 and day 10 at -10 minutes and at 5, 10, 15, 30, 45, 65, 70, 75, 90, 120, 150, 180 and 300 minutes after the first infusion.
Pharmacokinetics: Maximum Plasma Concentration [Cmax] of cocaine.
Plasma concentration-time profiles of cocaine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: Maximum Plasma Concentration [Cmax] of benzoylecgonine.
Plasma concentration-time profiles of benzoylecgonine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: Maximum Plasma Concentration [Cmax] of STP7.
Plasma concentration-time profiles of STP7.
Time frame: Day 5, day 6, day 7, day 8 and day 9: prior to the morning dose and 4 hours post-dose for each day.
Pharmacokinetics: Maximum Plasma Concentration [Cmax] of STP7.
Plasma concentration-time profiles of STP7.
Time frame: Day 10, at pre-dose, 1, 2, 4, 6, 8, 12, 16, 24, 36, and 48 hours post-dose.
Pharmacokinetics: time to maximum plasma concentration [Tmax] of cocaine.
Time to maximum plasma concentration of cocaine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: time to maximum plasma concentration [Tmax] of benzoylecgonine.
Time to maximum plasma concentration of benzoylecgonine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: time to maximum plasma concentration [Tmax] of STP7.
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Time to maximum plasma concentration of STP7.
Time frame: Day 5, day 6, day 7, day 8 and day 9: prior to the morning dose and 4 hours post-dose for each day.
Pharmacokinetics: time to maximum plasma concentration [Tmax] of STP7.
Time to maximum plasma concentration of STP7.
Time frame: Day 10, at pre-dose, 1, 2, 4, 6, 8, 12, 16, 24, 36, and 48 hours post-dose.
Pharmacokinetics: area under the concentration-time curve from time 0 to time t of cocaine.
Area under the concentration-time curve from time 0 to time t (AUC0-t) of cocaine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: area under the concentration-time curve from time 0 to time t of benzoylecgonine.
Area under the concentration-time curve from time 0 to time t (AUC0-t) of benzoylecgonine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: area under the concentration-time curve from time 0 to time of STP7.
Area under the concentration-time curve from time 0 to time t (AUC0-t) of STP7.
Time frame: Day 5, day 6, day 7, day 8 and day 9: prior to the morning dose and 4 hours post-dose for each day.
Pharmacokinetics: area under the concentration-time curve from time 0 to time of STP7.
Area under the concentration-time curve from time 0 to time t (AUC0-t) of STP7.
Time frame: Day 10, at pre-dose, 1, 2, 4, 6, 8, 12, 16, 24, 36, and 48 hours post-dose.
Pharmacokinetics: area under the concentration-time curve from time 0 to 12 hours post-dose of cocaine.
Area under the concentration-time curve from time 0 to 12 hours post-dose (AUC0-12) of cocaine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: area under the concentration-time curve from time 0 to 12 hours post-dose of benzoylecgonine.
Area under the concentration-time curve from time 0 to 12 hours post-dose (AUC0-12) of benzoylecgonine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: area under the concentration-time curve from time 0 to 12 hours post-dose of STP7.
Area under the concentration-time curve from time 0 to 12 hours post-dose (AUC0-12) of STP7.
Time frame: Day 5, day 6, day 7, day 8 and day 9: prior to the morning dose and 4 hours post-dose for each day.
Pharmacokinetics: area under the concentration-time curve from time 0 to 12 hours post-dose of STP7.
Area under the concentration-time curve from time 0 to 12 hours post-dose (AUC0-12) of STP7.
Time frame: Day 10, at pre-dose, 1, 2, 4, 6, 8, 12, 16, 24, 36, and 48 hours post-dose.
Pharmacokinetics: area under the concentration-time curve from time 0 to time infinity post-dose of cocaine.
Area under the concentration-time curve from time 0 to time infinity post-dose of cocaine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: area under the concentration-time curve from time 0 to time infinity post-dose of benzoylecgonine.
Area under the concentration-time curve from time 0 to time infinity post-dose of benzoylecgonine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: area under the concentration-time curve from time 0 to time infinity post-dose of STP7.
Area under the concentration-time curve from time 0 to time infinity post-dose of STP7.
Time frame: Day 5, day 6, day 7, day 8 and day 9: prior to the morning dose and 4 hours post-dose for each day.
Pharmacokinetics: area under the concentration-time curve from time 0 to time infinity post-dose of STP7.
Area under the concentration-time curve from time 0 to time infinity post-dose of STP7.
Time frame: Day 10, at pre-dose, 1, 2, 4, 6, 8, 12, 16, 24, 36, and 48 hours post-dose.
Pharmacokinetics: trough plasma concentration (Ctrough) of cocaine.
Trough plasma concentration (Ctrough) of cocaine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: trough plasma concentration (Ctrough) of benzoylecgonine.
Trough plasma concentration (Ctrough) of benzoylecgonine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: trough plasma concentration (Ctrough) of STP7.
Trough plasma concentration (Ctrough) of STP7.
Time frame: Day 5, day 6, day 7, day 8 and day 9: prior to the morning dose and 4 hours post-dose for each day.
Pharmacokinetics: trough plasma concentration (Ctrough) of STP7.
Trough plasma concentration (Ctrough) of STP7.
Time frame: Day 10, at pre-dose, 1, 2, 4, 6, 8, 12, 16, 24, 36, and 48 hours post-dose.
Pharmacokinetics: terminal rate constant of cocaine.
Terminal rate constant of cocaine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: terminal rate constant of benzoylecgonine.
Terminal rate constant of benzoylecgonine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: terminal rate constant of STP7.
Terminal rate constant of STP7.
Time frame: Day 5, day 6, day 7, day 8 and day 9: prior to the morning dose and 4 hours post-dose for each day.
Pharmacokinetics: terminal rate constant of STP7.
Terminal rate constant of STP7.
Time frame: Day 10, at pre-dose, 1, 2, 4, 6, 8, 12, 16, 24, 36, and 48 hours post-dose.
Pharmacokinetics: half-life of cocaine.
Half-life (t1/2) of cocaine
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: half-life of benzoylecgonine.
Half-life (t1/2) of benzoylecgonine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: half-life of STP7.
Half-life (t1/2) of STP7.
Time frame: Day 5, day 6, day 7, day 8 and day 9: prior to the morning dose and 4 hours post-dose for each day.
Pharmacokinetics: half-life of STP7.
Half-life (t1/2) of STP7.
Time frame: Day 10, at pre-dose, 1, 2, 4, 6, 8, 12, 16, 24, 36, and 48 hours post-dose.
Pharmacokinetics: clearance of cocaine.
Clearance (CL) of cocaine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: clearance of benzoylecgonine.
Clearance (CL) of benzoylecgonine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: clearance of STP7.
Clearance (CL) of STP7.
Time frame: Day 5, day 6, day 7, day 8 and day 9: prior to the morning dose and 4 hours post-dose for each day.
Pharmacokinetics: clearance of STP7.
Clearance (CL) of STP7.
Time frame: Day 10, at pre-dose, 1, 2, 4, 6, 8, 12, 16, 24, 36, and 48 hours post-dose.
Pharmacokinetics: Clearance from plasma after oral administration of cocaine.
Clearance from plasma after oral administration (CL/F) of cocaine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: Clearance of benzoylecgonine from plasma after oral administration (CL/F) of cocaine.
Clearance of benzoylecgonine from plasma after oral administration (CL/F) of cocaine.
Time frame: Day 2 and day 10: at 15 minutes before the first infusion, and at 5, 15, 30, 65, 75, 90, 120, 150, and 180 minutes, and at 4, 8, 12, 20 and 32 hours after the first infusion.
Pharmacokinetics: Clearance from plasma after oral administration (CL/F) of STP7.
Clearance from plasma after oral administration (CL/F) of STP7.
Time frame: Day 5, day 6, day 7, day 8 and day 9: prior to the morning dose and 4 hours post-dose for each day.
Pharmacokinetics: Clearance from plasma after oral administration (CL/F) of STP7.
Clearance from plasma after oral administration (CL/F) of STP7.
Time frame: Day 10, at pre-dose, 1, 2, 4, 6, 8, 12, 16, 24, 36, and 48 hours post-dose.
Visual evaluation of the STP7 on the subjective effects of cocaine at screening
To evaluate whether STP7 treatment alters the subjective effects of cocaine measured by Visual Analog Scales (VAS).
Time frame: Day -2: 30 minutes prior to cocaine infusion and at 5, 10, 15, 30, 45, 55, 65, 70, 75, 90, 105, 115, 125, 130, 135, 150, 165 and 180 minutes after the first infusion.
Visual evaluation of the STP7 on the subjective effects of cocaine at baseline and during treatment
To evaluate whether STP7 treatment alters the subjective effects of cocaine measured by Visual Analog Scales (VAS).
Time frame: Day 1, day 2, day 9 and day 10: at -30, 5, 10, 15, 30, 45, 55, 65, 70, 75, 90, 105 and 120 minutes after the first infusion.
Craving evaluation of the STP7 on the subjective effects of cocaine.
To evaluate whether STP7 treatment alters the subjective effects of cocaine on craving measured by the score of the Brief Substance Craving Scale (BSCS).
Time frame: Day -2, day 1, day 2, day 9 and day 10: at pre-infusion and 125 minutes after the start of the cocaine infusion.