The goal of this clinical trial is to learn if LPI-1503 (Ondansetron Inhalation Powder) can deliver ondansetron into blood through inhalation. It will also learn about the safety of LPI-1503. The main questions it aims to answer are: Does ondansetron enter into blood after inhalation of LPI-1503? And if it does, how efficiently? how rapidly? What medical problems do participants have when and after inhaling LPI-1503? Researchers will compare LPI-1503 to a placebo (a look-alike substance that contains no drug), and to orally swallowed and injected administrated ondansetron. Participants will: Visit site and take LPI-1503 or a placebo once by inhalation, followed by checkups and tests; and (if took LPI-1503 in visit 1) After one week, visit site again to take ondansetron by orally swallowing or by injection, followed by checkups and tests.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
24
Micronized ondansetron blended with excipients, to be administrated by inhalation, by using a single-capsule inhaler RS01(R).
Powder that contains only excipient (no API), to be administrated by inhalation, by using a single-capsule inhaler RS01(R).
4mg Ondansetron to be administrated by IV as an active comparator in Period 2.
8mg ondansetron to be orally administrated as an active comparator in Period 2.
Altasciences Clinical Research Unit
Mount Royal, Quebec, Canada
Number of Participants with Treatment-Emergent Adverse Events
An Adverse Event (AE) is defined as any untoward medical occurrence in a subject administered a study drug (including the placebo or the positive comparators), which dose not necessarily have a causal relationship with the treatment. For example (but not limited to), any Clinical Significant Changes/Findings in Clinically Laboratory, Spirometry, Pulse Oximetry, Vitals Signs, Physical Examinations, or Electrocardiogram (ECG) will be reproted as AEs. An Treatment-Emergent Adverse Events (TEAE) is defined as any AE occurred at the time of, or after, administration of the study drug. Number of Participants with TEAE will also summarized by Severity, for which all AEs will be graded per the current FDA Guidance for Industry - Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials.
Time frame: pre-dose to 48 hours post-dose or to end of all AEs (if any), whichever is later.
Number of Participants with Serious Adverse Events.
An Serious Adverse Event (SAE) is any AE that: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability or incapacity (defined as a substantial disruption of a person's ability to conduct normal life functions), is a congenital anomaly or birth defect, or is an important medical event that may jeopardize the subject or may require intervention to prevent one of the other outcomes listed above (according to medical judgment of aninvestigator).
Time frame: pre-dose to 48 hours post-dose or to end of all AEs (if any), whichever is later.
Number of Participants with Treatment-Related Adverse Events
Reasonable Possibility of Treatment-Relatedness: A temporal relationship exists between the AE onset and administration of the IP that cannot be readily explained by the subject's clinical state or concomitant therapies. Furthermore, the AE appears with some degree of certainty to be related, based on the known therapeutic and pharmacologic actions or AE profile of the IP. No Reasonable Possibility of Treatment-Relatedness: Evidence exists that the AE has an etiology other than the IP. For SAEs, an alternative causality must be provided (eg, preexisting condition, underlying disease, intercurrent illness, or concomitant medication).
Time frame: pre-dose to 48 hours post-dose or to end of all AEs (if any), whichever is later.
Cmax
Cmax (ng/mL): maximum observed concentration of ondansetron in plasma
Time frame: pre-dose to 48 hours post-dose
Tmax
Tmax (hour): time of maximum observed concentration of ondansetron in plasma
Time frame: pre-dose to 48 hours post-dose
AUC(0-t)
AUC(0-t) (h\*mg/mL): area under the concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration
Time frame: pre-dose to 48 hours post-dose
AUC(0-inf)
AUC(0-inf) (h\*ng/mL): area under the concentration time curve extrapolated to infinity, calculated as AUC(0-t) + C(last)/λz, where C(last) is the last quantifiable concentration
Time frame: pre-dose to 48 hours post-dose
t(1/2)
t(1/2) (hour): terminal elimination half-life, calculated as ln(2)/λz
Time frame: pre-dose to 48 hours post-dose
CL/F
CL/F (mL/h) (inhalation and oral tablet ondansetron only): apparent clearance of drug, calculated as Dose/AUC(0-inf)
Time frame: pre-dose to 48 hours post-dose
Vd/F
Vd/F (mL) (inhalation and oral tablet ondansetron only): apparent volume of distribution during the terminal phase, calculated as Dose/(λz × AUC(0-inf))
Time frame: pre-dose to 48 hours post-dose
CL
CL (mL/h) (IV ondansetron only): total plasma clearance of drug, calculated as Dose/AUC(0-inf)
Time frame: pre-dose to 48 hours post-dose
Vd
Vd (mL) (IV ondansetron only): volume of distribution during the terminal phase, calculated as Dose/(λz × AUC(0-inf))
Time frame: pre-dose to 48 hours post-dose
Absolute Bioavailability (F)
Absolute Bioavailability (F) is calculated as: AUC(0-T)/D of inhalation / AUC(0-T)/D of IV
Time frame: pre-dose to 48 hours post-dose
Relative Bioavailability (F rel)
Relative Bioavailability (F rel) is calculated as: AUC(0-T)/D of inhalation / AUC(0-T)/D of oral tablet
Time frame: pre-dose to 48 hours post-dose
Cmax/D
Cmax/D (ng/mL/mg): maximum observed concentration of ondansetron in plasma normalized to dose
Time frame: pre-dose to 48 hours post-dose
AUC(0-t)/D
AUC(0-t)/D (h\*ng/mL/mg): area under the concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration, normalized to dose
Time frame: pre-dose to 48 hours post-dose
AUC(0-inf)/D
AUC(0-inf)/D (h\*ng/mL/mg): area under the concentration time curve extrapolated to infinity, calculated as AUC(0-t) + C(last) / λz, where Clast is the last quantifiable concentration, normalized to dose
Time frame: pre-dose to 48 hours post-dose
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