Pharmacodynamic Study to Compare Acute Effects of Dihydroergotamine Mesylate (DHE) on Pulmonary Arterial Pressure

NCT ID: NCT01089062

Last Updated: 2014-01-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-03-31

Study Completion Date

2010-12-31

Brief Summary

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Compare the acute effects and tolerability of Dihydroergotamine Mesylate (DHE) delivered by Oral Inhalation (MAP0004) versus by intravenous (IV) infusion in healthy adult volunteers.

Detailed Description

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Conditions

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Healthy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Treatment A, then Treatment B, then Treatment C

The second dose in each treatment group (A,B,C) was given two hours from the time of the first dose. There were 7-11 days between each treatment visit.

Treatment A = inhaler placebo and IV DHE for first dose, inhaler placebo for second dose at Visit 2.

Treatment B = MAP0004 1.0mg and IV placebo for first dose, MAP0004 1.0mg for second dose at Visit 3.

Treatment C = inhaler placebo and IV placebo for first dose, inhaler placebo for second dose at Visit 4.

Group Type OTHER

MAP0004

Intervention Type DRUG

1.0 mg orally inhaled MAP0004 administered in Treatment B as per protocol

IV Placebo (Saline)

Intervention Type DRUG

IV Placebo (Saline) administered in Treatment B and Treatment C as per protocol

Placebo Inhaler

Intervention Type DRUG

Orally inhaled Placebo administered in Treatment A and Treatment C as per protocol.

IV Dihydroergotamine Mesylate (DHE)

Intervention Type DRUG

IV DHE administered in Treatment A as per protocol

Treatment A, then Treatment C, then Treatment B

The second dose in each treatment group (A,C,B) was given two hours from the time of the first dose. There were 7-11 days between each treatment visit.

Treatment A = inhaler placebo and IV DHE for first dose, inhaler placebo for second dose at Visit 2.

Treatment C = inhaler placebo and IV placebo for first dose, inhaler placebo for second dose at Visit 3.

Treatment B = MAP0004 1.0mg and IV placebo for first dose, MAP0004 1.0mg for second dose at Visit 4.

Group Type OTHER

MAP0004

Intervention Type DRUG

1.0 mg orally inhaled MAP0004 administered in Treatment B as per protocol

IV Placebo (Saline)

Intervention Type DRUG

IV Placebo (Saline) administered in Treatment B and Treatment C as per protocol

Placebo Inhaler

Intervention Type DRUG

Orally inhaled Placebo administered in Treatment A and Treatment C as per protocol.

IV Dihydroergotamine Mesylate (DHE)

Intervention Type DRUG

IV DHE administered in Treatment A as per protocol

Treatment B, then Treatment A, then Treatment C

The second dose in each treatment group (B,A,C) was given two hours from the time of the first dose. There were 7-11 days between each treatment visit.

Treatment B = MAP0004 1.0mg and IV placebo for first dose, MAP0004 1.0mg for second dose at Visit 2.

Treatment A = inhaler placebo and IV DHE for first dose, inhaler placebo for second dose at Visit 3.

Treatment C = inhaler placebo and IV placebo for first dose, inhaler placebo for second dose at Visit 4.

Group Type OTHER

MAP0004

Intervention Type DRUG

1.0 mg orally inhaled MAP0004 administered in Treatment B as per protocol

IV Placebo (Saline)

Intervention Type DRUG

IV Placebo (Saline) administered in Treatment B and Treatment C as per protocol

Placebo Inhaler

Intervention Type DRUG

Orally inhaled Placebo administered in Treatment A and Treatment C as per protocol.

IV Dihydroergotamine Mesylate (DHE)

Intervention Type DRUG

IV DHE administered in Treatment A as per protocol

Treatment B, then Treatment C, then Treatment A

The second dose in each treatment group (B,C,A) was given two hours from the time of the first dose. There were 7-11 days between each treatment visit.

Treatment B = MAP0004 1.0mg and IV placebo for first dose, MAP0004 1.0mg for second dose at Visit 2.

Treatment C = inhaler placebo and IV placebo for first dose, inhaler placebo for second dose at Visit 3.

Treatment A = inhaler placebo and IV DHE for first dose, inhaler placebo for second dose at Visit 4.

Group Type OTHER

MAP0004

Intervention Type DRUG

1.0 mg orally inhaled MAP0004 administered in Treatment B as per protocol

IV Placebo (Saline)

Intervention Type DRUG

IV Placebo (Saline) administered in Treatment B and Treatment C as per protocol

Placebo Inhaler

Intervention Type DRUG

Orally inhaled Placebo administered in Treatment A and Treatment C as per protocol.

IV Dihydroergotamine Mesylate (DHE)

Intervention Type DRUG

IV DHE administered in Treatment A as per protocol

Treatment C, then Treatment A, then Treatment B

The second dose in each treatment group (C,A,B) was given two hours from the time of the first dose. There were 7-11 days between each treatment visit.

Treatment C = inhaler placebo and IV placebo for first dose, inhaler placebo for second dose at Visit 2.

Treatment A = inhaler placebo and IV DHE for first dose, inhaler placebo for second dose at Visit 3.

Treatment B = MAP0004 1.0mg and IV placebo for first dose, MAP0004 1.0mg for second dose at Visit 4.

Group Type OTHER

MAP0004

Intervention Type DRUG

1.0 mg orally inhaled MAP0004 administered in Treatment B as per protocol

IV Placebo (Saline)

Intervention Type DRUG

IV Placebo (Saline) administered in Treatment B and Treatment C as per protocol

Placebo Inhaler

Intervention Type DRUG

Orally inhaled Placebo administered in Treatment A and Treatment C as per protocol.

IV Dihydroergotamine Mesylate (DHE)

Intervention Type DRUG

IV DHE administered in Treatment A as per protocol

Treatment C, then Treatment B, then Treatment A

The second dose in each treatment group (C,B,A) was given two hours from the time of the first dose. There were 7-11 days between each treatment visit.

Treatment C = inhaler placebo and IV placebo for first dose, inhaler placebo for second dose at Visit 2.

Treatment B = MAP0004 1.0mg and IV placebo for first dose, MAP0004 1.0mg for second dose at Visit 3.

Treatment A = inhaler placebo and IV DHE for first dose, inhaler placebo for second dose at Visit 4.

Group Type OTHER

MAP0004

Intervention Type DRUG

1.0 mg orally inhaled MAP0004 administered in Treatment B as per protocol

IV Placebo (Saline)

Intervention Type DRUG

IV Placebo (Saline) administered in Treatment B and Treatment C as per protocol

Placebo Inhaler

Intervention Type DRUG

Orally inhaled Placebo administered in Treatment A and Treatment C as per protocol.

IV Dihydroergotamine Mesylate (DHE)

Intervention Type DRUG

IV DHE administered in Treatment A as per protocol

Interventions

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MAP0004

1.0 mg orally inhaled MAP0004 administered in Treatment B as per protocol

Intervention Type DRUG

IV Placebo (Saline)

IV Placebo (Saline) administered in Treatment B and Treatment C as per protocol

Intervention Type DRUG

Placebo Inhaler

Orally inhaled Placebo administered in Treatment A and Treatment C as per protocol.

Intervention Type DRUG

IV Dihydroergotamine Mesylate (DHE)

IV DHE administered in Treatment A as per protocol

Intervention Type DRUG

Other Intervention Names

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D.H.E.45®

Eligibility Criteria

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Inclusion Criteria

1. Able to provide a signed, executed written informed consent
2. Healthy non-smoking adult volunteers: Male or Female subjects 18 to 45 years old
3. Female subjects who are practicing adequate contraception
4. Stable cardiac status
5. Normal hemoglobin values
6. Normal Echocardiogram
7. Normal or not clinically significant 12-lead Electrocardiogram
8. Demonstrated ability to properly use the Tempo® Inhaler
9. Subject has not donated blood in the last 56 days

Exclusion Criteria

1. Contraindication to dihydroergotamine mesylate (DHE)
2. Use of any excluded concomitant medications within the 10 days prior to Visit 1
3. History of hemiplegic or basilar migraine
4. Participation in another investigational trial during the 30 days prior to Visit 1
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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MAP Pharmaceuticals, Inc., a wholly owned subsidiary of Allergan

INDUSTRY

Sponsor Role collaborator

Allergan

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Robert J Noveck, M.D., Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Duke Clinical Research Unit

Locations

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Duke Clinical Research Unit

Durham, North Carolina, United States

Site Status

Countries

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United States

References

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Noveck RJ, Douglas PS, Chow SC, Mangum B, Kori S, Kellerman DJ. Assessing acute systemic effects of an inhaled drug with serial echocardiography: a placebo-controlled comparison of inhaled and intravenous dihydroergotamine. Drug Des Devel Ther. 2013 Jul 24;7:619-25. doi: 10.2147/DDDT.S44093. Print 2013.

Reference Type DERIVED
PMID: 23926420 (View on PubMed)

Other Identifiers

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MAP0004-CL-P102

Identifier Type: -

Identifier Source: org_study_id

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