Trial Outcomes & Findings for QT Intervals Study to Compare the Acute Effects of Orally Inhaled Dihydroergotamine (DHE), Oral Moxifloxacin, and Placebo (NCT NCT01191723)

NCT ID: NCT01191723

Last Updated: 2014-01-09

Results Overview

The corrected QT interval, individualized (QTcI) is a measurement of the electrical impulses through the largest part of the heart muscle individualized for subject pre-dose values. A negative change is a shortening of the QTc interval, a positive change is a lengthening of the QTc interval.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

54 participants

Primary outcome timeframe

baseline and 30 minutes

Results posted on

2014-01-09

Participant Flow

This is a 3-treatment, 3-period, 6-sequence crossover study. Each subject received all 3 treatments in a randomly assigned order: treatments A, B, and C, the sequences were ABC, ACB, BAC, BCA, CAB, and CBA.

Participant milestones

Participant milestones
Measure
Treatment A, Then B, Then C
Treatment A = inhaler placebo and moxifloxacin 400mg encapsulated tablet at Visit 2. Treatment B = MAP0004 3.0mg (via inhalation) and placebo capsules at Visit 3. Treatment C = inhaler placebo and placebo capsules at Visit 4.
Treatment A, Then C, Then B
Treatment A = inhaler placebo and moxifloxacin 400mg encapsulated tablet at Visit 2. Treatment C = inhaler placebo and placebo capsules at Visit 3. Treatment B = MAP0004 3.0mg (via inhalation) and placebo capsules at Visit 4.
Treatment B, Then A, Then C
Treatment B = MAP0004 3.0mg (via inhalation) and placebo capsules at Visit 2. Treatment A = inhaler placebo and moxifloxacin 400mg encapsulated tablet at Visit 3. Treatment C = inhaler placebo and placebo capsules at Visit 4.
Treatment B, Then C, Then A
Treatment B = MAP0004 3.0mg (via inhalation) and placebo capsules at Visit 2. Treatment C = inhaler placebo and placebo capsules at Visit 3. Treatment A = inhaler placebo and moxifloxacin 400mg encapsulated tablet at Visit 4.
Treatment C, Then A, Then B
Treatment C = inhaler placebo and placebo capsules at Visit 2. Treatment A = inhaler placebo and moxifloxacin 400mg encapsulated tablet at Visit 3. Treatment B = MAP0004 3.0mg (via inhalation) and placebo capsules at Visit 4.
Treatment C, Then B, Then A
Treatment C = inhaler placebo and placebo capsules at Visit 2. Treatment B = MAP0004 3.0mg (via inhalation) and placebo capsules at Visit 3. Treatment A = inhaler placebo and moxifloxacin 400mg encapsulated tablet at Visit 4.
Overall Study
STARTED
9
9
9
9
9
9
Overall Study
COMPLETED
9
9
9
9
9
9
Overall Study
NOT COMPLETED
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

QT Intervals Study to Compare the Acute Effects of Orally Inhaled Dihydroergotamine (DHE), Oral Moxifloxacin, and Placebo

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Subjects
n=54 Participants
All subjects enrolled in the study.
Age, Continuous
28.0 years
STANDARD_DEVIATION 6.79 • n=5 Participants
Sex: Female, Male
Female
34 Participants
n=5 Participants
Sex: Female, Male
Male
20 Participants
n=5 Participants

PRIMARY outcome

Timeframe: baseline and 30 minutes

Population: Patients with data available at required time point were included in the analysis population.

The corrected QT interval, individualized (QTcI) is a measurement of the electrical impulses through the largest part of the heart muscle individualized for subject pre-dose values. A negative change is a shortening of the QTc interval, a positive change is a lengthening of the QTc interval.

Outcome measures

Outcome measures
Measure
Treatment C (Placebo)
n=52 Participants
Treatment C = inhaler placebo and placebo capsules.
Treatment B (MAP0004 3.0mg)
n=54 Participants
Treatment B = MAP0004 3.0mg (via inhalation) and placebo capsules.
Treatment A (Moxifloxacin)
Treatment A = inhaler placebo and moxifloxacin 400mg encapsulated tablet.
Change From Baseline in QTcI for MAP0004 3.0mg and Placebo at 30 Minutes
Change from Baseline at 30 mins
-4.7 milliseconds
Standard Deviation 6.2
-4.6 milliseconds
Standard Deviation 7.3
Change From Baseline in QTcI for MAP0004 3.0mg and Placebo at 30 Minutes
Baseline
408.8 milliseconds
Standard Deviation 20.1
409.6 milliseconds
Standard Deviation 20.9

PRIMARY outcome

Timeframe: baseline and 2 hours

Population: Patients with data available at required time point were included in the analysis population.

The corrected QT interval, individualized (QTcI) is a measurement of the electrical impulses through the largest part of the heart muscle individualized for subject pre-dose values. A negative change is a shortening of the QTc interval, a positive change is a lengthening of the QTc interval.

Outcome measures

Outcome measures
Measure
Treatment C (Placebo)
n=52 Participants
Treatment C = inhaler placebo and placebo capsules.
Treatment B (MAP0004 3.0mg)
n=54 Participants
Treatment B = MAP0004 3.0mg (via inhalation) and placebo capsules.
Treatment A (Moxifloxacin)
n=54 Participants
Treatment A = inhaler placebo and moxifloxacin 400mg encapsulated tablet.
Change From Baseline in QTcI for MAP0004 3.0mg, Placebo, and Moxifloxacin at 2 Hours
Baseline
408.8 milliseconds
Standard Deviation 20.1
409.6 milliseconds
Standard Deviation 20.9
408.6 milliseconds
Standard Deviation 20.0
Change From Baseline in QTcI for MAP0004 3.0mg, Placebo, and Moxifloxacin at 2 Hours
Change from Baseline at 2 hours
-2.3 milliseconds
Standard Deviation 7.0
-5.1 milliseconds
Standard Deviation 6.7
9.0 milliseconds
Standard Deviation 6.8

SECONDARY outcome

Timeframe: baseline and 30 minutes

Population: Patients with data available at required time point were included in the analysis population.

The Fridericia corrected QT interval(QTcF) is a measurement of the electrical impulses through the largest part of the heart muscle. A negative change is a shortening of the QTc interval, a positive change is a lengthening of the QTc interval.

Outcome measures

Outcome measures
Measure
Treatment C (Placebo)
n=52 Participants
Treatment C = inhaler placebo and placebo capsules.
Treatment B (MAP0004 3.0mg)
n=54 Participants
Treatment B = MAP0004 3.0mg (via inhalation) and placebo capsules.
Treatment A (Moxifloxacin)
Treatment A = inhaler placebo and moxifloxacin 400mg encapsulated tablet.
Change From Baseline in QTcF for MAP0004 3.0mg and Placebo at 30 Minutes
Baseline
406.8 milliseconds
Standard Deviation 18.4
407.7 milliseconds
Standard Deviation 20.0
Change From Baseline in QTcF for MAP0004 3.0mg and Placebo at 30 Minutes
Change from Baseline at 30 mins
-5.0 milliseconds
Standard Deviation 6.4
-4.7 milliseconds
Standard Deviation 6.7

SECONDARY outcome

Timeframe: baseline and 2 hours

Population: Patients with data available at required time point were included in the analysis population.

The Fridericia corrected QT interval(QTcF) is a measurement of the electrical impulses through the largest part of the heart muscle. A negative change is a shortening of the QTc interval, a positive change is a lengthening of the QTc interval.

Outcome measures

Outcome measures
Measure
Treatment C (Placebo)
n=52 Participants
Treatment C = inhaler placebo and placebo capsules.
Treatment B (MAP0004 3.0mg)
n=54 Participants
Treatment B = MAP0004 3.0mg (via inhalation) and placebo capsules.
Treatment A (Moxifloxacin)
n=54 Participants
Treatment A = inhaler placebo and moxifloxacin 400mg encapsulated tablet.
Change From Baseline in QTcF for MAP0004 3.0mg, Placebo, and Moxifloxacin at 2 Hours
Baseline
406.8 milliseconds
Standard Deviation 18.4
407.7 milliseconds
Standard Deviation 20.0
407.0 milliseconds
Standard Deviation 18.7
Change From Baseline in QTcF for MAP0004 3.0mg, Placebo, and Moxifloxacin at 2 Hours
Change from Baseline at 2 hours
-1.8 milliseconds
Standard Deviation 6.9
-3.9 milliseconds
Standard Deviation 6.0
8.5 milliseconds
Standard Deviation 6.3

SECONDARY outcome

Timeframe: baseline, 30 minutes, and 2 hours

Population: Patients with data available at required time point were included in the analysis population.

The heart rate is a measure of how fast or slow the heart beats (measured in beats per minute). A negative change indicates a decrease in heart rate and a positive change indicates an increase in heart rate.

Outcome measures

Outcome measures
Measure
Treatment C (Placebo)
n=52 Participants
Treatment C = inhaler placebo and placebo capsules.
Treatment B (MAP0004 3.0mg)
n=54 Participants
Treatment B = MAP0004 3.0mg (via inhalation) and placebo capsules.
Treatment A (Moxifloxacin)
n=54 Participants
Treatment A = inhaler placebo and moxifloxacin 400mg encapsulated tablet.
Change From Baseline in Heart Rate for MAP0004 3.0mg, Placebo, and Moxifloxacin at 30 Minutes and 2 Hours
Baseline
64.1 beats per minute (bpm)
Standard Deviation 9.1
64.6 beats per minute (bpm)
Standard Deviation 9.5
63.8 beats per minute (bpm)
Standard Deviation 9.5
Change From Baseline in Heart Rate for MAP0004 3.0mg, Placebo, and Moxifloxacin at 30 Minutes and 2 Hours
Change from Baseline at 30 minutes
1.0 beats per minute (bpm)
Standard Deviation 4.2
-0.2 beats per minute (bpm)
Standard Deviation 5.8
2.4 beats per minute (bpm)
Standard Deviation 4.1
Change From Baseline in Heart Rate for MAP0004 3.0mg, Placebo, and Moxifloxacin at 30 Minutes and 2 Hours
Change from Baseline at 2 hours
-2.1 beats per minute (bpm)
Standard Deviation 4.3
-4.4 beats per minute (bpm)
Standard Deviation 6.7
0.3 beats per minute (bpm)
Standard Deviation 5.2

Adverse Events

Treatment C (Placebo)

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Treatment B (MAP0004 3.0mg)

Serious events: 0 serious events
Other events: 26 other events
Deaths: 0 deaths

Treatment A (Moxifloxacin)

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment C (Placebo)
n=54 participants at risk
Treatment C = inhaler placebo and placebo capsules
Treatment B (MAP0004 3.0mg)
n=54 participants at risk
Treatment B = MAP0004 3.0mg (via inhalation) and placebo capsules
Treatment A (Moxifloxacin)
n=54 participants at risk
Treatment A = inhaler placebo and moxifloxacin 400mg encapsulated tablet
Gastrointestinal disorders
Nausea
0.00%
0/54
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
27.8%
15/54
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
3.7%
2/54
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
Gastrointestinal disorders
Vomiting
0.00%
0/54
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
7.4%
4/54
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/54
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
Nervous system disorders
Dizziness
0.00%
0/54
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
9.3%
5/54
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
7.4%
4/54
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
Nervous system disorders
Headache
3.7%
2/54
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
18.5%
10/54
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
3.7%
2/54
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
Nervous system disorders
Paraesthesia
0.00%
0/54
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
5.6%
3/54
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.
0.00%
0/54
Adverse events are presented by treatment arm, not by individual treatment (intervention) received.

Additional Information

VP, Scientific Affairs

MAP Pharmaceuticals Inc., a wholly owned subsidiary of Allergan

Phone: 650-386-3100

Results disclosure agreements

  • Principal investigator is a sponsor employee A disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 90 days from the time submitted to the sponsor for review. The sponsor cannot require changes to the communication and cannot extend the embargo.
  • Publication restrictions are in place

Restriction type: OTHER