Trial Outcomes & Findings for Safety and Pharmacokinetics Study of Intranasal Ketorolac in Elderly and Nonelderly Adult Healthy Subjects (NCT NCT01365624)

NCT ID: NCT01365624

Last Updated: 2013-02-06

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

30 participants

Primary outcome timeframe

Blood samples for PK analyses were obtained at pre-dose (15 minutes prior to ketorolac administration), 15 minutes, 30 minutes, 45 minutes, 1 hour, 1 hour and 30 minutes, 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 15 hours and 24 hours post-dose

Results posted on

2013-02-06

Participant Flow

February 2008 through April 2008; Clinical Unit

After subjects had given their informed consent, subjects were required to pass a screening visit within 3 weeks prior to study drug administration.

Participant milestones

Participant milestones
Measure
Ketorolac Tromethamine (Elderly Adults ≥ 65)
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
Ketorolac Tromethamine (Nonelderly Adults < 65)
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
Overall Study
STARTED
15
15
Overall Study
COMPLETED
15
15
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety and Pharmacokinetics Study of Intranasal Ketorolac in Elderly and Nonelderly Adult Healthy Subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ketorolac Tromethamine (Elderly Adults ≥ 65)
n=15 Participants
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
Ketorolac Tromethamine (Nonelderly Adults < 65)
n=15 Participants
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
Total
n=30 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
15 Participants
n=7 Participants
15 Participants
n=5 Participants
Age, Categorical
>=65 years
15 Participants
n=5 Participants
0 Participants
n=7 Participants
15 Participants
n=5 Participants
Age Continuous
71.9 years
STANDARD_DEVIATION 5.9 • n=5 Participants
44.2 years
STANDARD_DEVIATION 10.3 • n=7 Participants
58.1 years
STANDARD_DEVIATION 16.3 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
6 Participants
n=7 Participants
14 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
9 Participants
n=7 Participants
16 Participants
n=5 Participants
Region of Enrollment
United States
15 participants
n=5 Participants
15 participants
n=7 Participants
30 participants
n=5 Participants

PRIMARY outcome

Timeframe: Blood samples for PK analyses were obtained at pre-dose (15 minutes prior to ketorolac administration), 15 minutes, 30 minutes, 45 minutes, 1 hour, 1 hour and 30 minutes, 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 15 hours and 24 hours post-dose

Outcome measures

Outcome measures
Measure
Ketorolac Tromethamine (Elderly Adults ≥ 65)
n=15 Participants
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
Ketorolac Tromethamine (Nonelderly Adults < 65)
n=15 Participants
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
Cmax (Maximum Plasma Concentration)
1782.286 ng/mL
Standard Deviation 1184.843
1840.111 ng/mL
Standard Deviation 995.930

PRIMARY outcome

Timeframe: Blood samples for PK analyses were obtained at pre-dose (15 minutes prior to ketorolac administration), 15 minutes, 30 minutes, 45 minutes, 1 hour, 1 hour and 30 minutes, 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 15 hours and 24 hours post-dose

Outcome measures

Outcome measures
Measure
Ketorolac Tromethamine (Elderly Adults ≥ 65)
n=15 Participants
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
Ketorolac Tromethamine (Nonelderly Adults < 65)
n=15 Participants
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
Tmax (Time to Reach Maximum Plasma Concentration)
0.750 hours
Interval 0.5 to 1.0
0.750 hours
Interval 0.25 to 1.0

PRIMARY outcome

Timeframe: Blood samples for PK analyses were obtained at pre-dose (15 minutes prior to ketorolac administration), 15 minutes, 30 minutes, 45 minutes, 1 hour, 1 hour and 30 minutes, 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 15 hours and 24 hours post-dose

Outcome measures

Outcome measures
Measure
Ketorolac Tromethamine (Elderly Adults ≥ 65)
n=15 Participants
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
Ketorolac Tromethamine (Nonelderly Adults < 65)
n=15 Participants
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
AUClast (Area Under the Plasma Concentration-time Profile From Time Zero to the Last Quantifiable Time Point Post-dose
7323.5 ng*hours/mL
Standard Deviation 4633.1
6536.5 ng*hours/mL
Standard Deviation 3361.8

PRIMARY outcome

Timeframe: Blood samples for PK analyses were obtained at pre-dose (15 minutes prior to ketorolac administration), 15 minutes, 30 minutes, 45 minutes, 1 hour, 1 hour and 30 minutes, 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 15 hours and 24 hours post-dose

Population: Two subjects had abnormally low plasma ketorolac concentration-time profiles that were inconsistent with the rest of the elderly population.

Outcome measures

Outcome measures
Measure
Ketorolac Tromethamine (Elderly Adults ≥ 65)
n=13 Participants
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
Ketorolac Tromethamine (Nonelderly Adults < 65)
n=15 Participants
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
AUC (Area Under the Plasma Concentration-time Profile From Time 0 to Infinity
8794.8 ng*hours/mL
Standard Deviation 4129.4
6890.8 ng*hours/mL
Standard Deviation 3448.5

PRIMARY outcome

Timeframe: Blood samples for PK analyses were obtained at pre-dose (15 minutes prior to ketorolac administration), 15 minutes, 30 minutes, 45 minutes, 1 hour, 1 hour and 30 minutes, 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 15 hours and 24 hours post-dose

Population: Two subjects had abnormally low plasma ketorolac concentration-time profiles that were inconsistent with the rest of the elderly population.

Outcome measures

Outcome measures
Measure
Ketorolac Tromethamine (Elderly Adults ≥ 65)
n=13 Participants
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
Ketorolac Tromethamine (Nonelderly Adults < 65)
n=15 Participants
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
t1/2z (Terminal Half-life)
4.521 hours
Standard Deviation 1.142
3.313 hours
Standard Deviation 0.961

PRIMARY outcome

Timeframe: Blood samples for PK analyses were obtained at pre-dose (15 minutes prior to ketorolac administration), 15 minutes, 30 minutes, 45 minutes, 1 hour, 1 hour and 30 minutes, 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 15 hours and 24 hours post-dose

Population: Two subjects had abnormally low plasma ketorolac concentration-time profiles that were inconsistent with the rest of the elderly population.

Outcome measures

Outcome measures
Measure
Ketorolac Tromethamine (Elderly Adults ≥ 65)
n=13 Participants
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
Ketorolac Tromethamine (Nonelderly Adults < 65)
n=15 Participants
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
MRT (Mean Residence Time)
6.024 hours
Standard Deviation 1.496
4.441 hours
Standard Deviation 1.060

Adverse Events

Ketorolac Tromethamine (Elderly Adults ≥ 65)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Ketorolac Tromethamine (Nonelderly Adults < 65)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Ketorolac Tromethamine (Elderly Adults ≥ 65)
n=15 participants at risk
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
Ketorolac Tromethamine (Nonelderly Adults < 65)
n=15 participants at risk
Ketorolac tromethamine : Single dose of 30 mg of intranasal Ketorolac tromethamine (100 uL of a 15% solution in each nostril)
Infections and infestations
Hordeolum
6.7%
1/15 • Number of events 1 • 1 month and 1 week
0.00%
0/15 • 1 month and 1 week
Nervous system disorders
Headache
0.00%
0/15 • 1 month and 1 week
6.7%
1/15 • Number of events 1 • 1 month and 1 week

Additional Information

David Bregman, M.D., Ph.D

Luitpold Pharmaceuticals, Inc.

Phone: 610-650-4200

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place