Trial Outcomes & Findings for Experimental Pain Study to Assess Local Anesthetic Efficacy and Safety of CTY-5339 Anesthetic Spray in Normal Volunteers (NCT NCT02908620)

NCT ID: NCT02908620

Last Updated: 2019-07-02

Results Overview

Evaluations were completed at 1-minute intervals for the first 5 minutes to capture onset of anesthesia. Starting at 5 minutes after drug administration, the PPT was done at 5 minute intervals up to the one hour time point. If there was no indication of anesthesia by 10 minutes, the subject was considered a treatment failure and the assessment of PPT was discontinued. In addition, once onset of anesthesia had occurred, if there was no longer any anesthesia at two consecutive evaluation time points from 10 minutes onward, the assessment of PPT was discontinued. The PPT was assessed using a 90-mm, 26-gauge pencil-point spinal needle. At screening, 3 pin pricks were performed on each cheek. Pin pricks were assessed using a 0 (no pain) to 10 (severe pain) Numerical Rating Scale (NRS). In order to be eligible for the study, for each cheek, subjects must have had a minimum score of "3" for the last 2 pin pricks, and one of those scores had to be "4" or higher.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

40 participants

Primary outcome timeframe

Change in pain assessment from baseline (time of application) up to one hour post-application

Results posted on

2019-07-02

Participant Flow

Study conducted at the University of Pennsylvania School of Dental Medicine. 240 South 40th Street, Robert Schattner Center, Philadelphia, PA 19104. Recruitment was from normal volunteers.

Participant milestones

Participant milestones
Measure
One Spray CTY-5339-A, Then One Spray CTY-5339-CB
A single spray of CTY-5339-A Anesthetic Spray (14.0% benzocaine and 2.0% tetracaine HCl) tested over a 60 minute session, followed by a 4-14 day washout period, followed by a single spray of CTY-5339-CB Anesthetic Spray (14.0% benzocaine) tested over a 60 minute session.
2 Sprays CTY-5339-A, Then 1 Spray CTY-5339-CB +1 Spray Placebo
Two sprays of CTY-5339-A Anesthetic Spray (14.0% benzocaine and 2.0% tetracaine HCl) tested over a 60 minute session, followed by a 4-14 day washout period, followed by a single spray of CTY-5339-CB Anesthetic Spray (14.0% benzocaine) and a single spray of vehicle control (CTY-5339-P) (sprayed outside the circumscribed area to avoid dilution of active drug) tested over a 60 minute session.
One Spray of CTY-5339-CB, Then One Spray CTY-5339-A
A single spray of CTY-5339-CB Anesthetic Spray (14.0% benzocaine) tested over a 60 minute session, followed by a 4-14 day washout period, followed by a single spray of CTY-5339-A Anesthetic Spray (14.0% benzocaine and 2.0% tetracaine HCl) tested over a 60 minute session.
1 Spray CTY-5339-CB +1 Spray Placebo, Then 2 Sprays CTY-5339-A
A single spray of CTY-5339-CB Anesthetic Spray (14.0% benzocaine) and a single spray of vehicle control (CTY-5339-P) (sprayed outside the circumscribed area to avoid dilution of active drug) tested over a 60 minute session, followed by a 4-14 day washout period, followed by a two sprays of CTY-5339-A Anesthetic Spray (14.0% benzocaine and 2.0% tetracaine HCl) tested over a 60 minute session.
Overall Study
STARTED
10
10
10
10
Overall Study
COMPLETED
10
10
10
10
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Experimental Pain Study to Assess Local Anesthetic Efficacy and Safety of CTY-5339 Anesthetic Spray in Normal Volunteers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
One Spray CTY-5339-A, Then One Spray CTY-5339-CB
n=10 Participants
A single spray of CTY-5339-A Anesthetic Spray (14.0% benzocaine and 2.0% tetracaine HCl) tested over a 60 minute session, followed by a 4-14 day washout period, followed by a single spray of CTY-5339-CB Anesthetic Spray (14.0% benzocaine) tested over a 60 minute session.
2 Sprays CTY-5339-A, Then 1 Spray CTY-5339-CB +1 Spray Placebo
n=10 Participants
Two sprays of CTY-5339-A Anesthetic Spray (14.0% benzocaine and 2.0% tetracaine HCl) tested over a 60 minute session, followed by a 4-14 day washout period, followed by a single spray of CTY-5339-CB Anesthetic Spray (14.0% benzocaine) and a single spray of vehicle control (CTY-5339-P) (sprayed outside the circumscribed area to avoid dilution of active drug) tested over a 60 minute session.
One Spray of CTY-5339-CB, Then One Spray CTY-5339-A
n=10 Participants
Two sprays of CTY-5339-A Anesthetic Spray (14.0% benzocaine and 2.0% tetracaine HCl) tested over a 60 minute session, followed by a 4-14 day washout period, followed by a single spray of CTY-5339-CB Anesthetic Spray (14.0% benzocaine) and a single spray of vehicle control (CTY-5339-P) (sprayed outside the circumscribed area to avoid dilution of active drug) tested over a 60 minute session.
1 Spray CTY-5339-CB +1 Spray Placebo, Then 2 Sprays CTY-5339-A
n=10 Participants
A single spray of CTY-5339-CB Anesthetic Spray (14.0% benzocaine) and a single spray of vehicle control (CTY-5339-P) (sprayed outside the circumscribed area to avoid dilution of active drug) tested over a 60 minute session, followed by a 4-14 day washout period, followed by a two sprays of CTY-5339-A Anesthetic Spray (14.0% benzocaine and 2.0% tetracaine HCl) tested over a 60 minute session.
Total
n=40 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
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=5 Participants
10 Participants
n=7 Participants
10 Participants
n=5 Participants
10 Participants
n=4 Participants
40 Participants
n=21 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Continuous
28.6 years
STANDARD_DEVIATION 9.0 • n=5 Participants
25.0 years
STANDARD_DEVIATION 1.8 • n=7 Participants
26.4 years
STANDARD_DEVIATION 2.8 • n=5 Participants
27.6 years
STANDARD_DEVIATION 6.4 • n=4 Participants
26.9 years
STANDARD_DEVIATION 5.7 • n=21 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
6 Participants
n=7 Participants
4 Participants
n=5 Participants
9 Participants
n=4 Participants
25 Participants
n=21 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
1 Participants
n=4 Participants
15 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=5 Participants
10 Participants
n=7 Participants
10 Participants
n=5 Participants
10 Participants
n=4 Participants
40 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
1 Participants
n=4 Participants
11 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
4 Participants
n=21 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
6 Participants
n=7 Participants
3 Participants
n=5 Participants
7 Participants
n=4 Participants
22 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
2 Participants
n=21 Participants
Region of Enrollment
United States
10 participants
n=5 Participants
10 participants
n=7 Participants
10 participants
n=5 Participants
10 participants
n=4 Participants
40 participants
n=21 Participants
Weight (lbs)
163.6 lbs
STANDARD_DEVIATION 38.3 • n=5 Participants
153.6 lbs
STANDARD_DEVIATION 31.8 • n=7 Participants
151.4 lbs
STANDARD_DEVIATION 33.7 • n=5 Participants
144.5 lbs
STANDARD_DEVIATION 18.0 • n=4 Participants
153.3 lbs
STANDARD_DEVIATION 30.9 • n=21 Participants
Height (inches)
66.7 inches
STANDARD_DEVIATION 3.4 • n=5 Participants
67.1 inches
STANDARD_DEVIATION 2.6 • n=7 Participants
68.3 inches
STANDARD_DEVIATION 2.3 • n=5 Participants
67.0 inches
STANDARD_DEVIATION 2.9 • n=4 Participants
67.3 inches
STANDARD_DEVIATION 2.8 • n=21 Participants

PRIMARY outcome

Timeframe: Change in pain assessment from baseline (time of application) up to one hour post-application

Population: Modified Intent-to-Treat (mITT) population: all randomized subjects who, as documented prior to the breaking of the study blind: (1) met all the inclusion and exclusion criteria and; (2) either completed the two 60 minute test sessions or returned to baseline values in all evaluation tests.

Evaluations were completed at 1-minute intervals for the first 5 minutes to capture onset of anesthesia. Starting at 5 minutes after drug administration, the PPT was done at 5 minute intervals up to the one hour time point. If there was no indication of anesthesia by 10 minutes, the subject was considered a treatment failure and the assessment of PPT was discontinued. In addition, once onset of anesthesia had occurred, if there was no longer any anesthesia at two consecutive evaluation time points from 10 minutes onward, the assessment of PPT was discontinued. The PPT was assessed using a 90-mm, 26-gauge pencil-point spinal needle. At screening, 3 pin pricks were performed on each cheek. Pin pricks were assessed using a 0 (no pain) to 10 (severe pain) Numerical Rating Scale (NRS). In order to be eligible for the study, for each cheek, subjects must have had a minimum score of "3" for the last 2 pin pricks, and one of those scores had to be "4" or higher.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=18 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredients: 14.0% Benzocaine (USP = 28 mg) and 2.0% Tetracaine Hydrochloride (USP = 4 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
n=18 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB in Combination With One Spray CTY-5339-P
A single spray of CTY-5339-CB in a metered spray bottle with ≈200 uL total spray volume, containing the active ingredient: 14.0% Benzocaine (USP = 28 mg). This was administered in combination with a single spray of CTY-5339-P (acting as vehicle control placebo with no active ingredient) in a metered spray bottle with ≈200 uL total spray volume. This combination was used to maintain double-blind conditions. The vehicle control was sprayed outside the circumscribed area to avoid dilution of active drug.
Duration of Anesthesia as Measured by Pin Prick Test (PPT) for One Spray CTY-5339-A Compared to One Spray CTY-5339-CB
17.9 minutes
Standard Deviation 12.9
16.4 minutes
Standard Deviation 14.8

PRIMARY outcome

Timeframe: Change in temperature from baseline (time of application) up to one hour post-application

Population: Modified Intent-to-Treat (mITT) population: all randomized subjects who, as documented prior to the breaking of the study blind: (1) met all the inclusion and exclusion criteria and; (2) either completed the two 60 minute test sessions or returned to baseline values in all evaluation tests.

Starting at 5 minutes after drug administration, the QST was done at 5 minute intervals up to the one hour time point. If there was no indication of anesthesia by 10 minutes, the subject was considered a treatment failure and the assessment of PPT was discontinued. In addition, once onset of anesthesia had occurred, if there was no longer any anesthesia at two consecutive evaluation time points from 10 minutes onward, the assessment of QST was discontinued. The heat stimuli were delivered in 3 repetitions, with inter-stimulus intervals of 30s. The basal thermode temperature was set at a comfortable 35ºC. The rate at which the thermode heated up was set at 0.5ºC/s, while the rate at which it cooled down was set at 8ºC/s. The maximum thermode temperature was set at 51ºC. Heat sensation threshold was defined as the temperature at which the subjects first felt tingling, warmth, heat, or pain.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=19 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredients: 14.0% Benzocaine (USP = 28 mg) and 2.0% Tetracaine Hydrochloride (USP = 4 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
n=18 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB in Combination With One Spray CTY-5339-P
A single spray of CTY-5339-CB in a metered spray bottle with ≈200 uL total spray volume, containing the active ingredient: 14.0% Benzocaine (USP = 28 mg). This was administered in combination with a single spray of CTY-5339-P (acting as vehicle control placebo with no active ingredient) in a metered spray bottle with ≈200 uL total spray volume. This combination was used to maintain double-blind conditions. The vehicle control was sprayed outside the circumscribed area to avoid dilution of active drug.
Duration of Anesthesia as Measured by Heat Sensation Threshold (QST Heat) for One Spray CTY-5339-A Compared to One Spray CTY-5339-CB
44.6 minutes
Standard Deviation 17.8
51.1 minutes
Standard Deviation 12.9

SECONDARY outcome

Timeframe: Time of application up to one hour post-application

Population: Modified Intent-to-Treat (mITT) population: all randomized subjects who, as documented prior to the breaking of the study blind: (1) met all the inclusion and exclusion criteria and; (2) either completed the two 60 minute test sessions or returned to baseline values in all evaluation tests.

Assessments will be made over a period of one hour, with assessments at 1 minute intervals for the first 5 minutes and then every 5 minutes after that. Duration of effect was defined as the time (in minutes) from onset to treatment failure (i.e., for PPT, an assessment of "Same/More" pain, and for QST, the average heat temperature was greater than the average heat temperature at Baseline (non-treated cheek), up to the 60-minute time point (at two consecutive time points).

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=18 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredients: 14.0% Benzocaine (USP = 28 mg) and 2.0% Tetracaine Hydrochloride (USP = 4 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
n=17 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB in Combination With One Spray CTY-5339-P
A single spray of CTY-5339-CB in a metered spray bottle with ≈200 uL total spray volume, containing the active ingredient: 14.0% Benzocaine (USP = 28 mg). This was administered in combination with a single spray of CTY-5339-P (acting as vehicle control placebo with no active ingredient) in a metered spray bottle with ≈200 uL total spray volume. This combination was used to maintain double-blind conditions. The vehicle control was sprayed outside the circumscribed area to avoid dilution of active drug.
Duration of Anesthesia as Measured by Pin Prick Test (PPT) for Two Sprays CTY-5339-A Compared to One Spray CTY-5339-CB in Combination With One Spray CTY-5339-P (Placebo)
17.3 Minutes
Standard Deviation 17.0
13.5 Minutes
Standard Deviation 14.7

SECONDARY outcome

Timeframe: Time of application up to one hour post-application

Population: Modified Intent-to-Treat (mITT) population: all randomized subjects who, as documented prior to the breaking of the study blind: (1) met all the inclusion and exclusion criteria and; (2) either completed the two 60 minute test sessions or returned to baseline values in all evaluation tests.

Assessments will be made over a period of one hour, with assessments at 1 minute intervals for the first 5 minutes and then every 5 minutes after that. Duration of effect was defined as the time (in minutes) from onset to treatment failure (i.e., for PPT, an assessment of "Same/More" pain, and for QST, the average heat temperature was greater than the average heat temperature at Baseline (non-treated cheek), up to the 60-minute time point (at two consecutive time points).

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=19 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredients: 14.0% Benzocaine (USP = 28 mg) and 2.0% Tetracaine Hydrochloride (USP = 4 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
n=20 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB in Combination With One Spray CTY-5339-P
A single spray of CTY-5339-CB in a metered spray bottle with ≈200 uL total spray volume, containing the active ingredient: 14.0% Benzocaine (USP = 28 mg). This was administered in combination with a single spray of CTY-5339-P (acting as vehicle control placebo with no active ingredient) in a metered spray bottle with ≈200 uL total spray volume. This combination was used to maintain double-blind conditions. The vehicle control was sprayed outside the circumscribed area to avoid dilution of active drug.
Duration of Anesthesia as Measured by QST Heat for Two Sprays CTY-5339-A Compared to One Spray CTY-5339-CB in Combination With One Spray CTY-5339-P (Placebo)
46.8 minutes
Standard Deviation 17.3
38.9 minutes
Standard Deviation 20.3

SECONDARY outcome

Timeframe: Time of application up to one hour post-application

Assessments will be made over a period of one hour, with assessments at 1 minute intervals for the first 5 minutes and then every 5 minutes after that.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=18 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredients: 14.0% Benzocaine (USP = 28 mg) and 2.0% Tetracaine Hydrochloride (USP = 4 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
n=18 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB in Combination With One Spray CTY-5339-P
A single spray of CTY-5339-CB in a metered spray bottle with ≈200 uL total spray volume, containing the active ingredient: 14.0% Benzocaine (USP = 28 mg). This was administered in combination with a single spray of CTY-5339-P (acting as vehicle control placebo with no active ingredient) in a metered spray bottle with ≈200 uL total spray volume. This combination was used to maintain double-blind conditions. The vehicle control was sprayed outside the circumscribed area to avoid dilution of active drug.
Duration of Anesthesia as Measured by PPT for One Spray CTY-5339-A Compared to Two Sprays CTY-5339-A
17.9 minutes
Standard Deviation 12.9
17.3 minutes
Standard Deviation 17.0

SECONDARY outcome

Timeframe: Time of application up to one hour post-application

Assessments will be made over a period of one hour, with assessments at 1 minute intervals for the first 5 minutes and then every 5 minutes after that.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=19 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredients: 14.0% Benzocaine (USP = 28 mg) and 2.0% Tetracaine Hydrochloride (USP = 4 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
n=19 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB in Combination With One Spray CTY-5339-P
A single spray of CTY-5339-CB in a metered spray bottle with ≈200 uL total spray volume, containing the active ingredient: 14.0% Benzocaine (USP = 28 mg). This was administered in combination with a single spray of CTY-5339-P (acting as vehicle control placebo with no active ingredient) in a metered spray bottle with ≈200 uL total spray volume. This combination was used to maintain double-blind conditions. The vehicle control was sprayed outside the circumscribed area to avoid dilution of active drug.
Duration of Anesthesia as Measured by QST Heat for One Spray CTY-5339-A Compared to Two Sprays CTY-5339-A
44.6 minutes
Standard Deviation 17.8
46.8 minutes
Standard Deviation 17.3

SECONDARY outcome

Timeframe: Time of application up to one hour post-application

Population: Modified Intent-to-Treat (mITT) population: all randomized subjects who, as documented prior to the breaking of the study blind: (1) met all the inclusion and exclusion criteria and; (2) either completed the two 60 minute test sessions or returned to baseline values in all evaluation tests.

Assessments will be made over a period of one hour, with assessments at 1 minute intervals for the first 5 minutes and then every 5 minutes after that.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=18 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredients: 14.0% Benzocaine (USP = 28 mg) and 2.0% Tetracaine Hydrochloride (USP = 4 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
n=18 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
n=18 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB in Combination With One Spray CTY-5339-P
n=17 Participants
A single spray of CTY-5339-CB in a metered spray bottle with ≈200 uL total spray volume, containing the active ingredient: 14.0% Benzocaine (USP = 28 mg). This was administered in combination with a single spray of CTY-5339-P (acting as vehicle control placebo with no active ingredient) in a metered spray bottle with ≈200 uL total spray volume. This combination was used to maintain double-blind conditions. The vehicle control was sprayed outside the circumscribed area to avoid dilution of active drug.
Onset of Anesthesia for PPT
1.2 Minutes
Standard Deviation 0.4
1.5 Minutes
Standard Deviation 0.9
1.7 Minutes
Standard Deviation 2.1
1.7 Minutes
Standard Deviation 1.3

SECONDARY outcome

Timeframe: Time of application up to one hour post-application

Population: Modified Intent-to-Treat (mITT) population: all randomized subjects who, as documented prior to the breaking of the study blind: (1) met all the inclusion and exclusion criteria and; (2) either completed the two 60 minute test sessions or returned to baseline values in all evaluation tests.

Assessments will be made over a period of one hour, with assessments at 1 minute intervals for the first 5 minutes and then every 5 minutes after that.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=19 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredients: 14.0% Benzocaine (USP = 28 mg) and 2.0% Tetracaine Hydrochloride (USP = 4 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
n=19 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
n=18 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB in Combination With One Spray CTY-5339-P
n=20 Participants
A single spray of CTY-5339-CB in a metered spray bottle with ≈200 uL total spray volume, containing the active ingredient: 14.0% Benzocaine (USP = 28 mg). This was administered in combination with a single spray of CTY-5339-P (acting as vehicle control placebo with no active ingredient) in a metered spray bottle with ≈200 uL total spray volume. This combination was used to maintain double-blind conditions. The vehicle control was sprayed outside the circumscribed area to avoid dilution of active drug.
Onset of Anesthesia for QST Heat
3.1 Minutes
Standard Deviation 3.3
1.9 Minutes
Standard Deviation 1.4
1.7 Minutes
Standard Deviation 1.3
4.2 Minutes
Standard Deviation 5.2

SECONDARY outcome

Timeframe: Time of application up to one hour post-application

Population: Some treatment response data was missing or lost or an invalid value was recorded

Assessments will be made over a period of one hour, with assessments at 1 minute intervals for the first 5 minutes and then every 5 minutes after that.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=20 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredients: 14.0% Benzocaine (USP = 28 mg) and 2.0% Tetracaine Hydrochloride (USP = 4 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
n=20 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
n=20 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB in Combination With One Spray CTY-5339-P
n=20 Participants
A single spray of CTY-5339-CB in a metered spray bottle with ≈200 uL total spray volume, containing the active ingredient: 14.0% Benzocaine (USP = 28 mg). This was administered in combination with a single spray of CTY-5339-P (acting as vehicle control placebo with no active ingredient) in a metered spray bottle with ≈200 uL total spray volume. This combination was used to maintain double-blind conditions. The vehicle control was sprayed outside the circumscribed area to avoid dilution of active drug.
Percentage of Responders for PPT at Each Time Point
Responded to treatment at the 50 minute time point
0 Participants
1 Participants
0 Participants
1 Participants
Percentage of Responders for PPT at Each Time Point
Responded to treatment at the 55 minute time point
0 Participants
0 Participants
1 Participants
1 Participants
Percentage of Responders for PPT at Each Time Point
Responded to treatment at the 60 minute time point
0 Participants
0 Participants
0 Participants
1 Participants
Percentage of Responders for PPT at Each Time Point
Responded to treatment at the 1 minute time point
12 Participants
12 Participants
14 Participants
10 Participants
Percentage of Responders for PPT at Each Time Point
Responded to treatment at the 2 minute time point
13 Participants
9 Participants
14 Participants
13 Participants
Percentage of Responders for PPT at Each Time Point
Responded to treatment at the 3 minute time point
12 Participants
11 Participants
12 Participants
10 Participants
Percentage of Responders for PPT at Each Time Point
Responded to treatment at the 4 minute time point
12 Participants
12 Participants
8 Participants
8 Participants
Percentage of Responders for PPT at Each Time Point
Responded to treatment at the 5 minute time point
10 Participants
7 Participants
7 Participants
9 Participants
Percentage of Responders for PPT at Each Time Point
Responded to treatment at the 10 minute time point
5 Participants
6 Participants
8 Participants
6 Participants
Percentage of Responders for PPT at Each Time Point
Responded to treatment at the 15 minute time point
8 Participants
5 Participants
6 Participants
4 Participants
Percentage of Responders for PPT at Each Time Point
Responded to treatment at the 20 minute time point
4 Participants
6 Participants
4 Participants
2 Participants
Percentage of Responders for PPT at Each Time Point
Responded to treatment at the 25 minute time point
3 Participants
5 Participants
4 Participants
1 Participants
Percentage of Responders for PPT at Each Time Point
Responded to treatment at the 30 minute time point
3 Participants
6 Participants
2 Participants
2 Participants
Percentage of Responders for PPT at Each Time Point
Responded to treatment at the 35 minute time point
1 Participants
3 Participants
1 Participants
1 Participants
Percentage of Responders for PPT at Each Time Point
Responded to treatment at the 40 minute time point
1 Participants
0 Participants
0 Participants
1 Participants
Percentage of Responders for PPT at Each Time Point
Responded to treatment at the 45 minute time point
0 Participants
1 Participants
1 Participants
1 Participants

SECONDARY outcome

Timeframe: Time of application up to one hour post-application

Population: A baseline measure was lost/missing for one treatment so the response could not be calculated.

Assessments will be made over a period of one hour, with assessments at 1 minute intervals for the first 5 minutes and then every 5 minutes after that.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=20 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredients: 14.0% Benzocaine (USP = 28 mg) and 2.0% Tetracaine Hydrochloride (USP = 4 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
n=19 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB
n=20 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains the active ingredient: 14.0% Benzocaine (USP = 28 mg). Administered in a single anesthetic spray.
One Spray CTY-5339-CB in Combination With One Spray CTY-5339-P
n=20 Participants
A single spray of CTY-5339-CB in a metered spray bottle with ≈200 uL total spray volume, containing the active ingredient: 14.0% Benzocaine (USP = 28 mg). This was administered in combination with a single spray of CTY-5339-P (acting as vehicle control placebo with no active ingredient) in a metered spray bottle with ≈200 uL total spray volume. This combination was used to maintain double-blind conditions. The vehicle control was sprayed outside the circumscribed area to avoid dilution of active drug.
Percentage of Responders for QST Heat at Each Time Point
Responded to treatment at the 10 minute time point
17 Participants
17 Participants
17 Participants
13 Participants
Percentage of Responders for QST Heat at Each Time Point
Responded to treatment at the 15 minute time point
15 Participants
17 Participants
18 Participants
15 Participants
Percentage of Responders for QST Heat at Each Time Point
Responded to treatment at the 20 minute time point
17 Participants
15 Participants
17 Participants
14 Participants
Percentage of Responders for QST Heat at Each Time Point
Responded to treatment at the 25 minute time point
15 Participants
15 Participants
15 Participants
14 Participants
Percentage of Responders for QST Heat at Each Time Point
Responded to treatment at the 30 minute time point
14 Participants
14 Participants
14 Participants
13 Participants
Percentage of Responders for QST Heat at Each Time Point
Responded to treatment at the 35 minute time point
13 Participants
12 Participants
17 Participants
12 Participants
Percentage of Responders for QST Heat at Each Time Point
Responded to treatment at the 40 minute time point
12 Participants
11 Participants
16 Participants
12 Participants
Percentage of Responders for QST Heat at Each Time Point
Responded to treatment at the 45 minute time point
13 Participants
11 Participants
12 Participants
11 Participants
Percentage of Responders for QST Heat at Each Time Point
Responded to treatment at the 50 minute time point
9 Participants
12 Participants
10 Participants
10 Participants
Percentage of Responders for QST Heat at Each Time Point
Responded to treatment at the 55 minute time point
9 Participants
11 Participants
9 Participants
9 Participants
Percentage of Responders for QST Heat at Each Time Point
Responded to treatment at the 60 minute time point
10 Participants
11 Participants
10 Participants
8 Participants
Percentage of Responders for QST Heat at Each Time Point
Responded to treatment at the 5 minute time point
16 Participants
18 Participants
18 Participants
15 Participants

Adverse Events

CTY-5339-A 1 Spray

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

CTY-5339-A 2 Sprays

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

CTY-5339-CB 1 Spray

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

CTY-5339-CB 1 Spray + Placebo 1 Spray

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
CTY-5339-A 1 Spray
n=20 participants at risk
Benzocaine and Tetracaine 14.0% Benzocaine, USP = 28 mg 2.0% Tetracaine Hydrochloride, USP = 4 mg Benzocaine and Tetracaine: A single application 1 spray of a combination of benzocaine 14% and tetracaine 2% with a total dose of benzocaine 28 mg and tetracaine 2 mg per spray.
CTY-5339-A 2 Sprays
n=20 participants at risk
Benzocaine and Tetracaine 14.0% Benzocaine, USP = 56 mg 2.0% Tetracaine Hydrochloride, USP = 8 mg Benzocaine and Tetracaine: A single application of 2 sprays of a combination of benzocaine 14% and tetracaine 2% with a total dose of benzocaine 28 mg and tetracaine 2 mg per spray.
CTY-5339-CB 1 Spray
n=20 participants at risk
Benzocaine only 14.0% Benzocaine, USP = 28 mg Benzocaine only: Benzocaine 14% alone 200 uL (1 spray) A single application of 1 spray of benzocaine 14% with a total dose of benzocaine 28 mg.
CTY-5339-CB 1 Spray + Placebo 1 Spray
n=20 participants at risk
Benzocaine and Placebo 14.0% Benzocaine, USP = 28 mg; 200 uL and one spray Vehicle control (no active ingredient); 200 uL A single application of 1 spray of benzocaine 14% and a single spray of placebo with a total dose of benzocaine 28 mg.
Nervous system disorders
Feeling faint
0.00%
0/20 • Adverse event data collected during and for one hour post testing.
0.00%
0/20 • Adverse event data collected during and for one hour post testing.
5.0%
1/20 • Number of events 1 • Adverse event data collected during and for one hour post testing.
0.00%
0/20 • Adverse event data collected during and for one hour post testing.

Additional Information

Elliot V Hersh, DMD, Ph.D., Director Clinical Pharmacology Research

University of Pennsylvania, School of Dental Medicine

Phone: 215-898-9686

Results disclosure agreements

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