Trial Outcomes & Findings for Pain Study to Assess Local Anesthetic Efficacy and Safety of CTY-5339 on Gingival Mucosal Tissue in Normal Volunteers (NCT NCT03233737)

NCT ID: NCT03233737

Last Updated: 2019-08-21

Results Overview

The duration of effect, was defined as the length of time in minutes from onset of anesthesia to the absence of anesthesia.Onset was the time point at which the PPT average pain score was less than the Baseline PPT average score by any amount. Also, in 10 minutes or less, the subject must have had a lower PPT average pain score of ≥ 1 unit than Baseline. Absence of anesthesia was defined as follows: After Onset had been established, absence was the first of two time points with consecutive occurrences of regression of absence of analgesia. Reports of less pain by ≥1 unit than Baseline indicated analgesia; while a report of similar (\< 1 unit) or more pain than Baseline indicated regression or absence of analgesia. The minimum onset time was 1 minute. PPT scores were assessed using a 0 (no pain) to 10 (severe pain) Numerical Rating Scale at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. Stage II outcome.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

75 participants

Primary outcome timeframe

Up to one hour post-application

Results posted on

2019-08-21

Participant Flow

Participant milestones

Participant milestones
Measure
Stage I: One Spray CTY-5339-A
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. Tested over a 60 minute session. Used in Stage I of the study only.
Stage I: 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. Tested over a 60 minute session. Used in Stage I of the study only.
Stage I: One Spray CTY-5339-P
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage II: 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. Used in Stage II of the study only.
Stage II: 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. Used in Stage II of the study only.
Overall Study
STARTED
10
10
5
24
26
Overall Study
COMPLETED
10
10
5
24
26
Overall Study
NOT COMPLETED
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pain Study to Assess Local Anesthetic Efficacy and Safety of CTY-5339 on Gingival Mucosal Tissue in Normal Volunteers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Stage II: One Spray CTY-5339-A, Then One Spray CTY-5339-CB
n=24 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. Used in Stage II of the study only.
Stage II: One Spray of CTY-5339-CB, Then One Spray CTY-5339-A
n=26 Participants
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. Used in Stage II of the study only.
Stage I: One Spray CTY-5339-A
n=10 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. Tested over a 60 minute session. Used in Stage I of the study only.
Stage I: One Spray CTY-5339-CB
n=10 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. Tested over a 60 minute session. Used in Stage I of the study only.
Stage I: One Spray CTY-5339-P
n=5 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Total
n=75 Participants
Total of all reporting groups
Age, Continuous
24.3 years
STANDARD_DEVIATION 4.9 • n=5 Participants
23.5 years
STANDARD_DEVIATION 1.8 • n=7 Participants
28.1 years
STANDARD_DEVIATION 6.0 • n=5 Participants
27.6 years
STANDARD_DEVIATION 2.5 • n=4 Participants
26.2 years
STANDARD_DEVIATION 2.4 • n=21 Participants
25.1 years
STANDARD_DEVIATION 3.9 • n=10 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
21 Participants
n=7 Participants
4 Participants
n=5 Participants
8 Participants
n=4 Participants
1 Participants
n=21 Participants
49 Participants
n=10 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
5 Participants
n=7 Participants
6 Participants
n=5 Participants
2 Participants
n=4 Participants
4 Participants
n=21 Participants
26 Participants
n=10 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
1 Participants
n=4 Participants
2 Participants
n=21 Participants
8 Participants
n=10 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
24 Participants
n=5 Participants
23 Participants
n=7 Participants
8 Participants
n=5 Participants
9 Participants
n=4 Participants
3 Participants
n=21 Participants
67 Participants
n=10 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
0 Participants
n=10 Participants
Race (NIH/OMB)
American Indian or Alaska Native
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
0 Participants
n=10 Participants
Race (NIH/OMB)
Asian
8 Participants
n=5 Participants
12 Participants
n=7 Participants
4 Participants
n=5 Participants
5 Participants
n=4 Participants
1 Participants
n=21 Participants
30 Participants
n=10 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
0 Participants
n=10 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
2 Participants
n=10 Participants
Race (NIH/OMB)
White
13 Participants
n=5 Participants
12 Participants
n=7 Participants
5 Participants
n=5 Participants
5 Participants
n=4 Participants
3 Participants
n=21 Participants
38 Participants
n=10 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
0 Participants
n=10 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
5 Participants
n=10 Participants
Region of Enrollment
United States
24 participants
n=5 Participants
26 participants
n=7 Participants
10 participants
n=5 Participants
10 participants
n=4 Participants
5 participants
n=21 Participants
75 participants
n=10 Participants
Weight (lbs)
154.1 lbs
STANDARD_DEVIATION 33.0 • n=5 Participants
141.2 lbs
STANDARD_DEVIATION 27.6 • n=7 Participants
151.6 lbs
STANDARD_DEVIATION 31.0 • n=5 Participants
128.1 lbs
STANDARD_DEVIATION 22.5 • n=4 Participants
166.0 lbs
STANDARD_DEVIATION 35.4 • n=21 Participants
146.6 lbs
STANDARD_DEVIATION 29.9 • n=10 Participants
Height (inches)
67.3 inches
STANDARD_DEVIATION 4.1 • n=5 Participants
65.8 inches
STANDARD_DEVIATION 2.6 • n=7 Participants
66.9 inches
STANDARD_DEVIATION 4.2 • n=5 Participants
65.1 inches
STANDARD_DEVIATION 1.9 • n=4 Participants
67.2 inches
STANDARD_DEVIATION 2.3 • n=21 Participants
66.4 inches
STANDARD_DEVIATION 3.3 • n=10 Participants

PRIMARY outcome

Timeframe: Up to one hour post-application

The duration of effect, was defined as the length of time in minutes from onset of anesthesia to the absence of anesthesia.Onset was the time point at which the PPT average pain score was less than the Baseline PPT average score by any amount. Also, in 10 minutes or less, the subject must have had a lower PPT average pain score of ≥ 1 unit than Baseline. Absence of anesthesia was defined as follows: After Onset had been established, absence was the first of two time points with consecutive occurrences of regression of absence of analgesia. Reports of less pain by ≥1 unit than Baseline indicated analgesia; while a report of similar (\< 1 unit) or more pain than Baseline indicated regression or absence of analgesia. The minimum onset time was 1 minute. PPT scores were assessed using a 0 (no pain) to 10 (severe pain) Numerical Rating Scale at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. Stage II outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=50 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=50 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage II: Duration of Anesthesia as Measured by Pin Prick Test (PPT) for One Spray CTY-5339-A Compared to One Spray CTY-5339-CB
14.6 minutes
Standard Deviation 16.1
7.4 minutes
Standard Deviation 11.1

PRIMARY outcome

Timeframe: Up to one hour post-application

The duration of effect, was defined as the time from onset to treatment failure, as measured by QST Heat score. QST Heat scores were the temperature where the sensation of a heat stimuli was felt: ranging from 35 ºC to a maximum of 50.5 ºC with intervals of 0.5 ºC, at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. The QST Heat-based "Duration of effect" was calculated by the length of time in minutes from onset of anesthesia to the absence of anesthesia where Onset of anesthesia was defined by PPT unless specific QST thresholds were not met. After Onset had been established, absence of analgesia or offset was the first of two time points with consecutive occurrences of regression or absence of analgesia. Reports of QST heat pain temperature by ≥ 3 °C of the Baseline QST indicated analgesia; while a report of similar (\<3 °C) than Baseline indicated regression or absence of analgesia. Stage

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=50 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=50 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage II: Duration of Anesthesia as Measured by Heat Sensation Threshold (QST Heat) for One Spray CTY-5339-A Compared to One Spray CTY-5339-CB
45.5 minutes
Standard Deviation 13.6
40.8 minutes
Standard Deviation 16.3

PRIMARY outcome

Timeframe: Up to one hour post-application

Population: Placebo duration of effect was not analyzed.

The duration of effect, was defined as the length of time in minutes from onset of anesthesia to the absence of anesthesia.Onset was the time point at which the PPT average pain score was less than the Baseline PPT average score by any amount. Also, in 10 minutes or less, the subject must have had a lower PPT average pain score of ≥ 1 unit than Baseline. Absence of anesthesia was defined as follows: After Onset had been established, absence was the first of two time points with consecutive occurrences of regression of absence of analgesia. Reports of less pain by ≥1 unit than Baseline indicated analgesia; while a report of similar (\< 1 unit) or more pain than Baseline indicated regression or absence of analgesia. The minimum onset time was 1 minute. PPT scores were assessed using a 0 (no pain) to 10 (severe pain) Numerical Rating Scale at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. Stage I outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=10 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=10 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
n=5 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage I: Duration of Anesthesia as Measured by Pin Prick Test (PPT) for One Spray CTY-5339-A Compared to One Spray CTY-5339-CB Compared to One Spray CTY-5339-P (Placebo: Vehicle Control)
49.2 minutes
Standard Deviation 14.34
21.3 minutes
Standard Deviation 15.47
25.2 minutes
Standard Deviation 30.9

PRIMARY outcome

Timeframe: Up to one hour post-application

The duration of effect, was defined as the time from onset to treatment failure, as measured by QST Heat score. QST Heat scores were the temperature where the sensation of a heat stimuli was felt: ranging from 35 ºC to a maximum of 50.5 ºC with intervals of 0.5 ºC, at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. The QST Heat-based "Duration of effect" was calculated by the length of time in minutes from onset of anesthesia to the absence of anesthesia where Onset of anesthesia was defined by PPT unless specific QST thresholds were not met. After Onset had been established, absence of analgesia or offset was the first of two time points with consecutive occurrences of regression or absence of analgesia. Reports of QST heat pain temperature by ≥ 3 °C of the Baseline QST indicated analgesia; while a report of similar (\<3 °C) than Baseline indicated regression or absence of analgesia. Stage I outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=10 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=10 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
n=5 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage I: Duration of Anesthesia as Measured by Heat Sensation Threshold (QST Heat) for One Spray CTY-5339-A Compared to One Spray CTY-5339-CB Compared to One Spray CTY-5339-P (Placebo: Vehicle Control)
42.5 minutes
Standard Deviation 21.10
6.1 minutes
Standard Deviation 11.49
5 minutes
Standard Deviation 9.3

SECONDARY outcome

Timeframe: Up to one hour post-application

Onset of anesthesia was the time point at which the PPT average pain score was less than the Baseline PPT average score by any amount. Also, in 10 minutes or less, the subject must have had a lower PPT average pain score of ≥ 1 unit than the Baseline PPT. Onset was expected to be between 1 and 5 minutes. PPT scores were assessed using a 0 (no pain) to 10 (severe pain) Numerical Rating Scale at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. Stage II outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=50 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=50 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage II: Onset of Anesthesia for Pin Prick Test (PPT)
1.1 minutes
Standard Deviation 0.2
1.1 minutes
Standard Deviation 0.6

SECONDARY outcome

Timeframe: Up to one hour post-application

Onset of anesthesia was defined by Pin Prick Test (PPT) unless specific QST thresholds were not met. * If the PPT Onset was 5 minutes or less, then QST must have been greater than the Baseline QST temperature at 5 minutes by any amount and QST must have been ≥ 3 °C of the Baseline QST at 5 or 10 minutes. * If the PPT Onset was 10 minutes, then QST must have been ≥ 3 °C of the Baseline QST temperature at 10 minutes. * If PPT did not achieve Onset, then QST alone could have achieved onset at either 5 or 10 minutes if QST was greater than the Baseline QST temperature at 5 or 10 minutes by any amount and the QST was ≥ 3 °C of the Baseline QST at 5 or 10 minutes. QST Heat scores were the temperature where the sensation of a heat stimuli was felt: ranging from 35 ºC to a maximum of 50.5 ºC with intervals of 0.5 ºC, at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. Stage II outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=50 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=50 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage II: Onset of Anesthesia for Heat Sensation Threshold (QST Heat)
1 minutes
Standard Deviation 1.4
1.3 minutes
Standard Deviation 2.4

SECONDARY outcome

Timeframe: Up to one hour post-application

Response at at time point is defined as when the PPT average pain score was less than the Baseline PPT average score by any amount. PPT scores were assessed using a 0 (no pain) to 10 (severe pain) Numerical Rating Scale at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. Stage II outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=50 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=50 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage II: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 4 minute time point
49 Participants
48 Participants
Stage II: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 35 minute time point
43 Participants
34 Participants
Stage II: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 40 minute time point
36 Participants
27 Participants
Stage II: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 60 minute time point
19 Participants
18 Participants
Stage II: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 1 minute time point
47 Participants
46 Participants
Stage II: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 2 minute time point
50 Participants
48 Participants
Stage II: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 3 minute time point
50 Participants
48 Participants
Stage II: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 5 minute time point
49 Participants
49 Participants
Stage II: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 10 minute time point
49 Participants
49 Participants
Stage II: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 15 minute time point
49 Participants
48 Participants
Stage II: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 20 minute time point
49 Participants
46 Participants
Stage II: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 25 minute time point
48 Participants
45 Participants
Stage II: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 30 minute time point
46 Participants
42 Participants
Stage II: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 45 minute time point
32 Participants
21 Participants
Stage II: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 50 minute time point
25 Participants
20 Participants
Stage II: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 55 minute time point
20 Participants
20 Participants

SECONDARY outcome

Timeframe: Up to one hour post-application

Response at a time point is defined as an increase of QST heat pain temperature by ≥ 3 degrees C compared to the Baseline QST. QST Heat scores were the temperature where the sensation of a heat stimuli was felt: ranging from 35 ºC to a maximum of 50.5 ºC with intervals of 0.5 ºC, at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. Stage II outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=50 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=50 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage II: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 1 minute time point
36 Participants
29 Participants
Stage II: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 4 minute time point
37 Participants
30 Participants
Stage II: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 25 minute time point
32 Participants
24 Participants
Stage II: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 2 minute time point
37 Participants
30 Participants
Stage II: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 3 minute time point
37 Participants
30 Participants
Stage II: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 5 minute time point
37 Participants
31 Participants
Stage II: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 10 minute time point
38 Participants
34 Participants
Stage II: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 15 minute time point
38 Participants
31 Participants
Stage II: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 20 minute time point
36 Participants
29 Participants
Stage II: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 30 minute time point
28 Participants
19 Participants
Stage II: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 35 minute time point
24 Participants
15 Participants
Stage II: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 40 minute time point
22 Participants
15 Participants
Stage II: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 45 minute time point
19 Participants
12 Participants
Stage II: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 50 minute time point
17 Participants
12 Participants
Stage II: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 55 minute time point
14 Participants
11 Participants
Stage II: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 60 minute time point
13 Participants
9 Participants

SECONDARY outcome

Timeframe: Any time within one hour post-application

Response is defined as a subject having a PPT average pain score of ≤2 recorded at any single time point where PPT was performed. PPT scores were assessed using a 0 (no pain) to 10 (severe pain) Numerical Rating Scale at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. Stage II outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=50 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=50 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage II: Percentage of Subjects Reaching Minimal Pain on Pin Prick Test (PPT) (≤2 on Numerical Rating Scale Pain Scale)
50 Participants
50 Participants

SECONDARY outcome

Timeframe: Up to one hour post-application

Response at a time point is defined as having the PPT average pain score of ≤2. PPT scores were assessed using a 0 (no pain) to 10 (severe pain) Numerical Rating Scale at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. Stage II outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=50 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=50 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage II: Duration of Minimal Pain for Pin Prick Test (PPT) (≤2 on Numerical Rating Scale Pain Scale)
14.6 minutes
Standard Deviation 16.1
7.4 minutes
Standard Deviation 11.1

SECONDARY outcome

Timeframe: Any time within one hour post-application

QST Heat scores were the temperature where the sensation of a heat stimuli was felt: ranging from 35 ºC to a maximum of 50.5 ºC with intervals of 0.5 ºC, at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. Reaching maximum heat for QST Heat was defined as subjects reaching the maximum temperature without reporting pain at one or more time points. Stage II outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=50 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=50 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage II: Percentage of Subjects Reaching Maximum Heat for Heat Sensation Threshold (QST Heat)
7 Participants
5 Participants

SECONDARY outcome

Timeframe: Up to one hour post-application

SPID was calculated as a sum of the delta PPT scores at each time point until the designated time point. The delta PPT score is defined as the change in PPT score from baseline. PPT scores were assessed using a 0 (no pain) to 10 (severe pain) Numerical Rating Scale at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. The total possible scale range was from -100 (best) to +100 (worst) for SPID at the 30 minute time point, and from -160 (best) to +160 (worst) for SPID at the 60 minute time point Lower scores signify a better outcome (less sensitive to pain than at baseline = less pain with therapy = therapy was more effective). Stage II outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=50 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=50 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage II: Sum of Pain Intensity Differences (SPID) for Pin Prick Test (PPT) (Post-hoc)
SPID at the 30 minute time point
-85.2 score
Standard Deviation 35.9
-63.2 score
Standard Deviation 29.38
Stage II: Sum of Pain Intensity Differences (SPID) for Pin Prick Test (PPT) (Post-hoc)
SPID at the 60 minute time point
-122.6 score
Standard Deviation 63.52
-86.6 score
Standard Deviation 53.15

SECONDARY outcome

Timeframe: Up to one hour post-application

STID was calculated as a sum of the delta QST Heat scores at each time point until the designated time point. The delta QST Heat score is defined as the change in QST Heat score from baseline. QST Heat scores were the temperature where the sensation of a heat stimuli was felt: ranging from 35 ºC to a maximum of 50.5 ºC with intervals of 0.5 ºC, at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. The total possible scale range was from -155 ºC (best) to +155 ºC (worst) for STID at the 30 minute time point, and from -248 ºC (best) to +248 ºC (worst) for SPID at the 60 minute time point Lower scores signify a better outcome (less sensitive to pain than at baseline = less pain with therapy = therapy was more effective). Stage II outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=50 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=50 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage II: Sum of Temperature Differences (STID) for Heat Sensation Threshold (QST Heat) (Post-hoc)
STID at the 30 minute time point
136.5 Degrees Celcius (ºC)
Standard Deviation 67.78
96.6 Degrees Celcius (ºC)
Standard Deviation 72.63
Stage II: Sum of Temperature Differences (STID) for Heat Sensation Threshold (QST Heat) (Post-hoc)
STID at the 60 minute time point
214 Degrees Celcius (ºC)
Standard Deviation 140.10
149.1 Degrees Celcius (ºC)
Standard Deviation 142.36

SECONDARY outcome

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

Response at at time point is defined as when the PPT average pain score was less than the Baseline PPT average score by any amount. PPT scores were assessed using a 0 (no pain) to 10 (severe pain) Numerical Rating Scale at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. Stage I outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=10 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=10 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
n=5 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage I: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 1 minute time point
8 Participants
8 Participants
4 Participants
Stage I: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 3 minute time point
10 Participants
10 Participants
3 Participants
Stage I: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 4 minute time point
10 Participants
10 Participants
3 Participants
Stage I: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 20 minute time point
10 Participants
4 Participants
2 Participants
Stage I: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 30 minute time point
9 Participants
2 Participants
2 Participants
Stage I: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 50 minute time point
7 Participants
1 Participants
2 Participants
Stage I: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 55 minute time point
6 Participants
1 Participants
2 Participants
Stage I: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 60 minute time point
6 Participants
1 Participants
2 Participants
Stage I: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 2 minute time point
9 Participants
10 Participants
3 Participants
Stage I: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 5 minute time point
10 Participants
10 Participants
2 Participants
Stage I: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 10 minute time point
10 Participants
10 Participants
3 Participants
Stage I: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 15 minute time point
10 Participants
8 Participants
3 Participants
Stage I: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 25 minute time point
9 Participants
4 Participants
2 Participants
Stage I: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 35 minute time point
9 Participants
2 Participants
2 Participants
Stage I: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 40 minute time point
8 Participants
1 Participants
2 Participants
Stage I: Percentage of Responders for Pin Prick Test (PPT) at Each Time Point
Responded to treatment at the 45 minute time point
7 Participants
1 Participants
2 Participants

SECONDARY outcome

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

Response at a time point is defined as an increase of QST heat pain temperature by ≥ 3 degrees C compared to the Baseline QST. QST Heat scores were the temperature where the sensation of a heat stimuli was felt: ranging from 35 ºC to a maximum of 50.5 ºC with intervals of 0.5 ºC, at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. Stage I outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=10 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=10 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
n=5 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage I: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 1 minute time point
7 Participants
2 Participants
4 Participants
Stage I: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 3 minute time point
8 Participants
3 Participants
4 Participants
Stage I: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 4 minute time point
8 Participants
3 Participants
4 Participants
Stage I: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 10 minute time point
9 Participants
3 Participants
4 Participants
Stage I: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 30 minute time point
8 Participants
1 Participants
0 Participants
Stage I: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 35 minute time point
6 Participants
1 Participants
0 Participants
Stage I: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 40 minute time point
6 Participants
0 Participants
0 Participants
Stage I: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 45 minute time point
6 Participants
0 Participants
0 Participants
Stage I: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 50 minute time point
6 Participants
0 Participants
0 Participants
Stage I: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 55 minute time point
6 Participants
0 Participants
0 Participants
Stage I: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 20 minute time point
9 Participants
2 Participants
4 Participants
Stage I: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 25 minute time point
9 Participants
1 Participants
1 Participants
Stage I: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 60 minute time point
6 Participants
0 Participants
0 Participants
Stage I: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 2 minute time point
7 Participants
3 Participants
4 Participants
Stage I: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 5 minute time point
8 Participants
3 Participants
4 Participants
Stage I: Percentage of Responders for Heat Sensation Threshold (QST Heat) at Each Time Point
Responded to treatment at the 15 minute time point
9 Participants
2 Participants
4 Participants

SECONDARY outcome

Timeframe: Up to one hour post-application

Response at a time point is defined as having the PPT average pain score of ≤2. PPT scores were assessed using a 0 (no pain) to 10 (severe pain) Numerical Rating Scale at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. Stage I outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=10 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=10 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
n=5 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage I: Duration of Minimal Pain for Pin Prick Test (PPT) (≤2 on Numerical Rating Scale Pain Scale)
14.5 minutes
Standard Deviation 11.7
2.9 minutes
Standard Deviation 3.3
0.2 minutes
Standard Deviation 0.4

SECONDARY outcome

Timeframe: Any time within one hour post-application

QST Heat scores were the temperature where the sensation of a heat stimuli was felt: ranging from 35 ºC to a maximum of 50.5 ºC with intervals of 0.5 ºC, at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. Reaching maximum heat for QST Heat was defined as subjects reaching the maximum temperature without reporting pain at one or more time points. Stage I outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=10 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=10 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
n=5 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage I: Percentage of Subjects Reaching Maximum Heat for Heat Sensation Threshold (QST Heat)
5 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to one hour post-application

Onset of anesthesia was the time point at which the PPT average pain score was less than the Baseline PPT average score by any amount. Also, in 10 minutes or less, the subject must have had a lower PPT average pain score of ≥ 1 unit than the Baseline PPT. Onset was expected to be between 1 and 5 minutes. PPT scores were assessed using a 0 (no pain) to 10 (severe pain) Numerical Rating Scale at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. Stage I outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=10 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=10 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
n=5 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage I: Onset of Anesthesia for Pin Prick Test (PPT)
1.3 minutes
Standard Deviation 0.7
1.2 minutes
Standard Deviation 0.4
2.8 minutes
Standard Deviation 4.0

SECONDARY outcome

Timeframe: Up to one hour post-application

Onset of anesthesia was defined by Pin Prick Test (PPT) unless specific QST thresholds were not met. * If the PPT Onset was 5 minutes or less, then QST must have been greater than the Baseline QST temperature at 5 minutes by any amount and QST must have been ≥ 3 °C of the Baseline QST at 5 or 10 minutes. * If the PPT Onset was 10 minutes, then QST must have been ≥ 3 °C of the Baseline QST temperature at 10 minutes. * If PPT did not achieve Onset, then QST alone could have achieved onset at either 5 or 10 minutes if QST was greater than the Baseline QST temperature at 5 or 10 minutes by any amount and the QST was ≥ 3 °C of the Baseline QST at 5 or 10 minutes. QST Heat scores were the temperature where the sensation of a heat stimuli was felt: ranging from 35 ºC to a maximum of 50.5 ºC with intervals of 0.5 ºC, at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. Stage I outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=10 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=10 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
n=5 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage I: Onset of Anesthesia for Heat Sensation Threshold (QST Heat)
2.0 minutes
Standard Deviation 2.9
0.4 minutes
Standard Deviation 0.7
0.8 minutes
Standard Deviation 0.4

SECONDARY outcome

Timeframe: Any time within one hour post-application

Population: Placebo percentage of response was not analyzed.

Response is defined as a subject having a PPT average pain score of ≤2 recorded at any single time point where PPT was performed. PPT scores were assessed using a 0 (no pain) to 10 (severe pain) Numerical Rating Scale at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. Stage I outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=10 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=10 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
n=5 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage I: Percentage of Subjects Reaching Minimal Pain on Pin Prick Test (PPT) (≤2 on Numerical Rating Scale Pain Scale)
10 Participants
9 Participants
2 Participants

SECONDARY outcome

Timeframe: Up to one hour post-application

SPID was calculated as a sum of the delta PPT scores at each time point until the designated time point. The delta PPT score is defined as the change in PPT score from baseline. PPT scores were assessed using a 0 (no pain) to 10 (severe pain) Numerical Rating Scale at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. The total possible scale range was from -100 (best) to +100 (worst) for SPID at the 30 minute time point, and from -160 (best) to +160 (worst) for SPID at the 60 minute time point Lower scores signify a better outcome (less sensitive to pain than at baseline = less pain with therapy = therapy was more effective). Stage I outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=10 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=10 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
n=5 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage I: Sum of Pain Intensity Differences (SPID) for Pin Prick Test (PPT) (Post-hoc)
SPID at the 30 minute time point
-82.1 score
Standard Deviation 34.9
-37.8 score
Standard Deviation 42.3
-29.3 score
Standard Deviation 36.3
Stage I: Sum of Pain Intensity Differences (SPID) for Pin Prick Test (PPT) (Post-hoc)
SPID at the 60 minute time point
-128.1 score
Standard Deviation 76.6
-44.0 score
Standard Deviation 52.7
-53.3 score
Standard Deviation 69.1

SECONDARY outcome

Timeframe: Up to one hour post-application

STID was calculated as a sum of the delta QST Heat scores at each time point until the designated time point. The delta QST Heat score is defined as the change in QST Heat score from baseline. QST Heat scores were the temperature where the sensation of a heat stimuli was felt: ranging from 35 ºC to a maximum of 50.5 ºC with intervals of 0.5 ºC, at a frequency of every 1 minute for the first 5 minutes and then every 5 minutes thereafter until the final 60 minute time point. The total possible scale range was from -155 ºC (best) to +155 ºC (worst) for STID at the 30 minute time point, and from -248 ºC (best) to +248 ºC (worst) for SPID at the 60 minute time point Lower scores signify a better outcome (less sensitive to pain than at baseline = less pain with therapy = therapy was more effective). Stage I outcome.

Outcome measures

Outcome measures
Measure
One Spray CTY-5339-A
n=10 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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=10 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. Tested over a 60 minute session.
Stage I: One Spray CTY-5339-P
n=5 Participants
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session. Used in Stage I of the study only.
Stage I: Sum of Temperature Differences (STID) for Heat Sensation Threshold (QST Heat) (Post-hoc)
STID at the 30 minute time point
153.0 Degrees Celcius (ºC)
Standard Deviation 72.0
10.4 Degrees Celcius (ºC)
Standard Deviation 89.4
72.5 Degrees Celcius (ºC)
Standard Deviation 33.6
Stage I: Sum of Temperature Differences (STID) for Heat Sensation Threshold (QST Heat) (Post-hoc)
STID at the 60 minute time point
320.2 Degrees Celcius (ºC)
Standard Deviation 167.2
26.1 Degrees Celcius (ºC)
Standard Deviation 137.0
134.6 Degrees Celcius (ºC)
Standard Deviation 94.3

Adverse Events

One Spray CTY-5339-A

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

One Spray CTY-5339-CB

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

One Spray CTY-5339-P

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
One Spray CTY-5339-A
n=60 participants at risk
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. Tested over a 60 minute session.
One Spray CTY-5339-CB
n=60 participants at risk
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. Tested over a 60 minute session.
One Spray CTY-5339-P
n=5 participants at risk
Metered spray bottle with ≈200 uL total spray volume. Contains no active ingredient (placebo: vehicle control). Administered in a single anesthetic spray. Tested over a 60 minute session.
Nervous system disorders
Headache
1.7%
1/60 • Number of events 1 • Adverse event data collected during and for one hour post testing.
0.00%
0/60 • Adverse event data collected during and for one hour post testing.
0.00%
0/5 • Adverse event data collected during and for one hour post testing.
Respiratory, thoracic and mediastinal disorders
Nasal Congestion
1.7%
1/60 • Number of events 1 • Adverse event data collected during and for one hour post testing.
0.00%
0/60 • Adverse event data collected during and for one hour post testing.
0.00%
0/5 • Adverse event data collected during and for one hour post testing.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
1.7%
1/60 • Number of events 1 • Adverse event data collected during and for one hour post testing.
0.00%
0/60 • Adverse event data collected during and for one hour post testing.
0.00%
0/5 • Adverse event data collected during and for one hour post testing.
Respiratory, thoracic and mediastinal disorders
Pharyngitis streptococcal
0.00%
0/60 • Adverse event data collected during and for one hour post testing.
1.7%
1/60 • Number of events 1 • Adverse event data collected during and for one hour post testing.
0.00%
0/5 • Adverse event data collected during and for one hour post testing.
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/60 • Adverse event data collected during and for one hour post testing.
1.7%
1/60 • Number of events 1 • Adverse event data collected during and for one hour post testing.
0.00%
0/5 • Adverse event data collected during and for one hour post testing.
Skin and subcutaneous tissue disorders
Rash
0.00%
0/60 • Adverse event data collected during and for one hour post testing.
1.7%
1/60 • Number of events 1 • Adverse event data collected during and for one hour post testing.
0.00%
0/5 • 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