Trial Outcomes & Findings for A Four-way Crossover Study of 3 Formulations of M207 With Intranasal Zolmitriptan in Healthy Volunteers (NCT NCT03978403)

NCT ID: NCT03978403

Last Updated: 2021-11-18

Results Overview

maximum observed plasma concentration

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

pre-dose, 2, 5, 10, 15, 20, 30, 45, 60, 90 minutes; 2, 4 , 8, 12, and 24 hours post-dose

Results posted on

2021-11-18

Participant Flow

Participant milestones

Participant milestones
Measure
ABDC
A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose
BCAD
A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose
CDBA
A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose
DACB
A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose
Overall Study
STARTED
6
6
6
6
Overall Study
COMPLETED
6
6
6
6
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Four-way Crossover Study of 3 Formulations of M207 With Intranasal Zolmitriptan in Healthy Volunteers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ABDC
n=6 Participants
A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose
BCAD
n=6 Participants
A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose
CDBA
n=6 Participants
A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose
DACB
n=6 Participants
A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches; B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups; C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups; D: Zolmitriptan nasal 2.5 mg/0.1 mL single dose
Total
n=24 Participants
Total of all reporting groups
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
2 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
Age, Continuous
37.7 years
STANDARD_DEVIATION 9.69 • n=5 Participants
42.2 years
STANDARD_DEVIATION 4.36 • n=7 Participants
35.3 years
STANDARD_DEVIATION 10.09 • n=5 Participants
39.5 years
STANDARD_DEVIATION 9.87 • n=4 Participants
38.7 years
STANDARD_DEVIATION 8.63 • n=21 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
3 Participants
n=4 Participants
12 Participants
n=21 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
3 Participants
n=4 Participants
12 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
6 Participants
n=7 Participants
4 Participants
n=5 Participants
4 Participants
n=4 Participants
19 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
5 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
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
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)
White
5 Participants
n=5 Participants
6 Participants
n=7 Participants
6 Participants
n=5 Participants
5 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
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
Region of Enrollment
United States
6 participants
n=5 Participants
6 participants
n=7 Participants
6 participants
n=5 Participants
6 participants
n=4 Participants
24 participants
n=21 Participants
Body Mass Index
27.153 kg/m2
STANDARD_DEVIATION 3.9165 • n=5 Participants
27.118 kg/m2
STANDARD_DEVIATION 3.1446 • n=7 Participants
26.523 kg/m2
STANDARD_DEVIATION 4.8929 • n=5 Participants
27.242 kg/m2
STANDARD_DEVIATION 2.6340 • n=4 Participants
27.009 kg/m2
STANDARD_DEVIATION 3.5044 • n=21 Participants

PRIMARY outcome

Timeframe: pre-dose, 2, 5, 10, 15, 20, 30, 45, 60, 90 minutes; 2, 4 , 8, 12, and 24 hours post-dose

maximum observed plasma concentration

Outcome measures

Outcome measures
Measure
M207 3.8 mg (Sled)
n=24 Participants
A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches
M207 3.8 mg (MACAP)
n=24 Participants
B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups
M207 3.8 mg (MiniMac)
n=24 Participants
C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups
Zolmitriptan 2.5 mg (Intranasal)
n=24 Participants
D: Zolmitriptan intranasal 2.5 mg/0.1 mL single dose
Cmax
11670 pg/mL
Standard Deviation 30.7
9861 pg/mL
Standard Deviation 93.6
11680 pg/mL
Standard Deviation 66.3
3705 pg/mL
Standard Deviation 43.0

PRIMARY outcome

Timeframe: 48 hours

Population: Subjects who received treatment

Subjects with treatment emergent adverse events

Outcome measures

Outcome measures
Measure
M207 3.8 mg (Sled)
n=24 Participants
A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches
M207 3.8 mg (MACAP)
n=24 Participants
B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups
M207 3.8 mg (MiniMac)
n=24 Participants
C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups
Zolmitriptan 2.5 mg (Intranasal)
n=24 Participants
D: Zolmitriptan intranasal 2.5 mg/0.1 mL single dose
Adverse Events
18 Participants
15 Participants
13 Participants
4 Participants

PRIMARY outcome

Timeframe: pre-dose, 2, 5, 10, 15, 20, 30, 45, 60, 90 minutes; 2, 4 , 8, 12, and 24 hours post-dose

Time to maximum concentration

Outcome measures

Outcome measures
Measure
M207 3.8 mg (Sled)
n=24 Participants
A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches
M207 3.8 mg (MACAP)
n=24 Participants
B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups
M207 3.8 mg (MiniMac)
n=24 Participants
C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups
Zolmitriptan 2.5 mg (Intranasal)
n=24 Participants
D: Zolmitriptan intranasal 2.5 mg/0.1 mL single dose
Tmax
0.529 hour
Interval 0.34 to 0.76
0.577 hour
Interval 0.04 to 0.79
0.575 hour
Interval 0.33 to 0.77
2.000 hour
Interval 0.56 to 4.0

Adverse Events

M207 3.8 mg (Sled)

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

M207 3.8 mg (MACAP)

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

M207 3.8 mg (MiniMac)

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Zolmitriptan 2.5 mg (Intranasal)

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
M207 3.8 mg (Sled)
n=24 participants at risk
A: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "Sled" coater and packaged in foil pouches
M207 3.8 mg (MACAP)
n=24 participants at risk
B: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "MACAP" coater and packaged in foil cups
M207 3.8 mg (MiniMac)
n=24 participants at risk
C: M207 3.8 mg administered as two 1.9 mg upper arm patches 30 min made on a "miniMac" coater and packaged in foil cups
Zolmitriptan 2.5 mg (Intranasal)
n=24 participants at risk
D: Zolmitriptan intranasal 2.5 mg/0.1 mL single dose
Blood and lymphatic system disorders
Lymphadenopathy
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Ear and labyrinth disorders
Ear pain
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Eye disorders
Photophobia
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Gastrointestinal disorders
Abdominal ditension
0.00%
0/24 • 8 days total, 48 hours per intervention
8.3%
2/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Gastrointestinal disorders
Constipation
0.00%
0/24 • 8 days total, 48 hours per intervention
8.3%
2/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Gastrointestinal disorders
Nausea
8.3%
2/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Gastrointestinal disorders
Rectal tenesmus
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Gastrointestinal disorders
Vomiting
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
General disorders
Application site discolouration
50.0%
12/24 • 8 days total, 48 hours per intervention
50.0%
12/24 • 8 days total, 48 hours per intervention
37.5%
9/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
General disorders
Application site pain
4.2%
1/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
8.3%
2/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
General disorders
Feeling hot
4.2%
1/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
General disorders
Vessel puncture site pain
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
General disorders
Vessel puncture site swelling
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Infections and infestations
Upper respiratory tract infection
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
Injury, poisoning and procedural complications
Contusion
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Investigations
Heart rate increased
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
Investigations
Weight decreased
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Musculoskeletal and connective tissue disorders
Muscle tightness
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Musculoskeletal and connective tissue disorders
Musculoskeletal sstiffness
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Musculoskeletal and connective tissue disorders
Pain in extremity
4.2%
1/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
Nervous system disorders
Dizziness
8.3%
2/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Nervous system disorders
Head discomfort
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Nervous system disorders
Headache
4.2%
1/24 • 8 days total, 48 hours per intervention
8.3%
2/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
Nervous system disorders
Hypoaesthesia
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Nervous system disorders
Paraesthesea
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Nervous system disorders
Somnolence
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Reproductive system and breast disorders
Dysmenorrhoea
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Reproductive system and breast disorders
Menorrhagia
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Reproductive system and breast disorders
Polymenorrhoea
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Respiratory, thoracic and mediastinal disorders
Throat irritation
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
Skin and subcutaneous tissue disorders
Dry skin
0.00%
0/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention
4.2%
1/24 • 8 days total, 48 hours per intervention
0.00%
0/24 • 8 days total, 48 hours per intervention

Additional Information

Dr. Don Kellerman, Sr. VP, Clinical Development and Medical Affairs

Zosano Pharma Corporation

Phone: +1 (510) 745-4004

Results disclosure agreements

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

Restriction type: LTE60