Trial Outcomes & Findings for Pharmacokinetic Study of 5 and 10 mg Corplex™ Donepezil TDS Compared to 10 mg Aricept® in Healthy Volunteers (NCT NCT04617782)

NCT ID: NCT04617782

Last Updated: 2024-09-19

Results Overview

To evaluate steady-state donepezil plasma exposure (Cmax) following 5 weeks of treatment.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

60 participants

Primary outcome timeframe

35 days of each Treatment

Results posted on

2024-09-19

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment Sequence ABC or ACB in Crossover Fashion
All subjects were assigned to receive all treatments, with a different sequence in treatment periods 2 and 3. Treatment A: 5 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment B: 10 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment C: 10 mg/day Aricept® donepezil tablet administered QD for 5 consecutive weeks, then 1 day washout;
Treatment A - 5 mg TDS
STARTED
60
Treatment A - 5 mg TDS
COMPLETED
57
Treatment A - 5 mg TDS
NOT COMPLETED
3
Treatment B - 10 mg TDS
STARTED
55
Treatment B - 10 mg TDS
COMPLETED
53
Treatment B - 10 mg TDS
NOT COMPLETED
2
Treatment C - 10 mg Oral
STARTED
56
Treatment C - 10 mg Oral
COMPLETED
53
Treatment C - 10 mg Oral
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment Sequence ABC or ACB in Crossover Fashion
All subjects were assigned to receive all treatments, with a different sequence in treatment periods 2 and 3. Treatment A: 5 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment B: 10 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment C: 10 mg/day Aricept® donepezil tablet administered QD for 5 consecutive weeks, then 1 day washout;
Treatment A - 5 mg TDS
Physician Decision
2
Treatment A - 5 mg TDS
failure to follow site rules
1
Treatment B - 10 mg TDS
Protocol Violation
1
Treatment B - 10 mg TDS
Withdrawal by Subject
1
Treatment C - 10 mg Oral
Protocol Violation
2
Treatment C - 10 mg Oral
failure to follow site rules
1

Baseline Characteristics

Pharmacokinetic Study of 5 and 10 mg Corplex™ Donepezil TDS Compared to 10 mg Aricept® in Healthy Volunteers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Study Participants
n=60 Participants
Participants were assigned to receive treatment sequence ABC or ACB in a crossover fashion. Treatment A: 5 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment B: 10 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment C: 10 mg/day Aricept® donepezil tablet administered QD for 5 consecutive weeks, then 1 day washout;
Age, Continuous
39.8 years
STANDARD_DEVIATION 9.91 • n=5 Participants
Sex: Female, Male
Female
22 Participants
n=5 Participants
Sex: Female, Male
Male
38 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Black of African American
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Asian
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · White
56 Participants
n=5 Participants
Region of Enrollment
United States
60 participants
n=5 Participants

PRIMARY outcome

Timeframe: 35 days of each Treatment

Population: all subjects without major protocol deviations that could affect PK and who had at least one PK parameter derived

To evaluate steady-state donepezil plasma exposure (Cmax) following 5 weeks of treatment.

Outcome measures

Outcome measures
Measure
Treatment A 5 mg TDS
n=60 Participants
Treatment A: 5 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout;
Treatment B 10 mg TDS
n=55 Participants
Treatment B: 10 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout;
Treatment C 10 mg Oral
n=56 Participants
Treatment C: 10 mg/day oral donepezil tablet administered QD for 5 consecutive weeks, then 1 day washout;
Maximum Concentration (Cmax)
29.9 Cmax ng/ml
Standard Deviation 9.1
62.4 Cmax ng/ml
Standard Deviation 19.9
70.5 Cmax ng/ml
Standard Deviation 19.4

PRIMARY outcome

Timeframe: 35 days each Treatment

Population: all subjects without major protocol deviations that could affect PK and who had at least one PK parameter derived

To evaluate steady-state donepezil plasma exposure (AUC) following 5 weeks of treatment

Outcome measures

Outcome measures
Measure
Treatment A 5 mg TDS
n=60 Participants
Treatment A: 5 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout;
Treatment B 10 mg TDS
n=55 Participants
Treatment B: 10 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout;
Treatment C 10 mg Oral
n=56 Participants
Treatment C: 10 mg/day oral donepezil tablet administered QD for 5 consecutive weeks, then 1 day washout;
Area Under the Curve (AUC)
4366.0 AUC h*ng/mL
Standard Deviation 1380.1
9099.0 AUC h*ng/mL
Standard Deviation 2972.1
8462.6 AUC h*ng/mL
Standard Deviation 2558.0

Adverse Events

Treatment A - 5 mg TDS

Serious events: 0 serious events
Other events: 32 other events
Deaths: 0 deaths

Treatment B - 10 mg TDS

Serious events: 0 serious events
Other events: 30 other events
Deaths: 0 deaths

Treatment C - 10 mg Oral

Serious events: 0 serious events
Other events: 32 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment A - 5 mg TDS
n=60 participants at risk
Participants received treatment sequence ABC or ACB in a randomized, crossover fashion. Treatment A: 5 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment B: 10 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment C: 10 mg/day oral donepezil tablet administered QD for 5 consecutive weeks, then 1 day washout;
Treatment B - 10 mg TDS
n=55 participants at risk
Participants received treatment sequence ABC or ACB in a randomized, crossover fashion. Treatment A: 5 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment B: 10 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment C: 10 mg/day oral donepezil tablet administered QD for 5 consecutive weeks, then 1 day washout;
Treatment C - 10 mg Oral
n=56 participants at risk
Participants received treatment sequence ABC or ACB in a randomized, crossover fashion. Treatment A: 5 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment B: 10 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks, then 1 day washout; Treatment C: 10 mg/day oral donepezil tablet administered QD for 5 consecutive weeks, then 1 day washout;
Gastrointestinal disorders
Constipation
15.0%
9/60 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
5.5%
3/55 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
17.9%
10/56 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
Gastrointestinal disorders
Nausea
6.7%
4/60 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
1.8%
1/55 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
30.4%
17/56 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
Gastrointestinal disorders
Diarrhoea
3.3%
2/60 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
3.6%
2/55 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
12.5%
7/56 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
Gastrointestinal disorders
Abdominal Pain
0.00%
0/60 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
5.5%
3/55 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
1.8%
1/56 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
Gastrointestinal disorders
Vomiting
1.7%
1/60 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
0.00%
0/55 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
5.4%
3/56 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
General disorders
Application Site Pruritis
20.0%
12/60 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
9.1%
5/55 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
0.00%
0/56 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
General disorders
Application Site Dermatitis
8.3%
5/60 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
5.5%
3/55 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
1.8%
1/56 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
General disorders
Fatigue
3.3%
2/60 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
1.8%
1/55 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
8.9%
5/56 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
General disorders
Application Site Irritation
5.0%
3/60 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
0.00%
0/55 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
0.00%
0/56 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
Nervous system disorders
Headache
13.3%
8/60 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
14.5%
8/55 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
12.5%
7/56 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
Nervous system disorders
Dizziness
5.0%
3/60 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
3.6%
2/55 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
19.6%
11/56 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
Nervous system disorders
Somnolence
0.00%
0/60 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
0.00%
0/55 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
10.7%
6/56 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
Psychiatric disorders
Insomnia
6.7%
4/60 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
7.3%
4/55 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
0.00%
0/56 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
Psychiatric disorders
Nightmare
8.3%
5/60 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
1.8%
1/55 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
1.8%
1/56 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
Musculoskeletal and connective tissue disorders
Muscle spasms
6.7%
4/60 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
9.1%
5/55 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days
8.9%
5/56 • Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days

Additional Information

Ronald Tashjian, Sr. Director of Clinical Operations

Corium, Inc.

Phone: 6172337474

Results disclosure agreements

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