Status:

COMPLETED

Pharmacokinetics and Pharmacodynamics of a New Formulation of Nasal Naloxone for Prehospital Use

Lead Sponsor:

Norwegian University of Science and Technology

Collaborating Sponsors:

St. Olavs Hospital

Conditions:

Drug Overdose

Eligibility:

All Genders

18-40 years

Phase:

PHASE1

PHASE2

Brief Summary

Overdose with potential deadly outcome is a serious problem among opioid abusers, not least in Norway. The annual death toll from overdose is about 250, higher than road traffic accidents. Those who i...

Detailed Description

Healthy volunteers will be brought into a state of opioid influence in a well-known, short acting, controlled and safe manner using remifentanil. Naloxone is a well-known, well-tolerated drug with an...

Eligibility Criteria

Inclusion

  • American Society of Anesthesiologists (ASA) class I
  • ECG without pathologic abnormalities
  • BMI range of 18,5 - 24,9 kg/m2.
  • lab values within reference values at St Olav's Hospital for the relevant haematological and biochemical test for inclusion:
  • Haemoglobin (male: 13.4-17.0 g/dL, female 11.7 - 15.3 g/dL)
  • Creatinine (male: 60-105 micromole/L, female 45 - 90 micromole/L)
  • Aspartate aminotransferases (ASAT) (male: 15-45 U/L, female: 15-35 U/L)
  • Alanine transaminase (ALAT) (male: 10-70 U/L, female: 10-45 U/L)
  • Gamma glutamyl transpeptidase (GT) (male: 10-80 U/L, female: 10-45 U/L)
  • For women in reproductive age: serum HCG (normal under 3 ye/L)
  • Signed informed consent and expected cooperation of the subjects for the treatment

Exclusion

  • Taking any medications including herbal medicines the last week prior to treatment visits
  • Current or history of drug and/or alcohol abuse (To assess problematic drug or alcohol use we use the CAGE AID screening tool)
  • History of contact with police or authorities in relation to alcohol or drug offences
  • History of prolonged use of opioid analgesics
  • History of prior drug allergy
  • Having any local nasal disease or nasal surgery for the last 2 months or recent cold for the last week
  • Pregnant women (HCG over 3 ye/L at inclusion)
  • Women in reproductive age not using high efficacy contraceptives (Oral contraceptives, Patch (Evra), Implants, Vaginal ring, Hormonal IUD, Copper intra-uterine device (IUD), Sterilization) throughout the study period until their last visit.
  • Breastfeeding women
  • Participants with access to remifentanil or other potent opioids in their daily workplace.
  • Hypersensitivity to naloxone or remifentanil hydrochloride and/or to any of its excipients.
  • Any reason why, in the opinion of the investigator, the patient should not participate.

Key Trial Info

Start Date :

December 1 2014

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2015

Estimated Enrollment :

12 Patients enrolled

Trial Details

Trial ID

NCT02307721

Start Date

December 1 2014

End Date

September 1 2015

Last Update

October 17 2018

Active Locations (1)

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1

Department of Circulation and Medical Imaging

Trondheim, Norway