Evaluation of the Effect of Benzonatate on QT Intervals Following Single Dose Administration of Benzonatate to Healthy Volunteers

Pfizer

Status and phase: Completed; Phase 1

Conditions: Healthy Volunteers

Treatments: Drug: Placebo; Drug: Benzonatate 200 mg; Drug: Moxifloxacin 400 mg; Drug: Benzonatate 800 mg

Study type: Interventional

Funder types: Industry

Identifiers

NCT02207699

B3551003

BT-10-02

Details and patient eligibility

About

The primary objective of this study is to determine the effects of benzonatate (200 mg and 800 mg) on the QT interval following single dose oral administration at each time point post-dose.

Enrollment: 68 patients

Sex: All

Ages: 18 to 55 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Healthy male and female subjects between the ages of 18 and 55 years, inclusive. Healthy is defined as no clinically relevant abnormalities identified by a detailed medical history, full physical examination, including blood pressure and pulse rate measurement, 12- lead ECG and clinical laboratory tests.

• Female subjects of non-childbearing potential must meet at least one of the following criteria:

  1. Achieved postmenopausal status, defined as: cessation of regular menses for at least 12 consecutive months with no alternative pathological or physiological cause; and have a serum FSH level within the laboratory's reference range for postmenopausal females;
  2. Have undergone a documented hysterectomy and/or bilateral oophorectomy;
  3. Have medically confirmed ovarian failure. All other female subjects (including females with tubal ligations and females that do NOT have a documented hysterectomy, bilateral oophorectomy and/or ovarian failure) will be considered to be of childbearing potential.

• Body mass index (BMI) of 17.5 to 30.5 kg/m2, inclusive, and a total body weight >50 kg (110 lb).

• Evidence of a personally signed and dated informed consent document indicating that the subject has been informed of all aspects of the study.

• Subjects willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.

Exclusion criteria

• Significant ECG abnormality at screening as determined by the investigator.
• History or risk factors of QT prolongation or torsades de pointes, congenital deafness and family history of sudden death.
• 12-lead ECG demonstrating QTcF >450 msec or a QRS interval >110 msec at Screening.
• Use of medications or dietary supplements capable of inducing or inhibiting hepatic enzyme metabolism or transport (e.g., barbiturates, rifampin, carbamazepine, phenytoin, primidone, or St. John's Wort) within 28 days of the first dose of study medication.
• Consumption of grapefruit or grapefruit containing products within 7 days prior to the first dose of study medication.
• Known history of hypersensitivity, allergy, severe adverse drug reaction or intolerance to quinolone antibiotics.
• Known hypersensitivity to benzonatate or other ester-type local anesthetics (ie, tetracaine, procaine).
• Subjects with a presence or history of dysphagia or difficulty swallowing pills.
• Subjects taking any concomitant anticonvulsant medications or with a history of seizure disorder.
• Subjects with a positive response to the question of actual attempt in the suicidal behavior section of the C-SSRS (Columbia-Suicide Severity Rating Scale). Subjects with active suicidal ideation with intent to act within 6 months of screening as determined by a positive response to questions 4 or 5 in the suicidal ideation section of the C-SSRS.
• Screening laboratory values considered clinically significant by the investigator.
• Screening supine blood pressure ≥140 mm Hg (systolic) or ≥90 mm Hg (diastolic), following at least 5 minutes of rest.

Trial design

Primary purpose: Basic Science

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

---

68 participants in 4 patient groups, including a placebo group

Benzonatate 200 mg

Experimental group

Treatment:

Drug: Benzonatate 200 mg

Benzonatate 800 mg

Experimental group

Treatment:

Drug: Benzonatate 800 mg

Moxifloxacin 400 mg

Active Comparator group

Treatment:

Drug: Moxifloxacin 400 mg

Placebo

Placebo Comparator group

Treatment:

Drug: Placebo