Open Label Study to Assess the Pharmacokinetics of Intranasal Ketorolac Tromethamine Following Fluticasone Propionate in Healthy Subjects

Egalet

Status and phase

Completed

Phase 1

Conditions

Healthy Subjects

Treatments

Drug: Ketorolac tromethamine

Drug: Fluticasone Propionate

Study type

Interventional

Funder types

Industry

Identifiers

NCT01365611

ROX 2006-04

Details and patient eligibility

About

This was a non-randomized, open label study in healthy male and female volunteers. A single intranasal dose of 30 mg ketorolac tromethamine was administered to all subjects on Days 1 and 6; in addition, subjects received a daily intranasal dose of 200 µg fluticasone propionate on Days 2-6. Subjects remained resident in the Clinical Unit from the evening of Day 1 until the morning of Day 2 and from the evening of Day 5 until the morning of Day 7, and made ambulatory visits to the Clinical Unit on the morning of Days 3-5. A post study medical was performed within 7 days of study completion.

The objective of this study was to assess the effects of chronic administration of fluticasone propionate on the pharmacokinetics of intranasal ketorolac in healthy male and female subjects.

Enrollment

36 patients

Sex

All

Ages

18 to 60 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Male or female volunteers aged 18 to 60 years inclusive
Female subjects of child bearing potential must have had a negative urine pregnancy test prior to entry into the study and must not have been breastfeeding
All male subjects with female partners of child bearing potential must have consented to use a medically acceptable method of contraception (oral or implanted contraceptive hormones, intrauterine device or surgical sterilization plus condom or diaphragm with spermicidal agent) throughout the study period
Subject must have given signed informed consent
Subject was within 20% of the normal weight for his/her height and body build according to the table of "Desirable Weights for Men and Women" (Metropolitan Life Insurance Co. 1999)
Subject's medical history was considered normal, with no clinically significant abnormalities
Subject was considered to be in good health in the opinion of the Investigator as determined by a pre-study physical examination with no clinically significant abnormalities, vital signs within normal ranges and an electrocardiogram (ECG) with no clinically significant abnormalities
Subject's pre study clinical laboratory findings were within the normal range or if outside of the normal range were not deemed clinically significant in the opinion of the Investigator
Subject had bilateral patent nasal airways at screening and Day 1 as assessed by the Investigator
Subject had a body weight of at least 60 kg

Exclusion criteria

Subject had had a clinically significant illness in the 4 weeks before screening
Subject had used prescribed medications in the 3 weeks prior to dosing or over-the-counter preparations for 7 days prior to dosing, except paracetamol which was allowed up to 48 h prior to dosing. However, use of multivitamins and oral contraceptives was permitted
Subject had a significant history of drug/solvent abuse, or a positive drugs of abuse (DOA) test at screening
Subject had a history of alcohol abuse or currently drank in excess of 28 units per week (males) or 21 units per week (females)
Subject was a current user of tobacco or had a history of smoking in the past 5 years
Subject was in the opinion of the Investigator not suitable to participate in the study
Subject had participated in any clinical study with an investigational drug/device within 3 months prior to dosing
Subject had a positive result of human immunodeficiency virus (HIV) screen, hepatitis B screen or hepatitis C screen
Subject had had a serious adverse reaction or significant hypersensitivity to any drug
Subject had donated 500 mL or more of blood within the 3 months prior to screening
Subject had any history of co-existing nasal polyps, nonsteroidal anti-inflammatory drug (NSAID) sensitivity and asthma
Subject had had an allergic reaction to aspirin or other NSAIDs
Subject had a current upper respiratory tract infection or other respiratory tract condition that could interfere with the absorption of the nasal spray or with the assessment of adverse events (AEs)
Any suspicion of rhinitis medicamentosa (chronic daily use of topical decongestants)
Subject had used a monoamine oxidase inhibitor in the 14 days prior to study entry
Subject had active peptic ulcer disease, gastrointestinal bleeding or perforation, or a history of peptic ulcer disease or gastrointestinal bleeding
Subject had anemia due to unexplained or known gastrointestinal bleeding
Subject had a history of asthma or any other chronic pulmonary disorder
Subject had renal impairment or a risk of renal failure due to volume depletion
Subject had a previous history of nasal surgery