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CompletedNCT02609477Updated Apr 25, 2024

A Study to Evaluate Abuse Potential of Istradefylline

A Phase 1 interventional study of Istradefylline and Phentermine 45 mg in Drug Abuse, sponsored by Kyowa Kirin Co., Ltd.. Completed at 1 site in United States. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-04-25.

Sponsored by Kyowa Kirin Co., Ltd. · Phase 1, Interventional, and Other

Phase
Phase 1
Study type
Interventional
Enrollment
42
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

This study is to evaluate the abuse potential of single-doses of istradefylline compared to placebo and phentermine in recreational stimulant users. Subjects will participate in an outpatient medical Screening visit, a 5-day Qualification (Drug Discrimination) Phase, a 6-period Treatment Phase, and an outpatient safety Follow-Up visit. Study will be approximately 25 weeks total.

Within 28 days of the Screening visit, eligible subjects will be admitted to the CRU (Day -1) for the Qualification Phase. During the Qualification Phase, subjects will receive single oral doses of phentermine 60 mg and matching placebo in a randomized, double blind, crossover manner, with each drug administration separated by approximately 48 hours (Day 1 and Day 3), to ensure that they can discriminate and show positive subjective effects of the active controls. Following evaluation of eligibility, subjects may be discharged (those who fail Qualification criteria) or remain in the CRU (those who pass criteria and are eligible) and then proceed directly to the Treatment Phase. The washout interval between last drug administration in the Qualification Phase and first drug administration in the Treatment Phase will be at least 96 hours (4 days).

Following confirmation of eligibility from the Qualification Phase, subjects will be randomized to one of 6 treatment sequences according to a 6x6 Williams square. Subjects will receive single oral doses of each of the 6 treatments in a randomized, double-blind, crossover manner, Istradefylline 40 mg, Istradefylline 80 mg, Istradefylline 160 mg, Phentermine 45 mg, Phentermine 90 mg, Placebo.

Each drug administration will be separated by at least 21 days. Serial pharmacodynamic evaluations will be conducted up to 24 hours after each study drug administration to confirm exposure to istradefylline.

02

Conditions studied

  • Drug Abuse

Keywords

  • Recreational stimulant users
  • Recreational Drug Users
03

In context

Substance-Related Disorders

2,181 studies on the registry are indexed under Substance-Related Disorders; 399 are open to participants now.

This study's enrollment of 42 is below the median of 108 across 1,770 interventional studies indexed under Substance-Related Disorders.

Browse Substance-Related Disorders studies →

Lead sponsor

Kyowa Kirin Co., Ltd. is the lead sponsor of 159 studies on the registry; 9 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Subjects who will provide written informed consent
  • Healthy volunteer, male and female between 18 and 55 years of age, inclusive
  • Subjects with a body mass index (BMI) within 18.0 to 33.0 kg/m2, inclusive
  • Subjects who are recreational drug user

Exclusion criteria

Exclusion Criteria:

  • Subjects who have an alcohol or substance dependence within the 12 months
  • Subjects who have ever been in treatment for substance use disorder
  • Subjects who consume on average more than 5 servings of caffeinated beverages per day
  • Subjects with a history of or presence of any clinically significant cardiovascular disease
  • Subject with hyperthyroidism or glaucoma.
05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
42 participants (actual)

Study arms

  • Experimental
    Istradefylline 40 mg

    40 mg istradefylline (1 × 40 mg tablet + 3 × placebo tablets + 3 × placebo capsules)

    Drug: Istradefylline · Other: Placebo

  • Experimental
    Istradefylline 80 mg

    80 mg istradefylline (2 × 40 mg tablets + 2 × placebo tablets + 3 × placebo capsules)

    Drug: Istradefylline · Other: Placebo

  • Experimental
    Istradefylline 160 mg

    160 mg istradefylline (4 × 40 mg tablets + 3 × placebo capsules)

    Drug: Istradefylline · Other: Placebo

  • Active comparator
    Phentermine 45 mg

    45 mg phentermine (4 x placebo tablets + 3 × 15 mg phentermine hydrochloride capsules)

    Drug: Phentermine 45 mg · Other: Placebo

  • Active comparator
    Phentermine 90 mg

    90 mg phentermine (4 × placebo tablets + 3 × 30 mg phentermine hydrochloride capsules)

    Drug: Phentermine 45 mg · Other: Placebo

  • Placebo comparator
    Placebo

    Placebo (4 × placebo tablets + 3 × placebo capsules)

    Other: Placebo

Interventions

06

What researchers measure

Primary outcomes

  1. Drug Liking VAS

    To evaluate the abuse potential of istradefylline compared to phentermine and placebo.

    Time frame: 24 hours

Secondary outcomes

  1. C-SSRS (Columbia Suicide Severity Rating Scale)

    To evaluate the safety and tolerability of istradefylline.

    Time frame: 24 hours

  2. Alerness/Drowsiness, Agitation/Relaxation VAS

    To evaluate the safety and tolerability of istradefylline.

    Time frame: 24 hours

  3. Caffine Withdrawal/Symptom Questionnaire

    To evaluate the safety and tolerability of istradefylline.

    Time frame: 24 hours

  4. Overall Drug Liking, Take Drug Again VAS

    To evaluate the safety and tolerability of istradefylline.

    Time frame: 24 hours

  5. Drug Similarity VAS

    To evaluate the safety and tolerability of istradefylline.

    Time frame: 24 hours

07

Study locations

1 site
  • Pharmaceutical Research Associates, Inc
    Salt Lake City, Utah 84106, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 25, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02609477
Collaborators
Kyowa Hakko Kirin Pharma, Inc.
Responsible party
Sponsor
First posted
Nov 20, 2015
Start date
Jan 2016
Primary completion
Jul 2016
Completion
Jul 2016
Last update
Apr 25, 2024

Study contacts

Kyowa Hakko Kirin Pharma, Inc.
study chair · Kyowa Hakko Kirin Pharma, Inc.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2016. You cannot join it, but the record below documents what was studied.

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Discussion

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