ClinicalTrials.gg
CompletedNCT03401346Updated Mar 15, 2019

Bioavailability of DHE Administered by I123 POD Device, IV Injection, and Migranal Nasal Spray in Healthy Adults

A Phase 1 interventional study of INP104 and Dihydroergotamine Mesylate (DHE) in Migraine Headache, sponsored by Impel Pharmaceuticals. Completed at 1 site in Australia. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-03-15.

Sponsored by Impel Pharmaceuticals · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Dec 2017, 8 years 11 months ago, and no results have been posted to the registry.

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Phase
Phase 1
Study type
Interventional
Enrollment
36
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 26 studies in Migraine Disorders with a site in Australia — 2 open to participants now, 4 under way, none of them phase 3. Migraine Disorders · Australia.

Enrollment
24th of 26
36 · median 248
Started
2017
with 1 other
Phase 1
4 of 26
none open now
Registered
10th of 26
by date
Lead sponsor
1 of 26
Impel Pharmaceuticals

Among the 26 studies in Migraine Disorders with a site in Australia, this one is the 24th largest by enrollment, is one of 2 that started in 2017, is one of 4 in phase 1, and was the 10th registered.

Migraine Disorders

1,657 studies on the registry are indexed under Migraine Disorders; 339 are open to participants now.

Browse Migraine Disorders studies →

Open to participants now

2 of the 26 studies in Migraine Disorders with a site in Australia are open now. Recruiting first, the newest first:

All 2 open studies →

A study can be open while its sites in Australia have not opened yet or have stopped. Only those recruiting at a site in Australia →

Who these studies take

Of the 217 Migraine Disorders studies recruiting now, 66 (30%) set no upper age limit and 136 (63%) stop at 75 or younger; 44 take children under 18; 37 take healthy volunteers.

This study: 18 Years to 55 Years · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 26 studies in Migraine Disorders with a site in Australia, or all of them as a file.
02

Study summary

A Phase I clinical trial to compare the bioavailability of dihydroergotamine mesylate (DHE) following a single dose administration of INP104 (DHE administered by I123 Precision Olfactory Delivery (POD) Device Nasal Spray) to that of D.H.E. 45 for Injection (Intravenous) and Migranal Nasal Spray in healthy adult subjects.

It is hypothesized that INP104 will address the current variability in nasal administration and give more reproducible dose delivery compared to Migranal nasal spray.

Blood concentrations of all three investigational products will be compared for 48 hours following dosing. The safety and tolerability of INP104 will be monitored throughout the study.

INP104 has been developed for the treatment of acute migraine headache. The device in which the drug will be delivered has been designed to deliver the medication to the upper nasal cavity with minimal variation in dose absorption, eg loss via dripping out of the nose or the dose being swallowed.

Approximately 36 participants in general good health (equal ratio of males and females desired) will be enrolled and will be allocated to receive 3 treatments in a randomized sequence. They will receive a single dose of INP104, a single dose of DHE via intravenous injection, and a single dose of Migranal Nasal Spray. There will be a wash out period where no treatment will be administered for 7 days in between each treatment. Participants are required to attend 3 inpatient periods and 1 final outpatient visit. Each participant will be in the study for up to 43 days.

03

Conditions studied

  • Migraine Headache

Browse trials for

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

  • Adult male and females, 18 to 55 years of age (inclusive) at the time of screening.
  • Subjects must be in good general health, with no significant medical history (including migraine), have no abnormalities on physical examination at screening, and/or before administration of the initial dose of product.
  • Subjects must have a (BMI) between 18 and 32 kg/m2, inclusive.
  • Subjects must have clinical laboratory values within normal range as specified by the testing laboratory, or assessed as not clinically significant by the Principal Investigator.
  • Negative urine drug screen/alcohol breath test at screening.
  • Subjects who are willing to refrain from smoking for the duration of the study.

Exclusion criteria

Exclusion Criteria:

  • Subjects with a recent history of migraine and its variants including hemiplegic migraine and basilar migraine. A recent history of migraine is defined as (a) current or past history of migraine with at least 1 attack in last 6 months or (b) those receiving antimigraine prophylaxis.
  • Positive testing for (HIV), surface antigen (HBsAg), or antibodies (HCV).
  • Subjects who have ingested caffeine within 48 hours before admission on Day -1. Subjects must also agree to refrain from consumption of caffeinated drinks for 48 hours before admission of Days 7 and 14 (i.e. prior to each subsequent dosing), and throughout confinement.
  • Subjects with ischemic heart disease or subjects who have clinical symptoms or findings consistent with coronary artery vasospasm including Prinzmetal's variant angina.
  • Subjects with hypertension, known peripheral arterial disease, Raynaud's phenomenon, sepsis, history of vascular surgery or severely impaired hepatic or renal function
  • Subjects who have previously shown to ergot alkaloids or metoclopramide.
  • Use of any relevant prescription, over-the-counter medication (with the exception of oral ), foods (e.g. grapefruit juice) or supplements (including herbal) within 14 days of randomization [especially those affecting the Cytochrome P450 3A4 () metabolic pathway].
  • History or presence of alcoholism or drug abuse within the 2 years prior to the first product administration.
  • Surgery within the past three months prior to the first investigational product administration as determined by the PI to be .
  • Active infection and/or use of macrolide antibiotics within 14 days prior to enrollment.
  • History of recurrent infections.
  • Any nasal congestion or physical blockage in either nostril, or deviated nasal septum as determined by nasal examination.
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
36 participants (actual)

Study arms

  • Experimental
    INP104

    Single dose 1.45 mg Dihydroergotamine Mesylate (DHE), administered by I123 Precision Olfactory Delivery (POD) device nasal spray (INP104)

    Combination Product: INP104

  • Active comparator
    D.H.E. 45 Injection (IV)

    Single dose 1 mg Dihydroergotamine Mesylate (DHE) for intravenous injection

    Drug: Dihydroergotamine Mesylate (DHE)

  • Active comparator
    Migranal Nasal Spray

    Single dose 2 mg Migranal Nasal Spray Dihydroergotamine Mesylate (DHE)

    Combination Product: Migranal Nasal Spray

Interventions

  • Combination productINP104

    Dihydroergotamine Mesylate (DHE) administered via I123 Precision Olfactory Delivery (POD) Device

  • Dihydroergotamine Mesylate (DHE) injection (intravenous)

  • Combination productMigranal Nasal Spray

    Dihydroergotamine Mesylate (DHE) delivered via Migranal Nasal Spray pump

06

What researchers measure

Primary outcomes

  1. DHE pharmacokinetics

    Cmax

    Time frame: 48 hours

  2. DHE pharmacokinetics

    Tmax

    Time frame: 48 hours

  3. DHE pharmacokinetics

    AUC(0-t)

    Time frame: 48 hours

  4. DHE pharmacokinetics

    kel

    Time frame: 48 hours

  5. DHE pharmacokinetics

    T(1/2)

    Time frame: 48 hours

  6. DHE pharmacokinetics

    AUC(0-inf)

    Time frame: 48 hours

  7. DHE pharmacokinetics

    CL/F (CL for IV administration)

    Time frame: 48 hours

Secondary outcomes

  1. Incidence of treatment-emergent adverse events

    Incidence of treatment-emergent adverse events after one dose of INP-104, Migranal Nasal Spray or DHE45 by IV injection

    Time frame: Day 1 to day 22 post first dosing

  2. 8'-OH-DHE pharmacokinetics

    Cmax

    Time frame: 48 hours

  3. 8'-OH-DHE pharmacokinetics

    Tmax

    Time frame: 48 hours

  4. 8'-OH-DHE pharmacokinetics

    AUC(0-t)

    Time frame: 48 hours

  5. 8'-OH-DHE pharmacokinetics

    kel

    Time frame: 48 hours

  6. 8'-OH-DHE pharmacokinetics

    T(1/2)

    Time frame: 48 hours

  7. 8'-OH-DHE pharmacokinetics

    AUC(0-inf)

    Time frame: 48 hours

  8. 8'-OH-DHE pharmacokinetics

    CL/F (CL for IV administration)

    Time frame: 48 hours

07

Study locations

1 site
  • Centre for Clinical Studies/Nucleus Network
    Melbourne, Victoria 3004, Australia
08

References and documents

Publications

  • Shrewsbury SB, Jeleva M, Satterly KH, Lickliter J, Hoekman J. STOP 101: A Phase 1, Randomized, Open-Label, Comparative Bioavailability Study of INP104, Dihydroergotamine Mesylate (DHE) Administered Intranasally by a I123 Precision Olfactory Delivery (POD(R) ) Device, in Healthy Adult Subjects. Headache. 2019 Mar;59(3):394-409. doi: 10.1111/head.13476. Epub 2019 Jan 19. PubMed 30659611 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2017 to primary completion in Dec 2017, 1 month.

Of 39 industry-sponsored phase 1 interventional studies under Migraine Disorders, half reached primary completion within 4 months of starting (the median), counting those still running; a quarter within 2 and three quarters within 12. This study's 1 month is below that.

Counting every sponsor, half of 53 studies reached it within 6 months; a quarter within 2 and three quarters within 19.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 17, 2017
First posted
Jan 17, 2018
StartActual
Oct 19, 2017
Primary completionActual
Dec 1, 2017
CompletionActual
Dec 6, 2017
Last update
Mar 15, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 15, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03401346
Lead sponsor
Impel Pharmaceuticals
Responsible party
Sponsor
First posted
Jan 17, 2018
Start date
Oct 19, 2017
Primary completion
Dec 1, 2017
Completion
Dec 6, 2017
Last update
Mar 15, 2019

Study contacts

Jason Lickliter, MD
principal investigator · Centre for Clinical Studies/Nucleus Network

Oversight

FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.

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