ClinicalTrials.gg
CompletedNCT03516305Updated Apr 7, 2022

Pharmacokinetic Study Evaluating Staccato® Alprazolam 1 mg Inhaler in Smokers Versus Non-Smokers

A Phase 1 interventional study of Staccato Alprazolam 1 mg in Healthy, sponsored by Engage Therapeutics, Inc.. Completed at 1 site in United States. Open to participants aged 21 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-04-07.

Sponsored by Engage Therapeutics, Inc. (part of UCB S.A.) · Phase 1, Interventional, and Basic science

From the registry’s dates

  • Primary completion was Aug 2018, 8 years 3 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
36
Allocation
Not applicable
Ages
21 Years to 50 Years
Sex
All
01

Study summary

This is an open-label, non-randomized, single dose, pharmacokinetic study in 36 healthy adult male and female volunteers, including 18 smokers and 18 non-smokers. All subjects will be administered a single inhaled dose of Staccato alprazolam 1 mg via hand-held inhaler. Blood samples will be drawn for pharmacokinetic analysis. Eligible subjects are admitted to Phase 1 unit for up to 48 hours. Subjects will receive a post-study safety phone call 14 days(± 2 days) after dosing.

02

Conditions studied

  • Healthy
03

In context

Lead sponsor

Engage Therapeutics, Inc. is the lead sponsor of 2 studies on the registry; none are open to participants now.

First submitted before Engage Therapeutics, Inc. became part of UCB S.A..

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

04

Who can participate

Ages eligible
21 Years to 50 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

  • These inclusion criteria (items 1-8) apply to all subjects, smokers and non-smokers:

I. Healthy male and female subjects between the ages of21 to 50 years, inclusive.

  1. (BMI) >/= 18 and \</= 30 kg/m2, inclusive.
  1. Able to speak, read, and understand English and are willing and able to provide written on an IRB-approved form prior to the initiation of any study procedures.
  1. Willing and able to be confined to a clinical research facility for up to 48 hours (including 2 nights) and comply with the study schedule and study requirements.
  1. Normal spirometry at screening as demonstrated by FEVI +/- 80% of predicted and FVC +/- 80% of predicted.
  1. Adequate veins, as assessed by the Investigator or Investigator's designee, that are suitable for the required number and frequency of PK blood draws in this study.
  1. In otherwise good general health as determined by a complete medical history, physical examination, 12-lead (ECG), blood chemistry profile, hematology, serology (-l/2Ab, , Ab), and urinalysis at screening.
  1. Female participants (if of and sexually active) and male participants (if sexually active with a partner of child-bearing potential) who agree to use a medically acceptable and effective method throughout the study and for one week following the end of the study.

Smokers must meet the following inclusion criteria (items 9-10):

  1. A history of smoking> 15 cigarettes/day currently and for at least the last 2 years.
  1. Serum cotinine +/-500 ng/mL at Screening Visit I.

Nonsmokers must meet the following inclusion criteria (items 11-12):

  1. A history of never smoking> 5 cigarettes/day and not smoking at all for at least the last 2 years prior to Visit I.
  1. Serum cotinine :o 40 ng/mL at Screening Visit I and a negative urine cotinine test at Visit 2 Day-I.

Exclusion criteria

Exclusion Criteria:

  1. Treatment with an drug within 30 days ( or within 5 half-lives of the investigational drug, if>30 days) prior to Visit I.
  2. Significant hepatic, renal, gastroenterologic, cardiovascular endocrine, neurologic (including history of seizures or stroke), or hematologic disease.
  3. Any acute illness in the 5 days prior to Visit 2.
  4. Upper respiratory tract infection within 6 weeks of Visit 2 or bronchitis or pneumonia within 6 months of Visit 2.
  5. Use of a bronchodilator for the treatment of wheezing within 12 months of Visit I.
  6. Diagnosis of an active or chronic pulmonary disease.
  7. Lung resection or other pulmonary surgery within 12 months of Visit I.
  8. A history of allergy or intolerance to alprazolam.
  9. Use of any other prescription or nonprescription medication--with the exception of acetaminophen, ibuprofen or ongoing doses of oral or vitamins--within 5 days prior to study drug administration.
  10. A history within the past 2 years of drug or alcohol dependence or abuse.
  11. Positive test for alcohol or a positive urine screen for drugs of abuse at screening
  12. A positive test.
  13. Breastfeeding or a positive pregnancy test at screening (female subjects).
  14. abnormality.
  15. Hypotension or hypertension, at screening or baseline.
  16. Poor veins in the opinion of the Investigator or the Investigator's designee such that the participant is judged to likely have difficult venipuncture during the study.
  17. Any other disease or condition, by history, physical examination, or laboratory abnormalities that in the investigator's opinion, would present undue risk to the subject, or may confound the interpretation of study results.
  18. Participation in another clinical trial within 2 months of the beginning of the present study, or blood donation or comparable blood loss (>350mL) within 2 months before the present study.
Terms in these criteria, in plain language(10)

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.

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

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.

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.

05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
36 participants (actual)

Study arms

  • Experimental
    Staccato Alprazolam 1 mg

    a single inhaled dose

    Drug: Staccato Alprazolam 1 mg

Interventions

  • DrugStaccato Alprazolam 1 mg

    alprazolam I mg administered via the Staccato hand-held inhaler device system.

06

What researchers measure

Primary outcomes

  1. Pharmacokinetics (PK) : Maximum observer drug concentration (Cmax)

    Cmax of alprazolam in smokers compared to non-smokers

    Time frame: Sequential time points : pre-dose, and at 2, 5, 10 and 30 minutes, and at 1, 2, 4, 6, 12, 24 and 36 hours post-dose.

  2. PK: Area under the concentration versus time curve (AUC)from Zero to Infinity (AUC[0-∞]

    AUC\[0-∞\] of alprazolam in smokers compared to non-smokers

    Time frame: Sequential time points : pre-dose, and at 2, 5, 10 and 30 minutes, and at 1, 2, 4, 6, 12, 24 and 36 hours post-dose.

Secondary outcomes

  1. PK;: time after administration of a drug when the maximum plasma concentration is reached (Tmax)

    Tmax of alprazolam in smokers compared to non-smokers

    Time frame: Sequential time points : pre-dose, and at 2, 5, 10 and 30 minutes, and at 1, 2, 4, 6, 12, 24 and 36 hours post-dose.

  2. PK: half-life (t1/2)

    t1/2 of alprazolam in smokers compared to non-smokers

    Time frame: Sequential time points : pre-dose, and at 2, 5, 10 and 30 minutes, and at 1, 2, 4, 6, 12, 24 and 36 hours post-dose.

07

Study locations

1 site
  • Clinilabs Research Unit
    Eatontown, New Jersey 07724, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 7, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03516305
Collaborators
Clinilabs, Inc.
Responsible party
Sponsor
First posted
May 4, 2018
Start date
Apr 6, 2018
Primary completion
Aug 1, 2018
Completion
Aug 1, 2018
Last update
Apr 7, 2022

Study contacts

M. Shenouda, MD
principal investigator · Clinilabs, Inc.

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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