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CompletedNCT03624322SNAP101Updated Oct 4, 2018

Safety and Tolerability of INP105 (Olanzapine by I231 POD® Device) Nasal Spray in Healthy Volunteers - SNAP 101

A Phase 1 interventional study of Zyprexa IM and Zydis in Acute Agitation, 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 2018-10-04.

Primary conditionPsychomotor Agitation(the registry's first term)UnverifiedIs this wrong?The registry often attaches Psychomotor Agitation to studies about something else, and this study's title and listed conditions do not name it. No better condition is named, so the registry's term is kept.

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

From the registry’s dates

  • Primary completion was Oct 2018, 8 years 1 month ago, and no results have been posted to the registry.

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Phase
Phase 1
Study type
Interventional
Enrollment
38
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety, pharmacokinetics (PK), and pharmacodynamics (PD) of INP105, which is an investigational drug-device combination product comprised of the drug component OLZ administered by a Precision Olfactory Delivery (POD®) nasal spray device (I231 POD® Device). The proposed indication for INP105 is the treatment of acute agitation associated with schizophrenia and bipolar I disorder.

Read the detailed description

This is a randomized, double-blind, placebo- and active-controlled, ascending-dose, 2-way, 2- period, incomplete block, crossover, Phase 1 trial to compare the safety, tolerability, PK and PD of 3 single doses of INP105 with the safety, tolerability, PK and PD of 1 dose of Zyprexa IM (5 mg) and 1 dose of oral Zyprexa Zydis (10 mg). Randomization for Periods 1 and 2 will occur for each subject on Day 1.

02

Conditions studied

  • Acute Agitation

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Keywords

  • Agitation
  • Schizophrenia
  • Bipolar I disorder
  • OLZ
  • Olanzapine
  • Zyprexa
  • POD® device
03

In context

Psychomotor Agitation Unverified

231 studies on the registry are indexed under Psychomotor Agitation; 28 are open to participants now.

This study's enrollment of 38 is below the median of 100 across 188 interventional studies indexed under Psychomotor Agitation.

Browse Psychomotor Agitation studies →

Lead sponsor

Impel Pharmaceuticals is the lead sponsor of 5 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 2 (40%) have results posted.

Compared within Psychomotor Agitation, the registry's first condition term, which may not be this study's main condition. Counted across the registry records on this site, refreshed daily. How we classify →

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

  1. Adult male (N=at least 9) and female (N=at least 9) 18 to 55 years of age (inclusive) at Screening, in good general health, with no significant medical history and no abnormalities on physical examination at Screening or before first dose of IP.
  2. Subjects must have a (BMI) between 18 and 32 kg/m2 inclusive.
  3. Negative urine drug screen/alcohol breath test at Screening and Day -1. Repeat tests may be performed if false positive results are suspected.
  4. Subjects must have the ability and willingness to attend the necessary visits at the study centre.
  5. Written signed prior to entry into the study.
  6. Female subjects of , and male subjects and their partners, must agree to use adequate , defined as complete abstinence, documented evidence of surgical sterilization or condom plus approved contraceptive method

Exclusion criteria

Exclusion Criteria:

  1. Known to Zyprexa IM, Zyprexa Zydis or any of the ingredients in them or in INP105 or the placebo.
  2. Recently (within 3 months) or currently taking Zyprexa (any formulation).
  3. Subjects taking medications known to inhibit or induce CYP1A2 at any time during the study period, and any subjects taking prescription medications, over the counter medications or supplements that, in the opinion of the Investigator, may impact the subject's response to INP105 or impact the subject's participation in the study. Oral are permitted.
  4. Subjects with medical history of hypotension or currently taking anti-hypertensives at Screening or throughout the study.
  5. Current or recent smokers (\<3 months since quitting); inadvertent one-off smokers and social smokers will also be excluded.
  6. Females who are pregnant or lactating.
  7. Subjects with any underlying physical or psychological medical condition that, in the opinion of the Investigator, would make it unlikely that the subject will comply with the study.
  8. Abnormal and laboratory test results.
  9. History or presence of alcohol or drug abuse within the 2 years prior to the first IP administration.
  10. Blood donation or significant blood loss within 60 days prior to the first IP administration.
  11. Plasma donation within 7 days prior to the first IP administration.
  12. Administration of IP in another trial within 30 days or 5 half-lives (whichever is longer) prior to the first IP administration.
  13. Significant surgery within the past 3 months prior to the first IP administration determined by the Investigator to be clinically relevant.
  14. Failure to satisfy the Investigator of fitness to participate for any other reason.
  15. Acute illness within 30 days prior to Day 1. Subjects with minor viral illnesses (for example, upper respiratory tract infection) within 30 days prior to Day 1 may be randomized if all symptoms are resolved by admission and at the discretion of the Investigator.
  16. Any nasal congestion, deviated septum, or physical blockage in either nostril.
  17. Positive for (HIV), or
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.

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.

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.

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.

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.

05

Study design

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

Study arms

  • Active comparator
    Period 1

    Period 1 (n=36) assignment to 1 of 2 reference therapy treatment groups (Zyprexa 5mg IM or Zydis 10mg orally disintegrating wafer, 10mg) over 3 cohorts (single dose)

    Drug: Zyprexa IM · Drug: Zydis

  • Experimental
    Period 2

    Period 2 (n=36) assignment to 1 of 3 IP treatment groups (INP105 of 5, 10, or 20mg or placebo) administered with the I231 POD® Device) over 3 cohorts (single dose)

    Drug: INP105 · Device: I231 POD® Device

Interventions

  • DrugZyprexa IM

    5mg

  • DrugZydis

    10mg orally disintegrating wafer

    Also known as: Zyprexa Zydis

  • DrugINP105

    Single, ascending doses of 5, 10, or 20mg capsules OLZ (olanzapine) or placebo (MCC)

    Also known as: OLZ or placebo

  • DeviceI231 POD® Device

    Precision Olfactory Delivery (POD) device

    Also known as: POD®

06

What researchers measure

Primary outcomes

  1. Safety and tolerability

    AEs and SAEs as assessed from baseline by physical exam, ECG, vital signs, and clinical laboratory results

    Time frame: 30 days

  2. PK profile of OLZ INP105 Tmax

    Tmax

    Time frame: 72 hours

  3. PK profile of OLZ INP105 Cmax

    Cmax

    Time frame: 72 hours

  4. PK profile of Zyprexa IM Tmax

    Tmax

    Time frame: 72 hours

  5. PK profile of Zyprexa IM Cmax

    Cmax

    Time frame: 72 hrs

  6. PK profile of Zyprexa Zydis Tmax

    Tmax

    Time frame: 72 hours

  7. PK profile of Zyprexa Zydis Cmax

    Cmax

    Time frame: 72 hours

  8. PD effects of INP105 vs placebo

    Changes in motor function measured by PD assessment compared to overall PK profile following ascending doses of INP105

    Time frame: 72 hours

  9. PD effects of Zyprexa IM

    Changes in motor function measured by PD assessment compared to overall PK profile following a single dose of 5mg of Zyprexa IM

    Time frame: 72 hours

  10. PD effects of Zyprexa Zydis

    Changes in motor function measured by PD assessment compared to overall PK profile following a single 10mg dose of Zyprexa Zydis oral disintegrating wafer

    Time frame: 72 hours

07

Study locations

1 site
  • Nucleus Network Pty Ltd
    Melbourne, Victoria 3004, Australia
08

References and documents

Publications

  • Shrewsbury SB, Hocevar-Trnka J, Satterly KH, Craig KL, Lickliter JD, Hoekman J. The SNAP 101 Double-Blind, Placebo/Active-Controlled, Safety, Pharmacokinetic, and Pharmacodynamic Study of INP105 (Nasal Olanzapine) in Healthy Adults. J Clin Psychiatry. 2020 Jun 30;81(4):19m13086. doi: 10.4088/JCP.19m13086. PubMed 32609960 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Aug 2018 to primary completion in Oct 2018, 1 month.

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

Registered
Jul 25, 2018
First posted
Aug 10, 2018
StartActual
Aug 5, 2018
Primary completionActual
Oct 3, 2018
CompletionActual
Oct 3, 2018
Last update
Oct 4, 2018
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 Oct 4, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03624322
Lead sponsor
Impel Pharmaceuticals
Responsible party
Sponsor
First posted
Aug 10, 2018
Start date
Aug 5, 2018
Primary completion
Oct 3, 2018
Completion
Oct 3, 2018
Last update
Oct 4, 2018

Study contacts

Stephen B Shrewsbury, MD
study director · Impel NeuroPharma
Niquita Tugiono, MD
principal investigator · Nucleus Network Pty Ltd.

Oversight

Data monitoring committee
Yes
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 Aug 2018. You cannot join it, but the record below documents what was studied.

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