ClinicalTrials.gg
CompletedNCT04617782Updated Sep 19, 2024Results posted

Pharmacokinetic Study of 5 and 10 mg Corplex™ Donepezil TDS Compared to 10 mg Aricept® in Healthy Volunteers

A Phase 1 interventional study of Donepezil TDS and Aricept in Healthy Subjects, sponsored by Corium, Inc.. Completed at 1 site in United States. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by Corium, Inc. · Phase 1, Interventional, and Other

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Phase
Phase 1
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

Phase 1, open-label, randomized, 3-period, 3-treatment, crossover pharmacokinetic study to evaluate the steady-state pharmacokinetics of 5 mg/day and 10 mg/day Corplex™ Donepezil TDS manufactured with the commercial process compared to 10 mg Aricept® in healthy volunteers.

Read the detailed description

Screening Period:

Subjects will undergo a Screening Period up to 28 days prior to entering the Treatment Phase.

Treatment Phase consisting of 3 Treatment periods with 3 Treatments A, B, C.

Treatment Period 1: All Subjects will receive Treatment A; 5 mg/day Donepezil Transdermal Delivery System (TDS); 1-week wear and applied for 5 consecutive weeks.

Treatment Periods 2 and 3: Subjects will be randomized (by gender) to receive either sequences of Treatments B-C or Treatments C-B.

Treatment B: 10 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks Treatment C: 10 mg/day Aricept® donepezil tablet administered daily (QD) for 5 weeks.

Blood samples for pharmacokinetics and safety assessments will be collected during the Treatment Phase.

02

Conditions studied

  • Healthy Subjects

Keywords

  • Donepezil, Transdermal Delivery System
03

In context

Lead sponsor

Corium, Inc. is the lead sponsor of 8 studies on the registry; none are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 3 (43%) have results posted.

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

  • Healthy males and females.
  • Subject's (BMI) must be between 18 and 32 kg/m2 (inclusive).
  • Subject must be continuous non-smokers.
  • Subject must have a Fitzpatrick skin type of I, II or III.

Exclusion criteria

Exclusion Criteria:

  • History or presence of cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, oncologic, or psychiatric disease or any other condition that, in the opinion of the Investigator, would jeopardize the safety of the subject or the validity of the study results.
  • After resting seated for at least 3 minutes, subjects should be excluded from the study with the following vital signs at Screening

    1. systolic blood pressure outside the range of 90-145 mmHg, or
    2. diastolic blood pressure outside the range of 50-90 mmHg, or
    3. resting heart rate outside the range of 40-100 beats per minute.
  • Has an isolated ≥1.5x the or AST ≥1.5x the ULN at Screening; or both ALT and AST exceeding the ULN.
  • Estimated at screening \<70 mL/min/1.73 m2.
  • Prolonged (Fridericia) on screening (≥450 ms for both females and males).
  • History or presence of excessive hairy skin on application sites as deemed by the Investigator to potentially interfere with patch adhesion or drug absorption.
  • History or presence of significant skin damage, diffuse skin diseases-, scars, tattoos on the application sites or other skin disturbances as deemed by the Investigator to potentially interfere with drug absorption or skin tolerability assessments
  • Use of donepezil hydrochloride or related drugs within 60 days prior to the first study drug administration.
  • Has participated in another clinical trial within 30 days prior to Day -1.
Terms in these criteria, in plain language(7)

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.

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

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.

05

Study design

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

Study arms

  • Experimental
    Treatment A

    5 mg/day Donepezil Transdermal Delivery System (TDS) 1-week wear and applied weekly for 5 consecutive weeks

    Combination Product: Donepezil TDS

  • Experimental
    Treatment B

    10 mg/day Donepezil TDS 1-week wear and applied weekly for 5 consecutive weeks

    Combination Product: Donepezil TDS

  • Active comparator
    Treatment C

    10 mg/day Aricept® donepezil tablet administered QD for 5 consecutive weeks

    Drug: Aricept

Interventions

06

What researchers measure

Primary outcomes

  1. Maximum Concentration (Cmax)

    To evaluate steady-state donepezil plasma exposure (Cmax) following 5 weeks of treatment.

    Time frame: 35 days of each Treatment

  2. Area Under the Curve (AUC)

    To evaluate steady-state donepezil plasma exposure (AUC) following 5 weeks of treatment

    Time frame: 35 days each Treatment

07

Results

Posted Sep 19, 2024

Participant flow

Treatment A - 5 mg TDS
Participant flow — Treatment A - 5 mg TDS
MilestoneTreatment Sequence ABC or ACB in Crossover Fashion
Started60
Completed57
Not completed3
Withdrew: Physician decision2
Withdrew: Failure to follow site rules1
Treatment B - 10 mg TDS
Participant flow — Treatment B - 10 mg TDS
MilestoneTreatment Sequence ABC or ACB in Crossover Fashion
Started55
Completed53
Not completed2
Withdrew: Protocol violation1
Withdrew: Withdrawal by subject1
Treatment C - 10 mg Oral
Participant flow — Treatment C - 10 mg Oral
MilestoneTreatment Sequence ABC or ACB in Crossover Fashion
Started56
Completed53
Not completed3
Withdrew: Protocol violation2
Withdrew: Failure to follow site rules1

Outcome measures

PrimaryMaximum Concentration (Cmax)

To evaluate steady-state donepezil plasma exposure (Cmax) following 5 weeks of treatment.

Time frame:
35 days of each Treatment
Reported as:
Mean · Cmax ng/ml
Maximum Concentration (Cmax)
Cmax ng/mlTreatment A 5 mg TDSTreatment B 10 mg TDSTreatment C 10 mg Oral
Maximum Concentration (Cmax)29.9 ± 9.162.4 ± 19.970.5 ± 19.4
PrimaryArea Under the Curve (AUC)

To evaluate steady-state donepezil plasma exposure (AUC) following 5 weeks of treatment

Time frame:
35 days each Treatment
Reported as:
Mean · AUC h*ng/mL
Area Under the Curve (AUC)
AUC h*ng/mLTreatment A 5 mg TDSTreatment B 10 mg TDSTreatment C 10 mg Oral
Area Under the Curve (AUC)4366.0 ± 1380.19099.0 ± 2972.18462.6 ± 2558.0

Adverse events

Collected over Collected from first dose of the study drug to last treatment day, 36 days per intervention for a total of 108 days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment A - 5 mg TDS0/60 (0%)0/60 (0%)32/60 (53.3%)
Treatment B - 10 mg TDS0/55 (0%)0/55 (0%)30/55 (54.5%)
Treatment C - 10 mg Oral0/56 (0%)0/56 (0%)32/56 (57.1%)
Most frequent other events
Showing 10 of 15
Most frequent other events
EventTreatment A - 5 mg TDSTreatment B - 10 mg TDSTreatment C - 10 mg Oral
NauseaGastrointestinal disorders4/601/5517/56
Application Site PruritisGeneral disorders12/605/550/56
DizzinessNervous system disorders3/602/5511/56
ConstipationGastrointestinal disorders9/603/5510/56
HeadacheNervous system disorders8/608/557/56
DiarrhoeaGastrointestinal disorders2/602/557/56
SomnolenceNervous system disorders0/600/556/56
Muscle spasmsMusculoskeletal and connective tissue disorders4/605/555/56
FatigueGeneral disorders2/601/555/56
Application Site DermatitisGeneral disorders5/603/551/56

Baseline characteristics

Age, Continuous
Age, Continuous(years)All Study Participants
Mean39.8 ± 9.91
Sex: Female, Male
Sex: Female, Male(Participants)All Study Participants
Female22
Male38
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)All Study Participants
Race — Black of African American3
Race — Asian1
Race — White56
Region of Enrollment
Region of Enrollment(participants)All Study Participants
United States60
08

Study locations

1 site
  • Worldwide Clinical Trials
    San Antonio, Texas 78217, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2020 to primary completion in Apr 2021, 3 months.

Results were first posted in Sep 2024, 3 years 5 months after primary completion.

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

Registered
Nov 1, 2020
First posted
Nov 5, 2020
StartActual
Dec 8, 2020
Primary completionActual
Apr 5, 2021
CompletionActual
Apr 5, 2021
Results first posted
Sep 19, 2024
Last update
Sep 19, 2024
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 Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04617782
Lead sponsor
Corium, Inc.
Responsible party
Sponsor
First posted
Nov 5, 2020
Start date
Dec 8, 2020
Primary completion
Apr 5, 2021
Completion
Apr 5, 2021
Results posted
Sep 19, 2024
Last update
Sep 19, 2024

Study contacts

Robert Bass, MD
principal investigator · Worldwide Clinical Trials

Oversight

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

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Discussion

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Studies of the drug tested here: Donepezil

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