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CompletedNCT04784728Updated Mar 5, 2021

Pharmacokinetics and Adhesion of Lidocaine Topical System 1.8% With Water Exposure

A Phase 1 interventional study of Lidocaine topical system 1.8% in Healthy, sponsored by Scilex Pharmaceuticals, Inc.. Completed at 1 site in United States. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-03-05.

Sponsored by Scilex Pharmaceuticals, Inc. · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Aug 2019, 7 years 1 month ago, and no results have been posted to the registry.
  • Registered 1 year 6 months after the study started (first participant enrolled Aug 2019, registered Mar 2021).
Phase
Phase 1
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

The objectives of this study are to evaluate the adhesion performance and pharmacokinetics of ZTlido (lidocaine topical system) 1.8% during swimming, showering, and under normal conditions.

Read the detailed description

In this Phase 1, open-label, three-period crossover study, 24 healthy, adult male and female subjects are randomized to 1 of 3 treatment sequences. During each treatment period, subjects have one lidocaine topical system applied to their back for 12 hours with a 4-day washout between treatments. In each treatment period, the subject will either swim (Treatment A), shower (Treatment B), or refrain from these activities (Treatment C) while wearing the topical system. Blood samples for lidocaine PK will be collected pre-dose until 24 hours. Adhesion will be monitored throughout the wear time and skin irritation will be assessed the topical system is removed.

02

Conditions studied

  • Healthy

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03

In context

Tissue Adhesions

241 studies on the registry are indexed under Tissue Adhesions; 29 are open to participants now.

This study's enrollment of 24 is below the median of 60 across 184 interventional studies indexed under Tissue Adhesions.

Browse Tissue Adhesions studies →

Lead sponsor

Scilex Pharmaceuticals, Inc. is the lead sponsor of 13 studies on the registry; none are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 2 (17%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Key Inclusion Criteria:

  • Must be healthy based on medical history, laboratory work, and physical exam
  • Body mass index ranging between 18.0-30.0 kg/m2, inclusive
  • Capable of unaided swimming
  • If childbearing potential, use of acceptable form of birth control
  • In case of females of childbearing potential, have a negative serum pregnancy

Key Exclusion Criteria:

  • Allergy or known hypersensitivity to lidocaine, amide-type local anesthetics or any component of the product formulation
  • Any major medical illness 3 months prior or any significant history or ongoing chronic medical illness affecting the major body systems, including the skin
  • Subjects with conditions that might affect application of the product or its adhesive properties (including psoriasis, eczema, atopic dermatitis, damaged or irritated epidermal layer, and excessive hair or oil on the skin)
  • Use of antiarrhymthic drugs (such as tocainide and mexiletine) and local anesthetics within 14 days prior to product application.
  • History of addiction, abuse, or misuse of any drug
  • Use of nicotine-containing products within 30 days
05

Study design

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

Study arms

  • Experimental
    Lidocaine topical system with swimming (Treatment A)

    One topical system is applied to the mid- to upper-back for 12 hours. Subjects swim for 15 minutes in a heated pool 4 hours after topical system application.

    Drug: Lidocaine topical system 1.8%

  • Experimental
    Lidocaine topical system with showering (Treatment B)

    One topical system is applied to the mid- to upper-back for 12 hours. Subjects take a 10-minute shower 8 hours after topical system application.

    Drug: Lidocaine topical system 1.8%

  • Experimental
    Lidocaine topical system under normal conditions (Treatment C)

    One topical system is applied to the mid- to upper-back for 12 hours. Topical systems are not exposed to water during this period.

    Drug: Lidocaine topical system 1.8%

Interventions

  • DrugLidocaine topical system 1.8%

    lidocaine patch

    Also known as: ZTlido

06

What researchers measure

Primary outcomes

  1. Mean cumulative adhesion score

    Adhesion to skin assessed by FDA 0-4 scoring system. The scoring for adhesion of patches is indicated as follows: 0 = ≥ 90% Adhered (essentially no lift off the skin), 1 = ≥ 75% to \< 90% Adhered (some edges only lifting off the skin), 2 = ≥ 50% to \< 75% Adhered (less than half of the patch lifting off the skin), \> 0% to \< 50% Adhered but not detached (more than half of the patch lifting off the skin without falling off), and 4 = 0% adhered (patched completely detached). The cumulative adhesion score is calculated as the sum of scores at each assessment time point (3, 4.5, 7, 8.5, and 12 hours).

    Time frame: Over 12 hours

Secondary outcomes

  1. Peak plasma concentration (Cmax) of lidocaine

    Peak plasma concentration of lidocaine after product application for 12 hours

    Time frame: 0, 1.5, 3.0, 6.0, 9.0, 12.0, 15.0, 18.0, 24.0 hours post-dose

  2. Area under the plasma concentration-time curve (AUC) from Time 0 to Time 24 hours

    Area under the plasma concentration versus time curve from 0 to 24 hours of lidocaine in plasma

    Time frame: 0, 1.5, 3.0, 6.0, 9.0, 12.0, 15.0, 18.0, 24.0 hours post-dose

  3. Area under the plasma concentration-time curve (AUC) from Time 0 to Time Infinity

    Area under the plasma concentration versus time curve from 0 to infinite time of lidocaine in plasma

    Time frame: 0, 1.5, 3.0, 6.0, 9.0, 12.0, 15.0, 18.0, 24.0 hours post-dose

  4. Dermal Response Score

    Product tolerability is assessed by Dermal Response Score. The application site is evaluated 30 minutes and 2 hours after product removal (12.5 and 14 hours post-dose, respectively). Response score from 0 to 7; 0= No evidence of irritation, 1= Minimal erythema, barely perceptible, 2= Definite erythema, readily visible; minimal edema or minimal papular response, 3= Erythema and papules, 4= Definite edema, 5= Erythema, edema and papules, 6= Vesicular eruption, 7= Strong reaction spreading beyond test (i.e., application) site.

    Time frame: 12.5 and 14 hours post-dose

07

Study locations

1 site
  • AXIS Clinicals
    Dilworth, Minnesota 56529, United States
08

References and documents

Publications

  • Vought K, Greuber E, Patel K, Argoff C, Lissin D. A Randomized, Crossover, Adhesion Performance and Pharmacokinetic Study of a Lidocaine Topical System Under Conditions of Water Exposure in Healthy Subjects. J Pain Res. 2021 Aug 16;14:2459-2467. doi: 10.2147/JPR.S323789. eCollection 2021. PubMed 34429646 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04784728
Lead sponsor
Scilex Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Mar 5, 2021
Start date
Aug 21, 2019
Primary completion
Aug 31, 2019
Completion
Aug 31, 2019
Last update
Mar 5, 2021

Study contacts

Peter Boldingh, PharmD
principal investigator · AXIS Clinicals

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 Mar 2021. You cannot join it, but the record below documents what was studied.

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