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Single and Multiple Dose Pharmacokinetics of Sufentanil NanoTab

Single- and Multiple-Dose Pharmacokinetics of Sublingual Sufentanil NanoTab® PCA System (Zalviso™) in Healthy Subjects

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01761565
Enrollment
40
Registered
2013-01-07
Start date
2013-01-31
Completion date
2013-02-28
Last updated
2015-10-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Plasma Concentrations

Brief summary

Determine the plasma concentration profile after single and multiple dosing of Sufentanil NanoTabs

Interventions

DRUGSingle dose of SUF NT 15 mcg
DRUG40 consecutive doses of SUF NT 15 mcg taken every 20 minutes

Sponsors

Talphera, Inc
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
Yes

Inclusion criteria

* Non smoking * Ages 18 to 45 year, inclusive * BMI between 18 and 30

Exclusion criteria

* Subjects taking any prescription or OTC medications or vitamins or supplements * Pregnant females * Subjects with pulmonary disease or sleep apnea

Design outcomes

Primary

MeasureTime frameDescription
Cmax24 hours in Treatment A, 37 hours in Treatment BFor Treatment A, serial blood samples were taken at 0 (predose), 5, 10, 15, 20, 30, 40, 50, 60, 70, 80, 90, 120, 180, 240, 360, 480, 600, 720, 800, and 840 minutes, and 24 hours after the Sufentanil NanoTab dose on Day 1. For Treatment B, serial blood samples were collected at 0, 20, 120, 240, 360, 480, 600, 720, 760, 780, 785, 790, 795, 800, 810, 820, 830, 840, 850, 860, 870, 900, 960, 1020, 1140, 1260, 1380, 1500, 1580, and 1620 minutes, and 37 hours after the first Sufentanil NanoTab dose on Day 3
Time to Steady State24 hoursSteady state, for the cohort, was assessed using Helmert's method (ratio of the geometric mean concentration of each time point to the geometric mean concentrations pooled over all remaining time points, and achieved at the first not-statistically significant time point (i.e., p \>0.05)
CST½24the time for plasma concentrations to decrease from Cmax to 50% of Cmax after discontinuation of drug administration

Countries

United States

Participant flow

Participants by arm

ArmCount
One Dose of SUF NT 15 mcg Then 40 Doses of SUF NT 15 mcg
Arm 1/Period 1: Single dose of SUF NT 15 mcg Single dose of SUF NT 15 mcg Arm 2/Period 2: 40 consecutive doses of SUF NT 15 mcg 40 consecutive doses of SUF NT 15 mcg
40
Total40

Withdrawals & dropouts

PeriodReasonFG000
40 Consecutive Doses of SUF 15 mcgAdverse Event1

Baseline characteristics

CharacteristicOne Dose of SUF NT 15 mcg Then 40 Doses of SUF NT 15 mcg
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
0 Participants
Age, Categorical
Between 18 and 65 years
40 Participants
Region of Enrollment
United States
40 participants
Sex: Female, Male
Female
19 Participants
Sex: Female, Male
Male
21 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
5 / 4018 / 39
serious
Total, serious adverse events
0 / 400 / 39

Outcome results

Primary

Cmax

For Treatment A, serial blood samples were taken at 0 (predose), 5, 10, 15, 20, 30, 40, 50, 60, 70, 80, 90, 120, 180, 240, 360, 480, 600, 720, 800, and 840 minutes, and 24 hours after the Sufentanil NanoTab dose on Day 1. For Treatment B, serial blood samples were collected at 0, 20, 120, 240, 360, 480, 600, 720, 760, 780, 785, 790, 795, 800, 810, 820, 830, 840, 850, 860, 870, 900, 960, 1020, 1140, 1260, 1380, 1500, 1580, and 1620 minutes, and 37 hours after the first Sufentanil NanoTab dose on Day 3

Time frame: 24 hours in Treatment A, 37 hours in Treatment B

Population: 2 of the 40 subjects had incomplete PK data and were excluded from PK analysis (1 due to early withdrawal and 1 due to AE)

ArmMeasureValue (MEAN)Dispersion
Single Dose of SUF NT 15 mcgCmax34.96 pg/mLStandard Deviation 12.23
40 Consecutive Doses of SUF NT 15 mcgCmax249.55 pg/mLStandard Deviation 72.13
Primary

CST½

the time for plasma concentrations to decrease from Cmax to 50% of Cmax after discontinuation of drug administration

Time frame: 24

Population: 2 of the 40 subjects had incomplete PK data and were excluded from PK analysis (1 due to early withdrawal and 1 due to AE)

ArmMeasureValue (MEDIAN)
Single Dose of SUF NT 15 mcgCST½2.17 hours
40 Consecutive Doses of SUF NT 15 mcgCST½2.66 hours
Primary

Time to Steady State

Steady state, for the cohort, was assessed using Helmert's method (ratio of the geometric mean concentration of each time point to the geometric mean concentrations pooled over all remaining time points, and achieved at the first not-statistically significant time point (i.e., p \>0.05)

Time frame: 24 hours

Population: 2 of the 40 subjects had incomplete PK data and were excluded from PK analysis (1 due to early withdrawal and 1 due to AE)

ArmMeasureValue (NUMBER)
Single Dose of SUF NT 15 mcgTime to Steady State4 hours

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026