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A Study to Characterize the Abuse Liability of ALO-02 in Healthy, Non-Dependent, Recreational Opioid Users When ALO-02 Capsules Are Crushed and Snorted

A Randomized, Double-blind, Placebo Controlled, Single-dose, 4-way Crossover Study To Determine The Relative Abuse Potential Of Alo-02 (Oxycodone Hydrochloride And Naltrexone Hydrochloride Extended Release Capsules) Compared To Oxycodone Immediate Release, And Placebo When Administered Intranasally To Non-dependent, Recreational Opioid Users.

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01775189
Enrollment
45
Registered
2013-01-24
Start date
2013-02-28
Completion date
2013-07-31
Last updated
2017-07-17

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

Conditions

Healthy

Keywords

Relative abuse potential study, Chronic pain, oxycodone, naltrexone, opioid-related disorders, drug abusers

Brief summary

The main purpose of this study is to determine if oxycodone and naltrexone combination capsules (ALO-02) have the potential to be abused when they are crushed and snorted.

Detailed description

Abuse Liability Study

Interventions

DRUGALO-02 weight-matched placebo

crushed sugar spheres (powder) x 1 dose

DRUGcrushed ALO-02 30 mg/3.6 mg

crushed ALO-02 30 mg/3.6 mg capsule x 1 dose

DRUGoxycodone weight-matched placebo

crushed lactose tablets (powder) x 1 dose

DRUGcrushed oxycodone IR 30 mg

Three (3) crushed immediate-release (IR) oxycodone 10 mg tablets x 1 dose

Sponsors

Syneos Health
CollaboratorOTHER
Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy subjects * Non-dependent, recreational opioid users. (Must use opioid for non-therapeutic purposes on at least 10 occassions within the last year and at least once in the 8 weeks before Visit 1 (Screening Visit). * Must have experience with intranasal opioid administration (snorted opioid drugs on at least 3 occassions within the last year before Visit 1 (Screening Visit).

Exclusion criteria

* Diagnosis of substance and/or alcohol dependence * Subject has participated in, is currently participating in, or seeking treatment for substance and/or alcohol related disorder.

Design outcomes

Primary

MeasureTime frameDescription
Drug Liking: Peak Effect (Emax)Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseDrug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the extreme left with strong disliking (score of 0 mm) and on the extreme right with strong liking (score of 100 mm). Peak Effect (Emax) = Maximum observed score.
High: Area Under Effect Curve (AUE) From 0-2 HourIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2 hours post-doseHigh VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours.
High: Peak Effect (Emax)Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseHigh VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Drug Liking: Area Under Effect Curve (AUE) From 0-2 HourIntervention period: 0.25, 0.5, 0.75, 1, 1.5, 2 hours post-doseDrug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the extreme left with strong disliking (score of 0 mm) and on the extreme right with strong liking (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours.

Secondary

MeasureTime frameDescription
Percentage of Dose (Drug Powder) InsufflatedIntervention period: 0 Hour post-doseThe percentage of dose insufflated, was based on a calculation of the weight of powder remaining (if any) following each dosing during the intervention period.
Any Drug Effects: Peak Effect (Emax)Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseAny Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Any Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourIntervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseAny Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Any Drug Effects: Time to Maximum (Peak) Effect (TEmax)Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseAny Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Good Drug Effects: Peak Effect (Emax)Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseGood Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Good Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourIntervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseGood Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Good Drug Effects: Time to Maximum (Peak) Effect (TEmax)Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseGood Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Bad Drug Effects: Peak Effect (Emax)Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseBad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Bad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourIntervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseBad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Bad Drug Effects: Time to Maximum (Peak) Effect (TEmax)Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseBad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Feel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseFeel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Feel Sick: Time to Maximum (Peak) Effect (TEmax)Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseFeel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Nausea: Peak Effect (Emax)Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseNausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Nausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseNausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Nausea: Time to Maximum (Peak) Effect (TEmax)Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseNausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Sleepy: Peak Effect (Emax)Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseSleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Sleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseSleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Sleepy: Time to Maximum (Peak) Effect (TEmax)Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseSleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Dizzy: Peak Effect (Emax)Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseDizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Dizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseDizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Dizzy: Time to Maximum (Peak) Effect (TEmax)Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseDizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
Pupillometry: Peak Effect (Emax)Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dosePupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. Emax = Maximum observed score.
Pupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourIntervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dosePupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).
Pupillometry: Time to Maximum (Peak) Effect (TEmax)Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dosePupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. TEmax = Time to maximum observed score.
Take Drug Again: Peak Effect (Emax)Intervention period: 12, 24 hours post-doseTake drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emax = Maximum observed score.
Take Drug Again: Mean Effect (Emean)Intervention period: 12, 24 hours post-doseTake drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emean = Average observed score.
Feel Sick: Peak Effect (Emax)Intervention periods: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseFeel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.
Take Drug Again Effect at Hours 12 and 24Intervention period: 12, 24 hours post-doseTake drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would).
Overall Drug Liking: Peak Effect (Emax)Intervention period: 12, 24 hours post-doseOverall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking). Emax = Maximum observed score.
Overall Drug Liking: Mean Effect (Emean)Intervention period: 12, 24 hours post-doseOverall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking). Emean = Average observed score.
Overall Drug Liking Effect at Hours 12 and 24Intervention period: 12, 24 hours post-doseOverall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking).

Other

MeasureTime frameDescription
Subject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourIntervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2 hours post-doseParticipant-rated scale for nasal effects was used to assess burning, need to blow nose, runny nose/nasal discharge, facial pain/pressure, and nasal congestion using a 6-point scale (where, 0 = not present/no problem; 1 = very mild problem; 2 = mild/slight problem; 3 = moderate problem; 4 = severe problem; 5 = problem as bad as can be). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x).
Subject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2 hours post-doseParticipant-rated scale for nasal effects was used to assess burning, need to blow nose, runny nose/nasal discharge, facial pain/pressure, and nasal congestion using a 6-point scale (where, 0 = not present/no problem; 1 = very mild problem; 2 = mild/slight problem; 3 = moderate problem; 4 = severe problem; 5 = problem as bad as can be). TEmax = Time to maximum observed score.
Maximum Observed Plasma Concentration (Cmax) of Oxycodone, Oxymorphone and NoroxycodoneIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseParticipants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.
Maximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexolIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseParticipants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.
Time to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseParticipants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.
Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexolIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseParticipants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.
Plasma Decay Half-Life (t1/2) of Oxycodone, Oxymorphone and NoroxycodoneIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dosePlasma decay half-life is the time measured for the plasma concentration to decrease by one half. Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.
Plasma Decay Half-Life (t1/2) of Naltrexone and 6-beta-naltrexolIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dosePlasma decay half-life is the time measured for the plasma concentration to decrease by one half. Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.
Area Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8 hours post-doseAUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone, Oxymorphone and NoroxycodoneIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseArea under the plasma concentration time-curve from zero to the last quantifiable concentration (AUClast). Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Oxycodone, Oxymorphone and NoroxycodoneIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseAUC (0 - ∞)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.
Area Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Naltrexone and 6-beta-naltrexolIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8 hours post-doseAUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Naltrexone and 6-beta-naltrexolIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseArea under the plasma concentration time-curve from zero to the last quantifiable concentration (AUClast). Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Naltrexone and 6-beta-naltrexolIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseAUC (0 - ∞)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.
Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)Screening up to 3 to 7 days following last study drug administration, or time of early withdrawalAn AE was any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship. SAE: an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 3 - 7 days following last study drug administration that were absent before treatment or that worsened relative to pre-treatment state. Symptoms of withdrawal following naloxone administration (naloxone challenge phase) were not collected as adverse events unless they met the criteria for an SAE. AEs included SAEs as well as non-serious AEs which occurred during the trial.
Number of Participants With Clinically Significant Change in Vital Sign ExaminationsScreening up to 3 to 7 days following last study drug administration, or time of early withdrawalVital signs assessment included measurement of heart rate, systolic and diastolic blood pressures, and respiratory rate. Criteria for clinically significant change in any vital sign examination was based on investigator's discretion.
Number of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseEnd-tidal carbon dioxide concentration in the expired air (EtCO2) was monitored using capnography in a sitting position. Criteria for clinically significant change in EtCO2 was based on investigator's discretion.
Number of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)Drug discrimination phase: pre-dose up to 5 hours; intervention period: pre-dose up to 12 hoursOxygen saturation of hemoglobin in blood (SpO2) was monitored using pulse oximetry continuously for 5 hours following dosing in the drug discrimination phase and continuously for 12 hours following dosing in the treatment phase, or longer at the discretion of the investigator. Individual measurement was collected in a sitting position. If SpO2 fall below 90 percent (%), the investigator administered oxygen via nasal cannula at a flow rate sufficient to maintain the SpO2 greater than or equal to 90%. Participants with fall in SpO2 below 90% were reported.
Drug Liking: Time to Maximum (Peak) Effect (TEmax)Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseDrug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). TEmax = Time to maximum observed score.
Subject Rating Scale for Nasal Effects: Peak Effect (Emax)Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2 hours post-doseParticipant-rated scale for nasal effects was used to assess burning, need to blow nose, runny nose/nasal discharge, facial pain/pressure, and nasal congestion using a 6-point scale (where, 0 = not present/no problem; 1 = very mild problem; 2 = mild/slight problem; 3 = moderate problem; 4 = severe problem; 5 = problem as bad as can be). Emax = Maximum observed score.
Drug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HourIntervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseDrug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x).
High: Time to Maximum (Peak) Effect (TEmax)Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseHigh VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.
High: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HoursIntervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-doseHigh VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x).

Countries

Canada

Participant flow

Recruitment details

Recreational opioid users who had experience with intranasal administration of opiates and were not dependent on opioids based on Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition-Text Revision (DSM-IV-TR) criteria, were recruited in this study.

Pre-assignment details

After successful naloxone challenge test, all participants underwent training sessions involving complete pharmacodynamics test battery before the drug discrimination phase, to ensure that participants fully understood how to perform the tests, were comfortable, and attained a stable level of performance on the various performance-based measures.

Participants by arm

ArmCount
Entire Study Population
Included all participants enrolled in the study.
45
Total45

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006
Drug Discrimination Phase: Day 1Adverse Event0300000
Drug Discrimination Phase: Day 2Did Not Meet Entrance Criteria0270000
Drug Discrimination Phase: Day 2Protocol Violation0100000
Treatment Phase: Washout Period 1Protocol Violation0000010
Treatment Phase: Washout Period 2Protocol Violation0001000
Treatment Phase: Washout Period 3Protocol Violation0001001

Baseline characteristics

CharacteristicEntire Study Population
Age, Continuous35.6 years
STANDARD_DEVIATION 9
Sex: Female, Male
Female
7 Participants
Sex: Female, Male
Male
38 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
1 / 4543 / 453 / 454 / 2916 / 307 / 3032 / 32
serious
Total, serious adverse events
0 / 450 / 450 / 420 / 290 / 300 / 300 / 32

Outcome results

Primary

Drug Liking: Area Under Effect Curve (AUE) From 0-2 Hour

Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the extreme left with strong disliking (score of 0 mm) and on the extreme right with strong liking (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours.

Time frame: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEAN)Dispersion
Placebo Sugar SpheresDrug Liking: Area Under Effect Curve (AUE) From 0-2 Hour98.518 hours*mmStandard Deviation 6.7606
ALO-02 30 mgDrug Liking: Area Under Effect Curve (AUE) From 0-2 Hour105.286 hours*mmStandard Deviation 21.3736
Placebo Lactose TabletDrug Liking: Area Under Effect Curve (AUE) From 0-2 Hour100.241 hours*mmStandard Deviation 3.3227
Oxycodone 30 mgDrug Liking: Area Under Effect Curve (AUE) From 0-2 Hour159.580 hours*mmStandard Deviation 32.1643
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.217695% CI: [-4, 17.1]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-65.1, -44.1]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.350295% CI: [-5.6, 15.5]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.762495% CI: [-12.1, 8.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [49, 70.1]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [50.6, 71.7]Mixed Models Analysis
Primary

Drug Liking: Peak Effect (Emax)

Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the extreme left with strong disliking (score of 0 mm) and on the extreme right with strong liking (score of 100 mm). Peak Effect (Emax) = Maximum observed score.

Time frame: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEAN)Dispersion
Placebo Sugar SpheresDrug Liking: Peak Effect (Emax)50.9 mmStandard Deviation 1.18
ALO-02 30 mgDrug Liking: Peak Effect (Emax)60.5 mmStandard Deviation 12.05
Placebo Lactose TabletDrug Liking: Peak Effect (Emax)51.3 mmStandard Deviation 3.32
Oxycodone 30 mgDrug Liking: Peak Effect (Emax)92.8 mmStandard Deviation 11.98
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000195% CI: [4.8, 14.2]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-37, -27.6]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.000295% CI: [4.5, 13.8]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.880695% CI: [-5, 4.3]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [36.8, 46.1]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [37.1, 46.4]Mixed Models Analysis
Primary

High: Area Under Effect Curve (AUE) From 0-2 Hour

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEAN)Dispersion
Placebo Sugar SpheresHigh: Area Under Effect Curve (AUE) From 0-2 Hour0.871 hours*mmStandard Deviation 3.5082
ALO-02 30 mgHigh: Area Under Effect Curve (AUE) From 0-2 Hour27.750 hours*mmStandard Deviation 39.7213
Placebo Lactose TabletHigh: Area Under Effect Curve (AUE) From 0-2 Hour4.768 hours*mmStandard Deviation 20.0468
Oxycodone 30 mgHigh: Area Under Effect Curve (AUE) From 0-2 Hour135.670 hours*mmStandard Deviation 43.0513
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.001595% CI: [10.6, 43.1]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-125.7, -93]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.010995% CI: [5.1, 37.8]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.511795% CI: [-21.8, 10.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [114.5, 147]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [119.8, 152.5]Mixed Models Analysis
Primary

High: Peak Effect (Emax)

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEAN)Dispersion
Placebo Sugar SpheresHigh: Peak Effect (Emax)2.2 mmStandard Deviation 10.01
ALO-02 30 mgHigh: Peak Effect (Emax)26.6 mmStandard Deviation 28.44
Placebo Lactose TabletHigh: Peak Effect (Emax)6.0 mmStandard Deviation 21.84
Oxycodone 30 mgHigh: Peak Effect (Emax)85.8 mmStandard Deviation 24.34
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [13.8, 35.3]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [-72.6, -50.9]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.001295% CI: [7.4, 29.1]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: 0.250795% CI: [-17.2, 4.5]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [69.2, 90.7]Mixed Models Analysis
Comparison: Mixed-effect model with treatment, period, and sequence as fixed effects, and participants nested within the sequence as a random effect.p-value: <0.000195% CI: [75.4, 97.1]Mixed Models Analysis
Secondary

Any Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour

Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

Time frame: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)0.295 hours*mmStandard Deviation 1.0179
Placebo Sugar SpheresAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)0.429 hours*mmStandard Deviation 1.5517
Placebo Sugar SpheresAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)0.830 hours*mmStandard Deviation 2.4083
Placebo Sugar SpheresAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)1.045 hours*mmStandard Deviation 2.5917
ALO-02 30 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)38.290 hours*mmStandard Deviation 43.2746
ALO-02 30 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)82.371 hours*mmStandard Deviation 117.8336
ALO-02 30 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)96.013 hours*mmStandard Deviation 138.686
ALO-02 30 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)18.647 hours*mmStandard Deviation 21.1164
Placebo Lactose TabletAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)12.513 hours*mmStandard Deviation 54.8407
Placebo Lactose TabletAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)3.701 hours*mmStandard Deviation 16.0503
Placebo Lactose TabletAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)12.585 hours*mmStandard Deviation 54.8265
Placebo Lactose TabletAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)1.692 hours*mmStandard Deviation 7.6048
Oxycodone 30 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)399.719 hours*mmStandard Deviation 311.1514
Oxycodone 30 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)138.888 hours*mmStandard Deviation 48.0836
Oxycodone 30 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)69.692 hours*mmStandard Deviation 21.7465
Oxycodone 30 mgAny Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)329.004 hours*mmStandard Deviation 197.0154
Secondary

Any Drug Effects: Peak Effect (Emax)

Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

Time frame: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEAN)Dispersion
Placebo Sugar SpheresAny Drug Effects: Peak Effect (Emax)0.6 mmStandard Deviation 1.42
ALO-02 30 mgAny Drug Effects: Peak Effect (Emax)35.5 mmStandard Deviation 31.81
Placebo Lactose TabletAny Drug Effects: Peak Effect (Emax)6.2 mmStandard Deviation 17.51
Oxycodone 30 mgAny Drug Effects: Peak Effect (Emax)88.6 mmStandard Deviation 21.28
Secondary

Any Drug Effects: Time to Maximum (Peak) Effect (TEmax)

Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEDIAN)
Placebo Sugar SpheresAny Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.267 hours
ALO-02 30 mgAny Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.517 hours
Placebo Lactose TabletAny Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.250 hours
Oxycodone 30 mgAny Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.267 hours
Secondary

Bad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour

Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

Time frame: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)0.045 hours*mmStandard Deviation 0.1674
Placebo Sugar SpheresBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)0.116 hours*mmStandard Deviation 0.4053
Placebo Sugar SpheresBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)0.482 hours*mmStandard Deviation 1.5766
Placebo Sugar SpheresBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)6.696 hours*mmStandard Deviation 32.9731
ALO-02 30 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)6.920 hours*mmStandard Deviation 12.0601
ALO-02 30 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)15.000 hours*mmStandard Deviation 31.8735
ALO-02 30 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)19.214 hours*mmStandard Deviation 45.0219
ALO-02 30 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)3.911 hours*mmStandard Deviation 7.8416
Placebo Lactose TabletBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)5.719 hours*mmStandard Deviation 20.3316
Placebo Lactose TabletBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)0.701 hours*mmStandard Deviation 3.612
Placebo Lactose TabletBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)6.004 hours*mmStandard Deviation 20.3044
Placebo Lactose TabletBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)0.246 hours*mmStandard Deviation 1.205
Oxycodone 30 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)71.375 hours*mmStandard Deviation 192.392
Oxycodone 30 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)10.107 hours*mmStandard Deviation 21.5289
Oxycodone 30 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)4.080 hours*mmStandard Deviation 9.9234
Oxycodone 30 mgBad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)43.232 hours*mmStandard Deviation 87.5335
Secondary

Bad Drug Effects: Peak Effect (Emax)

Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

Time frame: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEAN)Dispersion
Placebo Sugar SpheresBad Drug Effects: Peak Effect (Emax)1.4 mmStandard Deviation 5.49
ALO-02 30 mgBad Drug Effects: Peak Effect (Emax)13.0 mmStandard Deviation 24.52
Placebo Lactose TabletBad Drug Effects: Peak Effect (Emax)5.6 mmStandard Deviation 15.92
Oxycodone 30 mgBad Drug Effects: Peak Effect (Emax)18.5 mmStandard Deviation 26.24
Secondary

Bad Drug Effects: Time to Maximum (Peak) Effect (TEmax)

Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEDIAN)
Placebo Sugar SpheresBad Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.267 hours
ALO-02 30 mgBad Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.267 hours
Placebo Lactose TabletBad Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.250 hours
Oxycodone 30 mgBad Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.642 hours
Secondary

Dizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)0.036 hours*mmStandard Deviation 0.189
Placebo Sugar SpheresDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)0.482 hours*mmStandard Deviation 2.3628
Placebo Sugar SpheresDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)3.286 hours*mmStandard Deviation 10.6279
Placebo Sugar SpheresDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)7.143 hours*mmStandard Deviation 28.6404
ALO-02 30 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)5.134 hours*mmStandard Deviation 14.4253
ALO-02 30 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)8.482 hours*mmStandard Deviation 20.2822
ALO-02 30 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)11.768 hours*mmStandard Deviation 29.2486
ALO-02 30 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)1.161 hours*mmStandard Deviation 2.7284
Placebo Lactose TabletDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)4.938 hours*mmStandard Deviation 22.2685
Placebo Lactose TabletDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)1.259 hours*mmStandard Deviation 4.6194
Placebo Lactose TabletDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)5.152 hours*mmStandard Deviation 22.2481
Placebo Lactose TabletDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)0.795 hours*mmStandard Deviation 3.132
Oxycodone 30 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)57.469 hours*mmStandard Deviation 119.5335
Oxycodone 30 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)17.737 hours*mmStandard Deviation 28.2806
Oxycodone 30 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)9.192 hours*mmStandard Deviation 14.5426
Oxycodone 30 mgDizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)48.826 hours*mmStandard Deviation 93.0141
Secondary

Dizzy: Peak Effect (Emax)

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEAN)Dispersion
Placebo Sugar SpheresDizzy: Peak Effect (Emax)4.4 mmStandard Deviation 13.34
ALO-02 30 mgDizzy: Peak Effect (Emax)7.4 mmStandard Deviation 15.74
Placebo Lactose TabletDizzy: Peak Effect (Emax)4.1 mmStandard Deviation 15.02
Oxycodone 30 mgDizzy: Peak Effect (Emax)23.5 mmStandard Deviation 36.62
Secondary

Dizzy: Time to Maximum (Peak) Effect (TEmax)

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEDIAN)
Placebo Sugar SpheresDizzy: Time to Maximum (Peak) Effect (TEmax)0.267 hours
ALO-02 30 mgDizzy: Time to Maximum (Peak) Effect (TEmax)0.267 hours
Placebo Lactose TabletDizzy: Time to Maximum (Peak) Effect (TEmax)0.250 hours
Oxycodone 30 mgDizzy: Time to Maximum (Peak) Effect (TEmax)0.267 hours
Secondary

Feel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour

Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)0.036 hours*mmStandard Deviation 0.1438
Placebo Sugar SpheresFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)0.545 hours*mmStandard Deviation 2.3162
Placebo Sugar SpheresFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)1.170 hours*mmStandard Deviation 4.622
Placebo Sugar SpheresFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)1.313 hours*mmStandard Deviation 4.6839
ALO-02 30 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)3.424 hours*mmStandard Deviation 8.1912
ALO-02 30 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)9.371 hours*mmStandard Deviation 22.4283
ALO-02 30 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)10.513 hours*mmStandard Deviation 24.8145
ALO-02 30 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)1.549 hours*mmStandard Deviation 5.3704
Placebo Lactose TabletFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)4.804 hours*mmStandard Deviation 19.8483
Placebo Lactose TabletFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)0.714 hours*mmStandard Deviation 3.61
Placebo Lactose TabletFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)4.875 hours*mmStandard Deviation 19.8377
Placebo Lactose TabletFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)0.232 hours*mmStandard Deviation 1.2041
Oxycodone 30 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)42.460 hours*mmStandard Deviation 144.3171
Oxycodone 30 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)3.049 hours*mmStandard Deviation 8.56
Oxycodone 30 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)0.442 hours*mmStandard Deviation 1.5106
Oxycodone 30 mgFeel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)25.103 hours*mmStandard Deviation 80.5454
Secondary

Feel Sick: Peak Effect (Emax)

Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

Time frame: Intervention periods: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEAN)Dispersion
Placebo Sugar SpheresFeel Sick: Peak Effect (Emax)2.1 mmStandard Deviation 9.23
ALO-02 30 mgFeel Sick: Peak Effect (Emax)8.7 mmStandard Deviation 20.5
Placebo Lactose TabletFeel Sick: Peak Effect (Emax)3.9 mmStandard Deviation 13.34
Oxycodone 30 mgFeel Sick: Peak Effect (Emax)4.6 mmStandard Deviation 21.95
Secondary

Feel Sick: Time to Maximum (Peak) Effect (TEmax)

Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEDIAN)
Placebo Sugar SpheresFeel Sick: Time to Maximum (Peak) Effect (TEmax)0.267 hours
ALO-02 30 mgFeel Sick: Time to Maximum (Peak) Effect (TEmax)0.267 hours
Placebo Lactose TabletFeel Sick: Time to Maximum (Peak) Effect (TEmax)0.250 hours
Oxycodone 30 mgFeel Sick: Time to Maximum (Peak) Effect (TEmax)0.267 hours
Secondary

Good Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour

Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

Time frame: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)0.804 hours*mmStandard Deviation 3.3233
Placebo Sugar SpheresGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)0.902 hours*mmStandard Deviation 3.5146
Placebo Sugar SpheresGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)2.777 hours*mmStandard Deviation 10.0925
Placebo Sugar SpheresGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)6.420 hours*mmStandard Deviation 28.9445
ALO-02 30 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)26.603 hours*mmStandard Deviation 39.636
ALO-02 30 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)58.746 hours*mmStandard Deviation 110.6803
ALO-02 30 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)69.246 hours*mmStandard Deviation 136.6847
ALO-02 30 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)14.263 hours*mmStandard Deviation 20.563
Placebo Lactose TabletGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)14.795 hours*mmStandard Deviation 62.5301
Placebo Lactose TabletGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)5.161 hours*mmStandard Deviation 20.4142
Placebo Lactose TabletGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)14.795 hours*mmStandard Deviation 62.5301
Placebo Lactose TabletGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)2.393 hours*mmStandard Deviation 9.4972
Oxycodone 30 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)348.732 hours*mmStandard Deviation 274.1036
Oxycodone 30 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)138.679 hours*mmStandard Deviation 45.7222
Oxycodone 30 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)69.464 hours*mmStandard Deviation 21.0703
Oxycodone 30 mgGood Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)307.589 hours*mmStandard Deviation 191.3034
Secondary

Good Drug Effects: Peak Effect (Emax)

Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

Time frame: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEAN)Dispersion
Placebo Sugar SpheresGood Drug Effects: Peak Effect (Emax)4.3 mmStandard Deviation 13.7
ALO-02 30 mgGood Drug Effects: Peak Effect (Emax)25.6 mmStandard Deviation 29.6
Placebo Lactose TabletGood Drug Effects: Peak Effect (Emax)8.4 mmStandard Deviation 17.98
Oxycodone 30 mgGood Drug Effects: Peak Effect (Emax)87.9 mmStandard Deviation 21.04
Secondary

Good Drug Effects: Time to Maximum (Peak) Effect (TEmax)

Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEDIAN)
Placebo Sugar SpheresGood Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.267 hours
ALO-02 30 mgGood Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.275 hours
Placebo Lactose TabletGood Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.250 hours
Oxycodone 30 mgGood Drug Effects: Time to Maximum (Peak) Effect (TEmax)0.400 hours
Secondary

Nausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)0.036 hours*mmStandard Deviation 0.1477
Placebo Sugar SpheresNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)0.473 hours*mmStandard Deviation 2.3127
Placebo Sugar SpheresNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)1.000 hours*mmStandard Deviation 4.6313
Placebo Sugar SpheresNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)1.071 hours*mmStandard Deviation 4.6706
ALO-02 30 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)5.179 hours*mmStandard Deviation 11.069
ALO-02 30 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)9.063 hours*mmStandard Deviation 17.1052
ALO-02 30 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)10.848 hours*mmStandard Deviation 23.1275
ALO-02 30 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)2.455 hours*mmStandard Deviation 5.9882
Placebo Lactose TabletNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)5.353 hours*mmStandard Deviation 19.5238
Placebo Lactose TabletNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)0.781 hours*mmStandard Deviation 3.6209
Placebo Lactose TabletNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)5.638 hours*mmStandard Deviation 19.5807
Placebo Lactose TabletNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)0.290 hours*mmStandard Deviation 1.2186
Oxycodone 30 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)58.759 hours*mmStandard Deviation 150.9858
Oxycodone 30 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)7.357 hours*mmStandard Deviation 15.8889
Oxycodone 30 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)2.339 hours*mmStandard Deviation 6.0186
Oxycodone 30 mgNausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)46.402 hours*mmStandard Deviation 114.6615
Secondary

Nausea: Peak Effect (Emax)

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEAN)Dispersion
Placebo Sugar SpheresNausea: Peak Effect (Emax)1.9 mmStandard Deviation 9.25
ALO-02 30 mgNausea: Peak Effect (Emax)9.3 mmStandard Deviation 20.99
Placebo Lactose TabletNausea: Peak Effect (Emax)5.3 mmStandard Deviation 15.9
Oxycodone 30 mgNausea: Peak Effect (Emax)12.3 mmStandard Deviation 29.94
Secondary

Nausea: Time to Maximum (Peak) Effect (TEmax)

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEDIAN)
Placebo Sugar SpheresNausea: Time to Maximum (Peak) Effect (TEmax)0.267 hours
ALO-02 30 mgNausea: Time to Maximum (Peak) Effect (TEmax)0.267 hours
Placebo Lactose TabletNausea: Time to Maximum (Peak) Effect (TEmax)0.250 hours
Oxycodone 30 mgNausea: Time to Maximum (Peak) Effect (TEmax)0.267 hours
Secondary

Overall Drug Liking Effect at Hours 12 and 24

Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking).

Time frame: Intervention period: 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresOverall Drug Liking Effect at Hours 12 and 24Hour 1250.3 mmStandard Deviation 0.53
Placebo Sugar SpheresOverall Drug Liking Effect at Hours 12 and 24Hour 2450.4 mmStandard Deviation 0.87
ALO-02 30 mgOverall Drug Liking Effect at Hours 12 and 24Hour 2457.6 mmStandard Deviation 21.34
ALO-02 30 mgOverall Drug Liking Effect at Hours 12 and 24Hour 1256.0 mmStandard Deviation 20.69
Placebo Lactose TabletOverall Drug Liking Effect at Hours 12 and 24Hour 1250.5 mmStandard Deviation 2.28
Placebo Lactose TabletOverall Drug Liking Effect at Hours 12 and 24Hour 2447.8 mmStandard Deviation 15.02
Oxycodone 30 mgOverall Drug Liking Effect at Hours 12 and 24Hour 1281.8 mmStandard Deviation 25.73
Oxycodone 30 mgOverall Drug Liking Effect at Hours 12 and 24Hour 2480.8 mmStandard Deviation 25.05
Secondary

Overall Drug Liking: Mean Effect (Emean)

Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking). Emean = Average observed score.

Time frame: Intervention period: 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEAN)Dispersion
Placebo Sugar SpheresOverall Drug Liking: Mean Effect (Emean)50.32 mmStandard Deviation 0.641
ALO-02 30 mgOverall Drug Liking: Mean Effect (Emean)56.77 mmStandard Deviation 20.058
Placebo Lactose TabletOverall Drug Liking: Mean Effect (Emean)49.16 mmStandard Deviation 8.131
Oxycodone 30 mgOverall Drug Liking: Mean Effect (Emean)81.25 mmStandard Deviation 24.081
Secondary

Overall Drug Liking: Peak Effect (Emax)

Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking). Emax = Maximum observed score.

Time frame: Intervention period: 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEAN)Dispersion
Placebo Sugar SpheresOverall Drug Liking: Peak Effect (Emax)50.5 mmStandard Deviation 0.84
ALO-02 30 mgOverall Drug Liking: Peak Effect (Emax)59.9 mmStandard Deviation 21.7
Placebo Lactose TabletOverall Drug Liking: Peak Effect (Emax)51.5 mmStandard Deviation 6.59
Oxycodone 30 mgOverall Drug Liking: Peak Effect (Emax)85.1 mmStandard Deviation 23.84
Secondary

Percentage of Dose (Drug Powder) Insufflated

The percentage of dose insufflated, was based on a calculation of the weight of powder remaining (if any) following each dosing during the intervention period.

Time frame: Intervention period: 0 Hour post-dose

Population: Safety analysis set included all participants who received at least 1 dose of study drug, beginning with the naloxone challenge phase.

ArmMeasureValue (MEAN)Dispersion
Placebo Sugar SpheresPercentage of Dose (Drug Powder) Insufflated100.00 percentage of doseStandard Deviation 0
ALO-02 30 mgPercentage of Dose (Drug Powder) Insufflated99.85 percentage of doseStandard Deviation 0.84
Placebo Lactose TabletPercentage of Dose (Drug Powder) Insufflated100.00 percentage of doseStandard Deviation 0
Oxycodone 30 mgPercentage of Dose (Drug Powder) Insufflated99.37 percentage of doseStandard Deviation 3.553
Secondary

Pupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour

Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

Time frame: Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)5.333 hours*mmStandard Deviation 0.8204
Placebo Sugar SpheresPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)10.538 hours*mmStandard Deviation 1.7478
Placebo Sugar SpheresPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)42.623 hours*mmStandard Deviation 6.9054
Placebo Sugar SpheresPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)130.666 hours*mmStandard Deviation 18.7096
ALO-02 30 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)9.114 hours*mmStandard Deviation 1.6974
ALO-02 30 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)34.874 hours*mmStandard Deviation 6.691
ALO-02 30 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)110.574 hours*mmStandard Deviation 19.3751
ALO-02 30 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)4.746 hours*mmStandard Deviation 0.8291
Placebo Lactose TabletPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)41.658 hours*mmStandard Deviation 6.0399
Placebo Lactose TabletPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)10.162 hours*mmStandard Deviation 1.5217
Placebo Lactose TabletPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)128.937 hours*mmStandard Deviation 16.8685
Placebo Lactose TabletPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)5.132 hours*mmStandard Deviation 0.7712
Oxycodone 30 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)94.012 hours*mmStandard Deviation 12.6818
Oxycodone 30 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)5.868 hours*mmStandard Deviation 0.8325
Oxycodone 30 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)3.229 hours*mmStandard Deviation 0.4547
Oxycodone 30 mgPupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)23.904 hours*mmStandard Deviation 3.3208
Secondary

Pupillometry: Peak Effect (Emax)

Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. Emax = Maximum observed score.

Time frame: Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose PD data from each period. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureValue (MEAN)Dispersion
Placebo Sugar SpheresPupillometry: Peak Effect (Emax)-0.9 mmStandard Deviation 0.6
ALO-02 30 mgPupillometry: Peak Effect (Emax)-1.7 mmStandard Deviation 0.64
Placebo Lactose TabletPupillometry: Peak Effect (Emax)-0.7 mmStandard Deviation 0.5
Oxycodone 30 mgPupillometry: Peak Effect (Emax)-2.9 mmStandard Deviation 0.66
Secondary

Pupillometry: Time to Maximum (Peak) Effect (TEmax)

Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. TEmax = Time to maximum observed score.

Time frame: Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period. Here 'N' (number of participants analyzed) signifies those participants evaluable for this measure.

ArmMeasureValue (MEDIAN)
Placebo Sugar SpheresPupillometry: Time to Maximum (Peak) Effect (TEmax)3.017 hours
ALO-02 30 mgPupillometry: Time to Maximum (Peak) Effect (TEmax)3.017 hours
Placebo Lactose TabletPupillometry: Time to Maximum (Peak) Effect (TEmax)2.025 hours
Oxycodone 30 mgPupillometry: Time to Maximum (Peak) Effect (TEmax)0.800 hours
Secondary

Sleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x).

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)0.813 hours*mmStandard Deviation 2.6613
Placebo Sugar SpheresSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)2.580 hours*mmStandard Deviation 7.9968
Placebo Sugar SpheresSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)19.518 hours*mmStandard Deviation 52.5582
Placebo Sugar SpheresSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)26.875 hours*mmStandard Deviation 60.2903
ALO-02 30 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)187.839 hours*mmStandard Deviation 217.5872
ALO-02 30 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)125.196 hours*mmStandard Deviation 157.0183
ALO-02 30 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)34.571 hours*mmStandard Deviation 40.4452
ALO-02 30 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)8.848 hours*mmStandard Deviation 13.8043
Placebo Lactose TabletSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)34.438 hours*mmStandard Deviation 92.1369
Placebo Lactose TabletSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)64.795 hours*mmStandard Deviation 172.8842
Placebo Lactose TabletSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)8.089 hours*mmStandard Deviation 19.0222
Placebo Lactose TabletSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)2.920 hours*mmStandard Deviation 6.8778
Oxycodone 30 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-2)61.750 hours*mmStandard Deviation 48.0978
Oxycodone 30 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-1)20.464 hours*mmStandard Deviation 21.9449
Oxycodone 30 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-24)496.652 hours*mmStandard Deviation 424.757
Oxycodone 30 mgSleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 HourAUE (0-8)304.652 hours*mmStandard Deviation 210.8188
Secondary

Sleepy: Peak Effect (Emax)

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEAN)Dispersion
Placebo Sugar SpheresSleepy: Peak Effect (Emax)7.6 mmStandard Deviation 21.35
ALO-02 30 mgSleepy: Peak Effect (Emax)35.0 mmStandard Deviation 36.04
Placebo Lactose TabletSleepy: Peak Effect (Emax)11.1 mmStandard Deviation 28.41
Oxycodone 30 mgSleepy: Peak Effect (Emax)62.9 mmStandard Deviation 36.25
Secondary

Sleepy: Time to Maximum (Peak) Effect (TEmax)

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEDIAN)
Placebo Sugar SpheresSleepy: Time to Maximum (Peak) Effect (TEmax)0.267 hours
ALO-02 30 mgSleepy: Time to Maximum (Peak) Effect (TEmax)1.517 hours
Placebo Lactose TabletSleepy: Time to Maximum (Peak) Effect (TEmax)0.267 hours
Oxycodone 30 mgSleepy: Time to Maximum (Peak) Effect (TEmax)2.517 hours
Secondary

Take Drug Again Effect at Hours 12 and 24

Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would).

Time frame: Intervention period: 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresTake Drug Again Effect at Hours 12 and 24Hour 1243.4 mmStandard Deviation 17.36
Placebo Sugar SpheresTake Drug Again Effect at Hours 12 and 24Hour 2446.1 mmStandard Deviation 17.4
ALO-02 30 mgTake Drug Again Effect at Hours 12 and 24Hour 2452.8 mmStandard Deviation 32.62
ALO-02 30 mgTake Drug Again Effect at Hours 12 and 24Hour 1251.5 mmStandard Deviation 32.74
Placebo Lactose TabletTake Drug Again Effect at Hours 12 and 24Hour 1243.2 mmStandard Deviation 18.02
Placebo Lactose TabletTake Drug Again Effect at Hours 12 and 24Hour 2444.7 mmStandard Deviation 20.66
Oxycodone 30 mgTake Drug Again Effect at Hours 12 and 24Hour 1287.4 mmStandard Deviation 26.68
Oxycodone 30 mgTake Drug Again Effect at Hours 12 and 24Hour 2483.3 mmStandard Deviation 28.34
Secondary

Take Drug Again: Mean Effect (Emean)

Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emean = Average observed score.

Time frame: Intervention period: 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEAN)Dispersion
Placebo Sugar SpheresTake Drug Again: Mean Effect (Emean)44.71 mmStandard Deviation 14.286
ALO-02 30 mgTake Drug Again: Mean Effect (Emean)52.16 mmStandard Deviation 30.926
Placebo Lactose TabletTake Drug Again: Mean Effect (Emean)43.95 mmStandard Deviation 17.753
Oxycodone 30 mgTake Drug Again: Mean Effect (Emean)85.34 mmStandard Deviation 26.86
Secondary

Take Drug Again: Peak Effect (Emax)

Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emax = Maximum observed score.

Time frame: Intervention period: 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEAN)Dispersion
Placebo Sugar SpheresTake Drug Again: Peak Effect (Emax)48.0 mmStandard Deviation 14.91
ALO-02 30 mgTake Drug Again: Peak Effect (Emax)58.3 mmStandard Deviation 31.99
Placebo Lactose TabletTake Drug Again: Peak Effect (Emax)46.6 mmStandard Deviation 18.75
Oxycodone 30 mgTake Drug Again: Peak Effect (Emax)87.8 mmStandard Deviation 26.69
Other Pre-specified

Area Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Naltrexone and 6-beta-naltrexol

AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Naltrexone and 6-beta-naltrexolNaltrexone: AUC (0-2)5.669 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 1.4721
Placebo Sugar SpheresArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Naltrexone and 6-beta-naltrexolNaltrexone: AUC (0-8)10.25 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 3.04
Placebo Sugar SpheresArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Naltrexone and 6-beta-naltrexolNaltrexone: AUC (0-1)3.127 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 0.87457
Placebo Sugar SpheresArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Naltrexone and 6-beta-naltrexol6-beta-naltrexol: AUC (0-1)1.050 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 0.56296
Placebo Sugar SpheresArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Naltrexone and 6-beta-naltrexol6-beta-naltrexol: AUC (0-2)3.862 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 1.7302
Placebo Sugar SpheresArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Naltrexone and 6-beta-naltrexol6-beta-naltrexol: AUC (0-8)18.78 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 4.8024
Other Pre-specified

Area Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and Noroxycodone

AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneOxycodone: AUC (0-2)81.26 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 21.951
Placebo Sugar SpheresArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone: AUC (0-8)1.979 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 1.1448
Placebo Sugar SpheresArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone: AUC (0-1)0.09544 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 0.07603
Placebo Sugar SpheresArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone: AUC (0-1)5.726 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 4.0397
Placebo Sugar SpheresArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneOxycodone: AUC (0-8)263.9 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 64.753
Placebo Sugar SpheresArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone: AUC (0-2)26.37 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 15.014
Placebo Sugar SpheresArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone: AUC (0-2)0.4023 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 0.26464
Placebo Sugar SpheresArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone: AUC (0-8)147.7 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 46.804
Placebo Sugar SpheresArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneOxycodone: AUC (0-1)33.59 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 10.01
ALO-02 30 mgArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone: AUC (0-8)119.9 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 40.38
ALO-02 30 mgArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneOxycodone: AUC (0-1)59.56 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 14.977
ALO-02 30 mgArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneOxycodone: AUC (0-2)116.3 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 27.449
ALO-02 30 mgArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneOxycodone: AUC (0-8)328.2 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 73.834
ALO-02 30 mgArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone: AUC (0-1)0.1589 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 0.10643
ALO-02 30 mgArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone: AUC (0-2)0.4211 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 0.25186
ALO-02 30 mgArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone: AUC (0-8)1.856 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 0.99704
ALO-02 30 mgArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone: AUC (0-1)6.410 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 2.8655
ALO-02 30 mgArea Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone: AUC (0-2)18.91 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 7.1716
Other Pre-specified

Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Naltrexone and 6-beta-naltrexol

AUC (0 - ∞)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest. Here 'n' signifies those participants who were evaluable for specified category.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresArea Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Naltrexone and 6-beta-naltrexolNaltrexone (n = 11)10.71 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 11.13
Placebo Sugar SpheresArea Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Naltrexone and 6-beta-naltrexol6-beta-naltrexol (n = 30)45.85 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 10.544
Other Pre-specified

Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Oxycodone, Oxymorphone and Noroxycodone

AUC (0 - ∞)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest. Here 'n' signifies participants evaluable for specified category for each arm, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresArea Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Oxycodone, Oxymorphone and NoroxycodoneOxycodone (n = 30, 32)361.2 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 109.33
Placebo Sugar SpheresArea Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone (n = 1, 1)NA nanogram*hour/milliliter (ng*hr/mL)
Placebo Sugar SpheresArea Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone (n = 28, 27)309.9 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 111.42
ALO-02 30 mgArea Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Oxycodone, Oxymorphone and NoroxycodoneOxycodone (n = 30, 32)447.3 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 123.92
ALO-02 30 mgArea Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone (n = 1, 1)NA nanogram*hour/milliliter (ng*hr/mL)
ALO-02 30 mgArea Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone (n = 28, 27)288.8 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 104.33
Other Pre-specified

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Naltrexone and 6-beta-naltrexol

Area under the plasma concentration time-curve from zero to the last quantifiable concentration (AUClast). Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Naltrexone and 6-beta-naltrexolNaltrexone11.07 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 3.213
Placebo Sugar SpheresArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Naltrexone and 6-beta-naltrexol6-beta-naltrexol37.28 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 9.3207
Other Pre-specified

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone, Oxymorphone and Noroxycodone

Area under the plasma concentration time-curve from zero to the last quantifiable concentration (AUClast). Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone2.498 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 1.6933
Placebo Sugar SpheresArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone353.0 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 103.13
Placebo Sugar SpheresArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone280.6 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 95.277
ALO-02 30 mgArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone248.5 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 84.723
ALO-02 30 mgArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone435.3 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 112.11
ALO-02 30 mgArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone2.469 nanogram*hour/milliliter (ng*hr/mL)Standard Deviation 1.8058
Other Pre-specified

Drug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 Hour

Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x).

Time frame: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HourAUE (0-1)49.143 hours*mmStandard Deviation 4.2752
Placebo Sugar SpheresDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HourAUE (0-24)1198.955 hours*mmStandard Deviation 18.421
Placebo Sugar SpheresDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HourAUE (0-8)395.455 hours*mmStandard Deviation 17.547
ALO-02 30 mgDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HourAUE (0-1)53.455 hours*mmStandard Deviation 10.0825
ALO-02 30 mgDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HourAUE (0-24)1223.902 hours*mmStandard Deviation 72.4917
ALO-02 30 mgDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HourAUE (0-8)414.045 hours*mmStandard Deviation 61.643
Placebo Lactose TabletDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HourAUE (0-8)401.036 hours*mmStandard Deviation 3.4801
Placebo Lactose TabletDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HourAUE (0-1)49.884 hours*mmStandard Deviation 2.7778
Placebo Lactose TabletDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HourAUE (0-24)1202.750 hours*mmStandard Deviation 6.0623
Oxycodone 30 mgDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HourAUE (0-1)81.250 hours*mmStandard Deviation 13.1291
Oxycodone 30 mgDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HourAUE (0-24)1397.911 hours*mmStandard Deviation 231.233
Oxycodone 30 mgDrug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HourAUE (0-8)540.554 hours*mmStandard Deviation 122.5684
Other Pre-specified

Drug Liking: Time to Maximum (Peak) Effect (TEmax)

Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEDIAN)
Placebo Sugar SpheresDrug Liking: Time to Maximum (Peak) Effect (TEmax)0.383 hours
ALO-02 30 mgDrug Liking: Time to Maximum (Peak) Effect (TEmax)0.758 hours
Placebo Lactose TabletDrug Liking: Time to Maximum (Peak) Effect (TEmax)0.500 hours
Oxycodone 30 mgDrug Liking: Time to Maximum (Peak) Effect (TEmax)0.383 hours
Other Pre-specified

High: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 Hours

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x).

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HoursAUE (0-1)0.790 hours*mmStandard Deviation 3.3474
Placebo Sugar SpheresHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HoursAUE (0-24)1.121 hours*mmStandard Deviation 4.0488
Placebo Sugar SpheresHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HoursAUE (0-8)1.049 hours*mmStandard Deviation 3.856
ALO-02 30 mgHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HoursAUE (0-1)14.250 hours*mmStandard Deviation 20.4883
ALO-02 30 mgHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HoursAUE (0-24)75.429 hours*mmStandard Deviation 136.4319
ALO-02 30 mgHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HoursAUE (0-8)60.143 hours*mmStandard Deviation 113.5249
Placebo Lactose TabletHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HoursAUE (0-8)12.955 hours*mmStandard Deviation 51.4525
Placebo Lactose TabletHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HoursAUE (0-1)2.313 hours*mmStandard Deviation 9.3978
Placebo Lactose TabletHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HoursAUE (0-24)16.598 hours*mmStandard Deviation 70.5151
Oxycodone 30 mgHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HoursAUE (0-1)68.223 hours*mmStandard Deviation 19.7926
Oxycodone 30 mgHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HoursAUE (0-24)330.813 hours*mmStandard Deviation 257.7739
Oxycodone 30 mgHigh: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 HoursAUE (0-8)290.670 hours*mmStandard Deviation 174.8869
Other Pre-specified

High: Time to Maximum (Peak) Effect (TEmax)

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Completer analysis set included all randomized participants who completed all 4 periods of treatment phase and who contributed to post-dose Pharmacodynamic (PD) data from each period.

ArmMeasureValue (MEDIAN)
Placebo Sugar SpheresHigh: Time to Maximum (Peak) Effect (TEmax)0.258 hours
ALO-02 30 mgHigh: Time to Maximum (Peak) Effect (TEmax)0.275 hours
Placebo Lactose TabletHigh: Time to Maximum (Peak) Effect (TEmax)0.250 hours
Oxycodone 30 mgHigh: Time to Maximum (Peak) Effect (TEmax)0.517 hours
Other Pre-specified

Maximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexol

Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresMaximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexolNaltrexone4.574 nanogram per milliliter (ng/mL)Standard Deviation 1.4093
Placebo Sugar SpheresMaximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexol6-beta-naltrexol4.085 nanogram per milliliter (ng/mL)Standard Deviation 1.2948
Other Pre-specified

Maximum Observed Plasma Concentration (Cmax) of Oxycodone, Oxymorphone and Noroxycodone

Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the pharmacokinetic (PK) parameters of interest.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresMaximum Observed Plasma Concentration (Cmax) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone57.93 nanogram per milliliter (ng/mL)Standard Deviation 13.706
Placebo Sugar SpheresMaximum Observed Plasma Concentration (Cmax) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone0.4613 nanogram per milliliter (ng/mL)Standard Deviation 0.25684
Placebo Sugar SpheresMaximum Observed Plasma Concentration (Cmax) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone29.02 nanogram per milliliter (ng/mL)Standard Deviation 10.858
ALO-02 30 mgMaximum Observed Plasma Concentration (Cmax) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone82.63 nanogram per milliliter (ng/mL)Standard Deviation 19.877
ALO-02 30 mgMaximum Observed Plasma Concentration (Cmax) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone0.3441 nanogram per milliliter (ng/mL)Standard Deviation 0.16644
ALO-02 30 mgMaximum Observed Plasma Concentration (Cmax) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone18.88 nanogram per milliliter (ng/mL)Standard Deviation 6.8506
Other Pre-specified

Number of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)

End-tidal carbon dioxide concentration in the expired air (EtCO2) was monitored using capnography in a sitting position. Criteria for clinically significant change in EtCO2 was based on investigator's discretion.

Time frame: Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Safety analysis set included all participants who received at least 1 dose of study drug, beginning with the naloxone challenge phase.

ArmMeasureValue (NUMBER)
Placebo Sugar SpheresNumber of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)0 participants
ALO-02 30 mgNumber of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)0 participants
Placebo Lactose TabletNumber of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)0 participants
Oxycodone 30 mgNumber of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)0 participants
Other Pre-specified

Number of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)

Oxygen saturation of hemoglobin in blood (SpO2) was monitored using pulse oximetry continuously for 5 hours following dosing in the drug discrimination phase and continuously for 12 hours following dosing in the treatment phase, or longer at the discretion of the investigator. Individual measurement was collected in a sitting position. If SpO2 fall below 90 percent (%), the investigator administered oxygen via nasal cannula at a flow rate sufficient to maintain the SpO2 greater than or equal to 90%. Participants with fall in SpO2 below 90% were reported.

Time frame: Drug discrimination phase: pre-dose up to 5 hours; intervention period: pre-dose up to 12 hours

Population: Safety analysis set included all participants who received at least 1 dose of study drug, beginning with the naloxone challenge phase.

ArmMeasureValue (NUMBER)
Placebo Sugar SpheresNumber of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)0 participants
ALO-02 30 mgNumber of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)0 participants
Placebo Lactose TabletNumber of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)0 participants
Oxycodone 30 mgNumber of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)0 participants
ALO-02 30 mgNumber of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)0 participants
Placebo Lactose TabletNumber of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)0 participants
Other Pre-specified

Number of Participants With Clinically Significant Change in Vital Sign Examinations

Vital signs assessment included measurement of heart rate, systolic and diastolic blood pressures, and respiratory rate. Criteria for clinically significant change in any vital sign examination was based on investigator's discretion.

Time frame: Screening up to 3 to 7 days following last study drug administration, or time of early withdrawal

Population: Safety analysis set included all participants who received at least 1 dose of study drug, beginning with the naloxone challenge phase.

ArmMeasureValue (NUMBER)
Placebo Sugar SpheresNumber of Participants With Clinically Significant Change in Vital Sign Examinations0 participants
ALO-02 30 mgNumber of Participants With Clinically Significant Change in Vital Sign Examinations0 participants
Placebo Lactose TabletNumber of Participants With Clinically Significant Change in Vital Sign Examinations0 participants
Oxycodone 30 mgNumber of Participants With Clinically Significant Change in Vital Sign Examinations0 participants
ALO-02 30 mgNumber of Participants With Clinically Significant Change in Vital Sign Examinations0 participants
Placebo Lactose TabletNumber of Participants With Clinically Significant Change in Vital Sign Examinations0 participants
Oxycodone 30 mgNumber of Participants With Clinically Significant Change in Vital Sign Examinations0 participants
Other Pre-specified

Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship. SAE: an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 3 - 7 days following last study drug administration that were absent before treatment or that worsened relative to pre-treatment state. Symptoms of withdrawal following naloxone administration (naloxone challenge phase) were not collected as adverse events unless they met the criteria for an SAE. AEs included SAEs as well as non-serious AEs which occurred during the trial.

Time frame: Screening up to 3 to 7 days following last study drug administration, or time of early withdrawal

Population: Safety analysis set included all participants who received at least 1 dose of study drug, beginning with the naloxone challenge phase.

ArmMeasureGroupValue (NUMBER)
Placebo Sugar SpheresNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs1 participants
Placebo Sugar SpheresNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
ALO-02 30 mgNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
ALO-02 30 mgNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs43 participants
Placebo Lactose TabletNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs8 participants
Placebo Lactose TabletNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
Oxycodone 30 mgNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
Oxycodone 30 mgNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs6 participants
ALO-02 30 mgNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs18 participants
ALO-02 30 mgNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
Placebo Lactose TabletNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs10 participants
Placebo Lactose TabletNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
Oxycodone 30 mgNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs32 participants
Oxycodone 30 mgNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
Other Pre-specified

Plasma Decay Half-Life (t1/2) of Naltrexone and 6-beta-naltrexol

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest. Here 'n' signifies those participants who were evaluable for specified category.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresPlasma Decay Half-Life (t1/2) of Naltrexone and 6-beta-naltrexolNaltrexone (n = 30)3.577 hoursStandard Deviation 0.71124
Placebo Sugar SpheresPlasma Decay Half-Life (t1/2) of Naltrexone and 6-beta-naltrexol6-beta-naltrexol (n = 11)9.230 hoursStandard Deviation 0.62809
Other Pre-specified

Plasma Decay Half-Life (t1/2) of Oxycodone, Oxymorphone and Noroxycodone

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest. Here 'n' signifies participants evaluable for specified category for each arm, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresPlasma Decay Half-Life (t1/2) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone (n = 30, 32)4.171 hoursStandard Deviation 0.65437
Placebo Sugar SpheresPlasma Decay Half-Life (t1/2) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone (n = 1, 1)NA hours
Placebo Sugar SpheresPlasma Decay Half-Life (t1/2) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone (n = 28, 27)7.116 hoursStandard Deviation 1.2582
ALO-02 30 mgPlasma Decay Half-Life (t1/2) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone (n = 30, 32)4.134 hoursStandard Deviation 0.87884
ALO-02 30 mgPlasma Decay Half-Life (t1/2) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone (n = 1, 1)NA hours
ALO-02 30 mgPlasma Decay Half-Life (t1/2) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone (n = 28, 27)7.101 hoursStandard Deviation 0.89387
Other Pre-specified

Subject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 Hour

Participant-rated scale for nasal effects was used to assess burning, need to blow nose, runny nose/nasal discharge, facial pain/pressure, and nasal congestion using a 6-point scale (where, 0 = not present/no problem; 1 = very mild problem; 2 = mild/slight problem; 3 = moderate problem; 4 = severe problem; 5 = problem as bad as can be). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x).

Time frame: Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2 hours post-dose

Population: Safety analysis set included all participants who received at least 1 dose of study drug, beginning with the naloxone challenge phase.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourNasal Congestion: AUE (0-2)0.259 units on a scale*hoursStandard Deviation 0.6399
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourFacial Pain/ Pressure: AUE (0-1)0.009 units on a scale*hoursStandard Deviation 0.0464
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourNeed to Blow Nose: AUE (0-2)0.164 units on a scale*hoursStandard Deviation 0.4147
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourBurning: AUE (0-2)0.000 units on a scale*hoursStandard Deviation 0
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourFacial Pain/ Pressure: AUE (0-2)0.009 units on a scale*hoursStandard Deviation 0.0464
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourRunny Nose/ Nasal Discharge: AUE (0-2)0.086 units on a scale*hoursStandard Deviation 0.3342
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourNeed to Blow Nose: AUE (0-1)0.129 units on a scale*hoursStandard Deviation 0.3125
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourBurning: AUE (0-1)0.000 units on a scale*hoursStandard Deviation 0
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourNasal Congestion: AUE (0-1)0.172 units on a scale*hoursStandard Deviation 0.4111
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourRunny Nose/ Nasal Discharge: AUE (0-1)0.069 units on a scale*hoursStandard Deviation 0.2468
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourRunny Nose/ Nasal Discharge: AUE (0-1)0.083 units on a scale*hoursStandard Deviation 0.3432
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourRunny Nose/ Nasal Discharge: AUE (0-2)0.108 units on a scale*hoursStandard Deviation 0.4437
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourNasal Congestion: AUE (0-1)0.175 units on a scale*hoursStandard Deviation 0.3664
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourNeed to Blow Nose: AUE (0-2)0.183 units on a scale*hoursStandard Deviation 0.552
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourBurning: AUE (0-1)0.025 units on a scale*hoursStandard Deviation 0.0951
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourFacial Pain/ Pressure: AUE (0-1)0.033 units on a scale*hoursStandard Deviation 0.1428
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourNeed to Blow Nose: AUE (0-1)0.117 units on a scale*hoursStandard Deviation 0.3182
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourBurning: AUE (0-2)0.025 units on a scale*hoursStandard Deviation 0.0951
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourNasal Congestion: AUE (0-2)0.250 units on a scale*hoursStandard Deviation 0.5835
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourFacial Pain/ Pressure: AUE (0-2)0.050 units on a scale*hoursStandard Deviation 0.2312
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourNeed to Blow Nose: AUE (0-2)0.088 units on a scale*hoursStandard Deviation 0.2503
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourNasal Congestion: AUE (0-1)0.200 units on a scale*hoursStandard Deviation 0.3934
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourBurning: AUE (0-2)0.033 units on a scale*hoursStandard Deviation 0.1035
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourNasal Congestion: AUE (0-2)0.242 units on a scale*hoursStandard Deviation 0.4956
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourNeed to Blow Nose: AUE (0-1)0.088 units on a scale*hoursStandard Deviation 0.2503
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourFacial Pain/ Pressure: AUE (0-2)0.050 units on a scale*hoursStandard Deviation 0.1416
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourRunny Nose/ Nasal Discharge: AUE (0-1)0.038 units on a scale*hoursStandard Deviation 0.1046
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourBurning: AUE (0-1)0.033 units on a scale*hoursStandard Deviation 0.1035
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourRunny Nose/ Nasal Discharge: AUE (0-2)0.146 units on a scale*hoursStandard Deviation 0.4678
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourFacial Pain/ Pressure: AUE (0-1)0.042 units on a scale*hoursStandard Deviation 0.1367
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourNasal Congestion: AUE (0-2)0.484 units on a scale*hoursStandard Deviation 0.7853
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourBurning: AUE (0-1)0.184 units on a scale*hoursStandard Deviation 0.3062
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourBurning: AUE (0-2)0.270 units on a scale*hoursStandard Deviation 0.6214
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourNeed to Blow Nose: AUE (0-1)0.293 units on a scale*hoursStandard Deviation 0.4586
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourNeed to Blow Nose: AUE (0-2)0.504 units on a scale*hoursStandard Deviation 0.8616
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourRunny Nose/ Nasal Discharge: AUE (0-1)0.184 units on a scale*hoursStandard Deviation 0.3521
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourRunny Nose/ Nasal Discharge: AUE (0-2)0.301 units on a scale*hoursStandard Deviation 0.6771
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourFacial Pain/ Pressure: AUE (0-1)0.066 units on a scale*hoursStandard Deviation 0.2057
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourFacial Pain/ Pressure: AUE (0-2)0.184 units on a scale*hoursStandard Deviation 0.627
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 HourNasal Congestion: AUE (0-1)0.250 units on a scale*hoursStandard Deviation 0.3269
Other Pre-specified

Subject Rating Scale for Nasal Effects: Peak Effect (Emax)

Participant-rated scale for nasal effects was used to assess burning, need to blow nose, runny nose/nasal discharge, facial pain/pressure, and nasal congestion using a 6-point scale (where, 0 = not present/no problem; 1 = very mild problem; 2 = mild/slight problem; 3 = moderate problem; 4 = severe problem; 5 = problem as bad as can be). Emax = Maximum observed score.

Time frame: Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2 hours post-dose

Population: Safety analysis set included all participants who received at least 1 dose of study drug, beginning with the naloxone challenge phase.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Facial Pain/ Pressure0.0 units on a scaleStandard Deviation 0.19
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Need to Blow Nose0.1 units on a scaleStandard Deviation 0.37
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Nasal Congestion0.1 units on a scaleStandard Deviation 0.46
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Runny Nose/ Nasal Discharge0.0 units on a scaleStandard Deviation 0.33
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Burning0.0 units on a scaleStandard Deviation 0
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Runny Nose/ Nasal Discharge0.1 units on a scaleStandard Deviation 0.57
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Facial Pain/ Pressure0.0 units on a scaleStandard Deviation 0.26
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Need to Blow Nose0.1 units on a scaleStandard Deviation 0.61
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Burning0.1 units on a scaleStandard Deviation 0.25
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Nasal Congestion0.2 units on a scaleStandard Deviation 0.77
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Runny Nose/ Nasal Discharge0.3 units on a scaleStandard Deviation 0.98
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Need to Blow Nose0.1 units on a scaleStandard Deviation 0.51
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Burning0.0 units on a scaleStandard Deviation 0.32
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Facial Pain/ Pressure0.1 units on a scaleStandard Deviation 0.37
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Nasal Congestion0.4 units on a scaleStandard Deviation 1.1
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Facial Pain/ Pressure0.3 units on a scaleStandard Deviation 0.67
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Need to Blow Nose0.4 units on a scaleStandard Deviation 0.8
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Burning0.5 units on a scaleStandard Deviation 0.88
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Runny Nose/ Nasal Discharge0.4 units on a scaleStandard Deviation 0.84
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Peak Effect (Emax)Nasal Congestion0.4 units on a scaleStandard Deviation 0.84
Other Pre-specified

Subject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)

Participant-rated scale for nasal effects was used to assess burning, need to blow nose, runny nose/nasal discharge, facial pain/pressure, and nasal congestion using a 6-point scale (where, 0 = not present/no problem; 1 = very mild problem; 2 = mild/slight problem; 3 = moderate problem; 4 = severe problem; 5 = problem as bad as can be). TEmax = Time to maximum observed score.

Time frame: Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2 hours post-dose

Population: Safety analysis set included all participants who received at least 1 dose of study drug, beginning with the naloxone challenge phase.

ArmMeasureGroupValue (MEDIAN)
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Facial Pain/ Pressure0.517 hours
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Need to Blow Nose0.517 hours
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Burning0.517 hours
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Runny Nose/ Nasal Discharge0.517 hours
Placebo Sugar SpheresSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Nasal Congestion0.517 hours
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Runny Nose/ Nasal Discharge0.517 hours
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Burning0.517 hours
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Facial Pain/ Pressure0.517 hours
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Need to Blow Nose0.517 hours
ALO-02 30 mgSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Nasal Congestion0.517 hours
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Facial Pain/ Pressure0.517 hours
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Nasal Congestion0.517 hours
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Need to Blow Nose0.517 hours
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Runny Nose/ Nasal Discharge0.517 hours
Placebo Lactose TabletSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Burning0.517 hours
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Nasal Congestion0.525 hours
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Need to Blow Nose0.517 hours
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Runny Nose/ Nasal Discharge0.517 hours
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Facial Pain/ Pressure0.517 hours
Oxycodone 30 mgSubject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)Burning0.517 hours
Other Pre-specified

Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexol

Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest.

ArmMeasureGroupValue (MEDIAN)
Placebo Sugar SpheresTime to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexolNaltrexone0.317 hours
Placebo Sugar SpheresTime to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexol6-Beta-naltrexol2.05 hours
Other Pre-specified

Time to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and Noroxycodone

Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone.

Time frame: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Population: Parameter analysis set included all enrolled participants who received at least 1 dose of study drug and who had at least 1 of the PK parameters of interest. Here 'n' signifies participants evaluable for specified category for each arm, respectively.

ArmMeasureGroupValue (MEDIAN)
Placebo Sugar SpheresTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone (n = 30, 32)1.59 hours
Placebo Sugar SpheresTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone (n = 29, 32)2.05 hours
Placebo Sugar SpheresTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone (n = 30, 32)2.08 hours
ALO-02 30 mgTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneOxycodone (n = 30, 32)0.475 hours
ALO-02 30 mgTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneOxymorphone (n = 29, 32)2.55 hours
ALO-02 30 mgTime to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and NoroxycodoneNoroxycodone (n = 30, 32)4.05 hours

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