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A Study to Assess the Time to Onset of Action of Staccato Alprazolam Versus Midazolam and Diazepam in Healthy Participants

An Open Label, Single Dose, Randomized, Active Comparator, Quantitative Electroencephalogram Crossover Study to Assess the Time to Onset of Action of Staccato Alprazolam Versus Intravenous Midazolam and of Staccato Alprazolam Versus Nasal Diazepam in Healthy Study Participants

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07020988
Enrollment
55
Registered
2025-06-13
Start date
2025-06-12
Completion date
2026-01-21
Last updated
2026-02-20

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

Conditions

Healthy Participants

Keywords

Phase 1, Staccato alprazolam, midazolam, diazepam, Healthy Study Participants

Brief summary

The purpose of this study is to estimate the difference in the time to onset of action between Staccato alprazolam and intravenous (iv) midazolam using changes in power in the combined spindle and β1 frequency bands in the qEEG (quantitative electroencephalogram).

Interventions

Study participants will receive single dose of Staccato Alprazolam at pre-specified time points.

DRUGMidazolam

Study participants will receive single dose of IV Midazolam at pre-specified time points.

DRUGDiazepam

Study participants will receive single dose of Nasal Diazepam by inhalation at pre-specified time points.

Sponsors

UCB Biopharma SRL
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

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

Inclusion criteria

* Participant must be 20 years to 55 years of age, inclusive, at the time of signing the ICF. * Participant is overtly healthy as determined by medical evaluation, including medical history, physical examination, laboratory tests, and cardiac monitoring, at the Screening Visit and on Day -1 of the single Intervention Period for the Pilot Part or on Day -1 of the first Intervention Period for the Main Part of the study. * Participant has a bodyweight of at least 45 kilograms (kg) (female) and 50 kg (male) and a body mass index within the range of 18 Kilograms per meter square (Kg/m2) to 30 kg/m2 (inclusive) * Participant has given informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in protocol.

Exclusion criteria

* Participant has any medical or psychiatric condition that, in the opinion of the investigator, could jeopardize or would compromise the participant's ability to participate in this study. * Participant has a history of chronic alcohol or drug abuse, as defined in the most recent version of the Diagnostic and Statistical Manual of Mental Disorders, within 6 months prior to the Screening Visit. * Participant has a history of or current cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrinological, hematological, neurological, cerebrovascular, or other major disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention; or interfering with the interpretation of data. * Participant has a history of or has been diagnosed with epilepsy or epileptic seizures. * Participant has abnormal EEG findings at Screening including background slowing (\<8Hz), focal slowing (focal δ-activity), or epileptiform discharges.

Design outcomes

Primary

MeasureTime frameDescription
Time to reach a z-score of absolute power >2 and maintained for at least 60 seconds in the combined spindle and β1 frequency bands within the first 60 minutes of study intervention administration of Staccato alprazolam in Group 1Within the first 60 minutes of the study intervention administration on Day 1 of the Intervention Period in Group 1Time to reach a z-score of absolute power \>2 is derived from the z-scores over time for the combined spindle and β1 frequency bands. The z-scores are calculated using an algorithm applied to the quantitative electroencephalogram (qEEG) data recorded for each study participant.
Time to reach a z-score of absolute power >2 and maintained for at least 60 seconds in the combined spindle and β1 frequency bands within the first 60 minutes of study intervention administration of iv midazolam in Group 1Within the first 60 minutes of the study intervention administration on Day 1 of the Intervention Period in Group 1Time to reach a z-score of absolute power \>2 is derived from the z-scores over time for the combined spindle and β1 frequency bands. The z-scores are calculated using an algorithm applied to the quantitative electroencephalogram (qEEG) data recorded for each study participant.

Secondary

MeasureTime frameDescription
Occurrence of Treatment Emergent Adverse Events (TEAEs) from the first study intervention administration to the Safety Follow-Up (SFU) Visit/ Early Termination Visit (ETV)From the first study intervention administration to the Safety Follow-Up (SFU) Visit/ Early Termination Visit (ETV) (up to 55 Days)Treatment Emergent Adverse Events (TEAEs) are any untoward medical incidence in a participant after the administration of study treatment, whether or not these events are related to study treatment.
Occurrence of Serious TEAEs from the first study intervention administration to the Safety Follow-Up (SFU) Visit/ Early Termination Visit (ETV)From the first study intervention administration to the Safety Follow-Up (SFU) Visit/ Early Termination Visit (ETV) (up to 55 Days)Serious Treatment-Emergent Adverse Events (Serious TEAEs) are any untoward medical incidence in a participant during administered study treatment, whether or not these events are related to study treatment and additionally are emergent untoward medical occurrence that at any dose: Results in death; Is life-threatening; Requires in patient hospitalisation or prolongation of existing hospitalisation; Results in persistent disability/incapacity; Is a congenital anomaly or birth defect; Important medical events.
Time to reach a z-score of absolute power >2 and maintained for at least 60 seconds in the combined spindle and β1 frequency bands within the first 60 Minutes of study intervention administration of Staccato alprazolam in Group 2Within the first 60 minutes of the study intervention administration on Day 1 of the Intervention Period in Group 2Time to reach a z-score of absolute power \>2 is derived from the z-scores over time for the combined spindle and β1 frequency bands. The z-scores are calculated using an algorithm applied to the qEEG data recorded for each study participant.
Time to reach a z-score of absolute power >2 and maintained for at least 60 seconds in the combined spindle and β1 frequency bands within the first 60 Minutes of study intervention administration of nasal diazepam in Group 2Within the first 60 minutes of the study intervention administration on Day 1 of the Intervention Period in Group 2Time to reach a z-score of absolute power \>2 is derived from the z-scores over time for the combined spindle and β1 frequency bands. The z-scores are calculated using an algorithm applied to the qEEG data recorded for each study participant.
Maximum concentration (Cmax) of alprazolamPlasma samples will be collected at predose (Day 1) and at pre-defined time points upto 24 hours postdoseCmax=maximum concentration
Area under the concentration-time curve from time 0 to the last quantifiable concentration (AUC[0-t]) of alprazolamPlasma samples will be collected at predose (Day 1) and at pre-defined time points upto 24 hours postdoseAUC(0-t)=area under the concentration-time curve from time 0 to the last quantifiable concentration
Area Under the Concentration Time Curve From Time 0 to Infinity (AUC) of alprazolamPlasma samples will be collected at predose (Day 1) and at pre-defined time points upto 24 hours postdoseAUC=area under the concentration-time curve from time 0 to infinity
Maximum concentration (Cmax) of midazolamPlasma samples will be collected at predose (Day 1) and at pre-defined time points upto 24 hours postdoseCmax=maximum concentration
Area under the concentration-time curve from time 0 to the last quantifiable concentration (AUC[0-t]) of midazolamPlasma samples will be collected at predose (Day 1) and at pre-defined time points upto 24 hours postdoseAUC(0-t)=area under the concentration-time curve from time 0 to the last quantifiable concentration
Area Under the Concentration Time Curve From Time 0 to Infinity (AUC) of midazolamPlasma samples will be collected at predose (Day 1) and at pre-defined time points upto 24 hours postdoseAUC=area under the concentration-time curve from time 0 to infinity
Maximum concentration (Cmax) of diazepamPlasma samples will be collected at predose (Day 1) and at pre-defined time points upto 24 hours postdoseCmax=maximum concentration
Area under the concentration-time curve from time 0 to the last quantifiable concentration (AUC[0-t]) of diazepamPlasma samples will be collected at predose (Day 1) and at pre-defined time points upto 24 hours postdoseAUC(0-t)=area under the concentration-time curve from time 0 to the last quantifiable concentration
Area Under the Concentration Time Curve From Time 0 to Infinity (AUC) of diazepamPlasma samples will be collected at predose (Day 1) and at pre-defined time points upto 24 hours postdoseAUC=area under the concentration-time curve from time 0 to infinity

Countries

United States

Contacts

STUDY_DIRECTORUCB Cares

001 844 599 2273

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 21, 2026