Pharmacokinetic Study of Intranasal CT001 in Children 1-17 Years of Age Undergoing Elective Surgical Procedures

Sponsor
Cessatech A/S (Industry)
Overall Status
Completed
CT.gov ID
NCT04897750
Collaborator
(none)
25
1
1
8.9
2.8

Study Details

Study Description

Brief Summary

This is a prospective non-randomized, open-label, single dose (and a second dose if needed), PK study in 25 children age 1-17 years. The proposed number of study participants by subset is: 8 paediatric participants 1-2 years; 8 paediatric participants >2-6 years and 9 paediatric participants >6-17 years.

Condition or Disease Intervention/Treatment Phase
  • Combination Product: CT001
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
25 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Intervention Model Description:
The study population will receive a target dose of intranasal CT001 corresponding to sufentanil 0.5 mcg/kg + ketamine 0.5 mg/kg (and an additional dose 10 -15 minutes after, if needed) prior to an elective surgical, procedure.The study population will receive a target dose of intranasal CT001 corresponding to sufentanil 0.5 mcg/kg + ketamine 0.5 mg/kg (and an additional dose 10 -15 minutes after, if needed) prior to an elective surgical, procedure.
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Pharmacokinetic Study of Intranasal CT001 in Children 1-17 Years of Age Undergoing Elective Surgical Procedures.
Actual Study Start Date :
Aug 19, 2021
Actual Primary Completion Date :
May 16, 2022
Actual Study Completion Date :
May 16, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: Active

a target dose of intranasal sufentanil 0,5 mcg/kg + ketamine 0,5 mg/kg, (2-4 puffs) and an additional dose if needed as premedication before placement of a PVC for induction of anaesthesia.

Combination Product: CT001
Sufentanil 0.5 mcg/kg + ketamine 0.5 mg/kg as nasal spray, followed by an additional dose 10 -15 minutes after, if needed.

Outcome Measures

Primary Outcome Measures

  1. Total absorption over time [0 - 120 minutes]

    Area under the concentration vs time curve

  2. Maximum absorption [0 - 120 minutes]

    Peak concentration (Cmax)

  3. Distribution [120 - 240 minutes]

    Volumen of distribution (Vd)

  4. Elimination [120 - 240 minutes]

    Half life (T½)

  5. Elimination [120 - 240 minutes]

    Clearance,

Secondary Outcome Measures

  1. Analgetic effect [0 - 1 hour]

    pain intensity by age-appropriate scale in relation to the placement of peripheral venous catheter

  2. Sedation [0 - 1 hour]

    Assessment of sedation at the time of placement of the peripheral venous catheter using the University of Michigan Sedation Score

  3. Feasibility, (Acceptance of intranasal administration) [0- 4 hours]

    Acceptance of the intranasal route of administration by the child, assessed by the child or legally acceptable representative or health care provider.

Eligibility Criteria

Criteria

Ages Eligible for Study:
1 Year to 17 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Paediatric participants, age 1-17 years at the day of the surgical procedure

  • Planned for elective surgical procedures (e.g. hernia, orchiopexy, gastroscopy, cystoscopy)

  • ASA (American Society of Anaesthesiologists) physical status classification system score 1-2 as determined by investigator

  • Planned for induction of anaesthesia by an intravenous anaesthetic agent, requiring placement of peripheral venous catheter immediately prior to the surgical procedure

  • Needs premedication before induction of anaesthesia as determined by investigator

  • Informed consent by the legally acceptable representative(s)

  • The legally acceptable representative(s) and patients 15-17 years must be able to understand and speak local language

  • A female participant who has onset of menarche is eligible to participate if she is not pregnant, not breastfeeding and agree to follow the contraceptive guidance during the treatment period for at least 7 days after administration of study treatment.

Exclusion Criteria:
  • Ex-premature infant (born <37 weeks AND less than 60 weeks post conceptual age at the day of the surgical procedure)

  • Mental retardation

  • Abnormal nasal cavity or nasal obstruction

  • Clinical contraindications to narcotic analgesia including head injury or any condition that can in the opinion of the investigator, deteriorate safety and well-being of the participants, influence PK data or optimal participation in the trial

  • Medical history including substance or alcohol abuse

  • Has received treatment with sufentanil and/or ketamine during the last 72 hours prior to surgery

  • Has planned perioperative administration of sufentanil and/or ketamine

  • Has or is suspected of having a family or personal history of malignant hyperthermia

  • Has or is suspected of having allergies to ketamine or sufentanil

Contacts and Locations

Locations

Site City State Country Postal Code
1 Anæstesi- og Operationsafdelingen 4013 Juliane Marie Centeret Copenhagen Region H Denmark 2100

Sponsors and Collaborators

  • Cessatech A/S

Investigators

  • Principal Investigator: Volker Classen, MD, Department of Anaesthesiology, The Juliane Marie Centre Copenhagen University Hospital

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Cessatech A/S
ClinicalTrials.gov Identifier:
NCT04897750
Other Study ID Numbers:
  • PDC 01-0206
First Posted:
May 21, 2021
Last Update Posted:
Aug 18, 2022
Last Verified:
Apr 1, 2022
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No

Study Results

No Results Posted as of Aug 18, 2022