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NCT03310970

Pharmacokinetics of Lidocaine in Healthy Adults

Completed Phase 4 Results posted Last updated 1 November 2021
What this trial tests

Phase 4 trial testing Lidocaine 5% patch in Healthy in 23 participants. Completed in 9 October 2019.

Timeline
14 March 2018
Primary endpoint
9 October 2019
9 October 2019

Quick facts

Lead sponsorNicole K Brogden
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designcrossover
Maskingnone
Primary purposebasic science
Enrollment23
Start date14 March 2018
Primary completion9 October 2019
Estimated completion9 October 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Nicole K Brogden — full company profile →

Who can join

Adults 18 to 65, any sex, with Healthy. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Measurement of Maximum Serum Concentration of Lidocaine (Cmax) Primary · For both patch arms measured at time points: 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24, 27, 30, 33, 36, 39, 48 hours. For intravenous lidocaine hydrochloride arm measured at time points: 2, 5, 10, 20, 30, 45 minutes, 1, 2, 3, 4, 6, 8, 10 hours.

Cmax is the highest lidocaine concentration measured in the serum.

Lidocaine 5% patch
GroupValue95% CI
All Study Participants113.95± 38.84
Lidoderm® 5% patch
GroupValue95% CI
All Study Participants123.54± 68.97
Intravenous lidocaine hydrochloride
GroupValue95% CI
All Study Participants706.15± 338.86
Measurement of Volume of Lidocaine Distribution (V) Secondary · For both patch arms measured at time points: 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24, 27, 30, 33, 36, 39, 48 hours. For intravenous lidocaine hydrochloride arm measured at time points: 2, 5, 10, 20, 30, 45 minutes, 1, 2, 3, 4, 6, 8, 10 hours.

Volume of distribution is a mathematical concept that relates the amount of lidocaine in the body to the concentration of lidocaine measured in the serum.

Lidocaine 5% patch
GroupValue95% CI
All Study Participants5.13± 2.07
Lidoderm® 5% patch
GroupValue95% CI
All Study Participants5.15± 2.13
Intravenous lidocaine hydrochloride
GroupValue95% CI
All Study Participants1.98± 0.68
Measurement of Time of Maximum Serum Lidocaine Concentration (Tmax). Secondary · For both patch arms measured at time points: 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24, 27, 30, 33, 36, 39, 48 hours. For intravenous lidocaine hydrochloride arm measured at time points: 2, 5, 10, 20, 30, 45 minutes, 1, 2, 3, 4, 6, 8, 10 hours.

Tmax is the time point at which the maximum drug concentration in serum is measured.

Lidocaine 5% patch
GroupValue95% CI
All Study Participants9.08± 2.90
Lidoderm® 5% patch
GroupValue95% CI
All Study Participants10.82± 2.2
Intravenous lidocaine hydrochloride
GroupValue95% CI
All Study Participants0.03± 0
Measurement of Elimination Rate Constant of Lidocaine (Kel) Secondary · For both patch arms measured at time points: 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24, 27, 30, 33, 36, 39, 48 hours. For intravenous lidocaine hydrochloride arm measured at time points: 2, 5, 10, 20, 30, 45 minutes, 1, 2, 3, 4, 6, 8, 10 hours.

The elimination rate constant is a mathematical value describing the rate at which lidocaine is removed from the body.

Lidocaine 5% patch
GroupValue95% CI
All Study Participants0.17± 0.06
Lidoderm® 5% patch
GroupValue95% CI
All Study Participants0.19± 0.12
Intravenous lidocaine hydrochloride
GroupValue95% CI
All Study Participants0.31± 0.1
Determination of Area Under the Serum-concentration-time Curve (AUC) Secondary · For both patch arms measured at time points: 1, 2, 3, 4, 5, 6, 8, 10, 12 hours. For intravenous lidocaine hydrochloride arm measured at time points: 2, 5, 10, 20, 30, 45 minutes, 1, 2, 3, 4, 6, 8, 10 hours.

Area under the serum-concentration-time curve is a mathematical measure of total systemic exposure to lidocaine in the body.

Lidocaine 5% patch
GroupValue95% CI
All Study Participants807.32± 285.31
Lidoderm® 5% patch
GroupValue95% CI
All Study Participants748.55± 420.93
Intravenous lidocaine hydrochloride
GroupValue95% CI
All Study Participants671.07± 165.01
Residual Drug Analysis in Worn TDDS and Patches Secondary · Measured after patches are removed from subjects following 12 hours of patch wear.

The amount of drug remaining in the patches is measured after the patches have been worn and removed. This outcome is only reported for the patch arms of the study and is not applicable to the intravenous arm.

Lidocaine 5% patch
GroupValue95% CI
All Study Participants123.79± 6.58
Lidoderm® 5% patch
GroupValue95% CI
All Study Participants655.16± 29.96

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events were recorded from the date of consent, during study intervention and washout (12 days), and for 2 days of follow-up after study procedures were completed (14 days total).. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Lidocaine Patch
Serious: 0/22 (0%)
Deaths: 0/22
Lidoderm ® Topical Patch
Serious: 0/23 (0%)
Deaths: 0/23
Intravenous Lidocaine
Serious: 0/23 (0%)
Deaths: 0/23
Other adverse events (13 terms — click to expand)

ReactionSystemLidocaine PatchLidoderm ® Topical PatchIntravenous Lidocaine
Increased Respiratory RateRespiratory, thoracic and mediastinal disorders
Decreased Heart RateRespiratory, thoracic and mediastinal disorders
Increased Heart RateRespiratory, thoracic and mediastinal disorders
Increased Blood PressureRespiratory, thoracic and mediastinal disorders
HeadacheGeneral disorders
Decreased Blood PressureRespiratory, thoracic and mediastinal disorders
Abnormal HearingEar and labyrinth disorders
Itchy lower back after patch removalGeneral disorders
LightheadednessGeneral disorders
Drowsiness/SleepinessGeneral disorders
NauseaGastrointestinal disorders
HeartburnGastrointestinal disorders
Contact erythema from IV placementSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT03310970 adverse events section.

Sponsor's own description

The study to be performed will utilize already FDA-approved marketed products in healthy adults for the purpose to generate data for establishing rate of drug delivery of Lidoderm® topical patch (manufactured by Endo Pharmaceuticals) and the lidocaine 5% patch (manufactured by Mylan Pharmaceuticals) in healthy adults, and to ensure the safety of individuals utilizing these types of products.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing