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NCT04072146

Evaluating Relative Bioavailability of OC-01 (Varenicline) Nasal Spray as Compared to Orally Administered Varenicline

Completed Phase 1 Results posted Last updated 23 May 2022
What this trial tests

Phase 1 trial testing Vaenicline oral tablet 1 mg, then OC-01 (varenicline solution) nasal spray 0.12 mg in Healthy Subjects in 22 participants. Completed in 15 November 2019.

Timeline
26 August 2019
Primary endpoint
15 November 2019
15 November 2019

Quick facts

Lead sponsorOyster Point Pharma, Inc.
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingnone
Primary purposeother
Enrollment22
Start date26 August 2019
Primary completion15 November 2019
Estimated completion15 November 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Oyster Point Pharma, Inc. — full company profile →

Who can join

Adults 18 to 65, any sex, with Healthy Subjects. 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.

AUC0-t Primary · Blood samples were taken predose (time 0), 0.083, 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours post dose.

Area under the curve from predose (time 0), 0.083, 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours post dose.

GroupValue95% CI
Varenicline Oral Tablet 1 mg4.49± 3.42
OC-01 (Varenicline) Nasal Spray 0.12 mg98.74± 25.49
AUC0-inf Primary · Blood samples were taken predose (time 0), 0.083, 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours post dose.

AUC0-inf taken at predose (time 0), 0.083, 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours post dose.

GroupValue95% CI
OC-01 (Varenicline) Nasal Spray 0.12 mg8.3± 4.09
Varenicline Oral Tablet 1 mg102.83± 16.82
Cmax Primary · Blood samples were taken predose (time 0), 0.083, 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours post dose.

Cmax taken at predose (time 0), 0.083, 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours post dose.

GroupValue95% CI
OC-01 (Varenicline) Nasal Spray 0.12 mg0.34± 0.13
Varenicline Oral Tablet 1 mg4.63± 0.93
Tmax Primary · Blood samples were taken predose (time 0), 0.083, 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours post dose.

Tmax taken at predose (time 0), 0.083, 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours post dose.

GroupValue95% CI
OC-01 (Varenicline) Nasal Spray 0.12 mg2.00.3 – 3.0
Varenicline Oral Tablet 1 mg31 – 6
Creatine Shift From Normal at Baseline to Abnormal After 2 Hours Post-treatment Secondary · Baseline to 2 hours post treatment

Creatine shift from baseline to 2 hours post treatment. Elevated creatinine may indicate impaired kidney function.

GroupValue95% CI
Varenicline Oral Tablet 1mg, Then OC-01 (Varenicline Solution) Nasal Spray 0.12 mg3
OC-01 (Varenicline Solution) Nasal Spray 0.12 mg, Then Varenicline Oral Tablet 1 mg3

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events were collected from the first dose of study drug administration until the final study visit (60 days).. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

OC- 01 (Varenicline) Nasal Spray 0.12 mg
Serious: 0/21 (0%)
Deaths: 0/21
Varenicline Oral Tablet 1 mg
Serious: 0/22 (0%)
Deaths: 0/22
Other adverse events (17 terms — click to expand)

ReactionSystemOC- 01 (Varenicline) Nasal…Varenicline Oral Tablet 1 mg
DizzinessNervous system disorders
SneezingRespiratory, thoracic and mediastinal disorders
coughRespiratory, thoracic and mediastinal disorders
nauseaGastrointestinal disorders
vomitingGastrointestinal disorders
somnolenceNervous system disorders
Abdominal pain upperGastrointestinal disorders
Dry mouthGastrointestinal disorders
ChillsGeneral disorders
Feeling coldGeneral disorders
ScratchInjury, poisoning and procedural complications
Head discomfortNervous system disorders
HeadacheNervous system disorders
Dry throatRespiratory, thoracic and mediastinal disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
Nasal pruritusRespiratory, thoracic and mediastinal disorders
RhinorrheaRespiratory, thoracic and mediastinal disorders

Data from ClinicalTrials.gov NCT04072146 adverse events section.

Sponsor's own description

To assess the relative bioavailability of varenicline administered intranasally at its highest intended clinical strength compared to varenicline administered orally at its highest oral tablet strength.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. A Phase I, Open-label, Randomized, 2-Way Crossover Study to Evaluate the Relative Bioavailability of Intranasal and Oral Varenicline.
    Nau J, Wyatt DJ, Rollema H, Crean CS. · · 2021 · cited 11× · PMID 34456060 · DOI 10.1016/j.clinthera.2021.07.020

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