Trial Outcomes & Findings for Phase 1b Study of Tizanidine in Pediatric Patients With Cerebral Palsy (NCT NCT01405950)

NCT ID: NCT01405950

Last Updated: 2013-06-17

Results Overview

Baseline: immediately before the standardized meal (i.e., before administration of tizanidine) on dosing day 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours after administration of tizanidine PK parameters will be derived by using WinNonlin Pro (version 5.0.1 or later, Pharsight Corp).

Recruitment status

TERMINATED

Study phase

PHASE1

Target enrollment

10 participants

Primary outcome timeframe

Baseline and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours

Results posted on

2013-06-17

Participant Flow

Participant milestones

Participant milestones
Measure
Dose Level 1
Zanaflex Capsules : 0.025 mg/kg
Dose Level 2
Zanaflex Capsules : 0.05 mg/kg
Dose Level 3
Zanaflex Capsules : 0.075 mg/kg
Dose Level 4
Zanaflex Capsules : 0.1 mg/kg
Overall Study
STARTED
8
2
0
0
Overall Study
COMPLETED
7
2
0
0
Overall Study
NOT COMPLETED
1
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Dose Level 1
Zanaflex Capsules : 0.025 mg/kg
Dose Level 2
Zanaflex Capsules : 0.05 mg/kg
Dose Level 3
Zanaflex Capsules : 0.075 mg/kg
Dose Level 4
Zanaflex Capsules : 0.1 mg/kg
Overall Study
Withdrawal by Subject
1
0
0
0

Baseline Characteristics

Phase 1b Study of Tizanidine in Pediatric Patients With Cerebral Palsy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dose Level 1
n=8 Participants
Zanaflex Capsules : 0.025 mg/kg
Dose Level 2
n=2 Participants
Zanaflex Capsules : 0.05 mg/kg
Total
n=10 Participants
Total of all reporting groups
Age, Customized
2-3 years
3 participants
n=39 Participants
0 participants
n=41 Participants
3 participants
n=35 Participants
Age, Customized
4-5 years
1 participants
n=39 Participants
0 participants
n=41 Participants
1 participants
n=35 Participants
Age, Customized
6-12 years
3 participants
n=39 Participants
2 participants
n=41 Participants
5 participants
n=35 Participants
Age, Customized
13-16 years
1 participants
n=39 Participants
0 participants
n=41 Participants
1 participants
n=35 Participants
Sex: Female, Male
Female
5 Participants
n=39 Participants
1 Participants
n=41 Participants
6 Participants
n=35 Participants
Sex: Female, Male
Male
3 Participants
n=39 Participants
1 Participants
n=41 Participants
4 Participants
n=35 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=39 Participants
2 Participants
n=41 Participants
10 Participants
n=35 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants

PRIMARY outcome

Timeframe: Baseline and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours

Population: Pharmacokinetics Population

Baseline: immediately before the standardized meal (i.e., before administration of tizanidine) on dosing day 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours after administration of tizanidine PK parameters will be derived by using WinNonlin Pro (version 5.0.1 or later, Pharsight Corp).

Outcome measures

Outcome measures
Measure
Dose Level 1
n=7 Participants
Zanaflex Capsules : 0.025 mg/kg
Dose Level 2
n=2 Participants
Zanaflex Capsules : 0.05 mg/kg
Dose Level 3
Zanaflex Capsules: 0.075 mg/kg
Dose Level 4
Zanaflex Capsules: 0.1 mg/kg
Pharmacokinetic (PK) Parameter AUC0-8 (Area Under the Concentration-time Curve From Time 0 to 8 Hours) of a Single Dose of Tizanidine at 4 Different Dose Levels in Children and Adolescents With Cerebral Palsy and Mild to Moderate Spasticity.
5.60 hour*nanogram/mililiter
Standard Error 1.79
6.11 hour*nanogram/mililiter
Standard Error 1.29

SECONDARY outcome

Timeframe: Baseline and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours

Population: Pharmacokinetics Population

Baseline: immediately before the standardized meal (i.e., before administration of tizanidine) on dosing day 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours after administration of tizanidine PK parameters will be derived by using WinNonlin Pro (version 5.0.1 or later, Pharsight Corp).

Outcome measures

Outcome measures
Measure
Dose Level 1
n=7 Participants
Zanaflex Capsules : 0.025 mg/kg
Dose Level 2
n=2 Participants
Zanaflex Capsules : 0.05 mg/kg
Dose Level 3
Zanaflex Capsules: 0.075 mg/kg
Dose Level 4
Zanaflex Capsules: 0.1 mg/kg
Pharmacokinetic (PK) Parameter Cmax (Maximum Observed Drug Concentration in Plasma) of a Single Dose of Tizanidine at 4 Different Dose Levels in Children and Adolescents With Cerebral Palsy and Mild to Moderate Spasticity.
1.87 nanogram/mililiter
Standard Error 0.60
5.29 nanogram/mililiter
Standard Error 0.05

Adverse Events

Dose Level 1

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Dose Level 2

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Dose Level 1
n=8 participants at risk
Zanaflex Capsules : 0.025 mg/kg
Dose Level 2
n=2 participants at risk
Zanaflex Capsules : 0.05 mg/kg
Musculoskeletal and connective tissue disorders
Musculoskeletal Stiffness
0.00%
0/8 • Up to 30 days.
Treatment-emergent adverse events (TEAE) were defined as AEs with date/time of onset (or worsening) on or after the start-date/time of administration of study drug and no more than 1 day after the last dose of study drug.
50.0%
1/2 • Number of events 1 • Up to 30 days.
Treatment-emergent adverse events (TEAE) were defined as AEs with date/time of onset (or worsening) on or after the start-date/time of administration of study drug and no more than 1 day after the last dose of study drug.
Nervous system disorders
Somnolence
12.5%
1/8 • Number of events 1 • Up to 30 days.
Treatment-emergent adverse events (TEAE) were defined as AEs with date/time of onset (or worsening) on or after the start-date/time of administration of study drug and no more than 1 day after the last dose of study drug.
100.0%
2/2 • Number of events 2 • Up to 30 days.
Treatment-emergent adverse events (TEAE) were defined as AEs with date/time of onset (or worsening) on or after the start-date/time of administration of study drug and no more than 1 day after the last dose of study drug.

Additional Information

Herbert Henney, PharmD

Acorda Therapeutics, Inc.

Phone: 914-347-4300

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor (Acorda) has right to review and comment on proposed publications within a specified time frame, up to 60 days; multi-center trials require joint publication unless specifically permitted otherwise.
  • Publication restrictions are in place

Restriction type: OTHER