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Lidocaine patch 1.8%

Phase 1

Healthy | Small molecule | Other |Scilex Holding Company|Last Updated: May 23, 2024

Target and mechanism

ModalitySmall molecule

Also known as lidocaine patch 5%, Lidocaine patch 5%

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials2
Total Enrollment105

FDA Designations

No designations recorded

Clinical trial landscape

Lidocaine patch 1.8% · 2 trials · 1 indication

Phase 1 2
NCT04320173Adhesion Performance Study of Lidocaine Topical System 1.8% Compared to Lidocaine Patch 5% and Lidocaine Medicated Plaster 5% in Healthy, Adult, Human SubjectsHealthy
COMPLETED47 Analytics
NCT04144192Pharmacokinetic Study of Lidocaine Patch 1.8% Lidocaine Patch 5% (Lidoderm®) in Healthy SubjectsHealthy
COMPLETED58 Analytics
PHASE1COMPLETED
Adhesion Performance Study of Lidocaine Topical System 1.8% Compared to Lidocaine Patch 5% and Lidocaine Medicated Plaster 5% in Healthy, Adult, Human Subjects
HealthyUnlock trial analytics
PHASE1COMPLETED
Pharmacokinetic Study of Lidocaine Patch 1.8% Lidocaine Patch 5% (Lidoderm®) in Healthy Subjects
HealthyUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean Adhesion Score (FDA scale)
12 hours post-dose

Adhesion of the product to the skin is assessed by the FDA 0-4 scoring system. The scoring for adhesion is indicated as follows: 0 = ≥ 90% Adhered (essentially no lift off the skin), 1 = ≥ 75% to \< 90% Adhered (some edges only lifting off the skin), 2 = ≥ 50% to \< 75% Adhered (less than half of the patch lifting off the skin), \> 0% to \< 50% Adhered but not detached (more than half of the patch lifting off the skin without falling off), and 4 = 0% adhered (patched completely detached). Adhesion is assessed every 3 hours for 12 hours. The mean cumulative adhesion score is calculated as the sum of scores at each assessment time point divided by the total number of observations.

Mean Adhesion Score (EMA scale)
12 hours post-dose

Adhesion of the product to the skin is assessed by the EMA 0-6 scoring system. The scoring for adhesion is indicated as follows: 0 = \< 70% Adhered, 1 = \> 70% Adhered, 2 = \> 75% Adhered, 3 = \> 80% Adhered, 4 = \> 85% Adhered, 5 = \> 90% adhered, and 6 = \> 95% Adhered. Adhesion is assessed every 3 hours for 12 hours. The mean cumulative adhesion score is calculated as the sum of scores at each assessment time point divided by the total number of observations.

Peak plasma concentration (Cmax) of lidocaine
0, 2, 4, 6, 9, 10, 11, 12, 13, 14, 16, 18, 20, 22, 24, 48 hours post-dose

Peak plasma concentration of lidocaine after application of 3 patches for 12 hours

Area under the Plasma Concentration-Time Curve (AUC) from Time 0 to Time 48 hours
0, 2, 4, 6, 9, 10, 11, 12, 13, 14, 16, 18, 20, 22, 24, 48 hours post-dose

Area under the plasma concentration versus time curve from 0 to 48 hours of lidocaine in plasma

Area under the Plasma Concentration-Time Curve (AUC) from Time 0 to Time Infinity
0, 2, 4, 6, 9, 10, 11, 12, 13, 14, 16, 18, 20, 22, 24, 48 hours post-dose

Area under the plasma concentration versus time curve from 0 to infinite time of lidocaine in plasma

Secondary Endpoints

Dermal Response Score
12.5 and 14 hours post-dose
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Lidocaine Patch (Sequence ABC)EXPERIMENTALSubjects received all three topical lidocaine products in Periods 1, 2, and 3. The sequence in which they received the lidocaine products was determined by random assignment. For subjects in Arm 1, 3 lidocaine 1.8% patches were applied in Period 1, and 3 lidocaine 5% patches were applied in Period 2, and 3 lidocaine 5% medicated plasters were applied in Period 3.
Lidocaine Patch (Sequence CAB)EXPERIMENTALSubjects received all three topical lidocaine products in Periods 1, 2, and 3. The sequence in which they received the lidocaine products was determined by random assignment. For subjects in Arm 2, 3 lidocaine 5% medicated plasters were applied in Period 1, and 3 lidocaine 1.8% patches were applied in Period 2, and 3 lidocaine 5% patches were applied in Period 3.
Lidocaine Patch (Sequences BCA)EXPERIMENTALSubjects received all three topical lidocaine products in Periods 1, 2, and 3. The sequence in which they received the lidocaine products was determined by random assignment. For subjects in Arm 3, 3 lidocaine 5% patches were applied in Period 1, and 3 lidocaine 5% medicated plasters were applied in Period 2, and 3 lidocaine 1.8% patches were applied in Period 3.
Lidocaine Patch (Sequence AB)EXPERIMENTALSubjects received all study treatments: a bolus IV injection of 0.7 mg/kg lidocaine IV in the morning of study Day 1, and then lidocaine patch treatment on Day 8 and Day 15. The sequence in which they received patch treatment was determined by random assignment. For subjects in Arm 1, 3 lidocaine 1.8% patches were applied on Day 8 and 3 Lidoderm® 5% patches were applied on Day 15.
Lidocaine Patch (Sequence BA)EXPERIMENTALSubjects received all study treatments: a bolus IV injection of 0.7 mg/kg lidocaine IV in the morning of study Day 1, and then lidocaine patch treatment on Day 8 and Day 15. The sequence in which they received patch treatment was determined by random assignment. For subjects in Arm 2, 3 Lidoderm® 5% patches were applied on Day 8 and 3 lidocaine 1.8% patches were applied on Day 15.

Interventions

NameTypeDescription
Lidocaine patch 1.8%DRUGThree patches are applied to the subject's back for 12 hours.
Lidocaine patch 5%DRUGThree patches are applied to the subject's back for 12 hours.
Lidocaine medicated plaster 5%DRUGThree plasters are applied to the subject's back for 12 hours.
Lidocaine 5% patchDRUG -
Lidocaine 2% Injectable SolutionDRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites1

Key Inclusion Criteria: * Must be healthy based on by medical history, laboratory work, and physical exam with BMI range between 18.00 and 30.00 kg/m2 inclusive. * Non-smokers * Be at least 18 years of age * If childbearing potential, use of acceptable form of birth control * In the case of females...

Countries:United States
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