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Tizanidine

Phase 1

Muscle Spasticity | Small molecule | Neurology |Teva Pharmaceutical Industries Limited|Trials Updated: Jan 21, 2009

Tizanidine development status

Highest phase Phase 1
Registered trials 3 across 2 sponsors since Feb 2010

Tizanidine target and mechanism

Molecular targetADRA2A, ADRA2C, ADRA2B
Target classAgonist
ModalitySmall molecule

Also known as Tizanidine (sublingual or oral), Sublingual Tizanidine HCl

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials2
Total Enrollment25

FDA Designations

No designations recorded

Tizanidine clinical trials

Tizanidine · 2 trials · 2 indications

Phase 1 2
NCT00358293Study of Nighttime Dosing of Sublingual Tizanidine (12 mg) in Multiple Sclerosis (MS) Patients With Significant SpasticityMuscle Spasticity
COMPLETED20 Analytics
NCT00287157Pilot, Proof-of-Concept Study of Sublingual Tizanidine in Children With Chronic Traumatic Brain Injury (TBI)Traumatic Brain Injury
COMPLETED5 Analytics
PHASE1COMPLETED
Study of Nighttime Dosing of Sublingual Tizanidine (12 mg) in Multiple Sclerosis (MS) Patients With Significant Spasticity
Muscle SpasticityUnlock trial analytics
PHASE1COMPLETED
Pilot, Proof-of-Concept Study of Sublingual Tizanidine in Children With Chronic Traumatic Brain Injury (TBI)
Traumatic Brain InjuryUnlock trial analytics

Study Endpoints

Primary Endpoints

Clinical efficacy - improvement in next-day spasticity (Ashworth scores)
Safety - no increase in next-day somnolence (measured objectively using PVT psychomotor vigilance task monitoring) and subjectively, using Epworth Sleepiness Scale (ESS) and Fatigue Severity Scale (FSS) questionnaires
Improvement in Spasticity, Cognition and Daily Function
4 weeks

Secondary Endpoints

Secondary clinical efficacy - objective measure of sleep (actigraphy measures)
Improvement in nighttime actigraphy sleep parameters
4 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeTREATMENT

Interventions

NameTypeDescription
Tizanidine (sublingual or oral)DRUG -
Sublingual Tizanidine HClDRUG -
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Eligibility Criteria

Age Range20 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Male and female patients between the ages of 20-65 * Definitive diagnosis of MS, with Expanded Disability Status Scale (EDSS) less than 6.5 at screening * Has significant spasticity (total Ashworth =\> 6) at screening * Can maintain sleep regimens of at least 5 hours nightly f...

Countries:Israel
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Frequently asked questions about Tizanidine

What is tizanidine used for?

Tizanidine is a small molecule under development for muscle spasticity and traumatic brain injury. It is being studied in a sublingual form for nighttime dosing in multiple sclerosis patients with significant spasticity, and in children with chronic traumatic brain injury. It is investigational and not approved for these uses.

What does tizanidine target?

Tizanidine targets the alpha-2 adrenergic receptors ADRA2A, ADRA2B, and ADRA2C, where it acts as an agonist. By activating these receptors, it is designed to reduce spasticity. This receptor activity is the basis for its development in muscle spasticity and traumatic brain injury.

Who is developing tizanidine?

Tizanidine is being developed by Teva Pharmaceutical Industries Limited, which trades under the ticker TEVA. The company is studying a sublingual formulation of tizanidine for muscle spasticity and traumatic brain injury.

What phase is tizanidine in?

Tizanidine is in Phase 1 development. It is investigational and has not been approved by the FDA for muscle spasticity or traumatic brain injury. The clinical program consists of completed early-stage trials, with no active trials currently listed.

What clinical trials is tizanidine in?

Tizanidine has been studied in two completed Phase 1 trials. NCT00358293 evaluated nighttime sublingual tizanidine 12 mg in multiple sclerosis patients with significant spasticity, enrolling 20 participants in Israel. NCT00287157 was a pilot proof-of-concept study of sublingual tizanidine in children with chronic traumatic brain injury, enrolling 5 participants in Israel.

Is tizanidine the same as sublingual tizanidine HCl?

Yes. Tizanidine, sublingual tizanidine, and sublingual tizanidine HCl refer to the same drug asset. The sublingual form is the formulation being studied in the clinical program for muscle spasticity and traumatic brain injury.