A Study of Two Formulations (Both Refrigerated and Room Temperature) Using an Autoinjector Device in Healthy Participants

Study Overview
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Brief Summary
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The main purpose of the study is to assess the injection site pain intensity of two formulations using prefilled autoinjector device in healthy participants.

Official Title
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A Study to Evaluate Injection-Site Pain of Two Formulations (Both Refrigerated and Room Temperature) Using an Autoinjector Device in Healthy Subjects

Conditions
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Healthy Participants

Intervention / Treatment
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* Drug: Sodium chloride
* Drug: Citrate buffer
* Drug: Mannitol
* Device: Prefilled Autoinjector


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Non-smoker BMI greater than (>)18.5 and less than (<) 30.0 kilograms per square meter (kg/m2) Body weight greater than or equal to (≥) 50.0 kg for males and ≥45.0 kg for females Are in good health, as determined by the investigator (or designee) to have no clinically significant findings from medical and surgical history, physical examination, 12 lead ECG, vital signs measurements, and clinical laboratory evaluations Are reliable and willing to make themselves available for the duration of the study, are willing to follow study procedures, and demonstrate the ability to self-inject Exclusion Criteria: Are pregnant or breastfeeding Have a positive urine drug screen or alcohol breath test at screening Have participated in a clinical research study involving the administration of an investigational or marketed drug or device within 30 days prior to the first dosing, administration of a biological product in the context of a clinical research study within 90 days prior to the first dosing or concomitant participation in an investigational study involving no drug or device administration Have known allergic reactions to any components of mannitol or the placebo matrix or related compounds or history of significant atopy Have self-perceived dullness or loss of sensation on either side of the body or the abdomen Have tattoos or scars over the abdomen or other factors (e.g., rash, excessive folds of skin) that, in the Investigator's opinion, would interfere with injection site assessments Are currently using painkillers, aspirin, or other non-steroidal anti-inflammatory drugs (NSAIDs). Intend to use prescription or over-the-counter medication for pain or inflammation within 7 days prior to the first injection Have any reason which, in the opinion of the Investigator, would prevent the participant from participating in the study

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Sequence 1 (ABCD)<br>Participants will receive 1 millilitre (ml) subcutaneous (SC) injection of treatment A (higher pain refrigerated solution is a formulation matrix solution of an acidic solution citrate buffer and sodium chloride at the potential of hydrogen (pH) 5.7) followed by treatments B (higher pain Room Temperature [RT] solution is a formulation matrix solution of an acidic solution containing citrate buffer and sodium chloride at pH 5.7), C (lower pain refrigerated solution contains mannitol), and D (lower pain RT solution contains mannitol) in the right upper quadrant, left upper quadrant, right lower quadrant, and left lower quadrant respectively using a prefilled autoinjector device. | Drug: Sodium chloride<br>* Administered SC infusion.<br>Drug: Citrate buffer<br>* Administered SC infusion.<br>Drug: Mannitol<br>* Administered SC infusion.<br>Device: Prefilled Autoinjector<br>* Used to administer the drug through SC infusion.<br>|
| Experimental: Sequence 2 (BDAC)<br>Participants will receive 1 ml SC injection of treatment B (higher pain RT solution is a formulation matrix solution of an acidic solution containing citrate buffer and sodium chloride at pH 5.7) followed by treatments D (lower pain RT solution contains mannitol), A (higher pain refrigerated solution is a formulation matrix solution of an acidic solution citrate buffer and sodium chloride at pH 5.7), and C (lower pain refrigerated solution contains mannitol) in the right upper quadrant, left upper quadrant, right lower quadrant, and left lower quadrant respectively using a prefilled autoinjector device. | Drug: Sodium chloride<br>* Administered SC infusion.<br>Drug: Citrate buffer<br>* Administered SC infusion.<br>Drug: Mannitol<br>* Administered SC infusion.<br>Device: Prefilled Autoinjector<br>* Used to administer the drug through SC infusion.<br>|
| Experimental: Sequence 3 (CADB)<br>Participants will receive 1 ml SC injection of treatment C (lower pain refrigerated solution contains mannitol) followed by treatments A (higher pain refrigerated solution is a formulation matrix solution of an acidic solution citrate buffer and sodium chloride at pH 5.7), D (lower pain RT solution contains mannitol), and B (higher pain RT solution is a formulation matrix solution of an acidic solution containing citrate buffer and sodium chloride at pH 5.7) in the right upper quadrant, left upper quadrant, right lower quadrant, and left lower quadrant respectively using a prefilled autoinjector device. | Drug: Sodium chloride<br>* Administered SC infusion.<br>Drug: Citrate buffer<br>* Administered SC infusion.<br>Drug: Mannitol<br>* Administered SC infusion.<br>Device: Prefilled Autoinjector<br>* Used to administer the drug through SC infusion.<br>|
| Experimental: Sequence 4 (DCBA)<br>Participants will receive 1 ml SC injection of treatment D (lower pain RT solution contains mannitol) followed by treatments C (lower pain refrigerated solution contains mannitol), B (higher pain RT solution is a formulation matrix solution of an acidic solution containing citrate buffer and sodium chloride at pH 5.7), and A (higher pain refrigerated solution is a formulation matrix solution of an acidic solution citrate buffer and sodium chloride at pH 5.7), in the right upper quadrant, left upper quadrant, right lower quadrant, and left lower quadrant respectively using a prefilled autoinjector device. | Drug: Sodium chloride<br>* Administered SC infusion.<br>Drug: Citrate buffer<br>* Administered SC infusion.<br>Drug: Mannitol<br>* Administered SC infusion.<br>Device: Prefilled Autoinjector<br>* Used to administer the drug through SC infusion.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual analogue scale (VAS) Pain score at Injection Site at Time Zero (T0) | The Infusion site pain VAS score is a participant administered single item scale designed to measure pain using a 0-100 millimeter (mm) horizontal VAS. Overall severity of participant's pain is indicated by placing a single mark on the horizontal 100 mm scale from 0 mm (no pain) to 100 mm (worst possible pain). | within 1 minute post injection | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual analogue scale (VAS) Pain score at Injection Site after Time Zero (T0) | The Infusion site pain VAS score is a participant administered single item scale designed to measure pain using a 0-100 millimeter (mm) horizontal VAS. Overall severity of participant's pain is indicated by placing a single mark on the horizontal 100 mm scale from 0 mm (no pain) to 100 mm (worst possible pain). | within 5, 10, 15, 30 and 60 minutes post injection | 
| Number of Participants with Injection Site Reactions (ISR) | ISR will consists of rating the severity of skin reaction at the injection site using the scores below 0=no reaction, 1= easily tolerated erythema and/or light bruising, 2= distributing erythema with swelling and/or distributing bruising, 3=almost intolerable symptoms, or clinically definite skin necrosis, characterized by any of the following: oozing, weeping, skin breakdown, ulceration, scar formation. Higher the score worst the injection site reaction. | 10 and 60 minutes post injection |