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HealthyPhase 1HOPENCT04867057

Trichomylin® Safety, Tolerability & Pharmacokinetics in Healthy Adults and First in Human Osteoarthritis Pain Evaluation

A Phase 1 study testing Trichomylin for SAD and Trichomylin for MAD in people with Healthy and Osteoarthritis, run by ZYUS Life Sciences Inc. at 1 site in Australia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a first in human, randomized, double-blind, placebo-controlled SAD (with food effect) followed by a MAD study of Trichomylin® conducted in healthy adult participants. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Healthy, Osteoarthritis
What is being tested?
Trichomylin for SAD and Trichomylin for MAD
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
41 participants
Where
1 siteAustralia
Study dates
19 Apr 2021to 30 May 2022
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Male or female volunteers, aged 18 to 65 years (inclusive at the time of consent);
  • Must have a Body Mass Index (BMI) ≥ 18 to ≤ 32 kg/m2 with weight ≥ 50 kg at Screening;
  • Must have a negative urine drug screen at the Screening visit and the day before dosing (Day -1); one repeat urine drug may be conducted for a suspected false positive result;
  • Must be willing to abstain from the use of cannabis and other cannabinoid compounds (other than the study drug) for the duration of the study (from the time of Screening until the EOS visit);
  • Must be willing to abstain from smoking (including the use of tobacco or nicotine products and e-cigarettes) for the duration of the study (from the time of Screening until the EOS visit);
  • Must not have any hepatic and/or renal impairment as judged by the PI;
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  • Must be willing and able to comply with all study procedures and be available for the duration of the study (from the time of Screening until the EOS visit);
  • Must not be currently using anti-depressants (selective serotonin reuptake inhibitors [SSRIs], monoamine oxidase inhibitors [MOAIs], serotonin-norepinephrine reuptake inhibitors [SNRIs], or tricyclic anti-depressants [TCAs]) for 14 days or 5 half-lives of the drug, whichever is longer, prior to IP administration, and for the duration of the study;
  • Must not have any current or past allergic or adverse reaction or known sensitivity to olive oil, gelatin, glycerin and titanium dioxide, or to cannabinoid-like substances (including but not limited to Dronabinol/Marinol/Nabilone/marijuana/cannabis/tetrahydrocannabinol [THC], cannabinoid oil);
  • Females must be non-pregnant and non-lactating and must use two forms ("double contraception") of acceptable, highly effective contraception from Screening and for 12 weeks following the last dose of study drug. Double contraception is defined as a condom AND one other form of the following:
  • Established hormonal contraception (with an approved oral contraceptive pill [OCP]);
  • Depot or injectable birth control;
  • A vaginal ring or an intrauterine device ([IUD], with or without hormones); OR
  • Documented evidence of surgical sterilization as a single form of birth control, at least 6 months prior to Screening (e.g., tubal ligation, hysterectomy, bilateral salpingectomy, or bilateral oophorectomy for women, OR vasectomy for men [with documented azoospermia 90 days after procedure] provided that partner is the sole sexual partner).
  • Women not of childbearing potential must be post-menopausal (defined as cessation or regular menstrual periods for at least 12 months). Post-menopausal status will be confirmed through testing of follicle-stimulating hormone (FSH) consistent with post-menopausal state based on lab reference ranges.
  • True subject abstinence for the duration of the study and 12 weeks after IP dosing is acceptable only when the subject has not been sexually active at all during their lifetime.
  • Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods), withdrawal (coitus interruptus), spermicides only, and lactational amenorrhoea methods are not considered "true" abstinence and are not acceptable methods of contraception.
  • Female participants who are in a long-term, same-sex, monogomous relationship are not required to use contraception.
  • Male subjects of childbearing potential will be required to use condoms from Screening until 12 weeks following the last dose of the study drug and to refrain from sperm donation during the same period. Male subjects not of childbearing potential are permanently sterile by bilateral orchidectomy or vasectomy (with documented azoospermia 90 days after procedure).
  • Male participants who are in a long-term, same-sex, monogamous relationship are not required to use contraception.
  • Male subjects should be informed that if a female partner becomes pregnant while he is enrolled in the study, contact with the female partner will be attempted to request her consent to collect pregnancy outcome information.
  • Women of childbearing potential must have a negative pregnancy test at Screening and Day -1 and be willing to have additional pregnancy tests, as required, throughout the study, at the Investigator's discretion;
  • Males must not donate sperm and females must not donate ova from Screening until 12 weeks after the last dose of the study drug.
  • Must agree to adhere to the current state and national advice regarding minimizing exposure to corona virus disease of 2019 (COVID-19) from the first Screening visit until the EOS visit;
  • Must be willing and able to provide written informed consent after the nature of the study has been explained and prior to the commencement of any study procedures;
  • Must be in good physical and mental health as determined by absence of any clinically significant (in the opinion of the Investigator) abnormalities based on medical history, physical examination, vital signs, triplicate 12-lead electrocardiogram (ECG), clinical laboratory evaluations, at Screening and prior to administration of the initial dose of study drug;
  • Must be able and willing to comply with all study requirements including:
  • Confinement to the CRU prior to and during study drug administration and required follow-up periods for Part A SAD and Part B MAD
  • Refraining from using the following:
  • Any previous/current cannabis products within 2 months prior to Screening and throughout the duration of the study (from the time of Screening until the EOS visit); ii. Cannabis products (in the form of oil, vaporizer, or smoke) for the duration of the study; iii. Prescription medications 14 days prior to administration of the first dose of study drug; iv. Alcohol 48 hours prior to admission, and while confined to the CRU. In addition, participants must agree to refrain from regular use of alcohol (i.e. ˃ 10 units per week or ˃ 4 units on any given day for men and women [1 unit = 150mL of wine, 360 mL of beer, or 45 mL of 40% alcohol]) for the duration of the study; v. Recreational drugs for the duration of the study.
  • For Part A SAD, participants must not have used cannabis or cannabinoid products within 2 months prior to Screening.

Who cannot join

  • Pregnant or lactating at Screening or planning to become pregnant (self or partner) at any time during the study and for 12 weeks after final study drug administration;
  • Has a past or present clinically significant condition, which would prevent or limit study assessments in accordance with the protocol, with particular reference to renal and/or hepatic impairment, OR it would be in the best interests of the participant to not participate;
  • Has been diagnosed with the following within 10 years of Screening: psychosis (secondary to, for example, substance abuse, major depression, a mood disorder with postpartum onset, bipolar disorder, schizophrenia, or borderline personality disorder), somatoform disorder(s) or chronic fatigue syndrome;
  • Has a current/active diagnosis of generalized anxiety disorder, panic disorder, obsessive compulsive disorder, post- traumatic stress disorder, a simple phobia(s), anorexia nervosa or bulimia nervosa;
  • Cognitive impairment and/or a psychiatric illness (e.g., dementia, Alzheimer's disease or psychosis), which in the opinion of the Investigator will prevent participants from reliably providing primary outcome data;
  • Has significant suicidal ideation as defined by the Columbia-Suicide Severity Rating Scale (C-SSRS) and Patient Health Questionnaire (PHQ-9);
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  • History of abuse of substances such as opiates, amphetamines, barbiturates, cocaine, cannabis, hallucinogens within 12 months prior to Screening or positive urine drug screen at Screening or Day -1. A urine drug screen deemed positive due to prescription medications or for benzodiazepines or opioids is acceptable and inclusion is at the discretion of the Investigator;
  • Regular use of alcohol within one month prior to the Screening visit (i.e. more than 10 units of alcohol per week or 4 units on any given day [1 unit = 150mL of wine, 260 mL of beer, or 45mL of 40% alcohol]);
  • Symptomatic heart failure (per New York Heart Association [NYHA] guidelines), unstable angina, myocardial infarction, transient ischemic attack (TIA) or cerebrovascular accident (CVA) within 6 months prior to Screening;
  • Has an abnormal ECG of clinical relevance at Screening or Baseline, including but not limited to the following:
  • QTcF interval > 450 msec
  • Evidence of 2nd and 3rd degree atrioventricular (AV) block, or 1st degree AV block with PR interval > 200ms, left bundle branch block (LBBB) or right bundle branch block (RBBB) at Screening or Baseline. Incomplete RBBB will not permitted.
  • Has a history of risk factors including hypokalemia, family history of Long QT Syndrome, or prior use of medications that prolong the QT/QTc interval
  • Has a resting heart rate < 45 beats/minute, > 100 beats/min upon one repeated measurement within 5 minutes;
  • Has abnormal blood pressure outside specified limits (90 mm Hg > Systolic > 140 mm Hg and/or 50 mm Hg > Diastolic > 90 mm Hg) upon repeated measurement;
  • Has clinically significant abnormalities in any of the clinical laboratory evaluations at Screening or Day -1 as determined by the Investigator;
  • Has a history of malignancy within the last 2 years except for adequately treated basal cell carcinoma, squamous cell skin cancer, superficial bladder tumors, or in situ cervical cancer. Participants with other curatively treated malignancies who have no evidence of metastatic disease and more than a 2-year disease-free interval may be entered following approval by the Study Medical Monitor (MM);
  • Has a history of major surgery within 6 months of Screening, OR has a history of minor surgery within the past month which would preclude inclusion as judged by the Investigator OR will not have fully recovered from surgery, OR has planned a surgery during the study;
  • Has current or past allergic or adverse reaction or known sensitivity to olive oil, gelatin, glycerin and titanium dioxide, or to cannabinoid-like substances (Dronabinol/Marinol/Nabilone/marijuana/cannabis/tetrahydrocannabinol [THC], cannabinoid oil);
  • Has known human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV) infection, or tests positive for any of these viruses at Screening;
  • Use of the following in the 14 days prior to study drug administration or 5 half-lives, whichever is longer:
  • Sedative medications (e.g., barbiturates and other central nervous system [CNS] depressants)
  • Warfarin (Coumadin)
  • Antipyrine
  • Disulfiram (Antabuse)
  • CYP3A4 inhibitors, inducers or substrates
  • CYP2C9 inhibitors, inducers or substrates
  • CYP2C19 inducers or substrates
  • CYP2B6 substrates
  • CYP1A2 substrates
  • P-glycoprotein substrates
  • Note: this includes grapefruit juice or related products, Sevilla orange juice or related products, and St John's wort.
  • Unable to swallow an oral tablet/capsule (medication) or consume up to 300 mL of water within 30 minutes;
  • Use of any IP or investigational medical device within 30 days prior to Screening, or 5 half-lives of the product (whichever is the longest), or current participation in an investigational study, or participation in more than 4 investigational drug studies within 1 year prior to Screening.
  • Refusal to maintain contraceptive practices (as defined by guidance) during the study and for 12 weeks after final study drug administration and for women of childbearing potential refusal to be screened for pregnancy for the duration of the study.
  • Study personnel as an immediate family or household member.

Trial locations and contacts

1 site in 1 country.

Australia1 site
  • CMAX Clinical Research

    Adelaide, South Australia, 5000

Other trials in Australia

About this study

Official title: A Phase 1 FIH, Randomized, Double Blind, Placebo Controlled, SAD/MAD Study to Assess Safety, Tolerability, PK/PD and Food Effect of Trichomylin in Healthy Adult Participants and Preliminary Efficacy in Management of Chronic OA Pain

This is a first in human, randomized, double-blind, placebo-controlled SAD (with food effect) followed by a MAD study of Trichomylin® conducted in healthy adult participants.

Read the detailed description

The study is designed to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and food effect of Trichomylin® in healthy adult participants.

A total of up to 40 participants were planned to be enrolled into Part A and Part B of the study. Part A consisted of 3 SAD cohorts (n = 8 per cohort) and Part B consisted of 2 MAD cohorts (n = 8 per cohort). Participants underwent a Screening period beginning up to 21 days for the SAD cohorts and 28 days for the MAD cohorts prior to randomization/dose administration. The Screening period was followed by admission to the clinical research unit (CRU), pre-dose assessment, post-dose assessment(s), and a final end of study (EOS)/follow-up visit.

Safety and tolerability endpoints are to report the percentage and severity of unexpected or serious adverse events, including clinically significant vital signs, laboratory test results, physical examination, and/or reported clinical symptoms, and use of concomitant medications. Other endpoints to be assessed are neurocognitive impairment, altered state of consciousness, and overall well-being.

Other assessments include pharmacokinetic (fasted and fed states) and pharmacodynamic endpoints.

Being tested
Trichomylin for SAD, Placebo for SAD, Trichomylin for MAD, Placebo for MAD
Keywords
Cannabinoid, Safety and Tolerability, Pharmacokinetics, Pharmacodynamics, Chronic Pain
Medical subject headings
Osteoarthritis, Chronic Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Trichomylin for SADDrug

    Healthy subjects meeting eligibility criteria were randomized to each dose cohort (up to four dose ascending cohorts) to receive either Trichomylin or Placebo. The study drug (Trichomylin or Placebo) will be administered orally as a single dose.

  • Placebo for SADDrug

    Healthy subjects meeting eligibility criteria were randomized to each dose cohort (up to four dose ascending cohorts) to receive either Trichomylin or Placebo. The study drug (Trichomylin or Placebo) will be administered orally as a single dose.

  • Trichomylin for MADDrug

    Healthy subjects meeting eligibility criteria were randomized to each dose cohort (up to three cohorts) to receive either Trichomylin or Placebo. The study drug (Trichomylin or Placebo) will be administered daily oral doses for a total of 9 days.

  • Placebo for MADDrug

    Healthy subjects meeting eligibility criteria were randomized to each dose cohort (up to three cohorts) to receive either Trichomylin or Placebo. The study drug (Trichomylin or Placebo) will be administered daily oral doses for a total of 9 days.

Study groups in NCT04867057
Study groupRoleWhat they receive
Experimental: Trichomylin for SADExperimental18 out of 24 subjects were randomized to receive Trichomylin in a single dose.
Receives: Drug: Trichomylin for SAD
Placebo Comparator: Placebo for SADPlacebo comparator6 out of 24 subjects were randomized to receive placebo in a single dose.
Receives: Drug: Placebo for SAD
Experimental: Trichomylin for MADExperimental13 out of 17 subjects were randomized to receive Trichomylin in multiple doses.
Receives: Drug: Trichomylin for MAD
Placebo Comparator: Placebo for MADPlacebo comparator4 out of 17 subjects were randomized to receive Placebo in multiple doses.
Receives: Drug: Placebo for MAD

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage and severity of unexpected Serious Adverse Events (SAEs)

    To investigate the safety and tolerability of Trichomylin by assessment of the percentage and severity of SAEs following administration of oral soft-gel capsules in Single Ascending Dose (SAD Cohort) and Multiple Ascending Doses (MAD Cohort)

    Measured: Through study completion, an average of 1 year

Secondary outcomes (4)
  1. Rate and extent of absorption of Trichomylin by assessment of the observed Maximum Plasma Concentration (Cmax)

    To assess the observed Maximum Plasma Concentration (Cmax) for SAD and MAD cohorts

    Measured: SAD cohort: Day 1 through Day 21; MAD cohort: Day 1 through 30

  2. Rate and extent of absorption of Trichomylin by assessment of the observed Time to Maximum Plasma Concentration (Tmax)

    To assess the observed Time to Maximum Plasma Concentration (Tmax) for SAD and MAD cohorts

    Measured: SAD cohort: Day 1 through Day 21; MAD cohort: Day 1 through 30

  3. Rate and extent of elimination of Trichomylin by assessment of the observed Apparent Terminal Elimination Rate Constant (Kel)

    To assess the observed Apparent Terminal Elimination Rate Constant (Kel) for SAD and MAD cohorts

    Measured: SAD cohort: Day 1 through Day 21; MAD cohort: Day 1 through 30

  4. Exposure of Trichomylin by assessment of area under the drug concentration-time curve (AUC).

    To assess the observed plasma exposure of Trichomylin AUC for SAD and MAD cohorts.

    Measured: SAD cohort: Day 1 through Day 21; MAD cohort: Day 1 through 30

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Apr 2021
  2. Study start19 Apr 2021
  3. Primary completion18 Feb 2022
  4. Study completion30 May 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
41 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04867057
Sponsor's protocol ID
Z-TRI-10001
Acronym
HOPE
Status last verified
Jun 2024
First submitted
16 Apr 2021
Last updated
27 Jun 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Trichomylin for SAD and Trichomylin for MAD in people with Healthy and Osteoarthritis, run by ZYUS Life Sciences Inc. at 1 site in Australia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 31 inclusion and 36 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage and severity of unexpected Serious Adverse Events (SAEs) (time frame: Through study completion, an average of 1 year). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jun 2024.

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