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HealthyPhase 1NCT04872231

Single Ascending Dose and Multiple Ascending Dose Study of Voriconazole Inhalation Powder in Healthy Adult Subjects

A Phase 1 study testing Voriconazole Inhalation Powder in people with Healthy, run by TFF Pharmaceuticals, Inc. at 1 site in Canada.

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 Phase 1 (healthy adult volunteers), 2-part, double-blind, randomized, placebo controlled trial to evaluate the safety and pharmacokinetic (PK) profiles of escalating single doses of Voriconazole Inhalation Powder versus placebo (SAD part) and escalating multiple doses of Voriconazole Inhalation Powder versus… Read more about this study

Who is it for?
Ages 18 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
Voriconazole Inhalation Powder
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
65 participants
Where
1 siteCanada
Study dates
22 Nov 2019to 26 Aug 2020
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 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Provide written informed consent to participate.
  • Healthy, adult males or females (women of non-childbearing potential only).
  • Body mass index (BMI) ≥ 18.0 and ≤ 32.0 kg/m2 at Screening.
  • Medically healthy with no clinically significant abnormalities in medical history, physical and visual examination, laboratory profiles, vital signs or ECGs, as deemed by the PI or designee.
  • Agree to abstain from recreational drug use throughout the study.
  • Must be willing and able to comply with the protocol.
  • Succeed in training on the use of the device for maximum of 12 inhalations in total, with demonstration of at-least 8 successful inhalations of empty capsules during training.
  • Have had a forced expiratory volume in one second (FEV1) ≥80%.

Who cannot join

  • Is mentally or legally incapacitated or has significant emotional problems in the opinion of the PI.
  • History or presence of clinically significant medical or psychiatric condition or disease in the opinion of the PI.
  • History of any illness that, in the opinion of the PI, might confound the results of the study or poses an additional risk to the subject by their participation in the study.
  • History or presence of alcoholism or drug abuse within the past 2 years.
  • History or presence of hypersensitivity or idiosyncratic reaction to voriconazole or any triazole antifungal.
  • Has had surgery or any medical condition within 6 months prior to first dosing which may affect the absorption, distribution, metabolism, or elimination of the study drug, in the opinion of the PI or designee.
Show all 26Show fewer
  • Female subjects of childbearing potential.
  • Female subjects with a positive pregnancy test or who are lactating.
  • Positive urine drug or alcohol results at screening or first check-in.
  • Positive cotinine results at screening.
  • Diagnosis of asthma.
  • Use of albuterol or a similar bronchodilator
  • Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV).
  • QTcF interval is >450 msec or has ECG findings deemed abnormal with clinical significance by the PI at screening.
  • Seated blood pressure with systolic less than 90 mmHg or diastolic less than 60 mm/Hg or with a systolic greater than 140 mmHg or diastolic greater than 90 mmHg at screening.
  • Seated heart rate is lower than 60 bpm or higher than 100 bpm at screening.
  • Using any exclusionary medication.
  • Donation or loss of 50 to 499 mL whole blood within 30 days or more than 499 mL whole blood within 56 days prior to the first dosing.
  • Plasma donation within 7 days prior to the first dosing.
  • Has coagulation test outside of normal ranges.
  • Has platelet, hemoglobin, and hematocrit that are below the lower limit of normal.
  • Has liver function tests including alanine aminotransferase (ALT), aspartate aminotransferase (AST), ALP and total bilirubin that are greater than the upper limit of normal. Estimated creatinine clearance <90 mL/min at screening.
  • Participation in another clinical study within 30 days prior to the first dosing.
  • Had a treatment with other investigational drug within 5 times the elimination half- life, if known (e.g., a marketed product) or within 30 days (if the elimination half-life is unknown) prior to first dosing.
  • Demonstrates an inability to operate the inhalation device after training.
  • Allergy or sensitivity to lactose or milk products.

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • Cliantha Research

    Mississauga, Ontario, L4W 1N2

Other trials in Canada

About this study

Official title: A Randomized, Double-Blind, Placebo Controlled, Single-Dose and Multiple Dose Dose-Ranging Study of Voriconazole Inhalation Powder in Healthy Adult Subjects

This is a Phase 1 (healthy adult volunteers), 2-part, double-blind, randomized, placebo controlled trial to evaluate the safety and pharmacokinetic (PK) profiles of escalating single doses of Voriconazole Inhalation Powder versus placebo (SAD part) and escalating multiple doses of Voriconazole Inhalation Powder versus placebo (MAD part). SAD part will be initiated first and includes a sentinel design. MAD part will not utilize a sentinel design and will be initiated once the lowest doses from SAD part are deemed safe.

Read the detailed description

This is a Phase 1, randomized, 2 part double-blind, placebo-controlled trial to evaluate the safety and PK profiles of Voriconazole Inhalation Powder (VIP) in a SAD/MAD study design.

Part A is a double-blinded, placebo-controlled, randomized, dose- ranging single dose study evaluating four different dose levels.

On Day 1 of each group, two selected subjects (sentinel subjects) will receive either Voriconazole Inhalation Powder or a matching placebo. Blood and sputum samples and safety measurements including Adverse Events (AEs) will be collected over 24 hour period following the drug administration. The safety results to be evaluated include AEs, concomitant medications, out of specification clinical laboratory results, vital signs, Electrocardiograms (ECGs), visual examinations, pulmonary function tests, pulse oximetry results and any new findings on physical examinations. If the administration is safe as deemed by Principal Investigator \& Medical Monitor, the remaining six subjects will be dosed, with identical safety and PK procedures performed after minimum of 3 days interval. A minimum of 3 days will separate each dose escalation, with the remaining dose groups dosed in a sentinel fashion.

Part B is a double-blinded, placebo-controlled, randomized, dose- ranging multi-dose study evaluating four different dose levels. Dose level 1 of Part B can begin in parallel once safety assessments of Part A dose level 2 are complete and indicate safety is present. Voriconazole Inhalation Powder will be administered twice daily (BID) × 13 doses. Blood samples for safety and PK will be collected over 12 hours after the first dose and 24 hours after the last dose. A minimum of 1 week will separate the start of each dose escalation, with the remaining dose groups.

Conditions
Healthy
Being tested
Voriconazole Inhalation Powder, Placebo
Keywords
voriconazole, inhaled, VFEND, aspergillosis, IPA, fungal infection, pulmonary aspergillosis
Medical subject headings
Respiratory Aspiration, Aspergillosis, Mycoses, Pulmonary Aspergillosis

What participants receive

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

  • Voriconazole Inhalation PowderDrug

    Also called VIP

    PART A (SAD): Voriconazole Inhalation Powder (VIP) will be supplied as one to eight 10 mg capsules. Each capsule contains 10 mg of VIP and will be administered with a Plastiape RS00 Dry Powder inhaler. Doses may require multiple inhalations. All inhalations must be conducted within a 10-minute period.

    SAD subjects will receive a single dose of study medication. Subjects in Cohort 1 will receive 10 mg, Cohort 2: 20 mg, Cohort 3: 40 mg, Cohort 4: 80 mg.

    PART B (MAD): Voriconazole Inhalation Powder (VIP) and will be administered with a will be supplied as one to eight 10 mg capsules. Each capsule contains 10 mg of VIP and will be administered with a Plastiape RS00 Dry Powder inhaler. Doses may require multiple inhalations. All inhalations must be conducted within a 10-minute period.

    MAD subjects will receive VIP BID for a total of 13 doses. Subjects in Cohort 1 will receive 10 mg BID, Cohort 2: 20 mg BID, Cohort 3: 40 mg BID, Cohort 4: 80 mg BID.

  • PlaceboDrug

    Also called Vehicle

    PART A (SAD): Placebo capsules will be supplied as one to eight capsules. Each capsule contains placebo inhalation powder. The capsules will be matched for use within the provided Plastiape RS00 Dry Powder inhaler device (Model 8). Doses may require multiple inhalations through the inhaler device. All inhalations must be conducted within a maximum of 10-minute period.

    Subjects in PART A will receive a single dose of placebo.

    PART B (MAD): Placebo will be supplied as one to eight capsules. Each capsule contains placebo inhalation powder. The capsules will be matched for use within the provided Plastiape RS00 Dry Powder inhaler device (Model 8). Doses may require multiple inhalations through the inhaler device. All inhalations must be conducted within a maximum of 10-minute period.

    Subjects in PART B will receive Placebo BID for a total of 13 doses.

Study groups in NCT04872231
Study groupRoleWhat they receive
Voriconazole Inhalation PowderExperimentalInvestigational drug will be supplied as capsules, each capsule contains 10 mg of Voriconazole Inhalation Powder. The capsules will be administered with the provided breath actuated Plastiape RS00 Model 8 Dry Powder Inhaler device.
Receives: Drug: Voriconazole Inhalation Powder
PlaceboPlacebo comparatorPlacebo will be supplied as capsules, each capsule will contain no active ingredient. The capsules will be administered with the provided breath actuated Plastiape RS00 Model 8 Dry Powder Inhaler device.
Receives: Drug: Placebo

What is being measured

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

  1. Number of participants who experience Adverse Events (AEs), Serious Adverse Events (SAEs) and withdrawals due to AEs

    Number of AEs, SAEs, and discontinuations due to AEs

    Measured: Through study completion, an average of 14 days

  2. Number of participants who experience vital sign abnormalities

    Number of participants with potentially clinically significant vital sign values

    Measured: Baseline through study completion, an average of 14 days

  3. Number of participants who experience pulse oximetry abnormalities

    Number of participants with potentially clinically significant pulse oximetry values

    Measured: Baseline through study completion, an average of 14 days

  4. Mean change from baseline in forced expiratory volume (FEV1)

    Spirometry used to measure FEV1 lung function

    Measured: Baseline through study completion, an average of 14 days

  5. Mean change from baseline in forced vital capacity (FVC)

    Spirometry used to measure FVC lung function

    Measured: Baseline through study completion, an average of 14 days

  6. Mean change from baseline in FEV1/FVC ratio

    Spirometry used to measure FEV1 and FVC lung function

    Measured: Baseline through study completion, an average of 14 days

  7. Mean change from baseline in QTcF changes via ECG

    Number of participants with potentially clinically significant ECG values

    Measured: Baseline through study completion, an average of 14 days

  8. Number of participants who experience physical examination abnormalities

    Number of participants with potentially clinically significant physical examination findings

    Measured: Baseline through study completion, an average of 14 days

  9. Number of participants who experience laboratory test abnormalities

    Number of participants with potentially clinically significant laboratory test results

    Measured: Baseline through study completion, an average of 14 days

  10. PK of VIP in plasma: Area under the plasma-concentration time curve (AUC)

    Blood samples will be collected for plasma analysis

    Measured: Predose Day 1 and through 12 hours post last dose (day 6)

  11. PK of VIP in plasma: Area under the concentration time curve, from time 0 to the last observed non-zero concentration (AUC0-tlast)

    Blood samples will be collected for analysis

    Measured: Predose Day 1 and through 12 hours post last dose (day 6)

  12. PK of VIP in plasma: Maximum observed concentration (Cmax)

    Blood samples will be collected for analysis

    Measured: Predose Day 1 and through 12 hours post last dose (day 6)

  13. PK of VIP in plasma: Time to maximal observed concentration (tmax)

    Blood samples will be collected for analysis

    Measured: Predose Day 1 and through 12 hours post last dose (day 6)

  14. PK of VIP in plasma: Area under the plasma-concentration time curve over the first 12 hours after dosing (AUC0-12)

    Blood samples will be collected for analysis

    Measured: Predose Day 1 and through 12 hours post last dose (day 6)

  15. PK of VIP in plasma: Area under the concentration time curve from time 0 extrapolated to infinity (AUC∞)

    Blood samples will be collected for analysis

    Measured: Predose Day 1 and through 12 hours post last dose (day 6)

  16. PK of VIP in plasma: Termination elimination half-life (t½)

    Blood samples will be collected for analysis

    Measured: Predose Day 1 and through 12 hours post last dose (day 6)

  17. PK of VIP in plasma: Apparent total body clearance (CL/F)

    Blood samples will be collected for analysis

    Measured: Predose Day 1 and through 12 hours post last dose (day 6)

  18. PK of VIP in plasma: Apparent volume of distribution during the terminal elimination phase (Vz/F)

    Blood samples will be collected for analysis

    Measured: Predose Day 1 and through 12 hours post last dose (day 6)

Timeline

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

  1. First posted4 May 2021
  2. Study start22 Nov 2019
  3. Primary completion29 Jul 2020
  4. Study completion26 Aug 2020

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
Basic science
Allocation
Randomised
Intervention model
Sequential
Model description
Part A: Eight (8) subjects will participate in each of the 4 dose escalations. Subjects will be randomized to receive either Voriconazole Inhalation Powder or placebo by inhalation (6 active, 2 placebo per group of 8). Part B: Eight (8) subjects will participate in each of the 4 dose escalations. Subjects will be randomized to receive either Voriconazole Inhalation Powder or placebo by inhalation (6 active, 2 placebo per group of 8).
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
65 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04872231
Sponsor's protocol ID
TFF-V1-001
Status last verified
May 2021
First submitted
29 Apr 2021
Last updated
6 May 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Voriconazole Inhalation Powder in people with Healthy, run by TFF Pharmaceuticals, Inc. at 1 site in Canada.

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 8 inclusion and 26 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 6 May 2021. 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 Canada. 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?

Number of participants who experience Adverse Events (AEs), Serious Adverse Events (SAEs) and withdrawals due to AEs (time frame: Through study completion, an average of 14 days). The study lists 18 primary outcomes in all. 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 6 May 2021.

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