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Healthy VolunteersPhase 1NCT05043766

Evaluation of Oral PF614 Relative to OxyContin (PF614-102)

A Phase 1 study testing PF614, Naltrexone Hydrochloride and OxyContin in people with Healthy Volunteers, run by Ensysce Biosciences at 1 site in United States.

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 single-center study incorporating 2 parts: A Multiple Ascending Dose Study (Part A) and a comparative Bioavailability/Bioequivalence and Food Effect study (Part B). Both parts of the study will be conducted in healthy adult subjects. Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteers
What is being tested?
PF614, Naltrexone Hydrochloride and OxyContin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
84 participants
Where
1 siteUnited States
Study dates
8 Sep 2021to 21 Mar 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 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Males or females, ages 18-50 years in good general health,
  • BMI between 18 and 32 kg/m (inclusive)
  • Subjects must have a negative screen for drugs of abuse, nicotine, alcohol, Hepatitis B, Hepatitis C, and HIV.
  • Female subjects of child bearing potential must have a negative serum pregnancy test at randomization
  • Females must be of non-child bearing potential (e.g. postmenopausal) or of childbearing potential and agree to use a highly effective form of contraception from the time of screening to two weeks after last dose of study medication.
  • Subjects must have normal findings in a physical examination and 12 lead ECG and normal Vital Signs
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  • Clinical laboratory values must be Within Normal limits as defined by the clinical laboratory
  • Subjects must be able to provide coherent written informed consent
  • Subjects must be willing and able to follow study instructions and be likely to complete all study requirements.

Who cannot join

  • History of allergy or sensitivity to oxycodone
  • History of loud snoring or sleep apnea
  • History of medical problems encountered with opioid therapy
  • Urinary cotinine levels indicative of smoking or history of smoking or regular tobacco use with 2 months prior to screening
  • History of alcoholism or drug abuse
  • Use of prescription medications within 14 days of study drug administration with exception of contraceptives used by female subjects
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  • Use of any opioid within 30 days prior to screening
  • History of allergy or sensitivity to naltrexone
  • History of allergy or sensitivity to naloxone
  • Donation of blood within 30 days prior to screening
  • Donation of plasma within 30 days prior to screening
  • Acute illness at admission of clinical study unit
  • History of GI disturbance requiring use of antacid twice weekly or more
  • Females who are breastfeeding
  • Anticipated need for surgery or hospitalization during the study
  • Enrollment in an investigational drug study within 30 days prior to screening
  • Any condition that in the Investigator's opinion puts the subject at significant risk, could confound the study results, or may interfere significantly with the subject's participation in the study.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • PRA Health Sciences-Early Development Services

    Salt Lake City, Utah, 84124

Other trials in United States

About this study

Official title: A Phase 1b, Randomized 2-Part Single-Center Study to Evaluate the PK and Safety of Multiple Ascending Oral Doses of PF614 and the Food Effect and BA/BE of Single Oral Doses of PF614 Relative to OxyContin in Healthy Adult Subjects

This is a single-center study incorporating 2 parts: A Multiple Ascending Dose Study (Part A) and a comparative Bioavailability/Bioequivalence and Food Effect study (Part B). Both parts of the study will be conducted in healthy adult subjects.

Read the detailed description

This study is intended to evaluate the pharmacokinetics of OxyContin (oxycodone ER) and PF614, as well as PF614 fragments, following administration of multiple ascending doses of PF614, and to compare to steady-state pharmacokinetics to those of OxyContin. (Part A)

In addition, oral bioavailability of oxycodone derived from single doses of PF614 of the to-be-marketed capsule formulation will be compared to that of the reference drug, OxyContin, in the fasted and fed condition. A pivotal food effect assessment will be incorporated into the study to determine the impact of a high fat meal on the bioavailability of oxycodone, following oral single-dose administration of PF614 (Part B).

Being tested
PF614, Naltrexone Hydrochloride, OxyContin
Keywords
Prodrug, PF614, OxyContin, oral

What participants receive

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

  • PF614Drug

    Also called oxycodone prodrug

    PF614 is an oxycodone prodrug

  • Naltrexone HydrochlorideDrug

    Also called ReVia

    Naltrexone HCl tablets, 50 mg, will be used to block the opioid effects in healthy volunteers

  • OxyContinDrug

    Also called OxyContin 40 mg Extended-Release Tablet

    Bioequivalence single-dose comparison to OxyContin

Study groups in NCT05043766
Study groupRoleWhat they receive
PF614ExperimentalPart A will utilize a randomized, open-label, multiple-ascending dose design with up to 3 separate dose groups of 8 subjects. Within each dose group, subjects will be randomized to receive repeated BID doses, planned to be 12 hours apart over a 5 day period, for a total of 9 doses. Dose escalation to Dose Groups 2 and 3 will follow a review of pharmacokinetic, safety and tolerability data up to Day 10 of the preceding group. The doses or dosing regimen for Dose groups 2 and 3 may be modified based on a review of the data.
Receives: Drug: PF614; Drug: Naltrexone Hydrochloride
Part B Compare Bioavailability and BioequivalenceActive comparatorPart B will utilize an open-label, single-dose, randomized, 4-way crossover design. Following confirmation of eligibility, subjects will be randomized to receive each of the single oral doses of study drugs (one at each treatment period). PF614 100 mg administered under fasted conditions; PF614 100 mg administered under fed conditions; OxyContin 40 mg administered under fasted conditions; OxyContin 40 mg administered under fed conditions
Receives: Drug: PF614; Drug: Naltrexone Hydrochloride; Drug: OxyContin

What is being measured

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

  1. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    Adverse Events, Significant Adverse Events, Adverse Events leading to discontinuation

    Measured: 30 days

  2. Pharmacokinetics AUC [Area Under the Curve]

    Area under the concentration-time curve from the time of dosing to the start of the next dosing interval using PF614 concentrations and oxycodone concentrations in plasma.

    Measured: Full PK sampling time points will be 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  3. Pharmacokinetics Cmax [Maximum Plasma Concentration]

    Maximum (peak) plasma concentration first dose

    Measured: PK sampling time points will be 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  4. Pharmacokinetics Tlag [Time to first measurable plasma concentration]

    Time prior to the time corresponding to the first measurable (non-zero) concentration

    Measured: PK sampling time points will be 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  5. Pharmacokinetics Tmax [Time to maximum plasma concentration]

    Time to maximum plasma concentration on Day 1 (first dose)

    Measured: PK sampling time points 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  6. Pharmacokinetics AUC, Steady State

    Steady-state (Day 5) area under the concentration-time curve from the time of dosing extrapolated to time infinity

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  7. Pharmacokinetics CL/F [Clearance]

    Apparent total systemic clearance

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  8. Pharmacokinetics Cmax, Steady State

    Maximum (peak) plasma concentration at steady-state on Day 5

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  9. Pharmacokinetics Tmax, Steady State

    Time to maximum plasma concentration on Day 5

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  10. Pharmacokinetics t1/2 [Half-life]

    Terminal elimination half-life

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  11. Pharmacokinetics Vz/F [Volume of Distribution]

    Apparent volume of distribution during the terminal-elimination phase

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  12. Pharmacokinetics elimination rate

    Terminal elimination rate/constant

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  13. Pharmacokinetics Ctrough [Minimum Plasma Concentration before next dose]

    Concentrations prior to dosing

    Measured: Prior to dosing on Days 2, 3, and 4

  14. Pharmacokinetics Part B AUC

    Area under the concentration-time curve from the time of dosing extrapolated to time infinity in fed vs fasted state

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  15. Pharmacokinetics Part B AUC 0-t

    Area under the concentration-time curve from the time of dosing to the last measurable concentration in fed vs fasted state

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  16. Pharmacokinetics Part B Cmax

    Maximum (peak) plasma concentration in fed vs fasted state

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  17. Bioavailability and Bioequivalence

    Bioavailability and Bioequivalence of single oral doses of PF614 prodrug and oxycodone derived from from PF614 vs. oxycodone derived from OxyContin in healthy adult subjects (Part B)

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

Secondary outcomes (9)
  1. Pharmacokinetics Part B CL/F

    Apparent total systemic clearance

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  2. Pharmacokinetics Part B pAUC

    Partial area under the concentration-time curve from the time of dosing to 12 hours post dose

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  3. Pharmacokinetics Part B Tlag

    Time prior to the time corresponding to the first measurable dose (non-zero) concentration

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  4. Pharmacokinetics Part B Tmax

    Time to maximum plasma concentration on Day 1 (first dose)

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  5. Pharmacokinetics Part B t1/2

    Terminal elimination half life

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  6. Pharmacokinetics Part B Vz/F

    Apparent volume of distribution during the terminal elimination phase

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  7. Pharmacokinetics Part B Terminal elimination rate

    Terminal elimination rate constant

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  8. Plasma Concentration of inactive metabolic fragment #1

    Evaluate plasma concentrations of PFR06082 (Part A only)

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

  9. Plasma Concentration of inactive metabolic fragment #2

    Evaluate plasma concentrations of PFR06110 (Part A only)

    Measured: PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours

Timeline

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

  1. First posted14 Sep 2021
  2. Study start8 Sep 2021
  3. Primary completion21 Mar 2022
  4. Study completion21 Mar 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
Crossover
Model description
Part A will utilize a randomized, open label, multiple-ascending dose design with up to 3 separate dose groups of 8 subjects per group. Part B will utilize an open-label, single-dose, randomized, 4-way crossover design with 13 subjects in each treatment sequence.
Masking
None (open label)
Enrolment
84 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05043766
Sponsor's protocol ID
PF614-102
Status last verified
Sep 2024
First submitted
2 Sep 2021
Last updated
24 Sep 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kirkpatrick DL, Schmidt WK, Morales R, Cremin J, Seroogy J, Husfeld C, Jenkins T. In vitro and in vivo assessment of the abuse potential of PF614, a novel BIO-MD prodrug of oxycodone. J Opioid Manag. 2017 Jan/Feb;13(1):39-49. doi: 10.5055/jom.2017.0366.

    PubMed 28345745
  • Kirkpatrick DL, Evans C, Pestano LA, Millard J, Johnston M, Mick E, Schmidt WK. Clinical evaluation of PF614, a novel TAAP prodrug of oxycodone, versus OxyContin in a multi-ascending dose study with a bioequivalence arm in healthy volunteers. Clin Transl Sci. 2024 Mar;17(3):e13765. doi: 10.1111/cts.13765.

    PubMed 38511523

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing PF614, Naltrexone Hydrochloride and OxyContin in people with Healthy Volunteers, run by Ensysce Biosciences at 1 site in United States.

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 9 inclusion and 17 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 24 Sep 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 United States. 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. 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?

Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] (time frame: 30 days). The study lists 17 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05043766, which also lists 2 linked publications.

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 24 Sep 2024.

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