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HealthyPhase 1NCT05168644

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

A Phase 1 study testing Niclosamide 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 Niclosamide Inhalation Powder versus placebo (SAD part) and escalating multiple doses of Niclosamide 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?
Niclosamide Inhalation Powder
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
40 participants
Where
1 siteCanada
Study dates
14 Nov 2021to 26 Jan 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 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Agree to use acceptable contraception or is not able to bear children.
  • Body mass index (BMI) within ≥ 18.0 kg/m2 and ≤ 30.0 kg/m2 at Screening (body weight of at least 50.0 kg and no more than120 kg at Screening).
  • Non-smoker or ex-smoker (stopped using nicotine products for at least 12 months prior to the first study drug administration and throughout the study).
  • Have no clinically significant diseases, including asthma, captured in the medical history or on the physical examination, visual examination, clinical laboratory assessments, and/or ECG.
  • A forced expiratory volume during the first second (FEV1) ≥ 80% at Screening and Check-in.

Who cannot join

  • Female who is lactating, is pregnant or planning to become pregnant according to the pregnancy test at Screening or prior to the first study drug administration.
  • Is mentally or legally incapacitated or unable to provide informed consent.
  • History or presence of alcoholism or drug abuse within the past 2 years prior to the first study drug administration.
  • History or presence of hypersensitivity or idiosyncratic reaction to niclosamide or any portion of the placebo.
  • Has had surgery or any medical condition within 6 months prior to first study drug administration which may affect the absorption, distribution, metabolism, or elimination of the study drug, in the opinion of the PI or designee.
  • Use of albuterol or a similar bronchodilator.
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  • Immunization with a COVID-19 vaccine in the 14 days prior to the first study drug administration.
  • Scheduled immunization with a COVID-19 vaccine (first or second dose) during the study that, in the opinion of an investigator, could potentially interfere with subject participation, subject safety, study results, or any other reason.
  • History or allergy of rare hereditary problems of galactose and/or lactose intolerance, lactase deficiency or glucose-galactose malabsorption.
  • Unable to refrain from or anticipates the use of:
  • Any drug, including prescription and non-prescription medications, herbal remedies, or vitamin supplements beginning 14 days prior to the first dosing and throughout the study.
  • Seasonal use of albuterol or other similar inhalers throughout study participation, beginning 14 days prior to the first dosing or 5 half-lives, whichever is longer.
  • Use of St. John's wort in the 28 days prior to the first study drug administration.
  • Positive Screening results for tuberculosis, HIV Ag/Ab combo, hepatitis B surface antigen or hepatitis C virus tests, or a positive test for alcohol, cotinine, and/or drugs of abuse.
  • Participation in another clinical study within 30 days prior to the first study drug administration. The 30-day window will be derived from the date of the last study drug administration.
  • Had a treatment with another investigational drug within 5 times the elimination half-life, if known (eg, a marketed product) or within 30 days (if the elimination half-life is unknown) prior to the first study drug administration.
  • Donation of plasma in the 14 days prior to the first study drug administration.
  • Donation or loss of 500 mL or more of blood in the 56 days prior to the first study drug administration.
  • Demonstrates an inability to operate the inhalation device after training.
  • History or presence of any drug or food allergies.

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • Altasciences

    Mount Royal, Quebec

Other trials in Canada

About this study

Official title: Phase 1, Double-blind, Placebo-controlled, Single Ascending Dose (SAD) and Multiple Ascending Dose (MAD) Safety and Pharmacokinetics Trial of Inhaled Niclosamide 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 Niclosamide Inhalation Powder versus placebo (SAD part) and escalating multiple doses of Niclosamide 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 unless the data monitoring committee requests the addition of sentinels. The MAD part 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 Niclosamide Inhalation Powder 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 Niclosamide Inhalation Powder or a matching placebo. Blood 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 (5 dosed with Niclosamide Inhalation Powder and 1 dosed with matching placebo), with identical safety and PK procedures performed after minimum of 2 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 two different dose levels. Dose level 1 of Part B can begin once the data monitoring committee reviews the safety data and indicates safety is present. Niclosamide Inhalation Powder will be administered twice daily (BID) × 9 doses. Blood samples for safety and PK will be collected throughout confinement, which is 7 days.

Conditions
Healthy
Being tested
Niclosamide Inhalation Powder, Placebo

What participants receive

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

  • Niclosamide Inhalation PowderDrug

    Investigational drug will be supplied as capsules, each capsule contains 0.25 mg or 1 mg of Niclosamide Inhalation Powder. The capsules will be administered with the provided breath actuated Plastiape RS00 Model 8 Dry Powder Inhaler device.

  • PlaceboDrug

    Placebo 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.

Study groups in NCT05168644
Study groupRoleWhat they receive
Drug: Niclosamide Inhalation PowderExperimentalPART A (SAD): Niclosamide Inhalation Powder will be supplied as one to six capsules. Each capsule contains either 0.25 mg or 1 mg of Niclosamide Inhalation Powder and will be administered with a Plastiape RS00 Dry Powder inhaler. Doses may require multiple inhalations. All inhalations must be conducted within a 20-minute period. SAD subjects will receive a single dose of study medication. Subjects in Cohort 1 will receive 0.5 mg, Cohort 2: 2 mg, Cohort 3: 6 mg. PART B (MAD): Niclosamide Inhalation Powder will be supplied as one to six capsules. Each capsule contains either 0.25 mg or 1 mg of Niclosamide Inhalation Powder and will be administered with a Plastiape RS00 Dry Powder inhaler. Doses may require multiple inhalations. All inhalations must be conducted within a 20-minute period. MAD subjects will receive Niclosamide Inhalation Powder BID for a total of 9 doses. Subjects in Cohort 4 will receive 3 mg BID, Cohort 5: 6 mg BID.
Receives: Drug: Niclosamide Inhalation Powder
Drug: PlaceboPlacebo comparatorPART A (SAD): Placebo will be supplied as one to six capsules. Each capsule contains Placebo inhalation powder and will be administered with a Plastiape RS00 Dry Powder inhaler. Doses may require multiple inhalations. All inhalations must be conducted within a 20-minute period. SAD subjects (Part A) will receive a single dose of Placebo. PART B (MAD): Placebo inhalation powder will be supplied as one to six capsules. Each capsule contains Placebo inhalation powder and will be administered with a Plastiape RS00 Dry Powder inhaler. Doses may require multiple inhalations. All inhalations must be conducted within a 20-minute period. MAD subjects (Part B) will receive Placebo inhalation powder BID for a total of 9 doses.
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 discontinuation due to AEs

    Measured: Baseline through study completion, up to 43 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, up to 43 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, up to 43 days

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

    Spirometry used to measure FEV1 lung function

    Measured: Baseline through study completion, up to 43 days

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

    Spirometry used to measure FVC lung function

    Measured: Baseline through study completion, up to 43 days

  6. Mean change from baseline in FEV1/FVC ratio

    Spirometry used to measure FEV1 and FVC lung function

    Measured: Baseline through study completion, up to 43 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, up to 43 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, up to 43 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, up to 43 days

Secondary outcomes (13)
  1. PK of Niclosamide in plasma: Area under the plasma-concentration time curve (AUC)

    Blood samples will be collected for plasma analysis

    Measured: Baseline through study completion, up to 43 days

  2. PK of Niclosamide 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: Baseline through study completion, up to 43 days

  3. PK of Niclosamide in plasma: Maximum observed concentration (Cmax)

    Blood samples will be collected for analysis

    Measured: Baseline through study completion, up to 43 days

  4. PK of Niclosamide in plasma: Trough or minimum concentration (Ctrough)

    Blood samples will be collected for analysis

    Measured: Baseline through study completion, up to 43 days

  5. PK of Niclosamide in plasma: Concentration at the end of the dosing interval (Ct)

    Blood samples will be collected for analysis

    Measured: Baseline through study completion, up to 43 days

  6. PK of Niclosamide in plasma: Time to maximal observed concentration (tmax)

    Blood samples will be collected for analysis

    Measured: Baseline through study completion, up to 43 days

  7. PK of Niclosamide in plasma: Accumulation ratio (comparing Day 5 Cmax to Day 1 Cmax)

    Blood samples will be collected for analysis

    Measured: Baseline through study completion, up to 43 days

  8. PK of Niclosamide in plasma: Accumulation ratio (comparing Day 5 AUCtau to Day 1 AUC0-12)

    Blood samples will be collected for analysis

    Measured: Baseline through study completion, up to 43 days

  9. PK of Niclosamide 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: Baseline through study completion, up to 43 days

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

    Blood samples will be collected for analysis

    Measured: Baseline through study completion, up to 43 days

  11. PK of Niclosamide in plasma: Termination elimination half-life (t½)

    Blood samples will be collected for analysis

    Measured: Baseline through study completion, up to 43 days

  12. PK of Niclosamide in plasma: Apparent total body clearance (CL/F)

    Blood samples will be collected for analysis

    Measured: Baseline through study completion, up to 43 days

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

    Blood samples will be collected for analysis

    Measured: Baseline through study completion, up to 43 days

Timeline

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

  1. First posted23 Dec 2021
  2. Study start14 Nov 2021
  3. Primary completion26 Jan 2022
  4. Study completion26 Jan 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
Basic science
Allocation
Randomised
Intervention model
Sequential
Model description
Part A: Eight (8) subjects will participate in each of the 3 dose escalations. Subjects will be randomized to receive either Niclosamide 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 2 dose escalations. Subjects will be randomized to receive either Niclosamide Inhalation Powder or placebo by inhalation (6 active, 2 placebo per group of 8).
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05168644
Sponsor's protocol ID
TFF-N1-001
Status last verified
Feb 2022
First submitted
20 Dec 2021
Last updated
2 Feb 2022
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 Niclosamide 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 5 inclusion and 20 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 2 Feb 2022. 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: Baseline through study completion, up to 43 days). The study lists 9 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 2 Feb 2022.

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