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Pain, PostoperativePhase 1NCT05588557

A Phase I Study to Evaluate the Safety and PK of ND-340 in Healthy Volunteers

A Phase 1 study testing Marcaine® 100mg/20mL (0.5%) bupivacaine solution for Injection and ND-340 (Bupivacaine Microsphere), 300 mg/vial bupivacaine for extended-release injectable suspension in people with Pain, Postoperative, run by Nang Kuang Pharmaceutical Co., Ltd. at 1 site in Taiwan.

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 study focuses on ND-340 extended release injection suspension for healthy volunteers with a one-time nerve blockade to determine the safety, tolerability, and pharmacokinetic profile. Read more about this study

Who is it for?
Ages 20 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Pain, Postoperative
What is being tested?
Marcaine® 100mg/20mL (0.5%) bupivacaine solution for Injection and ND-340 (Bupivacaine Microsphere), 300 mg/vial bupivacaine for extended-release injectable suspension
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
1 siteTaiwan
Study dates
8 Jul 2022to 19 Mar 2024
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 20 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • 20 - 45 year-old healthy male subjects or female subjects who are in non-lactating and non-pregnant status.
  • Subjects must have a Body Mass Index (BMI) of 18.5 to 30.0 Kg/m², inclusive. For male subjects, body weight must be above 50 kg; for female subjects, body weight must be above 45 kg. BMI = Weight (kg)/Height (m2).
  • Female subject with childbearing potential must have a negative serum pregnancy test at the screening visit.
  • Able and willing to comply with all study visits and procedures.
  • The informed consent form has been read, signed and dated by the subject.
  • Able to communicate well with the investigator, comply with study questionnaires, and other instruments used for collecting subject-reported outcomes.

Who cannot join

  • Subject has a sitting pulse rate outside the reference range of 50 to 90 beats per minute or an ear temperature outside the reference range of 35.0 to 37.5°C or a sitting blood pressure less than 90/50 mmHg or more than 140/90 mmHg at screening visit.
  • Subject has clinically significant results of physical examination, laboratory tests, electrocardiogram, or chest X-ray as judged by the investigator at the screening visit.
  • With abnormal results of sensory and neurological assessment as judged by the investigator at the screening visit.
  • Presence of liver disease or liver injury as indicated by an abnormal liver function profile such as alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkalinephosphatase (ALP), or total bilirubin, if any one of them is out of the reference range.
  • Presence of impaired renal function as indicated by abnormal creatinine or blood urea nitrogen values or abnormal urinary constituents, if any one of them is out of the reference range.
  • Known of active infection with HIV, HBV, or HCV as defined by blood tests at the screening visit.
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  • Presence of clinically significant illness, such as cardiovascular disease, cerebrovascular disease, metabolic disease, respiratory disease, neurological disease, psychiatric disease, cancers or immunological disease, may increase the risk of study as judged by the investigator at the screening visit.
  • Subject does not agree not to take any prescription, over-the-counter medication, herbal medicine and dietary supplement (including multivitamins) within two weeks before hospital admission and until the end of the study.
  • Subject does not agree not to consume any beverage or food that might affect the drug metabolism, such as pomelo, grapefruit or related products within one week before hospital admission and until the end of the study.
  • Subject does not agree not to consume any caffeine-containing product (e.g., tea, coffee, coke, or chocolate) 3 days prior to hospital admission and until the end of the study.
  • Subject does not agree not to consume any product containing tobacco, nicotine (such as e-cigarettes, nicotine gum), and alcohol 3 days prior to hospital admission and until the end of the study.
  • Administration of an investigational drug within 2 months or 5 elimination half-lives of such investigational drug, whichever is longer, prior to study drug administration; or planned administration of another investigational product or procedure during the study period.
  • Donation or loss of more than 500 mL and 250 mL of blood within 3 months and 2 months before the screening visit, respectively.
  • Known with a history of allergy or hypersensitivity to medicine as judged by the investigator at the screening visit.
  • Female subject who is breast-feeding, pregnant, or planning to become pregnant.
  • Subject does not agree to use effective non-hormonal contraception method to prevent from pregnancy ('double barrier method': condoms used concomitantly with vaginal sponge, diaphragm or intra-uterine contraceptive device) or abstain from sexual behavior with his/her partner from screening until the end of the study.
  • Individual is not eligible to be a subject for other reasons based on the judgment of investigator.

Trial locations and contacts

1 site in 1 country.

Taiwan1 site
  • National Taiwan University Hospital

    Taipei, 100229

Other trials in Taiwan

About this study

Official title: A Phase I Dose-escalation Study, Randomized Comparison with Active Control to Evaluate the Safety and Pharmacokinetics of a Single Administration of ND-340 Via Adductor Canal Block (ACB) and IPACK Block in Healthy Volunteers

This study focuses on ND-340 extended release injection suspension for healthy volunteers with a one-time nerve blockade to determine the safety, tolerability, and pharmacokinetic profile.

Read the detailed description

The current investigational product, ND-340, is a bupivacaine microsphere injection with an extended release profiling. Lipid microsphere, or liposphere, has been proposed as new type of lipid-based encapsulation system for drug delivery of bioactive compounds especially lipophilic compound.

ND-340 has not been studied in human before. However, MARCAINE® and EXPAREL® are both FDA-approved drugs, which contain the same active pharmaceutical ingredient (API) as ND-340, which is bupivacaine. MARCAINE® is indicated for the production of local or regional anesthesia or analgesia for surgery, dental and oral surgery procedures, diagnostic and therapeutic procedures, and for obstetrical procedures.

In this study, Investigators will focus on determining the safety, tolerability, and pharmacokinetic profile of ND-340.

Being tested
Marcaine® 100mg/20mL (0.5%) bupivacaine solution for Injection, ND-340 (Bupivacaine Microsphere), 300 mg/vial bupivacaine for extended-release injectable suspension
Keywords
Bupivacaine, Pharmacokinetics, Analgesics
Medical subject headings
Pain, Postoperative

What participants receive

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

  • Marcaine® 100mg/20mL (0.5%) bupivacaine solution for InjectionDrug

    Subjects in this arm will receive a single administration of Marcaine® at the 150 mg.

    Marcaine® will be administered under ultrasound guidance with a total volume of 40 mL, of which 20 mL will be used via adductor canal block (ACB) and the other 20 mL will be used as IPACK block (interspace between the popliteal artery and the capsule of the posterior knee).

  • ND-340 (Bupivacaine Microsphere), 300 mg/vial bupivacaine for extended-release injectable suspensionDrug

    Subjects in this arm will receive a single administration of ND-340 at the specified dose (90-320 mg).

    ND-340 will be administered under ultrasound guidance with a total volume of 40 mL, of which 20 mL will be used via adductor canal block (ACB) and the other 20 mL will be used as IPACK block (interspace between the popliteal artery and the capsule of the posterior knee).

Study groups in NCT05588557
Study groupRoleWhat they receive
Marcaine® 100mg/20mL (0.5%) bupivacaine solution for InjectionActive comparatorMarcaine® at 150 mg in each cohort.
Receives: Drug: Marcaine® 100mg/20mL (0.5%) bupivacaine solution for Injection
ND-340 (Bupivacaine Microsphere), 300 mg/vial bupivacaine for extended-release injectable suspensionExperimentalND-340(90-320 mg) at dose escalations
Receives: Drug: ND-340 (Bupivacaine Microsphere), 300 mg/vial bupivacaine for extended-release injectable suspension

What is being measured

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

  1. Adverse events as assessed by CTCAE v 5.0

    Treatment-related adverse events will be analyzed by cohort

    Measured: From administration of ND-340 to 140 hours

  2. Changes in 12-lead ECG and Holter monitor

    To definition safety profile in cardiac events, vent. rate, PR interval, QRS duration, QT interval, QTc interval

    Measured: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hour

  3. Changes in Laboratory test - hematology

    Hemoglobin, Hct, RBC count, WBC count, Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils, Platelet count

    Measured: Pre-dose, 140 hour

  4. Changes in Laboratory tests - biochemistry

    Albumin, Total protein, ALT, AST, ALP, Total bilirubin, BUN, Serum creatinine, K, Na, Mg, Ca, P, Uric acid, Total cholesterol, HbA1c

    Measured: Pre-dose, 140 hour

  5. Changes in Laboratory tests - urinalysis

    pH, Specific gravity, Leukocyte, Erythrocyte, Protein, Glucose

    Measured: Pre-dose, 140 hour

  6. Changes in vital signs

    To definition safety profile including body temperature,blood pressure, respiratory rate, pulse rate

    Measured: Screening visit, day 0 (Pre-dose, 60 mins), Day 1, Day 2, Day 3, Day 4, Day 5, Day 6

  7. Changes in physical examination

    To definition safety profile including general appearance, HEENT, neck, Lymph nodes, skin, cardiovascular, pulmonary, abdomen, neurological system, musculoskeletal/joints

    Measured: Screening visit, day -1, Day 6

  8. The tolerability and maximal tolerated dose (MTD) of ND-340 by dose-limiting toxicities (DLTs)

    The incidence of DLT will be summarized by each cohort. The number of subject who has DLT will be summarized by cohorts.

    and the determination of MTD in this study will be provided.

    Measured: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hour

  9. Cmax

    Maximum Plasma Concentration of ND-340

    Measured: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours

  10. Tmax

    Time of peak concentration of ND-340

    Measured: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours

  11. AUC 0-t

    Area under the plasma concentration versus time curve from zero to t of ND-340

    Measured: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours

  12. AUC 0-∞

    Area under the plasma concentration versus time curve from zero to infinity of ND-340

    Measured: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours

  13. T1/2

    Terminal half life of ND-340

    Measured: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours

  14. CL/F

    Clearance/Bioavailability of ND-340

    Measured: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours

  15. λz

    Terminal elimination rate constant

    Measured: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours

  16. Vz/F

    Apparent volume of distribution during terminal phase after non-intravenous administration

    Measured: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours

  17. MRT 0-∞

    Mean residence time from zero to infinity of ND-340

    Measured: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours

Secondary outcomes (2)
  1. Range of motion of knee

    The range of motion (ROM) of knee as measured by knee flexion and extension at baseline and subsequent visits, and the change from baseline will be summarized descriptively by cohorts and drugs(ND-340 or Marcaine®).

    Measured: Pre-dose, 1, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours

  2. The ambulation distance

    The ambulation distance as measured by six-minute walk test (6MWT) at baseline and subsequent visits, and the change from baseline will be summarized descriptively by cohorts and drugs (ND-340 or Marcaine®).

    Measured: Once a day on Pre-dose, Day 1 and Day 2

Timeline

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

  1. First posted20 Oct 2022
  2. Study start8 Jul 2022
  3. Primary completion19 Mar 2024
  4. Study completion19 Mar 2024

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
Model description
The subjects of each cohort will be randomly arranged to receive ND-340 or control drug (Marcaine® Injection 0.5%, equal to bupivacaine base 5 mg/mL) in the ratio of 3:1.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05588557
Sponsor's protocol ID
NKC340-202101
Status last verified
Nov 2024
First submitted
4 Jul 2022
Last updated
27 Nov 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Marcaine® 100mg/20mL (0.5%) bupivacaine solution for Injection and ND-340 (Bupivacaine Microsphere), 300 mg/vial bupivacaine for extended-release injectable suspension in people with Pain, Postoperative, run by Nang Kuang Pharmaceutical Co., Ltd. at 1 site in Taiwan.

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 6 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 27 Nov 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 Taiwan. 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?

Adverse events as assessed by CTCAE v 5.0 (time frame: From administration of ND-340 to 140 hours). 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?
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 Nov 2024.

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