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Wilson's DiseasePhase 1NCT06128954

Study Comparing Once Daily Dose of 900mg of TETA 4HCL Against Cuprior® (450mg Trientine Base, Twice Daily).

A Phase 1 study testing 900mg TETA 4HCl Once Daily Formulation and 900mg TETA 4HCl Cuprior® in people with Wilson's Disease, run by Orphalan at 1 site in United Kingdom.

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

A randomised, open-label study evaluating the pharmacokinetics, safety, and tolerability of a new once daily dose of 900mg of TETA 4HCL by comparing it against the current marketed Cuprior® formulation (450mg trientine base, twice daily) in healthy male and female participants. Read more about this study

Who is it for?
Ages 18 to 40 yearsHealthy volunteers can take part
Conditions the study is for
Wilson's Disease
What is being tested?
900mg TETA 4HCl Once Daily Formulation and 900mg TETA 4HCl Cuprior®
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
26 participants
Where
1 siteUnited Kingdom
Study dates
16 Jan 2024to 16 Feb 2024
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 40 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Age: 18 to 40 years
  • Body weight: ≥ 50 kg
  • BMI: 18.0 to 25.0 kg/m2
  • Health: Generally healthy, with no clinically significant illnesses or surgeries in the past 12 weeks
  • Willingness to comply with trial procedures and restrictions

Who cannot join

  • Significant current or recurrent disease
  • Acute significant disease or illness within 7 days before the start of the trial
  • Clinically significant deviations in blood tests
  • An estimated glomerular filtration rate (eGFR) of less than 60 ml/min/1.73m2
  • Positive test for alcohol, drugs of abuse, hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV Ab), or human immunodeficiency virus antibody (HIV Ab)
  • Pregnant or breastfeeding women
Show all 14Show fewer
  • History or regular use of tobacco or other nicotine-containing products within 6 months before the start of the trial
  • Treatment with an investigational drug within 90 days or 5 half-lives (whichever is longer) or exposure to more than 3 investigational drugs within 12 months of first study drug administration
  • Use of prescription medication (excluding female hormonal contraception or hormone replacement therapy)within 30 days or 5 half
  • lives (whichever is longer) prior to first study drug administration, or use of over-the-counter (OTC) medication (including multivitamin, herbal, or homeopathic preparations; Paracetamol use ≤2g per day is permitted) during the 14 days or 5 half-lives of the drug (whichever is longer) before first study drug administration
  • History of sensitivity/allergy to the study medications or components thereof (mannitol, colloidal anhydrous silica, glycerol dibehenate or magnesium-stearate)
  • Donation or loss of 450 mL or more of blood or plasma within 16 weeks prior to first trial medication administration or intention to donate blood in the 16 weeks after completing the trial
  • An inability to follow a standardised diet and meal schedule or inability to fast, as required during the trial
  • Participants deemed to have difficult veins for cannulation/blood draws

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Richmond Pharmacology Ltd

    London, SE1 1YR

Other trials in United Kingdom

About this study

Official title: A Phase I, Single Centre, Randomised, Interventional, Open-Label, Cross-Over Study to Evaluate the Pharmacokinetics (PK) and the Safety and Tolerability of a Total Daily Dose of 900mg of TETA 4HCL, Comparing a New Once Daily TETA 4HCL Formulation (300mg) (3x300mg Trientine Base Tablets, OD) With the Current Marketed Cuprior® Formulation (150mg) (3x150mg Trientine Base Tablets, BD) in Adult Healthy Male and Female Participants

A randomised, open-label study evaluating the pharmacokinetics, safety, and tolerability of a new once daily dose of 900mg of TETA 4HCL by comparing it against the current marketed Cuprior® formulation (450mg trientine base, twice daily) in healthy male and female participants.

Read the detailed description

This is a single centre, phase I, randomized, controlled trial with a crossover design to evaluate the pharmacokinetics (PK), safety, and tolerability of a new once daily TETA 4HCL formulation (300mg) (3x300mg trientine base tablets, OD) compared to the current marketed Cuprior® formulation (150mg) (3x150mg trientine base tablets, BD) in adult healthy male and female participants.

Participants: 26 healthy participants will be enrolled to ensure 24 participants complete the study, with a balanced gender split.

Treatment: Participants will be randomized to receive either the new or the current formulation of the drug, and then switch to the other formulation after a period of time (see study flow chart below).

To remain in line with current EU SmPC and US PIL, being:

  • EU daily dose range of 450-975 mg of trientine base
  • US daily dose range of 150-1500mg trientine base the following treatments will be administered according to the treatment allocation schedule below: A: 900mg TETA 4HCl once a day / new formulation = 3 tablets of 300mg trientine base as a single dose B: 900mg TETA 4HCl marketed Cuprior formulation = 6 tablets of 150mg trientine base in two equally divided doses

Patients will be randomised in a 1:1 ratio to either one of the following sequences:

Treatment Sequence Period 1 Period 2 Sequence 1 Treatment A Treatment B Sequence 2 Treatment B Treatment A

Assessments: Participants will be assessed for eligibility criteria and will be monitored closely throughout the study. Assessments will be performed during the study and at the end of the study follow-up visit.

Duration: The duration of the study will be up to approximately 7 weeks, from screening to follow-up:

  • Screening will take place between days -28 and -2
  • In-house period from D-1 to D3 with dosing on D1 of each treatment period
  • Follow-up will take place on D7 of Treatment Period 2

At least 5 days and a maximum of 10 days between treatment period study drug administration

Objective: To evaluate the PK, safety, and tolerability of the new once daily TETA 4HCL formulation compared to the current marketed Cuprior® formulation.

Being tested
900mg TETA 4HCl Once Daily Formulation, 900mg TETA 4HCl Cuprior®
Medical subject headings
Hepatolenticular Degeneration

What participants receive

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

  • 900mg TETA 4HCl Once Daily FormulationDrug

    3x300mg trientine base tablets as a single AM dose

  • 900mg TETA 4HCl Cuprior®Drug

    6 x150mg trientine base tablets in two equally divided doses

Study groups in NCT06128954
Study groupRoleWhat they receive
Once Daily Dose Formulation (Treatment A)Experimental1 x 900mg TETA 4HCl, new once daily formulation (3x300mg trientine base tablets as a single AM dose)
Receives: Drug: 900mg TETA 4HCl Once Daily Formulation
Cuprior® comparator (Treatment B)Active comparator2 x 450mg TETA 4HCl, Marketed Cuprior® formulation (6 x150mg trientine base tablets in two equally divided doses (450mg doses 8 hours apart)
Receives: Drug: 900mg TETA 4HCl Cuprior®

What is being measured

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

  1. Plasma Concentrations (AUC) of TETA 4HCL Following Administration of Two TETA 4HCL Tablet Formulations.

    PK parameters derived by non-compartmental methods including: AUC 24 and AUCinf. PK sampling was done pre-first dose and then post-first dose for Treatment A (hours): 0.5, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48. Post-first dose for Treatment B (hours): 0.5, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8 (before 2nd dose), 8.5, 9, 9.25, 9.5, 10, 11, 12, 13, 14, 16, 20, 24, 36, 48.

    Measured: Up to 48 hours post first dose initiation.

  2. Plasma Concentrations (AUC) of N1-acetyltriethylenetetramine (MAT) Following Administration of Two TETA 4HCL Tablet Formulations.

    PK parameters derived by non-compartmental methods including: AUC 24 and AUCinf. PK sampling was done pre-first dose and then post-first dose for Treatment A (hours): 0.5, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48. Post-first dose for Treatment B (hours): 0.5, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8 (before 2nd dose), 8.5, 9, 9.25, 9.5, 10, 11, 12, 13, 14, 16, 20, 24, 36, 48.

    Measured: Up to 48 hours post first dose initiation.

  3. Plasma Concentrations (AUC) of N1, N10-diacetyltriethylenetetramine (DAT) Following Administration of Two TETA 4HCL Tablet Formulations.

    PK parameters derived by non-compartmental methods including: AUC 24 and AUCinf. PK sampling was done pre-first dose and then post-first dose for Treatment A (hours): 0.5, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48. Post-first dose for Treatment B (hours): 0.5, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8 (before 2nd dose), 8.5, 9, 9.25, 9.5, 10, 11, 12, 13, 14, 16, 20, 24, 36, 48.

    Measured: Up to 48 hours post first dose initiation.

  4. Pharmacokinetic Parameters (AUC) of TETA in Plasma

    PK parameters derived by non-compartmental methods including: AUCinf and AUC 24. PK sampling was done pre-first dose and then post-first dose for Treatment A (hours): 0.5, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48. Post-first dose for Treatment B (hours): 0.5, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8 (before 2nd dose), 8.5, 9, 9.25, 9.5, 10, 11, 12, 13, 14, 16, 20, 24, 36, 48.

    Measured: Up to 48 hours post first dose initiation.

  5. Plasma Concentrations (Cmax) of TETA 4HCL Following Administration of Two TETA 4HCL Tablet Formulations.

    PK parameters derived by non-compartmental methods including: Cmax.

    Measured: Up to 48 hours post first dose initiation.

  6. Pharmacokinetic Parameters (Time) of TETA in Plasma

    PK parameters derived by non-compartmental methods including: Thalf and Tmax.

    Measured: Up to 48 hours post first dose initiation.

  7. Pharmacokinetic Parameters (Concentration) of TETA in Plasma

    PK parameters derived by non-compartmental methods including: Clast and Cmax.

    Measured: Up to 48 hours post first dose initiation.

  8. Pharmacokinetic Parameters (AUC) of MAT in Plasma

    PK parameters derived by non-compartmental methods including: AUCinf and AUC 24. PK sampling was done pre-first dose and then post-first dose for Treatment A (hours): 0.5, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48. Post-first dose for Treatment B (hours): 0.5, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8 (before 2nd dose), 8.5, 9, 9.25, 9.5, 10, 11, 12, 13, 14, 16, 20, 24, 36, 48.

    Measured: Up to 48 hours post first dose initiation

  9. Plasma Concentrations (Cmax) of N1-acetyltriethylenetetramine (MAT) Following Administration of Two TETA 4HCL Tablet Formulations.

    PK parameters derived by non-compartmental methods including: Cmax.

    Measured: Up to 48 hours post first dose initiation.

  10. Pharmacokinetic Parameters (Time) of MAT in Plasma

    PK parameters derived by non-compartmental methods including: Thalf and Tmax..

    Measured: Up to 48 hours post first dose initiation

  11. Pharmacokinetic Parameters (Concentration) of MAT in Plasma

    PK parameters derived by non-compartmental methods including: Clast and Cmax..

    Measured: Up to 48 hours post first dose initiation

  12. Pharmacokinetic Parameters (AUC) of DAT in Plasma

    PK parameters derived by non-compartmental methods including: AUCinf and AUC 24. PK sampling was done pre-first dose and then post-first dose for Treatment A (hours): 0.5, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48. Post-first dose for Treatment B (hours): 0.5, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8 (before 2nd dose), 8.5, 9, 9.25, 9.5, 10, 11, 12, 13, 14, 16, 20, 24, 36, 48.

    Measured: Up to 48 hours post first dose initiation.

  13. Plasma Concentrations (Cmax) of N1, N10-diacetyltriethylenetetramine (DAT) Following Administration of Two TETA 4HCL Tablet Formulations.

    PK parameters derived by non-compartmental methods including: Cmax.

    Measured: Up to 48 hours post first dose initiation.

  14. Pharmacokinetic Parameters (Time) of DAT in Plasma

    PK parameters derived by non-compartmental methods including: Thalf and Tmax.

    Measured: Up to 48 hours post first dose initiation.

  15. Pharmacokinetic Parameters (Concentration) of DAT in Plasma

    PK parameters derived by non-compartmental methods including: Clast and Cmax.

    Measured: Up to 48 hours post first dose initiation.

Secondary outcomes (1)
  1. To Compare the Safety and Tolerability of the Two TETA 4HCL Tablet Formulations.

    The incidence, severity, and relationship of Treatment-Emergent Adverse Events (TEAEs).

    Measured: Adverse events were collected from the patient signing the ICF until the end of study/follow-up (EOS/FU) visit. The Mean (Min, Max) number of days between signing ICF and the EOS/FU visit in the study was 20.2 (16, 25). All patients completed the study.

Timeline

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

  1. First posted13 Nov 2023
  2. Study start16 Jan 2024
  3. Primary completion8 Feb 2024
  4. Study completion16 Feb 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
Crossover
Masking
None (open label)
Enrolment
26 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06128954
Sponsor's protocol ID
ORPH-131-012
Status last verified
Aug 2026
First submitted
2 Nov 2023
Last updated
26 Aug 2026
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing 900mg TETA 4HCl Once Daily Formulation and 900mg TETA 4HCl Cuprior® in people with Wilson's Disease, run by Orphalan at 1 site in United Kingdom.

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 14 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 26 Aug 2026. 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 Kingdom. 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?

Yes. Results are posted in the registry (first posted 15 Aug 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Plasma Concentrations (AUC) of TETA 4HCL Following Administration of Two TETA 4HCL Tablet Formulations. (time frame: Up to 48 hours post first dose initiation.). The study lists 15 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 26 Aug 2026.

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