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Healthy VolunteersPhase 1NCT06532942

A Study to Evaluate Safety, Tolerability and Pharmacokinetics of MKND-201 in Healthy Volunteers

A Phase 1 study testing (Part A) MKND-201 and (Part B) MKND-201 in people with Healthy Volunteers, run by Mannkind Corporation at 1 site in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

MKC-NI-001 is a Phase 1, first-in-human, randomized, double-blind, placebo-controlled study of nintedanib inhalation powder (MNKD-201) in healthy adult volunteers. The trial consists of a Single Ascending Dose (SAD), followed by a Multiple Ascending Dose (MAD) with a primary objective to evaluate the safety… Read more about this study

Who is it for?
Ages 40 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteers
What is being tested?
(Part A) MKND-201 and (Part B) MKND-201
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 siteUnited States
Study dates
28 May 2024to 31 Oct 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 40 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Is ≥40 and ≤65 years of age at the time of signing the informed consent form.
  • Has a negative urine test for selected drugs of abuse and negative alcohol test at screening and upon admission to the CRU on Day -1. Note: Participants should not consume poppy seeds within 24 hours before urine drug screening because this can falsify the results of the opiate urine drug test.
  • Is willing to adhere to the restrictions and requirements specified in the protocol.
  • Has a negative severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) test (i.e., the virus that causes COVID-19) on Day -1.
  • Is capable of performing spirometry, as required by the study procedures.

Who cannot join

  • Has a history of significant lung disease (e.g., pulmonary fibrosis, cystic fibrosis, COPD, emphysema, chronic pulmonary infection, recent upper or lower respiratory tract infection in the prior 8 weeks, history of lung surgery or procedure, etc.)
  • Has endocrine, thyroid, or respiratory disease, diabetes mellitus, coronary heart disease, GI disease, or history of any psychotic mental illness.
  • Has a history of hepatic disease or has abnormal liver function tests (i.e., aspartate aminotransferase [AST] > 1.5 × upper limit of normal [ULN] or alanine aminotransferase [ALT] > 1.5 × ULN) at screening.
  • Has renal impairment (estimated glomerular filtration rate [eGFR] < 60 mL/min/1.73 m2), as calculated by Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI), at screening.
  • Has any history of pulmonary malignancy.
  • Has a history of substance abuse or dependency or history of recreational drug use over the last 2 years (by self-declaration).

Trial locations and contacts

1 site in 1 country.

United States1 site, 1 recruiting
  • Flourish Research

    San Antonio, Texas, 78229

    Sierra Wilson, 210-949-0122 ext. 208, SWilson@flourishresearch.com

    Douglas Denham, DO

    Recruiting

Other trials in United States

About this study

Official title: A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Single and Multiple-Ascending Dose Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Nintedanib Inhalation Powder (MNKD-201) in Healthy Volunteers

MKC-NI-001 is a Phase 1, first-in-human, randomized, double-blind, placebo-controlled study of nintedanib inhalation powder (MNKD-201) in healthy adult volunteers. The trial consists of a Single Ascending Dose (SAD), followed by a Multiple Ascending Dose (MAD) with a primary objective to evaluate the safety, tolerability, and pharmacokinetics (PK) of MNKD-201 compared to placebo in healthy adult participants.

Being tested
(Part A) MKND-201, Placebo, (Part B) MKND-201

What participants receive

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

  • (Part A) MKND-201Drug

    Participants will receive single ascending doses (Target Dose, High Dose, and Very High Dose) of MKND-201 or placebo administered via oral inhalation on Day 1

  • PlaceboDrug

    Participants will receive matching placebo across Part A and Part B of the study.

  • (Part B) MKND-201Drug

    Participants will receive multiple ascending doses (Target Dose and High Dose) of MKND-201 or placebo administered via oral inhalation, twice daily, from Day 1 to Day 7

Study groups in NCT06532942
Study groupRoleWhat they receive
(Part A) MKND-201 SADExperimentalPart A involves a Single Ascending Dose (SAD) study with three cohorts. In each cohort, participants will receive a single dose of MKND-201 or placebo for one day. The doses will be categorized as Target Dose, High Dose, and Very High Dose. Allocation is randomized and double-blind, maintaining a ratio of 3:1 (MKND-201:placebo). Participants will use a breath-powered inhaler, which aerosolizes the powder for lung delivery
Receives: Drug: (Part A) MKND-201
(Part B) MKND-201 MADExperimentalPart B involves a Multiple Ascending Dose (MAD) study with two cohorts. In each cohort, participants will receive MKND-201 or placebo twice daily (BID) at either the Target Dose or High Dose. Allocation is randomized 3:1 (MKND-201:placebo) and double-blind. Participants will use a breath-powered inhaler, which aerosolizes the powder for lung delivery
Receives: Drug: (Part B) MKND-201
PlaceboPlacebo comparatorAdministered as a single dose or BID using the same number of cartridges as MKND-201 participants in the same cohort
Receives: Drug: Placebo

What is being measured

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

  1. (Part A) Incidence of inhaled intolerability

    Incidence of inhaled intolerability (prevalence of cough, dyspnea, bronchospasm, and dysgeusia)

    Measured: Up to Day 9 (+/- 3 days)

  2. (Part B) Incidence of inhaled intolerability

    Incidence of inhaled intolerability (prevalence of cough, dyspnea, bronchospasm, and dysgeusia)

    Measured: Up to Day 15 (+/- 3 days)

  3. (Part A) Incidence of participants with reductions in FEV1 ≥ 15% from baseline at any time postdose

    Incidence of participants with reductions in FEV1 ≥ 15% from baseline at any time postdose

    Measured: Up to Day 9 (+/- 3 days)

  4. (Part B) Incidence of participants with reductions in FEV1 ≥ 15% from baseline at any time postdose

    Incidence of participants with reductions in FEV1 ≥ 15% from baseline at any time postdose

    Measured: Up to Day 15 (+/- 3 days)

  5. (Part A) Incidence of participants with reductions in FEV1 ≥ 15% following administration of a dose of study drug, compared to the corresponding predose measurement

    Incidence of participants with reductions in FEV1 ≥ 15% following administration of a dose of study drug, compared to the corresponding predose measurement

    Measured: Up to Day 9 (+/- 3 days)

  6. (Part B) Incidence of participants with reductions in FEV1 ≥ 15% following administration of a dose of study drug, compared to the corresponding predose measurement

    Incidence of participants with reductions in FEV1 ≥ 15% following administration of a dose of study drug, compared to the corresponding predose measurement

    Measured: Up to Day 15 (+/- 3 days)

  7. (Part A) Incidence of treatment-emergent adverse events (TEAEs)

    Incidence, severity, duration, relationship to study drug, and outcome of treatment-emergent adverse events (TEAEs)

    Measured: Up to Day 9 (+/- 3 days)

  8. (Part B) Incidence of treatment-emergent adverse events (TEAEs)

    Incidence, severity, duration, relationship to study drug, and outcome of treatment-emergent adverse events (TEAEs)

    Measured: Up to Day 15 (+/- 3 days)

  9. (Part A) Incidence of serious adverse events (SAEs)

    Incidence, severity, duration, relationship to study drug, and outcome of serious adverse events (SAEs)

    Measured: Up to Day 9 (+/- 3 days)

  10. (Part B) Incidence of serious adverse events (SAEs)

    Incidence, severity, duration, relationship to study drug, and outcome of serious adverse events (SAEs)

    Measured: Up to Day 15 (+/- 3 days)

  11. (Part A) Incidence of abnormal clinically significant vital signs

    Incidence of abnormal clinically significant vital signs (heart rate, blood pressure, respiratory rate, oxygen saturation rate, and body temperature)

    Measured: Up to Day 9 (+/- 3 days)

  12. (Part B) Incidence of abnormal clinically significant vital signs

    Incidence of abnormal clinically significant vital signs (heart rate, blood pressure, respiratory rate, oxygen saturation rate, and body temperature)

    Measured: Up to Day 15 (+/- 3 days)

  13. (Part A) Changes from baseline in liver enzymes and bilirubin

    Changes from baseline in liver enzymes and bilirubin

    Measured: Up to Day 9 (+/- 3 days)

  14. (Part B) Changes from baseline in liver enzymes and bilirubin

    Changes from baseline in liver enzymes and bilirubin

    Measured: Up to Day 15 (+/- 3 days)

  15. (Part A) Changes from baseline in coagulation parameters, INR and aPTT

    Changes from baseline in coagulation parameters - international normalized ratio (INR) and activated partial thromboplastin time (aPTT)

    Measured: Up to Day 9 (+/- 3 days)

  16. (Part B) Changes from baseline in coagulation parameters, INR and aPTT

    Changes from baseline in coagulation parameters - international normalized ratio (INR) and activated partial thromboplastin time (aPTT)

    Measured: Up to Day 15 (+/- 3 days)

Secondary outcomes (18)
  1. (Part A) Maximum plasma MNKD-201 concentration (Cmax)

    (Part A) Maximum plasma MNKD-201 concentration (Cmax)

    Measured: Day 1, predose and at multiple time points postdose up to Day 2, 24 hours postdose

  2. (Part B) Maximum plasma MNKD-201 concentration (Cmax)

    (Part B) Maximum plasma MNKD-201 concentration (Cmax)

    Measured: Day 1, predose and at multiple time points postdose up to Day 8, 12 hours after last dose on Day 7

  3. (Part A) Time to maximum concentration (Tmax)

    (Part A) Time to maximum concentration (Tmax)

    Measured: Day 1, predose and at multiple time points postdose up to Day 2, 24 hours postdose

  4. (Part B) Time to maximum concentration (Tmax)

    (Part B) Time to maximum concentration (Tmax)

    Measured: Day 1, predose and at multiple time points postdose up to Day 8, 12 hours after last dose on Day 7

  5. (Part A) Terminal elimination half-life (t½)

    (Part A) Terminal elimination half-life (t½)

    Measured: Day 1, predose and at multiple time points postdose up to Day 2, 24 hours postdose

  6. (Part B) Terminal elimination half-life (t½)

    (Part B) Terminal elimination half-life (t½)

    Measured: Day 1, predose and at multiple time points postdose up to Day 8, 12 hours after last dose on Day 7

  7. (Part A) Area under the plasma concentration-time curve (AUC) from time zero (from the start of inhalation time) to the last measurable concentration (AUC0-t)

    (Part A) Area under the plasma concentration-time curve (AUC) from time zero (from the start of inhalation time) to the last measurable concentration (AUC0-t)

    Measured: Day 1, predose and at multiple time points postdose up to Day 2, 24 hours postdose

  8. (Part A) Area under the plasma concentration-time curve (AUC) from time zero (from the start of inhalation time) to the last measurable concentration (AUC0-t)

    (Part A) Area under the plasma concentration-time curve (AUC) from time zero (from the start of inhalation time) to the last measurable concentration (AUC0-t)

    Measured: Day 1, predose and at multiple time points postdose up to Day 8, 12 hours after last dose on Day 7

  9. (Part A) AUC from time zero (time of first inhalation) to infinity (AUC0-∞)

    (Part A) AUC from time zero (time of first inhalation) to infinity (AUC0-∞)

    Measured: Day 1, predose and at multiple time points postdose up to Day 2, 24 hours postdose

  10. (Part B) AUC from time zero (time of first inhalation) to infinity (AUC0-∞)

    (Part B) AUC from time zero (time of first inhalation) to infinity (AUC0-∞)

    Measured: Day 1, predose and at multiple time points postdose up to Day 8, 12 hours after last dose on Day 7

  11. (Part A) Apparent terminal elimination rate constant (Kel)

    (Part A) Apparent terminal elimination rate constant (Kel)

    Measured: Day 1, predose and at multiple time points postdose up to Day 2, 24 hours postdose

  12. (Part B) Apparent terminal elimination rate constant (Kel)

    (Part B) Apparent terminal elimination rate constant (Kel)

    Measured: Day 1, predose and at multiple time points postdose up to Day 8, 12 hours after last dose on Day 7

  13. (Part A) Apparent total body clearance (CL/F)

    (Part A) Apparent total body clearance (CL/F)

    Measured: Day 1, predose and at multiple time points postdose up to Day 2, 24 hours postdose

  14. (Part B) Apparent total body clearance (CL/F)

    (Part B) Apparent total body clearance (CL/F)

    Measured: Day 1, predose and at multiple time points postdose up to Day 8, 12 hours after last dose on Day 7

  15. (Part A) Apparent volume of distribution during the terminal phase (Vz/F)

    (Part A) Apparent volume of distribution during the terminal phase (Vz/F)

    Measured: Day 1, predose and at multiple time points postdose up to Day 2, 24 hours postdose

  16. (Part B) Apparent volume of distribution during the terminal phase (Vz/F)

    (Part B) Apparent volume of distribution during the terminal phase (Vz/F)

    Measured: Day 1, predose and at multiple time points postdose up to Day 8, 12 hours after last dose on Day 7

  17. (Part A) Changes in forced expiratory volume in 1 second (FEV1) before and after dosing

    (Part A) Changes in forced expiratory volume in 1 second (FEV1) before and after dosing (predose and 5, 15, 30, 60, 90, and 120 minutes postdose)

    Measured: predose and 5, 15, 30, 60, 90, and 120 minutes postdose

  18. (Part B) Changes in forced expiratory volume in 1 second (FEV1) before and after dosing

    (Part B) Changes in forced expiratory volume in 1 second (FEV1) before and after dosing (predose and 5, 15, 30, 60, 90, and 120 minutes postdose)

    Measured: predose and 5, 15, 30, 60, 90, and 120 minutes postdose

Timeline

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

  1. First posted1 Aug 2024
  2. Study start28 May 2024
  3. Primary completion31 Oct 2024 (estimated)
  4. Study completion31 Oct 2024 (estimated)

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
This first-in-human trial will be conducted in healthy adult volunteers and will investigate the safety, tolerability, and PK of MNKD-201. MNKD-201 will be evaluated over a range of doses, first in a SAD phase (Part A) and then in a MAD phase (Part B), to inform doses for further evaluation in a subsequent trial. Approximately 40 participants will be enrolled into 1 of 3 SAD cohorts and 2 MAD cohorts, 8 participants per cohort.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06532942
Sponsor's protocol ID
MKC-NI-001
Status last verified
Aug 2024
First submitted
26 Jul 2024
Last updated
6 Aug 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Fares WH, Castagna M. Safety and Pharmacokinetic Data for Inhaled Administration of Nintedanib Dry Powder Inhalation for Treatment of Pulmonary Fibrotic Diseases. J Aerosol Med Pulm Drug Deliv. 2026 Aug;39(4):185-197. doi: 10.1177/19412711251414386. Epub 2026 Jan 13.

    PubMed 42377397

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing (Part A) MKND-201 and (Part B) MKND-201 in people with Healthy Volunteers, run by Mannkind Corporation 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 5 inclusion and 6 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: status not confirmed, as of the sponsor's last update on 6 Aug 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. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Jennifer Pleitez (818-661-5000, MKC-NI-001study@mannkindcorp.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

(Part A) Incidence of inhaled intolerability (time frame: Up to Day 9 (+/- 3 days)). The study lists 16 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 NCT06532942, which also lists 1 linked publication.

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 Aug 2024.

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