HIV Prevention Clinical Trial
Official title:
Phase 1 Study of the Safety, Toxicity, Pharmacokinetics, Pharmacodynamics and Luminal Distribution of Single-dose DuoGel Through Rectal Administration
The purpose of this study is describe the safety and single-dose pharmacokinetics of rectally-administered IQP (ImQuest Pharmaceuticals)-0528 (DuoGel) in plasma, rectal tissue biopsies, vaginal tissue biopsies, rectal fluid and cervicovaginal fluid as well as to assess the luminal distribution of IQP-0528 in the rectum. Sixteen healthy volunteers will receive a single rectal dose of DuoGel, followed by blood, tissue and fluid sampling over the following 72 hours.
This is a phase 1 open label study of the safety, PK, and PD of single-dose 10 mL IQP-0528
through rectal administration. Pharmacokinetics (PK) will be assessed in multiple
compartments: plasma, rectal tissue, vaginal tissue, rectal fluid and cervicovaginal fluid.
The luminal distribution of DuoGel in the rectum will be evaluated with Single Photon
Emission Computed Tomography/ X-ray Computed Tomography (SPECT/CT). Pharmacodynamics (PD)
will be assessed in an ex vivo HIV explant challenge of rectal and vaginal tissue biopsies.
After completing the screening evaluation (Visit 1) and establishing participant eligibility,
16 eligible participants will be enrolled: 8 men and 8 women. A subsequent baseline visit
(Visit 2) safety assessment and tissue ex vivo HIV explant challenge will be performed as
baseline for comparison with later post-drug evaluation. Participants will receive a single
10 mL rectal dose of 99mTechnetium (99mTc) -radiolabelled DuoGel (Visit 3), followed by
safety assessments and PK and PD sampling over three days (Visits 3, 4, and 5). Finally, a
follow-up safety phone call is performed a week after all PK sampling and biopsies are
collected.
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