A Single-Dose, Bioequivalence Study of FMXIN001 4 mg Microspheres Powder

Opioid Overdose Clinical Trial

Official title:

A Single-Dose, Bioequivalence Study of FMXIN001 4 mg Microspheres Powder and Narcan® 4 mg/0.1 mL Nasal Spray Under Fasting Conditions

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04713709
• Other study ID #: NP-NAL-004
• Status: Completed
• Phase: Phase 1
• Start date: January 31, 2021
• Est. completion date: October 10, 2021

Study information

• Verified date: April 2022
• Source: Nasus Pharma
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

A Single-Dose, Bioequivalence Study of FMXIN001 4 mg Microspheres Nasal Powder.

Description:

A comparison between FMXIN001 4 mg and Narcan® 4 mg/0.1 mL Nasal Spray under Fasting Conditions. A pharmacokinetic study in healthy volunteers

Recruitment information / eligibility

• Status: Completed
• Enrollment: 46
• Est. completion date: October 10, 2021
• Est. primary completion date: March 30, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. Healthy, non-smoking, male and female subjects, 18 years of age or older.

2. BMI =18 and =30 kg/m2.

3. Females may be of childbearing or non-childbearing potential:

• Childbearing potential:

o Physically capable of becoming pregnant

• Non-childbearing potential:
• Surgically sterile (i.e., both ovaries removed, uterus removed, or bilateral tubal ligation); and/or
• Postmenopausal (no menstrual period for at least 12 consecutive months without any other medical cause).

4. Willing to use acceptable, effective methods of contraception.

5. Able to tolerate venipuncture.

6. Be informed of the nature of the study and give written consent prior to any study procedure.

Exclusion Criteria:

• The following exclusion criteria will be assessed at screening (within 28 days prior

to the first drug administration):

1. Known history or presence of clinically significant neurologic, hematologic, endocrine, oncologic, pulmonary, immunologic, genitourinary, psychiatric, or cardiovascular disease or any other condition which, in the opinion of the Investigator, would jeopardize the safety of the subject or impact the validity of the study results.

2. Known or suspected carcinoma.

3. Known history or presence of hypersensitivity or idiosyncratic reaction to naloxone or any other drug substances with similar activity.

4. Known history or presence of clinically significant lactose, galactose, or fructose intolerance.

5. Presence of hepatic or renal dysfunction.

6. Presence of nostril or septum piercing.

7. Presence of abnormal nasal anatomy.

8. Presence of hay fever/seasonal allergy/rhinitis.

9. Presence of sinusitis.

10. Presence of nasal symptoms (e.g., blocked and/or runny nose, nasal polyps).

11. Presence of nasal septum ulcers or perforations, or nasal trauma within 30 days prior to drug administration.

12. History of nasal surgery.

13. History of malabsorption within the last year or presence of clinically significant gastrointestinal disease.

14. History of atopic allergy (e.g., asthma, urticaria, eczematous dermatitis).

15. Presence of a medical condition requiring regular medication (prescription and/or over-the-counter) with systemic absorption.

16. History of drug or alcohol addiction requiring treatment.

17. Any acute illness (e.g., cold/ rhinitis, acute infection) which is considered significant by the Investigator and that has not resolved within 7 days before the first drug administration.

18. Positive test result for HIV, Hepatitis B surface antigen, or Hepatitis C antibody.

19. Positive test result for urine drugs of abuse (amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, methadone, opiates, phencyclidine, and tricyclic antidepressants) or urine cotinine.

20. Difficulty fasting or consuming standard meals.

21. Inability to communicate well with the Investigators and staff (i.e., language problem, poor mental development or impaired cerebral function).

22. Use of tobacco or nicotine-containing products within 6 months prior to drug administration.

23. Females who:

• Have discontinued or changed the use of implanted, intrauterine, intravaginal, or injected hormonal contraceptives within 6 months prior to drug administration;
• Have discontinued or changed the use of oral or patch hormonal contraceptives within 1 month prior to drug administration;
• Are pregnant (serum hCG consistent with pregnancy); or
• Are lactating.

24. Donation or loss of whole blood (including clinical trials):

• =50 mL and <500 mL within 30 days prior to drug administration;
• =500 mL within 56 days prior to drug administration.

25. Participation in a clinical trial that involved administration of an investigational medicinal product within 30 days prior to drug administration, or recent participation in a clinical investigation that, in the opinion of the Investigator, would jeopardize subject safety or the integrity of the study results.

26. On a special diet within 30 days prior to drug administration (e.g., liquid, protein, raw food diet).

27. Have had a tattoo or body piercing within 30 days prior to drug administration.

28. Have clinically significant findings in vital signs measurements.

29. Systolic blood pressure increase or decrease in value by more than 20 mmHg and/or diastolic blood pressure decrease in value by more than 10 mmHg from supine or sitting to standing position.

30. Have clinically significant findings in a 12-lead ECG.

31. Have clinically significant abnormal laboratory values.

32. Have significant diseases.

33. Have clinically significant findings from a physical examination.

34. Use of any enzyme-modifying drugs known to induce/inhibit hepatic drug metabolism or alter gastrointestinal pH/movement (e.g., omeprazole, ranitidine) within 30 days prior to drug administration.

Related Conditions & MeSH terms

• Opiate Overdose
• Opioid Overdose

Intervention

Combination Product:
• Nasus Pharma FMXIN001
A nasal spray of 4mg Naloxone Hydrochloride powder in a unit dose device
• Nasal Naloxone liquid spray
A nasal spray of 4mg/0.1mL Naloxone Hydrochloride solution in a unit dose device

Locations

Country	Name	City	State
Canada	Pharma Medica Research Inc	Mississauga	Ontario

Sponsors (1)

Lead Sponsor	Collaborator
Nasus Pharma

Country where clinical trial is conducted

Canada, 

References & Publications (1)

Lapidot T, Bouhajib M, Faulknor J, Khan S, Krayz GT, Abrutzky C, Megiddo D. A Novel Faster-Acting, Dry Powder-Based, Naloxone Intranasal Formulation for Opioid Overdose. Pharm Res. 2022 Apr 6. doi: 10.1007/s11095-022-03247-5. [Epub ahead of print] — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Unconjugated naloxone in plasma - Cmax	Pharmacokinetic Parameters	0 to 8 hours post dose
Primary	Unconjugated naloxone in plasma - AUC	Pharmacokinetic Parameters	0 to 8 hours post dose
Primary	Unconjugated naloxone in plasma - Tmax	Pharmacokinetic Parameters	0 to 8 hours post dose
Primary	Unconjugated naloxone in plasma - K el	Pharmacokinetic Parameters	0 to 8 hours post dose
Primary	Unconjugated naloxone in plasma- T half	Pharmacokinetic Parameters	0 to 8 hours post dose
Secondary	Blood pressure	Safety Monitoring: Vital signs	pre-dose
Secondary	Pulse	Safety Monitoring: Vital signs	pre-dose
Secondary	Blood pressure	Safety Monitoring: Vital signs	1 hour post dose
Secondary	Pulse	Safety Monitoring: Vital signs	1 hour post dose
Secondary	Blood pressure	Safety Monitoring: Vital signs	2 hour post dose
Secondary	Pulse	Safety Monitoring: Vital signs	2 hour post dose
Secondary	Blood pressure	Safety Monitoring: Vital signs	4 hour post dose
Secondary	Pulse	Safety Monitoring: Vital signs	4 hour post dose
Secondary	Blood pressure	Safety Monitoring: Vital signs	12 hour post dose
Secondary	Pulse	Safety Monitoring: Vital signs	12 hour post dose
Secondary	12-Lead ECG	Safety Monitoring	pre-dose
Secondary	12-Lead ECG	Safety Monitoring	0.5 hours
Secondary	12-Lead ECG	Safety Monitoring	2 hours
Secondary	12-Lead ECG	Safety Monitoring	12 hours
Secondary	4-item NHANES Pocket Smell Test	Safety Monitoring	pre-dose
Secondary	4-item NHANES Pocket Smell Test	Safety Monitoring	24 hours post dose
Secondary	Nasal examination	Safety Monitoring	pre-dose
Secondary	Nasal examination	Safety Monitoring	1 hour
Secondary	Nasal examination	Safety Monitoring	23 hour
Secondary	Adverse events	Safety Monitoring	0 to 24 hour post dose

External Links

•   Lapidot, Tair, et al. "A Novel Faster-Acting, Dry Powder-Based, Naloxone Intranasal Formulation for Opioid Overdose." Pharmaceutical Research (2022): 1-13.