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The O'Neil Long Acting Naltrexone Implant (OLANI) Pharmacokinetic (PK)/Safety Study in Healthy Volunteers

Primary Purpose

Opioid Use Disorder

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
naltrexone implant
Sponsored by
Go Medical Industries Pty Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Opioid Use Disorder focused on measuring naltrexone, opioids, opioid use disorder, OLANI implant

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Men or women between the ages of 18 and 55 years old (inclusive)
  • Without The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM 5) - Substance Related Disorders classification; in sustained remission is not exclusionary
  • Able and willing to comply with the requirements of the protocol
  • Able and willing to provide written informed consent
  • Willing to undergo a minor surgical procedure under local anesthetic to allow for investigational drug administration in the subcutaneous tissue
  • BMI inclusive of 18.5 to 30.0
  • Have an initial weight between 45.3 and 81.6 kilograms (inclusive)

Exclusion Criteria:

  • Positive urine drug screen (UDS) at screening for illicit substances.
  • Is currently on naltrexone medication.
  • Has had a naltrexone implant in the past 24 months.
  • Has received treatment with an extended naltrexone product (e.g. Vivitrol) in the past 12 months.
  • Has a condition which requires treatment with opioid based medication.
  • Has a known hypersensitivity to naltrexone.
  • Has a known hypersensitivity to poly-lactic based materials e.g. biodegradable sutures, surgical implants or previous biodegradable implants.
  • Has a known hypersensitivity to local anesthesia.
  • Is prone to skin rashes, irritation or has a skin condition such as recurrent eczema that is likely to impact the implant site area, or as determined by the evaluating physician.
  • Demonstrates any abnormal skin tissue in the proposed implantation area.
  • Is pregnant or planning to be. Women need to have negative blood pregnancy test at screening. Women need to agree to practice dual contraceptives.
  • Participant is breastfeeding or planning to be.
  • Has a current significant neurological (including cognitive and psychiatric disorders), hepatic, renal, endocrine, cardiovascular, gastrointestinal, pulmonary, hematological or metabolic disease unless currently controlled and stable with protocol-allowed medication 30 days prior to proposed investigational product administration.
  • Any clinically important abnormal finding as determined by medical history, physical examination, ECG or clinical laboratory tests.
  • Any additional condition(s) that in the investigator's opinion would prohibit the participant from completing the study or would not be in the best interest of the participant.
  • Alanine aminotransferase (ALT) or aspartate transaminase (AST) > 3 times the upper end of the laboratory normal range.
  • Any methadone use 14 days prior to screening, and up to Study Day 0.
  • Current DSM-5 diagnosis of schizophrenia, bipolar, anxiety, or depressive disorder, confirmed by The Mini International Neuropsychiatric Interview (MINI) diagnostic interview assessment, or currently treated with medications for anxiety or depression. Past history (in remission DSM-5 classification) of anxiety or depression is not exclusionary.
  • Any elevated risk for suicide measured using the Columbia Suicide Severity Rating Scale (C-SSRS), endorsing any of the items in the past month (C-SSRS, Lifetime)
  • Is participating or intending to participate in any other clinical trial during the duration of this study.

Sites / Locations

  • Columbia University Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

OLANI (naltrexone implant)

Arm Description

2 OLANI containing 60% naltrexone (1.8 g total) administered one time subcutaneously

Outcomes

Primary Outcome Measures

Percentage of Participants That Maintain MEC
Percentage of participants who maintain naltrexone (NTX) blood levels of ≥1.33 ng/mL for ≥180 days

Secondary Outcome Measures

Median Cmax of Naltrexone
Single-dose pharmacokinetic (PK) measurement of the plasma naltrexone concentration (Cmax) after dosing on Day 1
Tmax of Naltrexone
Single-dose PK measurement of the time to reach the maximum (Tmax) naltrexone concentration after dosing on Day 1
AUC of Naltrexone
Single-dose PK measurement of the area under the curve (AUC) for naltrexone after dosing on Day 1
Median Cmax of 6β-naltrexol
Single-dose PK measurement of the peak plasma 6β-naltrexol concentration after dosing on Day 1
Median Tmax of 6β-naltrexol
Single-dose PK measurement of the time to reach the maximum 6β-naltrexol concentration after dosing on Day 1
Time>Minimum Effective Concentration
Time (T) naltrexone remains above the minimum effective concentration (MEC) of 1.33
AUC of 6β-naltrexol
Single-dose PK measurement of the AUC for 6β-naltrexol concentration after dosing on Day 1
Incidence of Adverse Events (AEs)
Incidence and Severity of AEs

Full Information

First Posted
January 17, 2019
Last Updated
September 19, 2022
Sponsor
Go Medical Industries Pty Ltd
Collaborators
National Institute on Drug Abuse (NIDA), New York State Psychiatric Institute, Columbia University, Clinilabs, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03810495
Brief Title
The O'Neil Long Acting Naltrexone Implant (OLANI) Pharmacokinetic (PK)/Safety Study in Healthy Volunteers
Official Title
OLANI PK/Safety Study in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Completed
Study Start Date
April 11, 2019 (Actual)
Primary Completion Date
March 18, 2021 (Actual)
Study Completion Date
March 22, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Go Medical Industries Pty Ltd
Collaborators
National Institute on Drug Abuse (NIDA), New York State Psychiatric Institute, Columbia University, Clinilabs, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study will examine the pharmacokinetic profile and safety of the O'Neil Long Acting Naltrexone Implant (OLANI) overtime in healthy volunteers. All participants will be treated in an open label manner. No randomization will occur. It is hypothesized that the OLANI will provide sustained therapeutic doses of naltrexone (NTX) for periods up to 6 months via a single subcutaneous application of 2 OLANIs.
Detailed Description
Naltrexone (NTX) is a nonspecific pure opioid antagonist with a high affinity for the µ-opioid receptor. It blocks the effects of opioids by competitive binding at opiate receptors. NTX is used primarily in the management of opiate and alcohol dependence. It is available in the United States (US) as 2 formulations; a once daily oral formulation (Revia) and a once monthly intramuscular injection (Vivitrol). While NTX is a potent antagonist and efficiently blocks the effects of exogenous opiates such as heroin, the success of NTX for the treatment of opiate dependence has been limited by poor patient compliance. Therefore, the development of a sustained release NTX formulation (in excess of 1 month) would be of great benefit for the treatment of opioid use disorder.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Opioid Use Disorder
Keywords
naltrexone, opioids, opioid use disorder, OLANI implant

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
OLANI (naltrexone implant)
Arm Type
Experimental
Arm Description
2 OLANI containing 60% naltrexone (1.8 g total) administered one time subcutaneously
Intervention Type
Drug
Intervention Name(s)
naltrexone implant
Other Intervention Name(s)
OLANI, O'Neil Long Acting Naltrexone Implant
Intervention Description
1.8 g implant containing 60% naltrexone
Primary Outcome Measure Information:
Title
Percentage of Participants That Maintain MEC
Description
Percentage of participants who maintain naltrexone (NTX) blood levels of ≥1.33 ng/mL for ≥180 days
Time Frame
up to 540 days or until NTX blood levels become undetectable
Secondary Outcome Measure Information:
Title
Median Cmax of Naltrexone
Description
Single-dose pharmacokinetic (PK) measurement of the plasma naltrexone concentration (Cmax) after dosing on Day 1
Time Frame
pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days
Title
Tmax of Naltrexone
Description
Single-dose PK measurement of the time to reach the maximum (Tmax) naltrexone concentration after dosing on Day 1
Time Frame
pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days
Title
AUC of Naltrexone
Description
Single-dose PK measurement of the area under the curve (AUC) for naltrexone after dosing on Day 1
Time Frame
pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days
Title
Median Cmax of 6β-naltrexol
Description
Single-dose PK measurement of the peak plasma 6β-naltrexol concentration after dosing on Day 1
Time Frame
pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days
Title
Median Tmax of 6β-naltrexol
Description
Single-dose PK measurement of the time to reach the maximum 6β-naltrexol concentration after dosing on Day 1
Time Frame
pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days
Title
Time>Minimum Effective Concentration
Description
Time (T) naltrexone remains above the minimum effective concentration (MEC) of 1.33
Time Frame
pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days
Title
AUC of 6β-naltrexol
Description
Single-dose PK measurement of the AUC for 6β-naltrexol concentration after dosing on Day 1
Time Frame
pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days
Title
Incidence of Adverse Events (AEs)
Description
Incidence and Severity of AEs
Time Frame
Up to 540 days or until NTX blood levels become undetectable

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Men or women between the ages of 18 and 55 years old (inclusive) Without The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM 5) - Substance Related Disorders classification; in sustained remission is not exclusionary Able and willing to comply with the requirements of the protocol Able and willing to provide written informed consent Willing to undergo a minor surgical procedure under local anesthetic to allow for investigational drug administration in the subcutaneous tissue BMI inclusive of 18.5 to 30.0 Have an initial weight between 45.3 and 81.6 kilograms (inclusive) Exclusion Criteria: Positive urine drug screen (UDS) at screening for illicit substances. Is currently on naltrexone medication. Has had a naltrexone implant in the past 24 months. Has received treatment with an extended naltrexone product (e.g. Vivitrol) in the past 12 months. Has a condition which requires treatment with opioid based medication. Has a known hypersensitivity to naltrexone. Has a known hypersensitivity to poly-lactic based materials e.g. biodegradable sutures, surgical implants or previous biodegradable implants. Has a known hypersensitivity to local anesthesia. Is prone to skin rashes, irritation or has a skin condition such as recurrent eczema that is likely to impact the implant site area, or as determined by the evaluating physician. Demonstrates any abnormal skin tissue in the proposed implantation area. Is pregnant or planning to be. Women need to have negative blood pregnancy test at screening. Women need to agree to practice dual contraceptives. Participant is breastfeeding or planning to be. Has a current significant neurological (including cognitive and psychiatric disorders), hepatic, renal, endocrine, cardiovascular, gastrointestinal, pulmonary, hematological or metabolic disease unless currently controlled and stable with protocol-allowed medication 30 days prior to proposed investigational product administration. Any clinically important abnormal finding as determined by medical history, physical examination, ECG or clinical laboratory tests. Any additional condition(s) that in the investigator's opinion would prohibit the participant from completing the study or would not be in the best interest of the participant. Alanine aminotransferase (ALT) or aspartate transaminase (AST) > 3 times the upper end of the laboratory normal range. Any methadone use 14 days prior to screening, and up to Study Day 0. Current DSM-5 diagnosis of schizophrenia, bipolar, anxiety, or depressive disorder, confirmed by The Mini International Neuropsychiatric Interview (MINI) diagnostic interview assessment, or currently treated with medications for anxiety or depression. Past history (in remission DSM-5 classification) of anxiety or depression is not exclusionary. Any elevated risk for suicide measured using the Columbia Suicide Severity Rating Scale (C-SSRS), endorsing any of the items in the past month (C-SSRS, Lifetime) Is participating or intending to participate in any other clinical trial during the duration of this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Adam Bisaga, MD
Organizational Affiliation
New York State Psychiatric Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Columbia University Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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The O'Neil Long Acting Naltrexone Implant (OLANI) Pharmacokinetic (PK)/Safety Study in Healthy Volunteers

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