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Exploratory Ph I Trial of the Active IMP in Healthy Volunteers in Relation to COVID-19

Primary Purpose

Covid19

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
Ivermectin
Placebo
Sponsored by
MedinCell S.A
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Covid19

Eligibility Criteria

18 Years - 45 Years (Adult)MaleAccepts Healthy Volunteers

Important Inclusion Criteria:

  • Subject is male of any ethnic origin.
  • Subject is aged between 18 to 45 years, inclusive.
  • Subject has a body mass index (BMI) of 18.5 to 32.0 kg/m2, inclusive.
  • Subject is ≥50 kg.
  • Negative reverse transcription polymerase chain reaction (RT-PCR) Test for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) at Screening and negative lateral flow immunoassay test for SARS-CoV-2 at Day -1.
  • Healthy as determined by a responsible physician, based on medical evaluation including medical history, physical examinations, neurological examinations, concomitant medication, vital signs, 12-lead ECG and clinical laboratory evaluations.
  • Male subjects must use a condom during the study and for 3 months after their final dose of study medication, if their partner is a woman of childbearing potential. In addition, their female partner of childbearing potential must use an additional method of highly effective contraception from first dosing until 3 months following final dosing.

Important Exclusion Criteria:

  • Clinically relevant history of abnormal physical or mental health (defined as any subject requiring medical, psychological or pharmacotherapeutic intervention for mental illness) interfering with the study as determined by medical history and physical examinations obtained during Screening and Day -1 as judged by the Investigator (including [but not limited to], neurological, psychiatric, endocrine, cardiovascular, respiratory, gastrointestinal, hepatic, or renal disorder).
  • Any other concomitant disease or condition that could interfere with, or for which the treatment might interfere with, the conduct of the study as outlined in this Protocol, or that would, in the opinion of the Investigator, pose an unacceptable risk to the subject in this study.
  • Evidence of previous SARS-CoV-2 infection from medical history.
  • Ophthalmologic disorder (moderate and sever retina or optic nerve pathology; cataracts excluded).
  • Subjects with a diagnosis of asthma or any other respiratory conditions.
  • A neurologic disorder that may compromise blood brain barrier permeability (stroke within 90 days, brain tumour, multiple sclerosis, or other neuroinflammatory condition, a neurodegenerative disorder, epilepsy) or history of seizures.
  • Positive test for hepatitis B surface antigen (HBsAg), anti-hepatitis C antibody (anti-HCV) or human immunodeficiency virus I and II (anti-HIV I/II) at Screening.
  • The subject has participated in a clinical study and has received a medication or a new chemical entity within 3 months or 5 half-lives (whichever is longer) prior to first dosing of current study medication.
  • Use of any drugs that are known substrates of CYP3A4, P-glycoprotein (P-gp) from within 4 weeks of Screening and unable to refrain from them until the end of the study (e.g., rifampicin, quinidine, amiodarone, diltiazem, spironolactone, verapamil, clarithromycin, erythromycin, itraconazole, ketoconazole, cyclosporine, tacrolimus, indinavir, ritonavir or cobicistat). Use of critical CYP3A4 substrate drugs such as warfarin or coumarin anticoagulants.
  • Recent or expected microfilaricidal drug use, including ivermectin, or travel history to areas that are endemic for Loa loa or onchocerciasis (Angola, Cameroon, Central African Republic, Chad, Democratic Republic of Congo, Ethiopia, Equatorial, Guinea, Gabon, Republic of Congo, Nigeria and Sudan).
  • Use of medications having potential activity against SARS-CoV-2 such as hydroxychloroquine, chloroquine, lopinavir, ritonavir, remdesivir, azithromycin, in the 30 days prior to Screening and unable to refrain from them until the end of the study.
  • Consumption of any food or drinks containing cranberry, pomegranate, starfruit, grapefruit, pomelos, exotic citrus fruits or Seville oranges (including marmalade and juices made from these fruits) within 14 days prior to first dosing until the end of the study.

Sites / Locations

  • MAC Clinical Research Manchester (Early Phase Unit), Neuroscience Centre of Excellence

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

50mcg/kg (oral)

75mcg/kg (oral)

100mcg/kg (oral)

Matching Placebo (oral)

Arm Description

Ivermectin loading dose of 200 mcg/kg followed by daily doses of 50mcg/kg from D2 to D28

Ivermectin loading dose of 200 mcg/kg followed by daily doses of 75mcg/kg from D2 to D28

Ivermectin loading dose of 200 mcg/kg followed by daily doses of 100mcg/kg from D2 to D28

Placebo using tablets identical to the Active IMP

Outcomes

Primary Outcome Measures

Pharmacokinetic Concentrations - (Maximum Plasma Concentration [Cmax])
Maximum plasma concentration (Cmax)
Pharmacokinetic Concentrations - (Time to Reach Cmax [Tmax])
Time to reach Cmax (Tmax)
Pharmacokinetic Concentrations - (Area Under the Plasma Concentration-time Curve From Zero to 24 Hours [AUC0-24hr])
area under the plasma concentration-time curve from zero to 24 hours (AUC0-24hr) concentration-time curve from zero to 24 hours (AUC0-24hr)
Pharmacokinetic Concentrations - (Apparent Terminal Half-Life [T1/2])
apparent terminal half-life (t1/2)

Secondary Outcome Measures

Safety and Tolerability - Treatment Emergent Adverse Events (TEAEs)
Clinical safety data from adverse event (AE) reporting

Full Information

First Posted
October 26, 2020
Last Updated
December 22, 2021
Sponsor
MedinCell S.A
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1. Study Identification

Unique Protocol Identification Number
NCT04632706
Brief Title
Exploratory Ph I Trial of the Active IMP in Healthy Volunteers in Relation to COVID-19
Official Title
A Randomised, Double-Blind, Placebo-Controlled, Exploratory Phase I Trial Assessing the Pharmacokinetic Profile, Safety and Tolerability of a Continuous Daily Dosing Regimen of Active IMP in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
December 2021
Overall Recruitment Status
Completed
Study Start Date
September 22, 2020 (Actual)
Primary Completion Date
March 9, 2021 (Actual)
Study Completion Date
March 9, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MedinCell S.A

4. Oversight

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

5. Study Description

Brief Summary
An early stage trial to check how safe and tolerable, as well as how the body handles continuous daily use of Active IMP over 28 days in healthy volunteers.
Detailed Description
Detailed information restricted because this is a Phase 1 clinical trial.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
The study is a placebo-controlled, double-blinded exploratory study to investigate safety, Pk and tolerability of a continuous daily dosing of the active drugs (at 3 different doses) in healthy participants.
Masking
ParticipantInvestigator
Masking Description
The study is double-blinded. Patients will be randomised to receive 1 of 3 doses of the Active IMP or a matching placebo.
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
50mcg/kg (oral)
Arm Type
Experimental
Arm Description
Ivermectin loading dose of 200 mcg/kg followed by daily doses of 50mcg/kg from D2 to D28
Arm Title
75mcg/kg (oral)
Arm Type
Experimental
Arm Description
Ivermectin loading dose of 200 mcg/kg followed by daily doses of 75mcg/kg from D2 to D28
Arm Title
100mcg/kg (oral)
Arm Type
Experimental
Arm Description
Ivermectin loading dose of 200 mcg/kg followed by daily doses of 100mcg/kg from D2 to D28
Arm Title
Matching Placebo (oral)
Arm Type
Placebo Comparator
Arm Description
Placebo using tablets identical to the Active IMP
Intervention Type
Drug
Intervention Name(s)
Ivermectin
Intervention Description
Ivermectin: Investigation of the safety, tolerability and the pharmacokinetic profile of the active IMP in an exploratory study
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching Placebo to the Active IMP.
Primary Outcome Measure Information:
Title
Pharmacokinetic Concentrations - (Maximum Plasma Concentration [Cmax])
Description
Maximum plasma concentration (Cmax)
Time Frame
D1, D2 and D28
Title
Pharmacokinetic Concentrations - (Time to Reach Cmax [Tmax])
Description
Time to reach Cmax (Tmax)
Time Frame
D1, D2 and D28
Title
Pharmacokinetic Concentrations - (Area Under the Plasma Concentration-time Curve From Zero to 24 Hours [AUC0-24hr])
Description
area under the plasma concentration-time curve from zero to 24 hours (AUC0-24hr) concentration-time curve from zero to 24 hours (AUC0-24hr)
Time Frame
D1, D2 and D28
Title
Pharmacokinetic Concentrations - (Apparent Terminal Half-Life [T1/2])
Description
apparent terminal half-life (t1/2)
Time Frame
D28
Secondary Outcome Measure Information:
Title
Safety and Tolerability - Treatment Emergent Adverse Events (TEAEs)
Description
Clinical safety data from adverse event (AE) reporting
Time Frame
From Screening (Day -28) to Follow up visit (Day +42) plus 7 additional days.

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Important Inclusion Criteria: Subject is male of any ethnic origin. Subject is aged between 18 to 45 years, inclusive. Subject has a body mass index (BMI) of 18.5 to 32.0 kg/m2, inclusive. Subject is ≥50 kg. Negative reverse transcription polymerase chain reaction (RT-PCR) Test for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) at Screening and negative lateral flow immunoassay test for SARS-CoV-2 at Day -1. Healthy as determined by a responsible physician, based on medical evaluation including medical history, physical examinations, neurological examinations, concomitant medication, vital signs, 12-lead ECG and clinical laboratory evaluations. Male subjects must use a condom during the study and for 3 months after their final dose of study medication, if their partner is a woman of childbearing potential. In addition, their female partner of childbearing potential must use an additional method of highly effective contraception from first dosing until 3 months following final dosing. Important Exclusion Criteria: Clinically relevant history of abnormal physical or mental health (defined as any subject requiring medical, psychological or pharmacotherapeutic intervention for mental illness) interfering with the study as determined by medical history and physical examinations obtained during Screening and Day -1 as judged by the Investigator (including [but not limited to], neurological, psychiatric, endocrine, cardiovascular, respiratory, gastrointestinal, hepatic, or renal disorder). Any other concomitant disease or condition that could interfere with, or for which the treatment might interfere with, the conduct of the study as outlined in this Protocol, or that would, in the opinion of the Investigator, pose an unacceptable risk to the subject in this study. Evidence of previous SARS-CoV-2 infection from medical history. Ophthalmologic disorder (moderate and sever retina or optic nerve pathology; cataracts excluded). Subjects with a diagnosis of asthma or any other respiratory conditions. A neurologic disorder that may compromise blood brain barrier permeability (stroke within 90 days, brain tumour, multiple sclerosis, or other neuroinflammatory condition, a neurodegenerative disorder, epilepsy) or history of seizures. Positive test for hepatitis B surface antigen (HBsAg), anti-hepatitis C antibody (anti-HCV) or human immunodeficiency virus I and II (anti-HIV I/II) at Screening. The subject has participated in a clinical study and has received a medication or a new chemical entity within 3 months or 5 half-lives (whichever is longer) prior to first dosing of current study medication. Use of any drugs that are known substrates of CYP3A4, P-glycoprotein (P-gp) from within 4 weeks of Screening and unable to refrain from them until the end of the study (e.g., rifampicin, quinidine, amiodarone, diltiazem, spironolactone, verapamil, clarithromycin, erythromycin, itraconazole, ketoconazole, cyclosporine, tacrolimus, indinavir, ritonavir or cobicistat). Use of critical CYP3A4 substrate drugs such as warfarin or coumarin anticoagulants. Recent or expected microfilaricidal drug use, including ivermectin, or travel history to areas that are endemic for Loa loa or onchocerciasis (Angola, Cameroon, Central African Republic, Chad, Democratic Republic of Congo, Ethiopia, Equatorial, Guinea, Gabon, Republic of Congo, Nigeria and Sudan). Use of medications having potential activity against SARS-CoV-2 such as hydroxychloroquine, chloroquine, lopinavir, ritonavir, remdesivir, azithromycin, in the 30 days prior to Screening and unable to refrain from them until the end of the study. Consumption of any food or drinks containing cranberry, pomegranate, starfruit, grapefruit, pomelos, exotic citrus fruits or Seville oranges (including marmalade and juices made from these fruits) within 14 days prior to first dosing until the end of the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pui Man Leung, MD
Organizational Affiliation
MAC Clinical Research
Official's Role
Principal Investigator
Facility Information:
Facility Name
MAC Clinical Research Manchester (Early Phase Unit), Neuroscience Centre of Excellence
City
Manchester
State/Province
Greater Mancherster
ZIP/Postal Code
M13 9NQ
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No

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Exploratory Ph I Trial of the Active IMP in Healthy Volunteers in Relation to COVID-19

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