search
Back to results

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

Primary Purpose

Opioid Overdose

Status
Completed
Phase
Phase 1
Locations
Canada
Study Type
Interventional
Intervention
Nasus Pharma FMXIN001
Nasal Naloxone liquid spray
Sponsored by
Nasus Pharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Opioid Overdose focused on measuring Naloxone, Nasal, Powder

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

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.

Sites / Locations

  • Pharma Medica Research Inc

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

FMXIN001 4 mg Naloxone microspheres powder,

Narcan® 4 mg/0.1 mL nasal spray

Arm Description

Naloxone powder nasal spray from Nasus Pharma, Israel

Naloxone solution nasal spray from Adapt Pharma, Inc., USA

Outcomes

Primary Outcome Measures

Unconjugated naloxone in plasma - Cmax
Pharmacokinetic Parameters
Unconjugated naloxone in plasma - AUC
Pharmacokinetic Parameters
Unconjugated naloxone in plasma - Tmax
Pharmacokinetic Parameters
Unconjugated naloxone in plasma - K el
Pharmacokinetic Parameters
Unconjugated naloxone in plasma- T half
Pharmacokinetic Parameters

Secondary Outcome Measures

Blood pressure
Safety Monitoring: Vital signs
Pulse
Safety Monitoring: Vital signs
Blood pressure
Safety Monitoring: Vital signs
Pulse
Safety Monitoring: Vital signs
Blood pressure
Safety Monitoring: Vital signs
Pulse
Safety Monitoring: Vital signs
Blood pressure
Safety Monitoring: Vital signs
Pulse
Safety Monitoring: Vital signs
Blood pressure
Safety Monitoring: Vital signs
Pulse
Safety Monitoring: Vital signs
12-Lead ECG
Safety Monitoring
12-Lead ECG
Safety Monitoring
12-Lead ECG
Safety Monitoring
12-Lead ECG
Safety Monitoring
4-item NHANES Pocket Smell Test
Safety Monitoring
4-item NHANES Pocket Smell Test
Safety Monitoring
Nasal examination
Safety Monitoring
Nasal examination
Safety Monitoring
Nasal examination
Safety Monitoring
Adverse events
Safety Monitoring

Full Information

First Posted
January 11, 2021
Last Updated
April 25, 2022
Sponsor
Nasus Pharma
search

1. Study Identification

Unique Protocol Identification Number
NCT04713709
Brief Title
A Single-Dose, Bioequivalence Study of FMXIN001 4 mg Microspheres Powder
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
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Completed
Study Start Date
January 31, 2021 (Actual)
Primary Completion Date
March 30, 2021 (Actual)
Study Completion Date
October 10, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Nasus Pharma

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

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

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Opioid Overdose
Keywords
Naloxone, Nasal, Powder

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Model Description
Open-label, single-dose, randomized, two-period, two treatment, two-sequence, crossover, comparative bioavailability study
Masking
None (Open Label)
Allocation
Randomized
Enrollment
46 (Actual)

8. Arms, Groups, and Interventions

Arm Title
FMXIN001 4 mg Naloxone microspheres powder,
Arm Type
Experimental
Arm Description
Naloxone powder nasal spray from Nasus Pharma, Israel
Arm Title
Narcan® 4 mg/0.1 mL nasal spray
Arm Type
Active Comparator
Arm Description
Naloxone solution nasal spray from Adapt Pharma, Inc., USA
Intervention Type
Combination Product
Intervention Name(s)
Nasus Pharma FMXIN001
Intervention Description
A nasal spray of 4mg Naloxone Hydrochloride powder in a unit dose device
Intervention Type
Combination Product
Intervention Name(s)
Nasal Naloxone liquid spray
Other Intervention Name(s)
Narcan
Intervention Description
A nasal spray of 4mg/0.1mL Naloxone Hydrochloride solution in a unit dose device
Primary Outcome Measure Information:
Title
Unconjugated naloxone in plasma - Cmax
Description
Pharmacokinetic Parameters
Time Frame
0 to 8 hours post dose
Title
Unconjugated naloxone in plasma - AUC
Description
Pharmacokinetic Parameters
Time Frame
0 to 8 hours post dose
Title
Unconjugated naloxone in plasma - Tmax
Description
Pharmacokinetic Parameters
Time Frame
0 to 8 hours post dose
Title
Unconjugated naloxone in plasma - K el
Description
Pharmacokinetic Parameters
Time Frame
0 to 8 hours post dose
Title
Unconjugated naloxone in plasma- T half
Description
Pharmacokinetic Parameters
Time Frame
0 to 8 hours post dose
Secondary Outcome Measure Information:
Title
Blood pressure
Description
Safety Monitoring: Vital signs
Time Frame
pre-dose
Title
Pulse
Description
Safety Monitoring: Vital signs
Time Frame
pre-dose
Title
Blood pressure
Description
Safety Monitoring: Vital signs
Time Frame
1 hour post dose
Title
Pulse
Description
Safety Monitoring: Vital signs
Time Frame
1 hour post dose
Title
Blood pressure
Description
Safety Monitoring: Vital signs
Time Frame
2 hour post dose
Title
Pulse
Description
Safety Monitoring: Vital signs
Time Frame
2 hour post dose
Title
Blood pressure
Description
Safety Monitoring: Vital signs
Time Frame
4 hour post dose
Title
Pulse
Description
Safety Monitoring: Vital signs
Time Frame
4 hour post dose
Title
Blood pressure
Description
Safety Monitoring: Vital signs
Time Frame
12 hour post dose
Title
Pulse
Description
Safety Monitoring: Vital signs
Time Frame
12 hour post dose
Title
12-Lead ECG
Description
Safety Monitoring
Time Frame
pre-dose
Title
12-Lead ECG
Description
Safety Monitoring
Time Frame
0.5 hours
Title
12-Lead ECG
Description
Safety Monitoring
Time Frame
2 hours
Title
12-Lead ECG
Description
Safety Monitoring
Time Frame
12 hours
Title
4-item NHANES Pocket Smell Test
Description
Safety Monitoring
Time Frame
pre-dose
Title
4-item NHANES Pocket Smell Test
Description
Safety Monitoring
Time Frame
24 hours post dose
Title
Nasal examination
Description
Safety Monitoring
Time Frame
pre-dose
Title
Nasal examination
Description
Safety Monitoring
Time Frame
1 hour
Title
Nasal examination
Description
Safety Monitoring
Time Frame
23 hour
Title
Adverse events
Description
Safety Monitoring
Time Frame
0 to 24 hour post dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy, non-smoking, male and female subjects, 18 years of age or older. BMI ≥18 and ≤30 kg/m2. 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). Willing to use acceptable, effective methods of contraception. Able to tolerate venipuncture. 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): 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. Known or suspected carcinoma. Known history or presence of hypersensitivity or idiosyncratic reaction to naloxone or any other drug substances with similar activity. Known history or presence of clinically significant lactose, galactose, or fructose intolerance. Presence of hepatic or renal dysfunction. Presence of nostril or septum piercing. Presence of abnormal nasal anatomy. Presence of hay fever/seasonal allergy/rhinitis. Presence of sinusitis. Presence of nasal symptoms (e.g., blocked and/or runny nose, nasal polyps). Presence of nasal septum ulcers or perforations, or nasal trauma within 30 days prior to drug administration. History of nasal surgery. History of malabsorption within the last year or presence of clinically significant gastrointestinal disease. History of atopic allergy (e.g., asthma, urticaria, eczematous dermatitis). Presence of a medical condition requiring regular medication (prescription and/or over-the-counter) with systemic absorption. History of drug or alcohol addiction requiring treatment. 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. Positive test result for HIV, Hepatitis B surface antigen, or Hepatitis C antibody. Positive test result for urine drugs of abuse (amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, methadone, opiates, phencyclidine, and tricyclic antidepressants) or urine cotinine. Difficulty fasting or consuming standard meals. Inability to communicate well with the Investigators and staff (i.e., language problem, poor mental development or impaired cerebral function). Use of tobacco or nicotine-containing products within 6 months prior to drug administration. 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. 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. 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. On a special diet within 30 days prior to drug administration (e.g., liquid, protein, raw food diet). Have had a tattoo or body piercing within 30 days prior to drug administration. Have clinically significant findings in vital signs measurements. 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. Have clinically significant findings in a 12-lead ECG. Have clinically significant abnormal laboratory values. Have significant diseases. Have clinically significant findings from a physical examination. 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.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Janice Faulknor, MD, CCFP
Organizational Affiliation
Pharma Medica Research Inc. Canada
Official's Role
Principal Investigator
Facility Information:
Facility Name
Pharma Medica Research Inc
City
Mississauga
State/Province
Ontario
ZIP/Postal Code
L5R 0B7
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
35386013
Citation
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 May;39(5):963-975. doi: 10.1007/s11095-022-03247-5. Epub 2022 Apr 6.
Results Reference
result
Links:
URL
https://link.springer.com/article/10.1007/s11095-022-03247-5
Description
Lapidot, Tair, et al. "A Novel Faster-Acting, Dry Powder-Based, Naloxone Intranasal Formulation for Opioid Overdose." Pharmaceutical Research (2022): 1-13.

Learn more about this trial

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

We'll reach out to this number within 24 hrs