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Safety and Acceptability of Q GRFT Nasal Spray for COVID-19 Prophylaxis

Primary Purpose

COVID-19, Pharmacokinetics, Safety

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Q-Griffithsin
Placebo
Sponsored by
Sharon Hillier
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for COVID-19 focused on measuring Intranasal spray, Prophylaxis

Eligibility Criteria

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

Inclusion Criteria:

  • Willing and able to provide written informed consent
  • In general good health as determined by the site clinician
  • Negative SARS-CoV-2 test at screening
  • Fully vaccinated for SARS-CoV-2 (does not include booster vaccination)
  • Agree to abstain from any other investigational drug studies for the duration of the study
  • Agree to abstain from nasally administered products, including over-the-counter products, for the duration of the study
  • Report use of an effective method of contraception at enrollment and intending to continue use of an effective method for the duration of study participation. Acceptable methods include:

    1. Males: Male condoms, sterilization of participant or partner, partner use of hormonal contraception or intrauterine device, identifies as a man who has sex with men exclusively, and/or sexually abstinent for the past 60 days and agrees to remain abstinent for the study duration
    2. Females: Hormonal methods at the time of enrollment, intrauterine device inserted prior to enrollment, sterilization of participant or partner, consistent condom use of male partner for at least 28 days (reports using condoms 10 times in the last 10 acts of intercourse), identifies as a woman who has sex with women exclusively, and/or sexually abstinent for the past 60 days and agrees to remain abstinent for the study duration.
  • Agree to participate in all study-related assessments and procedures

Exclusion Criteria:

  • Abnormal nasal or throat exam at enrollment
  • If female, pregnancy, or within 42 days of last pregnancy at screening
  • If female, breastfeeding
  • Diagnosed with SARS-CoV-2 in the past 42 days at screening
  • Diagnosed or suspected respiratory tract infection in the past 14 days at screening (including asymptomatic SARS-CoV-2)
  • Participation in an investigational drug study in past 30 days at screening
  • Any condition that, in the opinion of the Investigator would preclude provision of consent, make participation in the study unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives
  • Use of any intranasal product in the 14 days prior to enrollment
  • Surgical procedure involving the nose or throat 90 days prior to enrollment
  • Any of the following laboratory abnormalities at screening:

    1. Hgb < 12g/dL (men) and < 11g/dL (women)
    2. Serum creatinine > 1.1 x upper limit of normal
    3. alanine transaminase, aspartate aminotransferase, and total bilirubin > 1.1 x upper limit of normal
  • Grade 2 or higher seasonal allergies at the time of enrollment
  • Reported use of illicit drugs

    1. Non-therapeutic injection drug use in the 12 months prior to screening
    2. Any use of methamphetamine, gamma hydroxybutyrate, cocaine or heroin in the 12 months prior to screening
  • Use of systemic prescription immunomodulatory medications within the 4 weeks prior to the enrollment

Sites / Locations

  • Ingrid Macio

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Q-GRFT Nasal Spray

Placebo Nasal Spray

Arm Description

Q-Griffithsin (Q-GRFT) nasal spray (7.5mg/mL). Two metered doses of 100μL into each nostril, total of 3mg Q-GRFT per administration, administered once daily for 14 consecutive days.

Placebo Nasal Spray. Two metered doses of 100μL into each nostril, administered once daily for 14 consecutive days.

Outcomes

Primary Outcome Measures

Number of Participants with Related Grade 2 or Higher Adverse Events
Number of participants with Grade 2 or higher adverse events deemed related to study product

Secondary Outcome Measures

Q-GRFT Concentration from Nasopharyngeal Swab Eluent Collected at 24 Hours
Q-GRFT concentration from nasopharyngeal swab eluent collected 24 hours after intranasal application of a single dose of study product
Q-GRFT Plasma Concentration Collected at 24 Hours
Q-GRFT concentration in plasma collected 24 hours after intranasal application of a single dose of study product
Area Under the Nasopharyngeal Swab Eluent Concentration versus Time Curve of Q-GRFT
Area under the nasopharyngeal swab eluent concentration versus time curve of Q-GRFT collected after 13 consecutive daily intranasal applications of study product. Q-GRFT concentrations will be measured prior to the first application of study product and at 7-days, 14-days, and 28-days after the first of thirteen applications of study product.
Area Under the Plasma Concentration versus Time Curve of Q-GRFT
Area under the plasma concentration versus time curve of Q-GRFT collected after 13 consecutive daily intranasal applications of study product. Q-GRFT concentrations will be measured prior to the first application of study product and at 7-days, 14-days, and 28-days after the first of thirteen applications of study product.
Acceptability of the Intranasal Spray
The acceptability of the nasal spray use by the participant will be assessed on a 5 point Likert scale, with 1 being do not agree at all and 5 being completely agree.

Full Information

First Posted
December 17, 2021
Last Updated
January 3, 2023
Sponsor
Sharon Hillier
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT05180500
Brief Title
Safety and Acceptability of Q GRFT Nasal Spray for COVID-19 Prophylaxis
Official Title
Phase 1 Clinical Trial of a Q GRFT Nasal Spray
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Completed
Study Start Date
March 15, 2022 (Actual)
Primary Completion Date
December 7, 2022 (Actual)
Study Completion Date
December 7, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Sharon Hillier
Collaborators
National Cancer Institute (NCI)

4. Oversight

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

5. Study Description

Brief Summary
This is a phase I randomized, placebo-controlled, single site to assess the local and systemic safety of intranasal Q-Griffithsin (Q-GRFT) after 14 doses in approximately 45 adult participants. Participants will be randomized 2:1 (Q-GRFT nasal spray: placebo nasal spray) resulting in 30 participants enrolled into the Q-GRFT arm and 15 participants enrolled into the placebo arm. A clinician will apply two metered doses of Q-GRFT in each nostril (400μl total) of the participant on the day of enrollment. Participants will be monitored in the clinic for 1 hour after administration and return for a 24-hour post dose visit. If safe and acceptable, a second period of daily administration by the participant for 13 days will commence. Safety assessments will be performed at day 7, day 14, and day 28 visits after the initiation of the second period. The expected duration of study participation for each participant will be approximately 6-8 weeks. The primary endpoint is the proportion of participants who experience a related Grade 2 or higher adverse event. Secondary and exploratory endpoints include persistence and systemic absorption of Q-GRFT, acceptability and the impact of Q-GRFT nasal spray on smell.
Detailed Description
This is a phase 1 study for intranasal application of Q-Griffithsin (Q-GRFT) spray as a prophylactic for severe acute respiratory syndrome-CoV-2. This randomized, placebo-controlled, single site will assess the local and systemic safety of intranasal Q-GRFT after 14 doses in approximately 45 adult participants. Participants will be randomized 2:1 (Q-GRFT nasal spray: placebo nasal spray) resulting in 30 participants enrolled into the Q-GRFT arm and 15 participants enrolled into the placebo arm. Accrual of approximately 45 evaluable participants is expected to take 6 months. The expected duration of study participation for each participant will be approximately 6-8 weeks. A clinician will apply two metered doses of Q-GRFT in each nostril (400μl total) of the participant on the day of enrollment. Participants will be monitored in the clinic for 1 hour after administration and return for a 24-hour post dose visit. If safe and acceptable, a second period of daily administration by the participant for 13 days will commence after a 5-49 day washout period. Safety assessments will be performed at day 7, day 14, and day 28 visits after the initiation of the second period. Additional safety assessments will be done by contacting participants between the 24-hour and 7-day visits and 7- and 14-day visits. The expected duration of study participation for each participant will be approximately 6-8 weeks. The primary endpoint is the proportion of participants who experience a related Grade 2 or higher adverse event. Secondary and exploratory endpoints include persistence and systemic absorption of Q-GRFT, acceptability and the impact of Q-GRFT nasal spray on smell.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19, Pharmacokinetics, Safety
Keywords
Intranasal spray, Prophylaxis

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Q-GRFT Nasal Spray
Arm Type
Active Comparator
Arm Description
Q-Griffithsin (Q-GRFT) nasal spray (7.5mg/mL). Two metered doses of 100μL into each nostril, total of 3mg Q-GRFT per administration, administered once daily for 14 consecutive days.
Arm Title
Placebo Nasal Spray
Arm Type
Placebo Comparator
Arm Description
Placebo Nasal Spray. Two metered doses of 100μL into each nostril, administered once daily for 14 consecutive days.
Intervention Type
Drug
Intervention Name(s)
Q-Griffithsin
Intervention Description
Q-Griffithsin is derived from Griffithsin (GRFT) which is a non-glycosylated protein consisting of 121 amino acids. Q-GRFT contains a single amino acid substitution, M78Q variant, resistant to oxidation yet maintains the parent molecule's pharmacological profile.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
A matched vehicle solution manufactured and dispensed in same applicators as the active comparator.
Primary Outcome Measure Information:
Title
Number of Participants with Related Grade 2 or Higher Adverse Events
Description
Number of participants with Grade 2 or higher adverse events deemed related to study product
Time Frame
Approximately 8 weeks
Secondary Outcome Measure Information:
Title
Q-GRFT Concentration from Nasopharyngeal Swab Eluent Collected at 24 Hours
Description
Q-GRFT concentration from nasopharyngeal swab eluent collected 24 hours after intranasal application of a single dose of study product
Time Frame
Approximately 24 hours
Title
Q-GRFT Plasma Concentration Collected at 24 Hours
Description
Q-GRFT concentration in plasma collected 24 hours after intranasal application of a single dose of study product
Time Frame
Approximately 24 hours
Title
Area Under the Nasopharyngeal Swab Eluent Concentration versus Time Curve of Q-GRFT
Description
Area under the nasopharyngeal swab eluent concentration versus time curve of Q-GRFT collected after 13 consecutive daily intranasal applications of study product. Q-GRFT concentrations will be measured prior to the first application of study product and at 7-days, 14-days, and 28-days after the first of thirteen applications of study product.
Time Frame
Approximately 28 days
Title
Area Under the Plasma Concentration versus Time Curve of Q-GRFT
Description
Area under the plasma concentration versus time curve of Q-GRFT collected after 13 consecutive daily intranasal applications of study product. Q-GRFT concentrations will be measured prior to the first application of study product and at 7-days, 14-days, and 28-days after the first of thirteen applications of study product.
Time Frame
Approximately 28 days
Title
Acceptability of the Intranasal Spray
Description
The acceptability of the nasal spray use by the participant will be assessed on a 5 point Likert scale, with 1 being do not agree at all and 5 being completely agree.
Time Frame
Approximately 28 days
Other Pre-specified Outcome Measures:
Title
Mean Change in Brief Smell Identification Test (BSIT) Score
Description
Mean change in Brief Smell Identification Test (BSIT) score between the score measured before the first application of study product and measured after 13 consecutive daily applications
Time Frame
Approximately 14 days
Title
Q-GRFT Concentration from Oropharyngeal Swab Eluent Collected at 24 Hours
Description
Q-GRFT concentration from oropharyngeal swab eluent collected 24 hours after intranasal application of a single dose of study product
Time Frame
Approximately 24 hours
Title
Q-GRFT Concentration from Nares Swab Eluent Collected at 24 Hours
Description
Q-GRFT concentration from nares swab eluent collected 24 hours after intranasal application of a single dose of study product
Time Frame
Approximately 24 hours
Title
Q-GRFT Concentration from Oropharyngeal Swab Eluent Collected at 24 Hours After 13 Consecutive Daily Intranasal Applications
Description
Q-GRFT concentration from oropharyngeal swab eluent collected 24 hours after the last dose of 13 consecutive daily intranasal applications of study product.
Time Frame
Approximately 14 days
Title
Q-GRFT Concentration from Nares Swab Eluent Collected at 24 Hours After 13 Consecutive Daily Intranasal Applications
Description
Q-GRFT concentration from nares swab eluent collected 24 hours after the last dose of 13 consecutive daily intranasal applications of study product.
Time Frame
Approximately 14 days
Title
Q-GRFT Concentration from Rectal Swab Eluent Collected at 24 Hours After 13 Consecutive Daily Intranasal Applications
Description
Q-GRFT concentration from rectal swab eluent collected 24 hours after the last dose of 13 consecutive daily intranasal applications of study product.
Time Frame
Approximately 14 days

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: Willing and able to provide written informed consent In general good health as determined by the site clinician Negative SARS-CoV-2 test at screening Fully vaccinated for SARS-CoV-2 (does not include booster vaccination) Agree to abstain from any other investigational drug studies for the duration of the study Agree to abstain from nasally administered products, including over-the-counter products, for the duration of the study Report use of an effective method of contraception at enrollment and intending to continue use of an effective method for the duration of study participation. Acceptable methods include: Males: Male condoms, sterilization of participant or partner, partner use of hormonal contraception or intrauterine device, identifies as a man who has sex with men exclusively, and/or sexually abstinent for the past 60 days and agrees to remain abstinent for the study duration Females: Hormonal methods at the time of enrollment, intrauterine device inserted prior to enrollment, sterilization of participant or partner, consistent condom use of male partner for at least 28 days (reports using condoms 10 times in the last 10 acts of intercourse), identifies as a woman who has sex with women exclusively, and/or sexually abstinent for the past 60 days and agrees to remain abstinent for the study duration. Agree to participate in all study-related assessments and procedures Exclusion Criteria: Abnormal nasal or throat exam at enrollment If female, pregnancy, or within 42 days of last pregnancy at screening If female, breastfeeding Diagnosed with SARS-CoV-2 in the past 42 days at screening Diagnosed or suspected respiratory tract infection in the past 14 days at screening (including asymptomatic SARS-CoV-2) Participation in an investigational drug study in past 30 days at screening Any condition that, in the opinion of the Investigator would preclude provision of consent, make participation in the study unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives Use of any intranasal product in the 14 days prior to enrollment Surgical procedure involving the nose or throat 90 days prior to enrollment Any of the following laboratory abnormalities at screening: Hgb < 12g/dL (men) and < 11g/dL (women) Serum creatinine > 1.1 x upper limit of normal alanine transaminase, aspartate aminotransferase, and total bilirubin > 1.1 x upper limit of normal Grade 2 or higher seasonal allergies at the time of enrollment Reported use of illicit drugs Non-therapeutic injection drug use in the 12 months prior to screening Any use of methamphetamine, gamma hydroxybutyrate, cocaine or heroin in the 12 months prior to screening Use of systemic prescription immunomodulatory medications within the 4 weeks prior to the enrollment
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sharon L Hillier, PhD
Organizational Affiliation
University of Pittsburgh
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ingrid Macio
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Safety and Acceptability of Q GRFT Nasal Spray for COVID-19 Prophylaxis

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