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Safety, Tolerability, and Pharmacokinetics of Q-Griffithsin Intranasal Spray

Primary Purpose

COVID-19 Prevention

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Q-Griffithsin 3.0
Q-Griffithsin 6.0
Sponsored by
Kenneth Palmer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 Prevention focused on measuring COVID-19, Q-griffithsin, Nasal Spray, Prophylactic, Corona Virus, SARs CoV 2

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • COVID-19 negative using Rapid antigen test at screening.
  • Able and willing to provide written informed consent to take part in the study.
  • Able and willing to provide adequate information for locator purposes.
  • Availability to return for all study visits, barring unforeseen circumstances.
  • Agree not to participate in other research studies involving drugs and/or medical devices during the study period.
  • Female participants must meet the following criteria:

Postmenopausal or using (or willing to use) an acceptable form of contraception (e.g., barrier method, IUD, hormonal contraception, sexual abstinence, surgical sterilization, or vasectomization of male partner).

If the female participant has female partners only, the method of contraception will be noted as a barrier method for study documentation.

Not be pregnant at the baseline or enrollment visit. Not be breastfeeding at screening or intend to breastfeed during study participation per participant report.

  • Willingness and ability to defer vaccinations until after study participation is completed. This does not include COVID-19 vaccinations.
  • Participants should have received all COVID-19 vaccines that they are eligible for. Those eligible for booster doses will not delay getting their dose for purposes of enrolling in the study. They will first obtain their booster dose and be re-evaluated for enrollment 2 weeks following their booster dose.
  • Willingness to perform at-home study product self-administration according to written instructions that will be provided.
  • Willingness to follow local guidelines for mask-wearing and face coverings.
  • Must be in general good health in the opinion of the investigator.

Exclusion Criteria:

  • Participants with ongoing moderate to severe allergic rhinitis, asthma, or history of chronic obstructive pulmonary disease (COPD), and currently suffering from chronic rhinitis or acute/chronic sinusitis.
  • Participants who report any of the following at Screening:

    1. Ongoing common cold or flu-like symptoms for 48 hours prior to the screening, including sore throat, blocked nose, runny nose, cough, and sneezing.
    2. Participants who experience moderate or severe or higher seasonal allergies, such as hay fever, (symptoms in excess of mild, intermittent nasal rhinorrhea, sneezing, or itchy/watery eyes).
    3. Non-therapeutic injection drug use in the 6 months prior to screening and recreational snorting drug use or on prescription medication/ concomitant therapy other than for contraception and antibiotics. Those excluded will include individuals taking prescription medications like systemic steroids, intranasal medicines, among others.
    4. Participants who are current smokers.
    5. Known allergy to methylparaben, or propylparaben, or any ingredients of the formulated drug product.
    6. Use of systemic immunomodulatory medications (Thalidomide, Lenalidomide, Pomalidomide, Imiquimod, etc.), anticoagulants, and other drugs assessed by the site Investigator within the 4 weeks prior to study enrollment.
    7. History of alcohol/ substance abuse within 6 months of study enrollment.
    8. History of any vaccinations within the 2 weeks prior to enrollment.
    9. Participating in another research study involving drugs or medical devices within the 4 weeks prior to enrollment.
    10. Having plans to relocate away from the study site area during the period of study participation.
  • Has any of the following laboratory abnormalities at Screening:

    1. White blood cell count < 2,000 cells/mm3 or > 15,000 cells/mm3.
    2. Hemoglobin <12 g/dL for men and <11 g/dL for women.
    3. Calculated creatinine clearance >1.1 x upper limit of normal (ULN).
    4. Alanine transaminase (ALT) and/or aspartate aminotransferase (AST) > 1.1 × the site laboratory ULN.
    5. Total bilirubin > 1.1 x ULN.
    6. ≥ +1 glucose or +2 protein on urinalysis (UA).
  • Any other condition or prior therapy that, in the opinion of the investigator, would preclude informed consent, make study participation unsafe, make the individual unsuitable for the study, or unable to comply with the study requirements. Such conditions may include but are not limited to a current or recent history (within last 6 months) of severe, progressive, or uncontrolled substance abuse, or renal, hepatic, hematological, gastrointestinal, endocrine, pulmonary, neurological, cerebral disease, severe nasal septum deviation, or other condition that may cause nasal obstruction like nasal polyps or nasal/ sinus surgery in the past.

Sites / Locations

  • University of Louisville Clinical Trials UnitRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Q-Griffithsin Group 1: 3.0 mg daily spray

Q-Griffithsin Group 2: two 3.0 mg sprays per day

Arm Description

In Group 1, up to 12 participants will receive a dose of 3.0 mg intranasal Q-GRFT administered once daily, as 2 sprays (100 µL/ spray) in each nostril, for 7 days.

In Group 2, up to 12 participants will be enrolled to receive a total of 6.0 mg intranasal Q-GRFT administered as 3.0 mg twice daily (3.0 mg BID), with 2 sprays (100 µL/ spray) in each nostril approximately every 12 hours, for 7 days.

Outcomes

Primary Outcome Measures

Pharmacokinetic levels
Q-GRFT Study Product (SP) concentration will be assessed in nasopharyngeal fluids.
Safety of product by measuring number of subjects that experience Adverse Events greater than Grade 3.
Incidence of AEs Grade 3 or higher as defined by the Division of AIDS (DAIDS) Table or Grading the Severity of Adult and Pediatric Adverse Events, V2.1 (July 2017).

Secondary Outcome Measures

Smell Assessment by Brief Smell Identification Test
Smell Assessment will be performed using the Sensonics International Brief Smell Identification Test (BSIT) to evaluate the impact of Q GRFT SP intranasal treatment on the sensation. This is a "scratch and sniff" type test with a set number of defined odors that participants should be able to identify. Modification of smell perception can be identified by changes in the results of the BSIT>
Acceptability
The product acceptability will be assessed to determine perception of use by participants. This is achieved through a assessing participants' responses to defined questions on a questionnaire that asks how the participants feel about their experiences with the investigational nasal spray product, and how likely they might be to use the product if it is approved for use. A majority of answers indicating a negative impression of the user experience will alert the study team to the possibility that the product will not be acceptable for use if approved and marketed as a nasal spray to prevent virus infection.
Quality of life outcome
Quality of Life will be evaluated with the SF-12 battery of questions. The SF-12 is a self-reported outcome measure assessing the impact of health on an individual's everyday life. It is often used as a quality of life measure.
Anti-drug antibody levels
Anti-drug antibodies (ADA) will be measured in collected plasma to assess if any anti-QGRFT antibodies are generated after multiple Q-GRFT SP treatment
Pharmacokinetic levels
Q-GRFT Study Product (SP) concentration will be assessed in plasma.

Full Information

First Posted
May 13, 2022
Last Updated
June 28, 2022
Sponsor
Kenneth Palmer
Collaborators
United States Department of Defense
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1. Study Identification

Unique Protocol Identification Number
NCT05437029
Brief Title
Safety, Tolerability, and Pharmacokinetics of Q-Griffithsin Intranasal Spray
Official Title
A Phase 1b Study to Assess Safety, Tolerability, and Pharmacokinetics of a Multiple Dosing Schedule of Q-Griffithsin Intranasal Spray for Broad-spectrum Coronavirus Prophylaxis: A Study of the PREVENT-CoV Program
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Recruiting
Study Start Date
June 15, 2022 (Actual)
Primary Completion Date
October 15, 2022 (Anticipated)
Study Completion Date
November 1, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Kenneth Palmer
Collaborators
United States Department of Defense

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
The purpose of this study is to test the safety of multiple doses of a Q-GRFT nasal spray in healthy volunteers. This Q-GRFT nasal spray is "investigational and not approved by the FDA for general use" and is being developed to prevent the transmission of COVID-19 and other coronaviruses.
Detailed Description
This is an open-label dose-escalation study to assess the safety, tolerability, and pharmacokinetics (PK) of a multiple dosing schedule of Q GRFT intranasal spray DP. Up to 24 healthy participants will be enrolled and assigned to either of 2 groups to receive treatment. In Group 1, up to 12 participants will receive a dose of 3.0 mg intranasal Q-GRFT administered once daily, as 2 sprays (100 µL/ spray) in each nostril, for 7 days. The initial dose will be administered in the clinic by a study clinician. Participants will be taught how to self-administer the study product at the clinic and receive written instructions for at-home self-administration. Subsequent doses will be self-administered either at the clinic or at home. Group 1 participants will undergo PK sampling (nasal and nasopharyngeal fluids) at baseline (enrollment visit), on day 1 (1 hour, 6 hours, and 10 hours after the initial dose), day 2 (24±1 hours after initial dose), day 4 (pre-dose and 1-hour post-dose), day 7 (pre-dose, 1 hour, 6 hours, and 10 hours after the final dose, day 8 (24±1 hours) and day 9 (48±2 hours) following the final dose. Blood for evaluation of systemic exposure will be collected at baseline, day 1 and day 4 (1 hour post-dose), and on day 8, upon dose completion. In Group 2, up to 12 participants will be enrolled to receive a total of 6.0 mg intranasal Q-GRFT administered as 3.0 mg twice daily (3.0 mg BID), with 2 sprays (100 µL/ spray) in each nostril approximately every 12 hours, for 7 days. Administration of the third dose among Group 2 participants will be delayed to permit obtaining a 24-hour PK timepoint for one completed 6.0 mg BID treatment. The initial dose will be administered in the clinic by a study clinician. Participants will be taught to self-administer the study product at the clinic and receive written instructions for at-home self-administration. Subsequent doses will be self-administered either at the clinic or at home. Participants in this group will undergo PK sampling (nasal and nasopharyngeal fluids) at baseline (enrollment visit), on day 2 (1 hour, 6 hours, and 10 hours after the second dose), day 3 (24±1 hours after the second dose), day 5 (pre-dose after 3 completed doses of 6 mg and 1 hour post-dose), day 8 (pre-dose, 1 hour, 6 hours, and 10 hours after the final dose), day 9 (24±1 hours) and day 10 (48±2hours) following the final dose. Blood for evaluation of systemic exposure will be collected at baseline, on day 2 and day 5 (1 hour post-dose), and on day 9 after the final dose completion. Safety assessment for both groups will be conducted after 3 days of dosing, upon completion of the final dose, and within 3-4 weeks of dose completion. An optional rectal fluids sampling procedure using a sponge will be performed 1 day after the final dose, to assess for any study product in the gastrointestinal tract. Blood draws for anti-drug antibodies/ immunogenicity assays will be performed at baseline, 24±1 hours after the final dose and 3-4 weeks after the final dose administration. Additional participants will be enrolled in case any subjects do not complete all safety or primary PK assessments, in order to assure that a minimum of 9 subjects is available for full analysis. All sampling procedures will be performed in the clinic. This sample size is appropriate for a Phase 1b clinical study to gather additional multi-dosing safety data and preliminary PK data following completion of the single-dose treatment Phase 1a trial. The proposed studies will allow a careful selection of the ideal dose that will be administered to subjects in future Phase 2 studies.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19 Prevention
Keywords
COVID-19, Q-griffithsin, Nasal Spray, Prophylactic, Corona Virus, SARs CoV 2

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
24 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Q-Griffithsin Group 1: 3.0 mg daily spray
Arm Type
Experimental
Arm Description
In Group 1, up to 12 participants will receive a dose of 3.0 mg intranasal Q-GRFT administered once daily, as 2 sprays (100 µL/ spray) in each nostril, for 7 days.
Arm Title
Q-Griffithsin Group 2: two 3.0 mg sprays per day
Arm Type
Experimental
Arm Description
In Group 2, up to 12 participants will be enrolled to receive a total of 6.0 mg intranasal Q-GRFT administered as 3.0 mg twice daily (3.0 mg BID), with 2 sprays (100 µL/ spray) in each nostril approximately every 12 hours, for 7 days.
Intervention Type
Drug
Intervention Name(s)
Q-Griffithsin 3.0
Other Intervention Name(s)
Q-Griffithsin Group 1
Intervention Description
This is an open-label dose-escalation study to assess the safety, tolerability, and pharmacokinetics (PK) of a multiple dosing schedule of low dose Q GRFT intranasal spray DP
Intervention Type
Drug
Intervention Name(s)
Q-Griffithsin 6.0
Other Intervention Name(s)
Q-Griffithsin Group 2
Intervention Description
This is an open-label dose-escalation study to assess the safety, tolerability, and pharmacokinetics (PK) of a multiple dosing schedule of high dose Q GRFT intranasal spray DP
Primary Outcome Measure Information:
Title
Pharmacokinetic levels
Description
Q-GRFT Study Product (SP) concentration will be assessed in nasopharyngeal fluids.
Time Frame
Nasopharyngeal fluids on days 1, 2, 4, 7, 8, 9 for group 1; Days 2, 3, 5, 8, 9 for group 2
Title
Safety of product by measuring number of subjects that experience Adverse Events greater than Grade 3.
Description
Incidence of AEs Grade 3 or higher as defined by the Division of AIDS (DAIDS) Table or Grading the Severity of Adult and Pediatric Adverse Events, V2.1 (July 2017).
Time Frame
3-4 weeks
Secondary Outcome Measure Information:
Title
Smell Assessment by Brief Smell Identification Test
Description
Smell Assessment will be performed using the Sensonics International Brief Smell Identification Test (BSIT) to evaluate the impact of Q GRFT SP intranasal treatment on the sensation. This is a "scratch and sniff" type test with a set number of defined odors that participants should be able to identify. Modification of smell perception can be identified by changes in the results of the BSIT>
Time Frame
Visit 0, 6 or 7 (Day 9)
Title
Acceptability
Description
The product acceptability will be assessed to determine perception of use by participants. This is achieved through a assessing participants' responses to defined questions on a questionnaire that asks how the participants feel about their experiences with the investigational nasal spray product, and how likely they might be to use the product if it is approved for use. A majority of answers indicating a negative impression of the user experience will alert the study team to the possibility that the product will not be acceptable for use if approved and marketed as a nasal spray to prevent virus infection.
Time Frame
3 - 4 weeks
Title
Quality of life outcome
Description
Quality of Life will be evaluated with the SF-12 battery of questions. The SF-12 is a self-reported outcome measure assessing the impact of health on an individual's everyday life. It is often used as a quality of life measure.
Time Frame
Visit 0, 6 or 7 (Day 9)
Title
Anti-drug antibody levels
Description
Anti-drug antibodies (ADA) will be measured in collected plasma to assess if any anti-QGRFT antibodies are generated after multiple Q-GRFT SP treatment
Time Frame
Day 8 or 9
Title
Pharmacokinetic levels
Description
Q-GRFT Study Product (SP) concentration will be assessed in plasma.
Time Frame
3 - 4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: COVID-19 negative using Rapid antigen test at screening. Able and willing to provide written informed consent to take part in the study. Able and willing to provide adequate information for locator purposes. Availability to return for all study visits, barring unforeseen circumstances. Agree not to participate in other research studies involving drugs and/or medical devices during the study period. Female participants must meet the following criteria: Postmenopausal or using (or willing to use) an acceptable form of contraception (e.g., barrier method, IUD, hormonal contraception, sexual abstinence, surgical sterilization, or vasectomization of male partner). If the female participant has female partners only, the method of contraception will be noted as a barrier method for study documentation. Not be pregnant at the baseline or enrollment visit. Not be breastfeeding at screening or intend to breastfeed during study participation per participant report. Willingness and ability to defer vaccinations until after study participation is completed. This does not include COVID-19 vaccinations. Participants should have received all COVID-19 vaccines that they are eligible for. Those eligible for booster doses will not delay getting their dose for purposes of enrolling in the study. They will first obtain their booster dose and be re-evaluated for enrollment 2 weeks following their booster dose. Willingness to perform at-home study product self-administration according to written instructions that will be provided. Willingness to follow local guidelines for mask-wearing and face coverings. Must be in general good health in the opinion of the investigator. Exclusion Criteria: Participants with ongoing moderate to severe allergic rhinitis, asthma, or history of chronic obstructive pulmonary disease (COPD), and currently suffering from chronic rhinitis or acute/chronic sinusitis. Participants who report any of the following at Screening: Ongoing common cold or flu-like symptoms for 48 hours prior to the screening, including sore throat, blocked nose, runny nose, cough, and sneezing. Participants who experience moderate or severe or higher seasonal allergies, such as hay fever, (symptoms in excess of mild, intermittent nasal rhinorrhea, sneezing, or itchy/watery eyes). Non-therapeutic injection drug use in the 6 months prior to screening and recreational snorting drug use or on prescription medication/ concomitant therapy other than for contraception and antibiotics. Those excluded will include individuals taking prescription medications like systemic steroids, intranasal medicines, among others. Participants who are current smokers. Known allergy to methylparaben, or propylparaben, or any ingredients of the formulated drug product. Use of systemic immunomodulatory medications (Thalidomide, Lenalidomide, Pomalidomide, Imiquimod, etc.), anticoagulants, and other drugs assessed by the site Investigator within the 4 weeks prior to study enrollment. History of alcohol/ substance abuse within 6 months of study enrollment. History of any vaccinations within the 2 weeks prior to enrollment. Participating in another research study involving drugs or medical devices within the 4 weeks prior to enrollment. Having plans to relocate away from the study site area during the period of study participation. Has any of the following laboratory abnormalities at Screening: White blood cell count < 2,000 cells/mm3 or > 15,000 cells/mm3. Hemoglobin <12 g/dL for men and <11 g/dL for women. Calculated creatinine clearance >1.1 x upper limit of normal (ULN). Alanine transaminase (ALT) and/or aspartate aminotransferase (AST) > 1.1 × the site laboratory ULN. Total bilirubin > 1.1 x ULN. ≥ +1 glucose or +2 protein on urinalysis (UA). Any other condition or prior therapy that, in the opinion of the investigator, would preclude informed consent, make study participation unsafe, make the individual unsuitable for the study, or unable to comply with the study requirements. Such conditions may include but are not limited to a current or recent history (within last 6 months) of severe, progressive, or uncontrolled substance abuse, or renal, hepatic, hematological, gastrointestinal, endocrine, pulmonary, neurological, cerebral disease, severe nasal septum deviation, or other condition that may cause nasal obstruction like nasal polyps or nasal/ sinus surgery in the past.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Angela Siegwald, RN
Phone
502-852-2043
Email
angela.siegwald@louisville.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Amber Jackson
Phone
502-569-7904
Email
Amber.Jackson.1@louisville.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gerald W Dryden, MD, PhD
Organizational Affiliation
University of Louisville
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Louisville Clinical Trials Unit
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40202
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Angela Siegwald, RN, CCRN, MSCN
Phone
(502) 852-2043
Email
angela.siegwald@louisville.edu
First Name & Middle Initial & Last Name & Degree
Amber Jackson, BS
Phone
(502) 569-7904
Email
amber.jackson.1@louisville.edu

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
8614203
Citation
Doty RL, Marcus A, Lee WW. Development of the 12-item Cross-Cultural Smell Identification Test (CC-SIT). Laryngoscope. 1996 Mar;106(3 Pt 1):353-6. doi: 10.1097/00005537-199603000-00021.
Results Reference
background
PubMed Identifier
21277512
Citation
Chen H, Cisternas MG, Katz PP, Omachi TA, Trupin L, Yelin EH, Balmes JR, Blanc PD. Evaluating quality of life in patients with asthma and rhinitis: English adaptation of the rhinasthma questionnaire. Ann Allergy Asthma Immunol. 2011 Feb;106(2):110-118.e1. doi: 10.1016/j.anai.2010.10.027. Epub 2011 Jan 8.
Results Reference
background
PubMed Identifier
17882917
Citation
Doty RL. Office procedures for quantitative assessment of olfactory function. Am J Rhinol. 2007 Jul-Aug;21(4):460-73. doi: 10.2500/ajr.2007.21.3043.
Results Reference
background

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Safety, Tolerability, and Pharmacokinetics of Q-Griffithsin Intranasal Spray

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