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A Phase I Study to Evaluate the Safety and PK of ND-340 in Healthy Volunteers

Primary Purpose

Pain, Postoperative

Status
Recruiting
Phase
Phase 1
Locations
Taiwan
Study Type
Interventional
Intervention
Marcaine® 100mg/20mL (0.5%) bupivacaine solution for Injection
ND-340 (Bupivacaine Microsphere), 300 mg/vial bupivacaine for extended-release injectable suspension
Sponsored by
Nang Kuang Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pain, Postoperative focused on measuring Bupivacaine, Pharmacokinetics, Analgesics

Eligibility Criteria

20 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. 20 - 45 year-old healthy male subjects or female subjects who are in non-lactating and non-pregnant status.
  2. Subjects must have a Body Mass Index (BMI) of 18.5 to 30.0 Kg/m², inclusive. For male subjects, body weight must be above 50 kg; for female subjects, body weight must be above 45 kg. BMI = Weight (kg)/Height (m2).
  3. Female subject with childbearing potential must have a negative serum pregnancy test at the screening visit.
  4. Able and willing to comply with all study visits and procedures.
  5. The informed consent form has been read, signed and dated by the subject.
  6. Able to communicate well with the investigator, comply with study questionnaires, and other instruments used for collecting subject-reported outcomes.

Exclusion Criteria:

  1. Subject has a sitting pulse rate outside the reference range of 50 to 90 beats per minute or an ear temperature outside the reference range of 35.0 to 37.5°C or a sitting blood pressure less than 90/50 mmHg or more than 140/90 mmHg at screening visit.
  2. Subject has clinically significant results of physical examination, laboratory tests, electrocardiogram, or chest X-ray as judged by the investigator at the screening visit.
  3. With abnormal results of sensory and neurological assessment as judged by the investigator at the screening visit.
  4. Presence of liver disease or liver injury as indicated by an abnormal liver function profile such as alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkalinephosphatase (ALP), or total bilirubin, if any one of them is out of the reference range.
  5. Presence of impaired renal function as indicated by abnormal creatinine or blood urea nitrogen values or abnormal urinary constituents, if any one of them is out of the reference range.
  6. Known of active infection with HIV, HBV, or HCV as defined by blood tests at the screening visit.
  7. Presence of clinically significant illness, such as cardiovascular disease, cerebrovascular disease, metabolic disease, respiratory disease, neurological disease, psychiatric disease, cancers or immunological disease, may increase the risk of study as judged by the investigator at the screening visit.
  8. Subject does not agree not to take any prescription, over-the-counter medication, herbal medicine and dietary supplement (including multivitamins) within two weeks before hospital admission and until the end of the study.
  9. Subject does not agree not to consume any beverage or food that might affect the drug metabolism, such as pomelo, grapefruit or related products within one week before hospital admission and until the end of the study.
  10. Subject does not agree not to consume any caffeine-containing product (e.g., tea, coffee, coke, or chocolate) 3 days prior to hospital admission and until the end of the study.
  11. Subject does not agree not to consume any product containing tobacco, nicotine (such as e-cigarettes, nicotine gum), and alcohol 3 days prior to hospital admission and until the end of the study.
  12. Administration of an investigational drug within 2 months or 5 elimination half-lives of such investigational drug, whichever is longer, prior to study drug administration; or planned administration of another investigational product or procedure during the study period.
  13. Donation or loss of more than 500 mL and 250 mL of blood within 3 months and 2 months before the screening visit, respectively.
  14. Known with a history of allergy or hypersensitivity to medicine as judged by the investigator at the screening visit.
  15. Female subject who is breast-feeding, pregnant, or planning to become pregnant.
  16. Subject does not agree to use effective non-hormonal contraception method to prevent from pregnancy ('double barrier method': condoms used concomitantly with vaginal sponge, diaphragm or intra-uterine contraceptive device) or abstain from sexual behavior with his/her partner from screening until the end of the study.
  17. Individual is not eligible to be a subject for other reasons based on the judgment of investigator.

Sites / Locations

  • National Taiwan University HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Marcaine® 100mg/20mL (0.5%) bupivacaine solution for Injection

ND-340 (Bupivacaine Microsphere), 300 mg/vial bupivacaine for extended-release injectable suspension

Arm Description

Marcaine® at 150 mg in each cohort.

ND-340(90-320 mg) at dose escalations

Outcomes

Primary Outcome Measures

Adverse events as assessed by CTCAE v 5.0
Treatment-related adverse events will be analyzed by cohort
Changes in 12-lead ECG and Holter monitor
To definition safety profile in cardiac events, vent. rate, PR interval, QRS duration, QT interval, QTc interval
Changes in Laboratory test - hematology
Hemoglobin, Hct, RBC count, WBC count, Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils, Platelet count
Changes in Laboratory tests - biochemistry
Albumin, Total protein, ALT, AST, ALP, Total bilirubin, BUN, Serum creatinine, K, Na, Mg, Ca, P, Uric acid, Total cholesterol, HbA1c
Changes in Laboratory tests - urinalysis
pH, Specific gravity, Leukocyte, Erythrocyte, Protein, Glucose
Changes in vital signs
To definition safety profile including body temperature,blood pressure, respiratory rate, pulse rate
Changes in physical examination
To definition safety profile including general appearance, HEENT, neck, Lymph nodes, skin, cardiovascular, pulmonary, abdomen, neurological system, musculoskeletal/joints
The tolerability and maximal tolerated dose (MTD) of ND-340 by dose-limiting toxicities (DLTs)
The incidence of DLT will be summarized by each cohort. The number of subject who has DLT will be summarized by cohorts. and the determination of MTD in this study will be provided.
Cmax
Maximum Plasma Concentration of ND-340
Tmax
Time of peak concentration of ND-340
AUC 0-t
Area under the plasma concentration versus time curve from zero to t of ND-340
AUC 0-∞
Area under the plasma concentration versus time curve from zero to infinity of ND-340
T1/2
Terminal half life of ND-340
CL/F
Clearance/Bioavailability of ND-340
λz
Terminal elimination rate constant
Vz/F
Apparent volume of distribution during terminal phase after non-intravenous administration
MRT 0-∞
Mean residence time from zero to infinity of ND-340

Secondary Outcome Measures

Range of motion of knee
The range of motion (ROM) of knee as measured by knee flexion and extension at baseline and subsequent visits, and the change from baseline will be summarized descriptively by cohorts and drugs(ND-340 or Marcaine®).
The ambulation distance
The ambulation distance as measured by six-minute walk test (6MWT) at baseline and subsequent visits, and the change from baseline will be summarized descriptively by cohorts and drugs (ND-340 or Marcaine®).

Full Information

First Posted
July 4, 2022
Last Updated
October 18, 2022
Sponsor
Nang Kuang Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05588557
Brief Title
A Phase I Study to Evaluate the Safety and PK of ND-340 in Healthy Volunteers
Official Title
A Phase I Dose-escalation Study, Randomized Comparison With Active Control to Evaluate the Safety and Pharmacokinetics of a Single Administration of ND-340 Via Adductor Canal Block (ACB) and IPACK Block in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
October 2022
Overall Recruitment Status
Recruiting
Study Start Date
July 8, 2022 (Actual)
Primary Completion Date
June 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Nang Kuang Pharmaceutical Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
This study focuses on ND-340 extended release injection suspension for healthy volunteers with a one-time nerve blockade to determine the safety, tolerability, and pharmacokinetic profile.
Detailed Description
The current investigational product, ND-340, is a bupivacaine microsphere injection with an extended release profiling. Lipid microsphere, or liposphere, has been proposed as new type of lipid-based encapsulation system for drug delivery of bioactive compounds especially lipophilic compound. ND-340 has not been studied in human before. However, MARCAINE® and EXPAREL® are both FDA-approved drugs, which contain the same active pharmaceutical ingredient (API) as ND-340, which is bupivacaine. MARCAINE® is indicated for the production of local or regional anesthesia or analgesia for surgery, dental and oral surgery procedures, diagnostic and therapeutic procedures, and for obstetrical procedures. In this study, Investigators will focus on determining the safety, tolerability, and pharmacokinetic profile of ND-340.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pain, Postoperative
Keywords
Bupivacaine, Pharmacokinetics, Analgesics

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
The subjects of each cohort will be randomly arranged to receive ND-340 or control drug (Marcaine® Injection 0.5%, equal to bupivacaine base 5 mg/mL) in the ratio of 3:1.
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Marcaine® 100mg/20mL (0.5%) bupivacaine solution for Injection
Arm Type
Active Comparator
Arm Description
Marcaine® at 150 mg in each cohort.
Arm Title
ND-340 (Bupivacaine Microsphere), 300 mg/vial bupivacaine for extended-release injectable suspension
Arm Type
Experimental
Arm Description
ND-340(90-320 mg) at dose escalations
Intervention Type
Drug
Intervention Name(s)
Marcaine® 100mg/20mL (0.5%) bupivacaine solution for Injection
Intervention Description
Subjects in this arm will receive a single administration of Marcaine® at the 150 mg. Marcaine® will be administered under ultrasound guidance with a total volume of 40 mL, of which 20 mL will be used via adductor canal block (ACB) and the other 20 mL will be used as IPACK block (interspace between the popliteal artery and the capsule of the posterior knee).
Intervention Type
Drug
Intervention Name(s)
ND-340 (Bupivacaine Microsphere), 300 mg/vial bupivacaine for extended-release injectable suspension
Intervention Description
Subjects in this arm will receive a single administration of ND-340 at the specified dose (90-320 mg). ND-340 will be administered under ultrasound guidance with a total volume of 40 mL, of which 20 mL will be used via adductor canal block (ACB) and the other 20 mL will be used as IPACK block (interspace between the popliteal artery and the capsule of the posterior knee).
Primary Outcome Measure Information:
Title
Adverse events as assessed by CTCAE v 5.0
Description
Treatment-related adverse events will be analyzed by cohort
Time Frame
From administration of ND-340 to 140 hours
Title
Changes in 12-lead ECG and Holter monitor
Description
To definition safety profile in cardiac events, vent. rate, PR interval, QRS duration, QT interval, QTc interval
Time Frame
Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hour
Title
Changes in Laboratory test - hematology
Description
Hemoglobin, Hct, RBC count, WBC count, Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils, Platelet count
Time Frame
Pre-dose, 140 hour
Title
Changes in Laboratory tests - biochemistry
Description
Albumin, Total protein, ALT, AST, ALP, Total bilirubin, BUN, Serum creatinine, K, Na, Mg, Ca, P, Uric acid, Total cholesterol, HbA1c
Time Frame
Pre-dose, 140 hour
Title
Changes in Laboratory tests - urinalysis
Description
pH, Specific gravity, Leukocyte, Erythrocyte, Protein, Glucose
Time Frame
Pre-dose, 140 hour
Title
Changes in vital signs
Description
To definition safety profile including body temperature,blood pressure, respiratory rate, pulse rate
Time Frame
Screening visit, day 0 (Pre-dose, 60 mins), Day 1, Day 2, Day 3, Day 4, Day 5, Day 6
Title
Changes in physical examination
Description
To definition safety profile including general appearance, HEENT, neck, Lymph nodes, skin, cardiovascular, pulmonary, abdomen, neurological system, musculoskeletal/joints
Time Frame
Screening visit, day -1, Day 6
Title
The tolerability and maximal tolerated dose (MTD) of ND-340 by dose-limiting toxicities (DLTs)
Description
The incidence of DLT will be summarized by each cohort. The number of subject who has DLT will be summarized by cohorts. and the determination of MTD in this study will be provided.
Time Frame
Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hour
Title
Cmax
Description
Maximum Plasma Concentration of ND-340
Time Frame
Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours
Title
Tmax
Description
Time of peak concentration of ND-340
Time Frame
Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours
Title
AUC 0-t
Description
Area under the plasma concentration versus time curve from zero to t of ND-340
Time Frame
Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours
Title
AUC 0-∞
Description
Area under the plasma concentration versus time curve from zero to infinity of ND-340
Time Frame
Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours
Title
T1/2
Description
Terminal half life of ND-340
Time Frame
Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours
Title
CL/F
Description
Clearance/Bioavailability of ND-340
Time Frame
Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours
Title
λz
Description
Terminal elimination rate constant
Time Frame
Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours
Title
Vz/F
Description
Apparent volume of distribution during terminal phase after non-intravenous administration
Time Frame
Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours
Title
MRT 0-∞
Description
Mean residence time from zero to infinity of ND-340
Time Frame
Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours
Secondary Outcome Measure Information:
Title
Range of motion of knee
Description
The range of motion (ROM) of knee as measured by knee flexion and extension at baseline and subsequent visits, and the change from baseline will be summarized descriptively by cohorts and drugs(ND-340 or Marcaine®).
Time Frame
Pre-dose, 1, 2, 4, 8, 18, 24, 32, 44, 56, 68, 80, 92,104,116,128,140 hours
Title
The ambulation distance
Description
The ambulation distance as measured by six-minute walk test (6MWT) at baseline and subsequent visits, and the change from baseline will be summarized descriptively by cohorts and drugs (ND-340 or Marcaine®).
Time Frame
Once a day on Pre-dose, Day 1 and Day 2

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: 20 - 45 year-old healthy male subjects or female subjects who are in non-lactating and non-pregnant status. Subjects must have a Body Mass Index (BMI) of 18.5 to 30.0 Kg/m², inclusive. For male subjects, body weight must be above 50 kg; for female subjects, body weight must be above 45 kg. BMI = Weight (kg)/Height (m2). Female subject with childbearing potential must have a negative serum pregnancy test at the screening visit. Able and willing to comply with all study visits and procedures. The informed consent form has been read, signed and dated by the subject. Able to communicate well with the investigator, comply with study questionnaires, and other instruments used for collecting subject-reported outcomes. Exclusion Criteria: Subject has a sitting pulse rate outside the reference range of 50 to 90 beats per minute or an ear temperature outside the reference range of 35.0 to 37.5°C or a sitting blood pressure less than 90/50 mmHg or more than 140/90 mmHg at screening visit. Subject has clinically significant results of physical examination, laboratory tests, electrocardiogram, or chest X-ray as judged by the investigator at the screening visit. With abnormal results of sensory and neurological assessment as judged by the investigator at the screening visit. Presence of liver disease or liver injury as indicated by an abnormal liver function profile such as alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkalinephosphatase (ALP), or total bilirubin, if any one of them is out of the reference range. Presence of impaired renal function as indicated by abnormal creatinine or blood urea nitrogen values or abnormal urinary constituents, if any one of them is out of the reference range. Known of active infection with HIV, HBV, or HCV as defined by blood tests at the screening visit. Presence of clinically significant illness, such as cardiovascular disease, cerebrovascular disease, metabolic disease, respiratory disease, neurological disease, psychiatric disease, cancers or immunological disease, may increase the risk of study as judged by the investigator at the screening visit. Subject does not agree not to take any prescription, over-the-counter medication, herbal medicine and dietary supplement (including multivitamins) within two weeks before hospital admission and until the end of the study. Subject does not agree not to consume any beverage or food that might affect the drug metabolism, such as pomelo, grapefruit or related products within one week before hospital admission and until the end of the study. Subject does not agree not to consume any caffeine-containing product (e.g., tea, coffee, coke, or chocolate) 3 days prior to hospital admission and until the end of the study. Subject does not agree not to consume any product containing tobacco, nicotine (such as e-cigarettes, nicotine gum), and alcohol 3 days prior to hospital admission and until the end of the study. Administration of an investigational drug within 2 months or 5 elimination half-lives of such investigational drug, whichever is longer, prior to study drug administration; or planned administration of another investigational product or procedure during the study period. Donation or loss of more than 500 mL and 250 mL of blood within 3 months and 2 months before the screening visit, respectively. Known with a history of allergy or hypersensitivity to medicine as judged by the investigator at the screening visit. Female subject who is breast-feeding, pregnant, or planning to become pregnant. Subject does not agree to use effective non-hormonal contraception method to prevent from pregnancy ('double barrier method': condoms used concomitantly with vaginal sponge, diaphragm or intra-uterine contraceptive device) or abstain from sexual behavior with his/her partner from screening until the end of the study. Individual is not eligible to be a subject for other reasons based on the judgment of investigator.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Cindy Hsu, Manager
Phone
+886-6-598-4121
Ext
2307
Email
cindy@nangkuang.com.tw
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Chih-Peng Lin, MD, PhD
Organizational Affiliation
National Taiwan University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
National Taiwan University Hospital
City
Taipei city
ZIP/Postal Code
100229
Country
Taiwan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Chih-Peng Lin, MD, PhD
Phone
+886-2-2312-3456
First Name & Middle Initial & Last Name & Degree
Chih-Peng Lin, MD, PhD
First Name & Middle Initial & Last Name & Degree
Man-Ling Wang, MD

12. IPD Sharing Statement

Learn more about this trial

A Phase I Study to Evaluate the Safety and PK of ND-340 in Healthy Volunteers

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