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IM and IV SPL026 Drug Product in Healthy Participants

Primary Purpose

Major Depressive Disorder

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
SPL026 IV
SPL026 IM
Sponsored by
Small Pharma Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Major Depressive Disorder

Eligibility Criteria

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

Inclusion Criteria: Part A only Healthy psychedelic-experienced female or male participants (psychedelic-experienced is defined as having at least 2 previous experiences, with breakthrough, of serotonergic psychedelic drugs, including but not limited to: DMT, ayahausca, LSD, LSA [morning glory seeds], DOI [2,5-Dimethoxy-4- iodoamphetamine], DOB [dimethoxybromoamphetamine], DOC [2,5- Dimethoxy-4-chloroamphetamine], 2CB [2-(4-bromo-2,5- dimethoxyphenyl)ethanamine], 2CE [1-(2,5-Dimethoxy-4-ethylphenyl)-2- aminoethane], mescaline, peyote, san pedro, ibogaine and psilocybin [including mushroom species containing psilocybin]). No psychedelic drug use within 6 weeks prior to dosing. Part B only Healthy female or male participants with little to no psychedelic experience (defined as having never taken serotonergic psychedelic drugs, or have only taken sub-breakthrough doses of serotonergic psychedelic drugs, in any form, < 5 times, including but not limited to: DMT, ayahuasca, LSD, LSA, DOI, DOB, DOC, 2CB, 2CE, mescaline, peyote, san pedro, ibogaine and psilocybin [including mushroom species containing psilocybin]). No psychedelic drug use within 6 months prior to dosing. Parts A and B Aged 25-65 years. A body mass index (BMI; Quetelet index) in the range 18.0-33.9 kg/m2. Body Mass Index = Sufficient intelligence to understand the nature of the trial and any hazards of participating in it. Ability to communicate satisfactorily with the investigator and to participate in, and comply with the requirements of, the entire trial. Willingness to give written consent to participate after reading the information and consent form, and after having the opportunity to discuss the trial with the investigator or his delegate. Agree to follow the contraception requirements of the trial. Agree not to donate blood or blood products during the study and for up to 3 months after the (last) administration of the trial medication. Willing to refrain from psychedelic drug use (excluding the study drug) during the trial and until the follow up call. Willingness to give written consent to have data entered into The Overvolunteering Prevention System (TOPS). Willing to be contacted by email and video call, and have online access. Has veins deemed suitable for cannulation (IV infusion and/or blood sampling). Exclusion Criteria: Current or previously diagnosed mental health disorder as defined by Diagnostic and Statistical Manual of Mental Disorders (DSM-V) criteria. First degree relative with schizophrenia spectrum or other psychotic disorders, or bipolar and related disorders. Disposition judged by the investigator (or delegate) to be incompatible with establishment of rapport with therapy team and/or safe exposure to DMT. Woman who is pregnant or lactating, or pre-menopausal woman who is sexually active and not using a reliable method of contraception (see section 11). Clinically relevant abnormal history, physical findings, ECG, or laboratory values at the pre-trial screening assessment that could interfere with the objectives of the trial or the safety of the participant. Presence of acute or chronic illness, condition or infection, or history of chronic illness or condition (including psychological and neurological [eg seizure] disorder) considered sufficient to invalidate the participant's participation in the trial or make it unnecessarily hazardous. Impaired endocrine, thyroid, hepatic, respiratory or renal function, diabetes mellitus, coronary heart disease or any of the following cardiovascular conditions: arrhythmia, a clinically significant screening ECG abnormality or family history of long QT syndrome or sudden death, artificial heart valve, current or any history of hypertension, or any other significant current or history of cardiovascular condition, that may affect safety in the opinion of the investigator. History of serious suicide attempts (ie those that require hospitalisation); as assessed by the BSS. Presence or history of severe adverse reaction to any drug or a history of sensitivity to serotonergic psychedelic drugs. Use of a prescription medicine (except oral contraceptives or any hormone therapy), certain herbal supplements (eg St John's Wort, to be reviewed by trial physician), or over-the-counter medicine, during the 28 days before the first dose of trial medication. Use of acetaminophen (paracetamol) and non-steroidal anti-inflammatory drugs (eg ibuprofen) are permitted up to 4 h before the first dose of trial medication. Receipt of an investigational product (including prescription medicines) as part of another clinical trial within the 3 months before (first) admission to this study; in the follow-up period of another clinical trial at the time of screening for this study. Presence or history of drug or alcohol abuse, or intake of more than 14 units of alcohol weekly. Daily cannabis use or cannabis dependence as defined by ICD10. Use of cannabis in the 24 h before each study visit. Evidence of drug abuse on urine testing (with the exception of cannabis). Unable to be nicotine free (refrain from smoking or nicotine-containing products) for 24 h before and until the morning after dosing. Blood pressure and pulse rate in the supine and standing position at the screening examination outside the ranges: blood pressure 80-150 mm Hg systolic; 30-100 mm Hg diastolic; pulse rate 40-100 beats/min. Borderline values (ie values that are within 5 mm Hg of the range for blood pressure or 5 beats/min of the range for pulse rate) will be repeated. Participants can be included if the repeat value is within range or still borderline but deemed not clinically significant by the investigator. QTcF value at screening greater than 450 msec (men) or 470 msec (women) on 12-lead ECG. Triplicate measurements will be made, and a mean QTcF value higher than 450 msec (men) or 470 msec (women) will lead to exclusion. A repeat (in triplicate) is allowed on one occasion for determination of eligibility. Possibility that the participant will not cooperate with the requirements of the protocol. Positive test for hepatitis B, hepatitis C or human immunodeficiency virus (HIV). Loss of more than 400 mL blood during the 3 months before the trial, eg as a blood donor. Phobia of needles or blood. Objection by General Practitioner (GP) to participant entering trial.

Sites / Locations

  • Hammersmith Medicines Research

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Psychedelic Experienced IM then IV crossover

Psychedelic Naive IM dosing only

Arm Description

Participants will be dosed with IM SPL026 then IV SPL026 2-3 weeks later.

Participants will be dosed with IM SPL026 one time.

Outcomes

Primary Outcome Measures

Lab biochemistry [Safety & Tolerability]
Values of potential clinical importance
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Adverse Events (AEs)
Heart Rate [Vital Signs - Safety & Tolerability]
pulse rate will be measured in bpm
Blood Pressure [Vital Signs - Safety & Tolerability]
arterial blood pressure
Temperature [Vital Signs - Safety & Tolerability]
tympanic temperature
12-lead ECG [Safety & Tolerability]
QTcX intervals
Physical Exam [Safety & Tolerability]
Full physical exam screening and a brief symptom guided exam at Day -1 and Day 1
Beck Scale for Suicidal Ideation (BSS) - [Safety & Tolerability]
The Beck Suicidal Ideation scale to monitor suicidal ideation

Secondary Outcome Measures

Evaluation of plasma levels of DMT
Pharmacokinetic parameter calculation
Mystical Experience Questionnaire (MEQ) - [Pharmacodynamics - Psychometric Scales and Questionnaires]
Compare MEQ between different routes of administration (IV & IM)
Challenging Experience Questionnaire (CEQ) - [Pharmacodynamics - Psychometric Scales and Questionnaires]
Compare CEQ between different routes of administration (IV & IM)

Full Information

First Posted
November 17, 2022
Last Updated
July 3, 2023
Sponsor
Small Pharma Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT05644093
Brief Title
IM and IV SPL026 Drug Product in Healthy Participants
Official Title
Open-label, Cross-over Study of IM and IV Doses of SPL026 in Healthy, Psychedelic-experienced Participants (Part A: IM and IV Doses) and Participants With Little to no Psychedelic Experience (Part B: IM Dose Only)
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Completed
Study Start Date
January 3, 2023 (Actual)
Primary Completion Date
April 5, 2023 (Actual)
Study Completion Date
April 5, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Small Pharma Ltd

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
The goal of this clinical trial is to test SPL026 given via injection into a muscle in healthy volunteers.
Detailed Description
Part A: Crossover IM then IV dosing with SPL026 in psychedelic experienced, healthy volunteers. PART B: IM dosing only with SPL026 in less experienced/psychedelic naive, healthy volunteers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Major Depressive Disorder

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
14 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Psychedelic Experienced IM then IV crossover
Arm Type
Experimental
Arm Description
Participants will be dosed with IM SPL026 then IV SPL026 2-3 weeks later.
Arm Title
Psychedelic Naive IM dosing only
Arm Type
Experimental
Arm Description
Participants will be dosed with IM SPL026 one time.
Intervention Type
Drug
Intervention Name(s)
SPL026 IV
Other Intervention Name(s)
DMT
Intervention Description
IV dosing
Intervention Type
Drug
Intervention Name(s)
SPL026 IM
Other Intervention Name(s)
DMT
Intervention Description
IM dosing
Primary Outcome Measure Information:
Title
Lab biochemistry [Safety & Tolerability]
Description
Values of potential clinical importance
Time Frame
Change from baseline at Day 1 post dose
Title
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Description
Adverse Events (AEs)
Time Frame
Throughout the study until 14 days after dosing (Day 15 EOS)
Title
Heart Rate [Vital Signs - Safety & Tolerability]
Description
pulse rate will be measured in bpm
Time Frame
Change from baseline heart rate at Day 1 or Day 2 post dose
Title
Blood Pressure [Vital Signs - Safety & Tolerability]
Description
arterial blood pressure
Time Frame
Change from baseline blood pressure at Day 1 or Day 2 post dose
Title
Temperature [Vital Signs - Safety & Tolerability]
Description
tympanic temperature
Time Frame
Change from baseline temperature at Day 1 or Day 2 post dose
Title
12-lead ECG [Safety & Tolerability]
Description
QTcX intervals
Time Frame
Change from baseline ECG at Day 1 or Day 2 post dose
Title
Physical Exam [Safety & Tolerability]
Description
Full physical exam screening and a brief symptom guided exam at Day -1 and Day 1
Time Frame
Change from baseline at Day 1 post dose
Title
Beck Scale for Suicidal Ideation (BSS) - [Safety & Tolerability]
Description
The Beck Suicidal Ideation scale to monitor suicidal ideation
Time Frame
Change from baseline at Day 15 post dose
Secondary Outcome Measure Information:
Title
Evaluation of plasma levels of DMT
Description
Pharmacokinetic parameter calculation
Time Frame
Day 1
Title
Mystical Experience Questionnaire (MEQ) - [Pharmacodynamics - Psychometric Scales and Questionnaires]
Description
Compare MEQ between different routes of administration (IV & IM)
Time Frame
Day 1 (dosing day)
Title
Challenging Experience Questionnaire (CEQ) - [Pharmacodynamics - Psychometric Scales and Questionnaires]
Description
Compare CEQ between different routes of administration (IV & IM)
Time Frame
Day 1 (dosing day)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Part A only Healthy psychedelic-experienced female or male participants (psychedelic-experienced is defined as having at least 2 previous experiences, with breakthrough, of serotonergic psychedelic drugs, including but not limited to: DMT, ayahausca, LSD, LSA [morning glory seeds], DOI [2,5-Dimethoxy-4- iodoamphetamine], DOB [dimethoxybromoamphetamine], DOC [2,5- Dimethoxy-4-chloroamphetamine], 2CB [2-(4-bromo-2,5- dimethoxyphenyl)ethanamine], 2CE [1-(2,5-Dimethoxy-4-ethylphenyl)-2- aminoethane], mescaline, peyote, san pedro, ibogaine and psilocybin [including mushroom species containing psilocybin]). No psychedelic drug use within 6 weeks prior to dosing. Part B only Healthy female or male participants with little to no psychedelic experience (defined as having never taken serotonergic psychedelic drugs, or have only taken sub-breakthrough doses of serotonergic psychedelic drugs, in any form, < 5 times, including but not limited to: DMT, ayahuasca, LSD, LSA, DOI, DOB, DOC, 2CB, 2CE, mescaline, peyote, san pedro, ibogaine and psilocybin [including mushroom species containing psilocybin]). No psychedelic drug use within 6 months prior to dosing. Parts A and B Aged 25-65 years. A body mass index (BMI; Quetelet index) in the range 18.0-33.9 kg/m2. Body Mass Index = Sufficient intelligence to understand the nature of the trial and any hazards of participating in it. Ability to communicate satisfactorily with the investigator and to participate in, and comply with the requirements of, the entire trial. Willingness to give written consent to participate after reading the information and consent form, and after having the opportunity to discuss the trial with the investigator or his delegate. Agree to follow the contraception requirements of the trial. Agree not to donate blood or blood products during the study and for up to 3 months after the (last) administration of the trial medication. Willing to refrain from psychedelic drug use (excluding the study drug) during the trial and until the follow up call. Willingness to give written consent to have data entered into The Overvolunteering Prevention System (TOPS). Willing to be contacted by email and video call, and have online access. Has veins deemed suitable for cannulation (IV infusion and/or blood sampling). Exclusion Criteria: Current or previously diagnosed mental health disorder as defined by Diagnostic and Statistical Manual of Mental Disorders (DSM-V) criteria. First degree relative with schizophrenia spectrum or other psychotic disorders, or bipolar and related disorders. Disposition judged by the investigator (or delegate) to be incompatible with establishment of rapport with therapy team and/or safe exposure to DMT. Woman who is pregnant or lactating, or pre-menopausal woman who is sexually active and not using a reliable method of contraception (see section 11). Clinically relevant abnormal history, physical findings, ECG, or laboratory values at the pre-trial screening assessment that could interfere with the objectives of the trial or the safety of the participant. Presence of acute or chronic illness, condition or infection, or history of chronic illness or condition (including psychological and neurological [eg seizure] disorder) considered sufficient to invalidate the participant's participation in the trial or make it unnecessarily hazardous. Impaired endocrine, thyroid, hepatic, respiratory or renal function, diabetes mellitus, coronary heart disease or any of the following cardiovascular conditions: arrhythmia, a clinically significant screening ECG abnormality or family history of long QT syndrome or sudden death, artificial heart valve, current or any history of hypertension, or any other significant current or history of cardiovascular condition, that may affect safety in the opinion of the investigator. History of serious suicide attempts (ie those that require hospitalisation); as assessed by the BSS. Presence or history of severe adverse reaction to any drug or a history of sensitivity to serotonergic psychedelic drugs. Use of a prescription medicine (except oral contraceptives or any hormone therapy), certain herbal supplements (eg St John's Wort, to be reviewed by trial physician), or over-the-counter medicine, during the 28 days before the first dose of trial medication. Use of acetaminophen (paracetamol) and non-steroidal anti-inflammatory drugs (eg ibuprofen) are permitted up to 4 h before the first dose of trial medication. Receipt of an investigational product (including prescription medicines) as part of another clinical trial within the 3 months before (first) admission to this study; in the follow-up period of another clinical trial at the time of screening for this study. Presence or history of drug or alcohol abuse, or intake of more than 14 units of alcohol weekly. Daily cannabis use or cannabis dependence as defined by ICD10. Use of cannabis in the 24 h before each study visit. Evidence of drug abuse on urine testing (with the exception of cannabis). Unable to be nicotine free (refrain from smoking or nicotine-containing products) for 24 h before and until the morning after dosing. Blood pressure and pulse rate in the supine and standing position at the screening examination outside the ranges: blood pressure 80-150 mm Hg systolic; 30-100 mm Hg diastolic; pulse rate 40-100 beats/min. Borderline values (ie values that are within 5 mm Hg of the range for blood pressure or 5 beats/min of the range for pulse rate) will be repeated. Participants can be included if the repeat value is within range or still borderline but deemed not clinically significant by the investigator. QTcF value at screening greater than 450 msec (men) or 470 msec (women) on 12-lead ECG. Triplicate measurements will be made, and a mean QTcF value higher than 450 msec (men) or 470 msec (women) will lead to exclusion. A repeat (in triplicate) is allowed on one occasion for determination of eligibility. Possibility that the participant will not cooperate with the requirements of the protocol. Positive test for hepatitis B, hepatitis C or human immunodeficiency virus (HIV). Loss of more than 400 mL blood during the 3 months before the trial, eg as a blood donor. Phobia of needles or blood. Objection by General Practitioner (GP) to participant entering trial.
Facility Information:
Facility Name
Hammersmith Medicines Research
City
London
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
No plan for this yet.

Learn more about this trial

IM and IV SPL026 Drug Product in Healthy Participants

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