A Study of ABI-2280 Vaginal Tablet in Participants With Cervical Intraepithelial Neoplasia
Primary Purpose
Cervical Intraepithelial Neoplasia
Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
ABI-2280
Sponsored by
About this trial
This is an interventional treatment trial for Cervical Intraepithelial Neoplasia
Eligibility Criteria
Inclusion Criteria:
- Women, 25 to 55 years old.
- For Part A, participants with biopsy-confirmed CIN (with visible lesions) regardless of p16 positivity may be enrolled upon consultation with PI and medical Monitor. These participants will not be required to get large loop excision of the transformation zone (LLETZ) if not medically necessary, as determined by the PI in consultation with the Medical Monitor.
- For Part B, biopsy-confirmed cervical HSIL that is p16+ (p16INK4a expressed) within 60 days of enrollment (dosing) with no evidence of invasive cancer in any specimen. If biopsy was performed more than 60 days before planned enrollment, participants must agree to have another biopsy performed at the Screening visit, unless approved by the Medical Monitor.
- No prior treatment for Cervical intraepithelial neoplasia (CIN).
- Generally, in good health with no clinically significant pulmonary, cardiac, gastro-enterologic, neurologic, renal, musculoskeletal, rheumatologic, metabolic, neoplastic, or endocrine disease.
Exclusion Criteria:
- Women who are pregnant, plan to become pregnant in the next 4 months, or lactating females.
- Unwilling to use stringent methods of contraception (including barrier method, as well as another acceptable method) throughout the course of the study.
- History of cancer, except basal cell or squamous cell carcinoma of the skin.
- History of genital herpes with outbreak within prior 12 months.
- Have an active pelvic or non-HPV (Human papillomavirus) vaginal infection (e.g., that was detected by a positive urine screen for gonorrhea or chlamydial infection, bimanual exam consistent with pelvic inflammatory disease, positive bedside testing criteria for bacterial vaginosis, candida vaginitis or trichomonal vaginitis, etc).
- Current or recent abnormal vaginal discharge and /or abnormal vaginal bleeding.
- Had a therapeutic abortion or miscarriage less than 3 months prior.
- Any clinically significant immune suppressing condition.
- Participants with a significant acute condition or any other condition that in the opinion of the Investigator might interfere with the evaluation of the study objectives.
- Women who, in the PI's judgment, would be harmed by the delay in undergoing definitive treatment as a result of study participation and the ABI-2280 Vaginal Tablet dosing schedule.
Sites / Locations
- East Sydney DoctorsRecruiting
- Gold Coast University Hospital
- FarmvosRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Experimental
Arm Label
ABI-2280 0.1mg
ABI-2280 0.3mg
ABI-2280 1.0mg
Arm Description
0.1mg vaginal tablet
0.3mg vaginal tablet
1.0mg vaginal tablet
Outcomes
Primary Outcome Measures
Incidence of Adverse Events (Safety and Tolerability)
For Parts A and B, to assess the safety and tolerability of ABI-2280 Vaginal Tablet by the incidence and severity of Adverse events (AEs).
Secondary Outcome Measures
Pharmacokinetics of ABI-2280 after single and multiple doses
Time to maximum observed drug concentration (tmax)
Pharmacokinetics of ABI-2280 after single and multiple doses
Maximum observed drug concentration (Cmax)
Pharmacokinetics of ABI-2280 after single and multiple doses
Area under the curve (AUC) from time zero to last measurable concentration (AUC0-last)
Pharmacokinetics of ABI-2280 after single and multiple doses
AUC from time zero to infinity (AUC8)
Pharmacokinetics of ABI-2280 after single and multiple doses
Apparent elimination half-life (t½)
Pharmacokinetics of ABI-2280 after single and multiple doses
Apparent terminal elimination rate constant (Kel)
Pharmacokinetics of ABI-2280 after single and multiple doses
Apparent clearance (CL/F)
Pharmacokinetics of ABI-2280 after single and multiple doses
Apparent volume of distribution at the terminal phase (Vz/F)
Histopathologic changes in cHSIL by large loop excision of the transformation zone (LLETZ) specimen
To assess histopathologic changes in cHSIL by LLETZ
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05502367
Brief Title
A Study of ABI-2280 Vaginal Tablet in Participants With Cervical Intraepithelial Neoplasia
Official Title
An Open-Label Single and Multiple-dose, Study to Evaluate Safety, Tolerability and Efficacy of ABI-2280 Vaginal Tablet in Participants With Cervical Squamous Intraepithelial Lesions
Study Type
Interventional
2. Study Status
Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 10, 2022 (Actual)
Primary Completion Date
April 1, 2024 (Anticipated)
Study Completion Date
May 31, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Antiva Biosciences
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 is an open-label study to evaluate the safety, tolerability, and efficacy of ABI-2280 in participants with cervical squamous intraepithelial lesions. This study is divided into 2 parts - Part A and Part B.
Part A consists of 3 dose escalating cohorts. Part B is a dose expansion cohort.
Participants will self-administer ABI-2280.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cervical Intraepithelial Neoplasia
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
29 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
ABI-2280 0.1mg
Arm Type
Experimental
Arm Description
0.1mg vaginal tablet
Arm Title
ABI-2280 0.3mg
Arm Type
Experimental
Arm Description
0.3mg vaginal tablet
Arm Title
ABI-2280 1.0mg
Arm Type
Experimental
Arm Description
1.0mg vaginal tablet
Intervention Type
Drug
Intervention Name(s)
ABI-2280
Intervention Description
Vaginal Tablet
Primary Outcome Measure Information:
Title
Incidence of Adverse Events (Safety and Tolerability)
Description
For Parts A and B, to assess the safety and tolerability of ABI-2280 Vaginal Tablet by the incidence and severity of Adverse events (AEs).
Time Frame
From Baseline to Day 42 post dose administration
Secondary Outcome Measure Information:
Title
Pharmacokinetics of ABI-2280 after single and multiple doses
Description
Time to maximum observed drug concentration (tmax)
Time Frame
60 minutes prior to dosing on Day 1, and 1 hour (± 5 mins) and 6 hours (± 1 hour) post-dose on Day 1. For Part A, additional samples will be taken at 2 hours (± 5 mins) and 24 hours (± 2 hours) post dose on Day 1.
Title
Pharmacokinetics of ABI-2280 after single and multiple doses
Description
Maximum observed drug concentration (Cmax)
Time Frame
60 minutes prior to dosing on Day 1, and 1 hour (± 5 mins) and 6 hours (± 1 hour) post-dose on Day 1. For Part A, additional samples will be taken at 2 hours (± 5 mins) and 24 hours (± 2 hours) post dose on Day 1.
Title
Pharmacokinetics of ABI-2280 after single and multiple doses
Description
Area under the curve (AUC) from time zero to last measurable concentration (AUC0-last)
Time Frame
60 minutes prior to dosing on Day 1, and 1 hour (± 5 mins) and 6 hours (± 1 hour) post-dose on Day 1. For Part A, additional samples will be taken at 2 hours (± 5 mins) and 24 hours (± 2 hours) post dose on Day 1.
Title
Pharmacokinetics of ABI-2280 after single and multiple doses
Description
AUC from time zero to infinity (AUC8)
Time Frame
60 minutes prior to dosing on Day 1, and 1 hour (± 5 mins) and 6 hours (± 1 hour) post-dose on Day 1. For Part A, additional samples will be taken at 2 hours (± 5 mins) and 24 hours (± 2 hours) post dose on Day 1.
Title
Pharmacokinetics of ABI-2280 after single and multiple doses
Description
Apparent elimination half-life (t½)
Time Frame
60 minutes prior to dosing on Day 1, and 1 hour (± 5 mins) and 6 hours (± 1 hour) post-dose on Day 1. For Part A, additional samples will be taken at 2 hours (± 5 mins) and 24 hours (± 2 hours) post dose on Day 1.
Title
Pharmacokinetics of ABI-2280 after single and multiple doses
Description
Apparent terminal elimination rate constant (Kel)
Time Frame
60 minutes prior to dosing on Day 1, and 1 hour (± 5 mins) and 6 hours (± 1 hour) post-dose on Day 1. For Part A, additional samples will be taken at 2 hours (± 5 mins) and 24 hours (± 2 hours) post dose on Day 1.
Title
Pharmacokinetics of ABI-2280 after single and multiple doses
Description
Apparent clearance (CL/F)
Time Frame
60 minutes prior to dosing on Day 1, and 1 hour (± 5 mins) and 6 hours (± 1 hour) post-dose on Day 1. For Part A, additional samples will be taken at 2 hours (± 5 mins) and 24 hours (± 2 hours) post dose on Day 1.
Title
Pharmacokinetics of ABI-2280 after single and multiple doses
Description
Apparent volume of distribution at the terminal phase (Vz/F)
Time Frame
60 minutes prior to dosing on Day 1, and 1 hour (± 5 mins) and 6 hours (± 1 hour) post-dose on Day 1. For Part A, additional samples will be taken at 2 hours (± 5 mins) and 24 hours (± 2 hours) post dose on Day 1.
Title
Histopathologic changes in cHSIL by large loop excision of the transformation zone (LLETZ) specimen
Description
To assess histopathologic changes in cHSIL by LLETZ
Time Frame
12 weeks after the first dose of ABI-2280 Vaginal Tablet
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Women, 25 to 55 years old.
For Part A, participants with biopsy-confirmed CIN (with visible lesions) regardless of p16 positivity may be enrolled upon consultation with PI and medical Monitor. These participants will not be required to get large loop excision of the transformation zone (LLETZ) if not medically necessary, as determined by the PI in consultation with the Medical Monitor.
For Part B, biopsy-confirmed cervical HSIL that is p16+ (p16INK4a expressed) within 60 days of enrollment (dosing) with no evidence of invasive cancer in any specimen. If biopsy was performed more than 60 days before planned enrollment, participants must agree to have another biopsy performed at the Screening visit, unless approved by the Medical Monitor.
No prior treatment for Cervical intraepithelial neoplasia (CIN).
Generally, in good health with no clinically significant pulmonary, cardiac, gastro-enterologic, neurologic, renal, musculoskeletal, rheumatologic, metabolic, neoplastic, or endocrine disease.
Exclusion Criteria:
Women who are pregnant, plan to become pregnant in the next 4 months, or lactating females.
Unwilling to use stringent methods of contraception (including barrier method, as well as another acceptable method) throughout the course of the study.
History of cancer, except basal cell or squamous cell carcinoma of the skin.
History of genital herpes with outbreak within prior 12 months.
Have an active pelvic or non-HPV (Human papillomavirus) vaginal infection (e.g., that was detected by a positive urine screen for gonorrhea or chlamydial infection, bimanual exam consistent with pelvic inflammatory disease, positive bedside testing criteria for bacterial vaginosis, candida vaginitis or trichomonal vaginitis, etc).
Current or recent abnormal vaginal discharge and /or abnormal vaginal bleeding.
Had a therapeutic abortion or miscarriage less than 3 months prior.
Any clinically significant immune suppressing condition.
Participants with a significant acute condition or any other condition that in the opinion of the Investigator might interfere with the evaluation of the study objectives.
Women who, in the PI's judgment, would be harmed by the delay in undergoing definitive treatment as a result of study participation and the ABI-2280 Vaginal Tablet dosing schedule.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Oranee Daniels, MD
Phone
650-822-1400
Email
odaniels@antivabio.com
Facility Information:
Facility Name
East Sydney Doctors
City
Darlinghurst
State/Province
New South Wales
ZIP/Postal Code
2010
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Heather Farlow
Email
hfarlow@eastsydneydoctors.com.au
Facility Name
Gold Coast University Hospital
City
Southport
State/Province
Queensland
ZIP/Postal Code
4215
Country
Australia
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Danielle Miller
Email
danielle.miller@health.qld.gov.au
Facility Name
Farmvos
City
Bloemfontein
State/Province
Free State
ZIP/Postal Code
9301
Country
South Africa
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Reinard McPherson, MD
Phone
27835262564
Email
reinard.mcpherson@farmvos.com
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
A Study of ABI-2280 Vaginal Tablet in Participants With Cervical Intraepithelial Neoplasia
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