The purpose of this study is describe the safety and single-dose pharmacokinetics of rectally-administered IQP (ImQuest Pharmaceuticals)-0528 (DuoGel) in plasma, rectal tissue biopsies, vaginal tissue biopsies, rectal fluid and cervicovaginal fluid as well as to assess the luminal distribution of IQP-0528 in the rectum. Sixteen healthy volunteers will receive a single rectal dose of DuoGel, followed by blood, tissue and fluid sampling over the following 72 hours.
This is a phase 1 open label study of the safety, PK, and PD of single-dose 10 mL IQP-0528 through rectal administration. Pharmacokinetics (PK) will be assessed in multiple compartments: plasma, rectal tissue, vaginal tissue, rectal fluid and cervicovaginal fluid. The luminal distribution of DuoGel in the rectum will be evaluated with Single Photon Emission Computed Tomography/ X-ray Computed Tomography (SPECT/CT). Pharmacodynamics (PD) will be assessed in an ex vivo HIV explant challenge of rectal and vaginal tissue biopsies. After completing the screening evaluation (Visit 1) and establishing participant eligibility, 16 eligible participants will be enrolled: 8 men and 8 women. A subsequent baseline visit (Visit 2) safety assessment and tissue ex vivo HIV explant challenge will be performed as baseline for comparison with later post-drug evaluation. Participants will receive a single 10 mL rectal dose of 99mTechnetium (99mTc) -radiolabelled DuoGel (Visit 3), followed by safety assessments and PK and PD sampling over three days (Visits 3, 4, and 5). Finally, a follow-up safety phone call is performed a week after all PK sampling and biopsies are collected.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
10
1% IQP-0528 in gel formulation
Johns Hopkins University
Baltimore, Maryland, United States
To assess systemic and local safety of 10 mL of IQP-0528 following rectal administration by adverse events.
Grade 2 or above adverse events as measured by the Division of AIDS Toxicity Table
Time frame: One week
To assess rectal PK of 10 mL of IQP-0528
Maximum Concentration (Cmax)
Time frame: 72 hours
To assess rectal PK of 10 mL of IQP-0528
Time to Maximum Concentration (Tmax)
Time frame: 72 hours
To assess rectal PK of 10 mL of IQP-0528
Area Under the Curve (AUC)
Time frame: 72 hours
To assess rectal PK of 10 mL of IQP-0528
Terminal elimination half-life
Time frame: 72 hours
To compare rectal PK between men and women
Maximum Concentration (Cmax)
Time frame: 72 hours
To compare rectal PK between men and women
Time to Maximum Concentration (Tmax)
Time frame: 72 hours
To compare rectal PK between men and women
Area Under the Curve (AUC)
Time frame: 72 hours
To compare rectal PK between men and women
Terminal elimination half-life
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: 72 hours