This is a Phase 1 (healthy adult volunteers), 2-part, double-blind, randomized, placebo controlled trial to evaluate the safety and pharmacokinetic (PK) profiles of escalating single doses of Voriconazole Inhalation Powder versus placebo (SAD part) and escalating multiple doses of Voriconazole Inhalation Powder versus placebo (MAD part). SAD part will be initiated first and includes a sentinel design. MAD part will not utilize a sentinel design and will be initiated once the lowest doses from SAD part are deemed safe.
This is a Phase 1, randomized, 2 part double-blind, placebo-controlled trial to evaluate the safety and PK profiles of Voriconazole Inhalation Powder (VIP) in a SAD/MAD study design. Part A is a double-blinded, placebo-controlled, randomized, dose- ranging single dose study evaluating four different dose levels. On Day 1 of each group, two selected subjects (sentinel subjects) will receive either Voriconazole Inhalation Powder or a matching placebo. Blood and sputum samples and safety measurements including Adverse Events (AEs) will be collected over 24 hour period following the drug administration. The safety results to be evaluated include AEs, concomitant medications, out of specification clinical laboratory results, vital signs, Electrocardiograms (ECGs), visual examinations, pulmonary function tests, pulse oximetry results and any new findings on physical examinations. If the administration is safe as deemed by Principal Investigator \& Medical Monitor, the remaining six subjects will be dosed, with identical safety and PK procedures performed after minimum of 3 days interval. A minimum of 3 days will separate each dose escalation, with the remaining dose groups dosed in a sentinel fashion. Part B is a double-blinded, placebo-controlled, randomized, dose- ranging multi-dose study evaluating four different dose levels. Dose level 1 of Part B can begin in parallel once safety assessments of Part A dose level 2 are complete and indicate safety is present. Voriconazole Inhalation Powder will be administered twice daily (BID) × 13 doses. Blood samples for safety and PK will be collected over 12 hours after the first dose and 24 hours after the last dose. A minimum of 1 week will separate the start of each dose escalation, with the remaining dose groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PART A (SAD): Voriconazole Inhalation Powder (VIP) will be supplied as one to eight 10 mg capsules. Each capsule contains 10 mg of VIP and will be administered with a Plastiape RS00 Dry Powder inhaler. Doses may require multiple inhalations. All inhalations must be conducted within a 10-minute period. SAD subjects will receive a single dose of study medication. Subjects in Cohort 1 will receive 10 mg, Cohort 2: 20 mg, Cohort 3: 40 mg, Cohort 4: 80 mg. PART B (MAD): Voriconazole Inhalation Powder (VIP) and will be administered with a will be supplied as one to eight 10 mg capsules. Each capsule contains 10 mg of VIP and will be administered with a Plastiape RS00 Dry Powder inhaler. Doses may require multiple inhalations. All inhalations must be conducted within a 10-minute period. MAD subjects will receive VIP BID for a total of 13 doses. Subjects in Cohort 1 will receive 10 mg BID, Cohort 2: 20 mg BID, Cohort 3: 40 mg BID, Cohort 4: 80 mg BID.
PART A (SAD): Placebo capsules will be supplied as one to eight capsules. Each capsule contains placebo inhalation powder. The capsules will be matched for use within the provided Plastiape RS00 Dry Powder inhaler device (Model 8). Doses may require multiple inhalations through the inhaler device. All inhalations must be conducted within a maximum of 10-minute period. Subjects in PART A will receive a single dose of placebo. PART B (MAD): Placebo will be supplied as one to eight capsules. Each capsule contains placebo inhalation powder. The capsules will be matched for use within the provided Plastiape RS00 Dry Powder inhaler device (Model 8). Doses may require multiple inhalations through the inhaler device. All inhalations must be conducted within a maximum of 10-minute period. Subjects in PART B will receive Placebo BID for a total of 13 doses.
Cliantha Research
Mississauga, Ontario, Canada
Number of participants who experience Adverse Events (AEs), Serious Adverse Events (SAEs) and withdrawals due to AEs
Number of AEs, SAEs, and discontinuations due to AEs
Time frame: Through study completion, an average of 14 days
Number of participants who experience vital sign abnormalities
Number of participants with potentially clinically significant vital sign values
Time frame: Baseline through study completion, an average of 14 days
Number of participants who experience pulse oximetry abnormalities
Number of participants with potentially clinically significant pulse oximetry values
Time frame: Baseline through study completion, an average of 14 days
Mean change from baseline in forced expiratory volume (FEV1)
Spirometry used to measure FEV1 lung function
Time frame: Baseline through study completion, an average of 14 days
Mean change from baseline in forced vital capacity (FVC)
Spirometry used to measure FVC lung function
Time frame: Baseline through study completion, an average of 14 days
Mean change from baseline in FEV1/FVC ratio
Spirometry used to measure FEV1 and FVC lung function
Time frame: Baseline through study completion, an average of 14 days
Mean change from baseline in QTcF changes via ECG
Number of participants with potentially clinically significant ECG values
Time frame: Baseline through study completion, an average of 14 days
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BASIC_SCIENCE
Masking
DOUBLE
Enrollment
65
Number of participants who experience physical examination abnormalities
Number of participants with potentially clinically significant physical examination findings
Time frame: Baseline through study completion, an average of 14 days
Number of participants who experience laboratory test abnormalities
Number of participants with potentially clinically significant laboratory test results
Time frame: Baseline through study completion, an average of 14 days
PK of VIP in plasma: Area under the plasma-concentration time curve (AUC)
Blood samples will be collected for plasma analysis
Time frame: Predose Day 1 and through 12 hours post last dose (day 6)
PK of VIP in plasma: Area under the concentration time curve, from time 0 to the last observed non-zero concentration (AUC0-tlast)
Blood samples will be collected for analysis
Time frame: Predose Day 1 and through 12 hours post last dose (day 6)
PK of VIP in plasma: Maximum observed concentration (Cmax)
Blood samples will be collected for analysis
Time frame: Predose Day 1 and through 12 hours post last dose (day 6)
PK of VIP in plasma: Time to maximal observed concentration (tmax)
Blood samples will be collected for analysis
Time frame: Predose Day 1 and through 12 hours post last dose (day 6)
PK of VIP in plasma: Area under the plasma-concentration time curve over the first 12 hours after dosing (AUC0-12)
Blood samples will be collected for analysis
Time frame: Predose Day 1 and through 12 hours post last dose (day 6)
PK of VIP in plasma: Area under the concentration time curve from time 0 extrapolated to infinity (AUC∞)
Blood samples will be collected for analysis
Time frame: Predose Day 1 and through 12 hours post last dose (day 6)
PK of VIP in plasma: Termination elimination half-life (t½)
Blood samples will be collected for analysis
Time frame: Predose Day 1 and through 12 hours post last dose (day 6)
PK of VIP in plasma: Apparent total body clearance (CL/F)
Blood samples will be collected for analysis
Time frame: Predose Day 1 and through 12 hours post last dose (day 6)
PK of VIP in plasma: Apparent volume of distribution during the terminal elimination phase (Vz/F)
Blood samples will be collected for analysis
Time frame: Predose Day 1 and through 12 hours post last dose (day 6)