2-DG-01 is a randomized, double-blind, placebo-controlled, single and multiple ascending dose phase 1 study assessing safety, tolerability and pharmacokinetics of 2-DG in normal healthy volunteers (NHV). The safety and pharmacokinetics of 2-DG are assessed after single or multiple intranasal administrations.
2-DG-01 is a randomized, placebo-controlled, double- blind single and multiple ascending dose phase 1 study in normal healthy male and female volunteers aged 18 years or older. The primary objective of this study is to assess the clinical safety and tolerability of intranasal 2-DG in NHVs. The secondary objective of this study is to assess the human pharmacokinetics of 2-DG. The study is divided in two sub-parts: Part A, a single ascending dose (SAD) study of 2-DG and Part B, a multiple ascending dose (MAD) study. Part A consists of 3 cohorts: Cohorts 1 and 2 with a randomization ratio for 2-DG to placebo of 4:1 and Cohort 3 with a randomization ratio for 2-DG to placebo of 8:2. Part B consists of 3 cohorts: Cohort 4 with a a randomization ratio for 2-DG to placebo of 4:1 and Cohorts 5 and 6 with a randomization ratio for 2-DG to placebo of 8:2. Cohorts 1, 2 and 4 will also be controlled by randomized intranasal application of placebo into the opposite nostril to obtain an intra-individual estimate for local tolerability. Other cohorts will receive either 2-DG or placebo into both nostrils. Interim safety reviews are performed by a Data Monitoring Committee.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
45
Intranasal administration
Intranasal administration
Medical University of Vienna
Vienna, Austria
Adverse drug reactions (ADRs)
Number of ADRs after a single dose of 2-DG assessed by type, frequency and severity of ADRs graded as per Common Terminology Criteria for Adverse Events (CTCAE).
Time frame: until 24 hours after single drug dosing
Adverse drug reactions (ADRs)
Number of ADRs after multiple doses of 2-DG assessed by type, frequency and severity of ADRs graded as per Common Terminology Criteria for Adverse Events (CTCAE).
Time frame: until 168 hours after start of multiple drug dosing
Biodistribution of a single dose of 2-DG
Analysis of 2-DG concentrations in plasma and nasal wash samples measured by LC-MS (µg/ml).
Time frame: baseline,0.5 hours, 2 hours, 4 hours, 6 hours after single drug dosing
Biodistribution of multiple doses of 2-DG
Analysis of 2-DG concentrations in plasma and nasal wash samples measured by LC-MS (µg/ml).
Time frame: baseline, 12 hours, 15 hours, 24 hours, 72 hours, 168 hours after start of multiple drug dosing
Local tolerability of a single dose of 2-DG
Abnormal physical examination findings in the nasal cavity (type, frequency, severity of medical abnormalities, scoring of self-reported symptoms).
Time frame: baseline, 6 hours, 24 hours after single drug dosing
Local tolerability of multiple doses of 2-DG
Abnormal physical examination findings in the nasal cavity (type, frequency, severity of medical abnormalities, scoring of self-reported symptoms).
Time frame: baseline, 3 hours, 12 hours, 24 hours after start of multiple drug dosing
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Olfactory function after a single dose of 2-DG
Change in olfactory capacity using sniffing sticks measured by Threshold-Discrimination-Identification score (TDI score). Minimum value = 0 , maximum value= 48. A higher score means a better outcome.
Time frame: baseline, 24 hours after single drug dosing
Olfactory function after multiple doses of 2-DG
Change in olfactory capacity using sniffing sticks measured by Threshold-Discrimination-Identification score (TDI score). Minimum value = 0 , maximum value= 48. A higher score means a better outcome.
Time frame: baseline, 24 hours, 72 hours, 168 hours after start of multiple drug dosing
Premature terminations due to ADRs after a single dose of 2-DG
Number of premature terminations due to ADRs that are assessed by type, frequency and severity graded as per Common Terminology Criteria for Adverse Events (CTCAE).
Time frame: until 24 hours after single drug dosing
Premature terminations due to ADRs after multiple doses of 2-DG
Number of premature terminations due to ADRs that are assessed by type, frequency and severity graded as per Common Terminology Criteria for Adverse Events (CTCAE).
Time frame: until 168 hours after start of multiple drug dosing
Adverse events after single dose 2-DG
Number of AEs assessed by type, frequency and severity graded as per Common Terminology Criteria for Adverse Events (CTCAE).
Time frame: until 24 hours after single drug dosing
Adverse events after multiple doses 2-DG
Number of AEs assessed by type, frequency and severity graded as per Common Terminology Criteria for Adverse Events (CTCAE).
Time frame: until 168 hours after start of multiple drug dosing