MKC-NI-001 is a Phase 1, first-in-human, randomized, double-blind, placebo-controlled study of nintedanib inhalation powder (MNKD-201) in healthy adult volunteers. The trial consists of a Single Ascending Dose (SAD), followed by a Multiple Ascending Dose (MAD) with a primary objective to evaluate the safety, tolerability, and pharmacokinetics (PK) of MNKD-201 compared to placebo in healthy adult participants.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
40
Participants will receive single ascending doses (Target Dose, High Dose, and Very High Dose) of MKND-201 or placebo administered via oral inhalation on Day 1
Participants will receive matching placebo across Part A and Part B of the study.
Participants will receive multiple ascending doses (Target Dose and High Dose) of MKND-201 or placebo administered via oral inhalation, twice daily, from Day 1 to Day 7
Flourish Research
San Antonio, Texas, United States
RECRUITING(Part A) Incidence of inhaled intolerability
Incidence of inhaled intolerability (prevalence of cough, dyspnea, bronchospasm, and dysgeusia)
Time frame: Up to Day 9 (+/- 3 days)
(Part B) Incidence of inhaled intolerability
Incidence of inhaled intolerability (prevalence of cough, dyspnea, bronchospasm, and dysgeusia)
Time frame: Up to Day 15 (+/- 3 days)
(Part A) Incidence of participants with reductions in FEV1 ≥ 15% from baseline at any time postdose
Incidence of participants with reductions in FEV1 ≥ 15% from baseline at any time postdose
Time frame: Up to Day 9 (+/- 3 days)
(Part B) Incidence of participants with reductions in FEV1 ≥ 15% from baseline at any time postdose
Incidence of participants with reductions in FEV1 ≥ 15% from baseline at any time postdose
Time frame: Up to Day 15 (+/- 3 days)
(Part A) Incidence of participants with reductions in FEV1 ≥ 15% following administration of a dose of study drug, compared to the corresponding predose measurement
Incidence of participants with reductions in FEV1 ≥ 15% following administration of a dose of study drug, compared to the corresponding predose measurement
Time frame: Up to Day 9 (+/- 3 days)
(Part B) Incidence of participants with reductions in FEV1 ≥ 15% following administration of a dose of study drug, compared to the corresponding predose measurement
Incidence of participants with reductions in FEV1 ≥ 15% following administration of a dose of study drug, compared to the corresponding predose measurement
Time frame: Up to Day 15 (+/- 3 days)
(Part A) Incidence of treatment-emergent adverse events (TEAEs)
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Incidence, severity, duration, relationship to study drug, and outcome of treatment-emergent adverse events (TEAEs)
Time frame: Up to Day 9 (+/- 3 days)
(Part B) Incidence of treatment-emergent adverse events (TEAEs)
Incidence, severity, duration, relationship to study drug, and outcome of treatment-emergent adverse events (TEAEs)
Time frame: Up to Day 15 (+/- 3 days)
(Part A) Incidence of serious adverse events (SAEs)
Incidence, severity, duration, relationship to study drug, and outcome of serious adverse events (SAEs)
Time frame: Up to Day 9 (+/- 3 days)
(Part B) Incidence of serious adverse events (SAEs)
Incidence, severity, duration, relationship to study drug, and outcome of serious adverse events (SAEs)
Time frame: Up to Day 15 (+/- 3 days)
(Part A) Incidence of abnormal clinically significant vital signs
Incidence of abnormal clinically significant vital signs (heart rate, blood pressure, respiratory rate, oxygen saturation rate, and body temperature)
Time frame: Up to Day 9 (+/- 3 days)
(Part B) Incidence of abnormal clinically significant vital signs
Incidence of abnormal clinically significant vital signs (heart rate, blood pressure, respiratory rate, oxygen saturation rate, and body temperature)
Time frame: Up to Day 15 (+/- 3 days)
(Part A) Changes from baseline in liver enzymes and bilirubin
Changes from baseline in liver enzymes and bilirubin
Time frame: Up to Day 9 (+/- 3 days)
(Part B) Changes from baseline in liver enzymes and bilirubin
Changes from baseline in liver enzymes and bilirubin
Time frame: Up to Day 15 (+/- 3 days)
(Part A) Changes from baseline in coagulation parameters, INR and aPTT
Changes from baseline in coagulation parameters - international normalized ratio (INR) and activated partial thromboplastin time (aPTT)
Time frame: Up to Day 9 (+/- 3 days)
(Part B) Changes from baseline in coagulation parameters, INR and aPTT
Changes from baseline in coagulation parameters - international normalized ratio (INR) and activated partial thromboplastin time (aPTT)
Time frame: Up to Day 15 (+/- 3 days)
(Part A) Maximum plasma MNKD-201 concentration (Cmax)
(Part A) Maximum plasma MNKD-201 concentration (Cmax)
Time frame: Day 1, predose and at multiple time points postdose up to Day 2, 24 hours postdose
(Part B) Maximum plasma MNKD-201 concentration (Cmax)
(Part B) Maximum plasma MNKD-201 concentration (Cmax)
Time frame: Day 1, predose and at multiple time points postdose up to Day 8, 12 hours after last dose on Day 7
(Part A) Time to maximum concentration (Tmax)
(Part A) Time to maximum concentration (Tmax)
Time frame: Day 1, predose and at multiple time points postdose up to Day 2, 24 hours postdose
(Part B) Time to maximum concentration (Tmax)
(Part B) Time to maximum concentration (Tmax)
Time frame: Day 1, predose and at multiple time points postdose up to Day 8, 12 hours after last dose on Day 7
(Part A) Terminal elimination half-life (t½)
(Part A) Terminal elimination half-life (t½)
Time frame: Day 1, predose and at multiple time points postdose up to Day 2, 24 hours postdose
(Part B) Terminal elimination half-life (t½)
(Part B) Terminal elimination half-life (t½)
Time frame: Day 1, predose and at multiple time points postdose up to Day 8, 12 hours after last dose on Day 7
(Part A) Area under the plasma concentration-time curve (AUC) from time zero (from the start of inhalation time) to the last measurable concentration (AUC0-t)
(Part A) Area under the plasma concentration-time curve (AUC) from time zero (from the start of inhalation time) to the last measurable concentration (AUC0-t)
Time frame: Day 1, predose and at multiple time points postdose up to Day 2, 24 hours postdose
(Part A) Area under the plasma concentration-time curve (AUC) from time zero (from the start of inhalation time) to the last measurable concentration (AUC0-t)
(Part A) Area under the plasma concentration-time curve (AUC) from time zero (from the start of inhalation time) to the last measurable concentration (AUC0-t)
Time frame: Day 1, predose and at multiple time points postdose up to Day 8, 12 hours after last dose on Day 7
(Part A) AUC from time zero (time of first inhalation) to infinity (AUC0-∞)
(Part A) AUC from time zero (time of first inhalation) to infinity (AUC0-∞)
Time frame: Day 1, predose and at multiple time points postdose up to Day 2, 24 hours postdose
(Part B) AUC from time zero (time of first inhalation) to infinity (AUC0-∞)
(Part B) AUC from time zero (time of first inhalation) to infinity (AUC0-∞)
Time frame: Day 1, predose and at multiple time points postdose up to Day 8, 12 hours after last dose on Day 7
(Part A) Apparent terminal elimination rate constant (Kel)
(Part A) Apparent terminal elimination rate constant (Kel)
Time frame: Day 1, predose and at multiple time points postdose up to Day 2, 24 hours postdose
(Part B) Apparent terminal elimination rate constant (Kel)
(Part B) Apparent terminal elimination rate constant (Kel)
Time frame: Day 1, predose and at multiple time points postdose up to Day 8, 12 hours after last dose on Day 7
(Part A) Apparent total body clearance (CL/F)
(Part A) Apparent total body clearance (CL/F)
Time frame: Day 1, predose and at multiple time points postdose up to Day 2, 24 hours postdose
(Part B) Apparent total body clearance (CL/F)
(Part B) Apparent total body clearance (CL/F)
Time frame: Day 1, predose and at multiple time points postdose up to Day 8, 12 hours after last dose on Day 7
(Part A) Apparent volume of distribution during the terminal phase (Vz/F)
(Part A) Apparent volume of distribution during the terminal phase (Vz/F)
Time frame: Day 1, predose and at multiple time points postdose up to Day 2, 24 hours postdose
(Part B) Apparent volume of distribution during the terminal phase (Vz/F)
(Part B) Apparent volume of distribution during the terminal phase (Vz/F)
Time frame: Day 1, predose and at multiple time points postdose up to Day 8, 12 hours after last dose on Day 7
(Part A) Changes in forced expiratory volume in 1 second (FEV1) before and after dosing
(Part A) Changes in forced expiratory volume in 1 second (FEV1) before and after dosing (predose and 5, 15, 30, 60, 90, and 120 minutes postdose)
Time frame: predose and 5, 15, 30, 60, 90, and 120 minutes postdose
(Part B) Changes in forced expiratory volume in 1 second (FEV1) before and after dosing
(Part B) Changes in forced expiratory volume in 1 second (FEV1) before and after dosing (predose and 5, 15, 30, 60, 90, and 120 minutes postdose)
Time frame: predose and 5, 15, 30, 60, 90, and 120 minutes postdose