This study is designed to evaluate the safety, tolerability, and pharmacokinetics of TP05 administered orally to healthy adult participants.
This is a randomized, double-blind, placebo-controlled study conducted in healthy adult participants prior to anticipated exposure to Lyme Borreliosis. Participants will be randomized to receive either TP05 or placebo according to a predefined dosing schedule. Safety will be evaluated through adverse event monitoring, clinical laboratory assessments, vital signs, and physical examinations. The study will consist of a screening period, a treatment period (up to 24 weeks) and a safety follow up period. Participants will be randomized to receive one of two treatment regimens of TP-05 or placebo. Participants will be followed up for approximately 15 months and evaluated further for tick bites or symptoms of Lyme borreliosis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
722
TP05 administered orally at the protocol-defined preventative dose.
TP05 administered orally at the protocol-defined preventative dose.
Matching placebo administered orally according to the same dosing schedule as TP05.
Study Site
Pikesville, Maryland, United States
Study Site
Brookline, Massachusetts, United States
The Incidence of Treatment Emergent Adverse Events From Baseline
Safety and tolerability will be evaluated by incidence rate of treatment emergent adverse events from baseline.
Time frame: From day 1 through the end of study follow-up, an average of 15 months.
Clinically Significant Changes From Baseline Chemistry Laboratory Tests
Number of participants with clinically significant changes in clinical laboratory tests
Time frame: From day 1 through the end of study follow up, an average of 15 months.
Clinically Significant Changes From Baseline Hematology Laboratory Tests
Number of participants with clinically significant changes in clinical laboratory tests.
Time frame: From day 1 through the end of study follow up, an average of 15 months.
Clinically Significant Changes From Baseline Vital Signs
Number of participants with clinically significant changes in vital signs.
Time frame: From day 1 through the end of study follow up, an average of 15 months.
Clinically Significant Changes From Baseline Electrocardiograms (ECGs)
Safety will be assessed by evaluating clinically significant changes from Baseline ECGs change in mean ventricular rate \[beats/min\].
Time frame: From day 1 through the end of study follow up, an average of 15 months.
Clinically Significant Changes From Baseline Electrocardiograms (ECGs) Measures
Safety will be assessed by evaluating clinically significant changes from Baseline ECGs change in pulse rate \[msec\].
Time frame: From day 1 through the end of study follow up, an average of 15 months.
Clinically Significant Changes From Baseline QTC Interval
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Study Site
Fall River, Massachusetts, United States
Study Site
Minneapolis, Minnesota, United States
Study Site
Marlboro, New Jersey, United States
Study Site
Albany, New York, United States
Study Site
Binghamton, New York, United States
Study Site
Buffalo, New York, United States
Study Site
East Syracuse, New York, United States
Study Site
Middletown, New York, United States
...and 9 more locations
Safety will be assessed by evaluating clinically significant changes from Baseline ECGs change in QTC interval
Time frame: From day 1 through the end of study follow up, an average of 15 months.
Clinically Significant Changes From Baseline QRS Interval
Safety will be assessed by evaluating clinically significant changes from Baseline ECGs change in QRS interval.
Time frame: From day 1 through the end of study follow up, an average of 15 months.
Concentration of Lotilaner in Whole Blood
Concentration of lotilaner in whole blood at specified timepoints measured using validated bioanalytical assays.
Time frame: From dose through study completion, an average of 15 months.
Terminal Elimination Half Life (t½) of Lotilaner
Terminal elimination half life (t½) of lotilaner.
Time frame: At protocol specified timepoints through end study treatment phase, an average of 28 weeks.
Area Under the Concentration Time Curve (AUC) of Lotilaner
Area under the concentration time curve (AUC) of lotilaner.
Time frame: At protocol specified timepoints through end of pharmacokinetic sampling, an average of 15 months.
Maximum Observed Concentration (Cmax) of Lotilaner
Maximum observed concentration (Cmax) of lotilaner.
Time frame: At protocol specified timepoints through end of pharmacokinetic sampling, an average of 15 months.
Time to Maximum Observed Concentration (Tmax) of Lotilaner
Time to maximum observed concentration (Tmax) of lotilaner.
Time frame: At protocol specified timepoints through end of pharmacokinetic sampling, an average of 15 months.