This study in healthy volunteers will provide a basis for evaluation of inhaled TRL1068 as a first in human study, specifically, important safety, tolerability, and pharmacokinetic data.
This is a Phase 1, double-blind study to assess the safety and PK of inhaled TRL1068. Healthy subjects aged 18-65, inclusive, will be screened. Subjects who meet all inclusion and no exclusion criteria will be enrolled into the study, assigned to a dose group (DG), and randomized to receive IP. The single dose (SD) study (Study Part A) will enroll one dose group (DG) of 7 healthy participants (5 active and 2 placebo), with each participant receiving a single inhaled dose of TRL1068 or matching placebo \[IP\]. This DG will include a sentinel group of two participants (1 active and 1 placebo) who will be dosed at least 24 hours before the remaining five participants (4 active and 1 placebo). The remaining participants in a DG will only be dosed if no clinically significant safety or tolerability concerns are observed in the sentinel group, following review of the blinded safety data from the first two subjects in the DG by the PI and Sponsor. All participants in DG1 will be admitted to a Phase 1 research unit prior to the inhalation of IP on Day 1 and domiciled for 24 hours for observation. The multiple dose (MD) study (Study Part B) will enroll one DG of 7 healthy participants (5 active and 2 placebo). Participants will receive inhaled doses of TRL1068 or matching placebo every other day for 7 days (on Days 1, 3, 5, and 7). DGs will be enrolled sequentially with a safety review completed between DGs. A Study Monitoring Committee (SMC) will review all available safety data 48 hours after the last subject in a DG has completed the last dose prior to making a recommendation regarding escalation to the next higher DG.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
14
The IP will be in a solution for inhalation at a nominal concentration of 20 mg/mL. The IP will be reconstituted with a formulation buffer to 10 mg/mL/PS20 0.055% and dosed at a fixed dose of 60 mg per dose (volume of 6 mL) to full completion. Placebo will be normal saline. This study will use a marketed nebulizer device, the Aerogen Solo™, which is designed to generate an aerosol to achieve effective levels of TRL1068 in distal airways.
Celerion
Lincoln, Nebraska, United States
Incidence of abnormal physical exam findings
Clinically-significant abnormal physical exam findings will be reviewed
Time frame: 30 days
Severity of abnormal physical exam findings
Clinically-significant abnormal physical exam findings will be reviewed. Severity scale used in this trial is Guidance for Industry: Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials (https://www.fda.gov/media/73679/download).
Time frame: 30 days
Incidence of abnormal serum chemistries and hematology
Clinically-significant abnormal laboratory results findings will be reviewed
Time frame: 30 days
Severity of abnormal serum chemistries and hematology
Clinically-significant abnormal laboratory results findings will be reviewed. Severity scale used in this trial is Guidance for Industry: Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials (https://www.fda.gov/media/73679/download).
Time frame: 30 days
Incidence of abnormal vital signs (temperature)
Clinically-significant abnormal temperatures will be reviewed
Time frame: 30 days
Severity of abnormal vital signs (temperature)
Clinically-significant abnormal temperatures will be reviewed
Time frame: 30 days
Incidence of abnormal vital signs (blood pressure)
Clinically-significant abnormal blood pressures will be reviewed
Time frame: 30 days
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Severity of abnormal vital signs (blood pressure)
Clinically-significant abnormal blood pressures will be reviewed
Time frame: 30 days
Incidence of abnormal vital signs (heart rate)
Clinically-significant abnormal heart rates will be reviewed
Time frame: 30 days
Severity of abnormal vital signs (heart rate)
Clinically-significant abnormal heart rates will be reviewed
Time frame: 30 days
Incidence and Severity of Adverse Events
reported AEs will be reviewed
Time frame: 30 days
Incidence of Serious Adverse Events
reported SAEs will be reviewed
Time frame: 30 days
Characterize the pharmacokinetics (PK) of inhaled TRL1068 overall and by DG (Cmax)
determined by ELISA
Time frame: 8 days
Characterize the pharmacokinetics (PK) of inhaled TRL1068 overall and by DG (Cmin)
determined by ELISA
Time frame: 8 days
Characterize the pharmacokinetics (PK) of inhaled TRL1068 overall and by DG (CL)
determined by ELISA
Time frame: 8 days
Characterize the pharmacokinetics (PK) of inhaled TRL1068 overall and by DG (Vss)
determined by ELISA
Time frame: 8 days
Characterize the pharmacokinetics (PK) of inhaled TRL1068 overall and by DG (T1/2)
determined by ELISA
Time frame: 8 days
Assess the immunogenicity of inhaled TRL1068 as measured by anti-drug antibodies (ADAs)
Incidence of baseline and IP-emergent ADA (i.e., anti-TRL1068 antibodies) in serum will determined by electrochemiluminescence assay
Time frame: 30 days