Single Ascending Dose Study of ALA-1000

NCT ID: NCT04122755

Last Updated: 2021-12-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

59 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-16

Study Completion Date

2021-05-03

Brief Summary

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An open-label study designed to evaluate the safety, tolerability, and pharmacokinetics of ALA-1000 in opioid-dependent subjects. To characterize the PK profile of ALA-1000 in 5 single ascending dose cohorts and a sixth cohort of single ALA-1000 after receiving buprenorphine sublingual films for 7 days.

Detailed Description

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The study will include opioid-dependent subjects who have been receiving stable, orally administered buprenorphine for at least 2 weeks or buprenorphine naïve subjects who will be stabilized on orally administered buprenorphine for 3 days prior to ALA-1000 administration.

All subjects will be washed off of oral buprenorphine for 7 days prior to ALA-1000 administration except Cohort 6 which will receive ALA-1000 administration after 7 days of buprenorphine sublingual film dosing.

The subsequent cohorts will be initiated after safety and PK information from the preceding cohorts is available.

The expected maximum duration of participation for each subject is 192 days approximately, consisting of up to a 7-day screening period, up to a 31-day residential phase, and up to a 154-day nonresidential period.

Conditions

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Opioid-use Disorder

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort1

Subjects receive a single subcutaneous injection of 1-fold ALA-1000 dose (first in human dose).

Group Type EXPERIMENTAL

ALA-1000

Intervention Type DRUG

Blood sample for PK analysis are collected before and post single injection of ALA-1000 (Day1) according to the schedule of procedures. Subjects remain in the residential phase through Day21 for safety assessment.

Cohort2

Subjects receive a single subcutaneous injection of 2-fold ALA-1000 dose

Group Type EXPERIMENTAL

ALA-1000

Intervention Type DRUG

Blood sample for PK analysis are collected before and post single injection of ALA-1000 (Day1) according to the schedule of procedures. Subjects remain in the residential phase through Day21 for safety assessment.

Cohort3

Subjects receive a single subcutaneous injection of 4.7-fold ALA-1000 dose

Group Type EXPERIMENTAL

ALA-1000

Intervention Type DRUG

Blood sample for PK analysis are collected before and post single injection of ALA-1000 (Day1) according to the schedule of procedures. Subjects remain in the residential phase through Day21 for safety assessment.

Cohort4

Subjects receive a single subcutaneous injection of 9.4-fold ALA-1000 dose

Group Type EXPERIMENTAL

ALA-1000

Intervention Type DRUG

Blood sample for PK analysis are collected before and post single injection of ALA-1000 (Day1) according to the schedule of procedures. Subjects remain in the residential phase through Day21 for safety assessment.

Cohort5

Subjects receive a single subcutaneous injection of 18.8-fold ALA-1000 dose

Group Type EXPERIMENTAL

ALA-1000

Intervention Type DRUG

Blood sample for PK analysis are collected before and post single injection of ALA-1000 (Day1) according to the schedule of procedures. Subjects remain in the residential phase through Day21 for safety assessment.

Cohort6

Subjects receive a single subcutaneous injection of 18.8-fold ALA-1000 dose after 7 days of buprenorphine sublingual film dosing

Group Type EXPERIMENTAL

ALA-1000

Intervention Type DRUG

Blood sample for PK analysis are collected before and post single injection of ALA-1000 (Day1) according to the schedule of procedures. Subjects remain in the residential phase through Day21 for safety assessment.

buprenorphine sublingual film

Intervention Type DRUG

ALA-1000 injection after 7 days of buprenorphine sublingual film dosing. Blood sample for PK analysis are collected before and post sublingual buprenorphine dosing on Day-1

Interventions

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ALA-1000

Blood sample for PK analysis are collected before and post single injection of ALA-1000 (Day1) according to the schedule of procedures. Subjects remain in the residential phase through Day21 for safety assessment.

Intervention Type DRUG

buprenorphine sublingual film

ALA-1000 injection after 7 days of buprenorphine sublingual film dosing. Blood sample for PK analysis are collected before and post sublingual buprenorphine dosing on Day-1

Intervention Type DRUG

Other Intervention Names

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Depot Buprenorphine Formulation

Eligibility Criteria

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Inclusion Criteria

1. Competent to provide informed consent.
2. Voluntarily provide informed consent and Health Insurance Portability and Accounting Act (HIPAA) Authorization prior to any procedures or evaluations performed specifically for the sole purpose of the study.
3. Male or female between 18 to 65 years of age inclusive at the screening visit.
4. Meets DSM-5 criteria for Opioid Use Disorder (OUD) and is seeking treatment of OUD.
5. Body Mass Index (BMI) ≥ 18 and ≤ 35 kg/m2 at screening visit.
6. Female subjects of childbearing potential must agree to use a reliable method of birth control (e.g., total abstinence, condom and spermicide, intrauterine device (IUD), oral contraception which has been stable for 30 days) and at least 120 days after stopping the investigational product.
7. Agree to withdraw from opiates for at least 12 hours prior to admission to clinical unit.
8. Agree not to take any buprenorphine product (other than ALA-1000 and buprenorphine sublingual films during tolerability/induction period) during the study.

Exclusion Criteria

1. History or presence of a significant medical disease or disorder which, in the opinion of the investigator, increases the risk of the study drug or may confound the interpretation of study measures, as confirmed by screening laboratory results.
2. Clinically significant abnormal findings on physical examination, vital signs, or Electrocardiogram (ECG). Defined as having a QTc (Fridericia) interval \> 470 msec or any other clinically significant abnormalities at screening, check-in, or prior to administration of ALA-1000.
3. Pregnant or lactating.
4. History of suicidal behavior in the past 1 year or current suicidal ideation as per investigator judgement.
5. Currently meets Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for substance use disorder, moderate or severe for any substance other than opioids, caffeine, or nicotine.
6. Currently meets criteria for any unstable psychiatric disorder, including schizophrenia, schizoaffective, bipolar disorder (depression and stable bipolar disorder are not excluded if condition has been stable for at least 60 days).
7. Current diagnosis of Acquired Immune Deficiency Syndrome (AIDS) as confirmed by Western Blot and viral load laboratory results.
8. Acute active Hepatitis B or C as evidenced by positive serology and Aspartate aminotransferase (AST)/ Alanine aminotransferase (ALT) \>2 upper limit of normal (ULN)
9. History of blood donation in excess of 450 mL within 30 days prior to Visit 1.
10. Received treatment with an investigational drug or device within 90 days prior to Visit 1.
11. Use of strong inhibitors or inducers of cytochrome P450 3A4 (CYP3A4) within 30 days prior to Visit 1.
12. Use of any new medication, vitamins, or supplements within 7 days prior to Visit.
13. Hypersensitivity or allergy to buprenorphine or other opioids which, in the opinion of the investigator, would compromise subject safety.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alar Pharmaceuticals Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Erin Tireman

Role: STUDY_DIRECTOR

Innovative Clinical Research

Locations

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Innovative Clinical Research

Miami, Florida, United States

Site Status

Countries

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United States

Other Identifiers

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A1-19-P01

Identifier Type: -

Identifier Source: org_study_id