Trial Review

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this information for consumers
Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT04867057




Registration number
NCT04867057
Ethics application status
Date submitted
16/04/2021
Date registered
30/04/2021
Date last updated
28/11/2023

Titles & IDs
Public title
Trichomylin® Safety, Tolerability & Pharmacokinetics in Healthy Adults and First in Human Osteoarthritis Pain Evaluation
Scientific title
A Phase 1 FIH, Randomized, Double Blind, Placebo Controlled, SAD/MAD Study to Assess Safety, Tolerability, PK/PD and Food Effect of Trichomylin in Healthy Adult Participants and Preliminary Efficacy in Management of Chronic OA Pain
Secondary ID [1] 0 0
Z-TRI-10001
Universal Trial Number (UTN)
Trial acronym
HOPE
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Healthy 0 0
Osteoarthritis 0 0
Condition category
Condition code
Musculoskeletal 0 0 0 0
Osteoarthritis

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Trichomylin for SAD
Treatment: Drugs - Placebo for SAD
Treatment: Drugs - Trichomylin for MAD
Treatment: Drugs - Placebo for MAD

Experimental: Experimental: Trichomylin for SAD - 18 out of 24 subjects were randomized to receive Trichomylin in a single dose.

Placebo Comparator: Placebo Comparator: Placebo for SAD - 6 out of 24 subjects were randomized to receive placebo in a single dose.

Experimental: Experimental: Trichomylin for MAD - 13 out of 17 subjects were randomized to receive Trichomylin in multiple doses.

Placebo Comparator: Placebo Comparator: Placebo for MAD - 4 out of 17 subjects were randomized to receive Placebo in multiple doses.


Treatment: Drugs: Trichomylin for SAD
Healthy subjects meeting eligibility criteria were randomized to each dose cohort (up to four dose ascending cohorts) to receive either Trichomylin or Placebo. The study drug (Trichomylin or Placebo) will be administered orally as a single dose.

Treatment: Drugs: Placebo for SAD
Healthy subjects meeting eligibility criteria were randomized to each dose cohort (up to four dose ascending cohorts) to receive either Trichomylin or Placebo. The study drug (Trichomylin or Placebo) will be administered orally as a single dose.

Treatment: Drugs: Trichomylin for MAD
Healthy subjects meeting eligibility criteria were randomized to each dose cohort (up to three cohorts) to receive either Trichomylin or Placebo. The study drug (Trichomylin or Placebo) will be administered daily oral doses for a total of 9 days.

Treatment: Drugs: Placebo for MAD
Healthy subjects meeting eligibility criteria were randomized to each dose cohort (up to three cohorts) to receive either Trichomylin or Placebo. The study drug (Trichomylin or Placebo) will be administered daily oral doses for a total of 9 days.
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Percentage and severity of unexpected Serious Adverse Events (SAEs)
Timepoint [1] 0 0
Through study completion, an average of 1 year
Secondary outcome [1] 0 0
Rate and extent of absorption of Trichomylin by assessment of the observed Maximum Plasma Concentration (Cmax)
Timepoint [1] 0 0
SAD cohort: Day 1 through Day 21; MAD cohort: Day 1 through 30
Secondary outcome [2] 0 0
Rate and extent of absorption of Trichomylin by assessment of the observed Time to Maximum Plasma Concentration (Tmax)
Timepoint [2] 0 0
SAD cohort: Day 1 through Day 21; MAD cohort: Day 1 through 30
Secondary outcome [3] 0 0
Rate and extent of elimination of Trichomylin by assessment of the observed Apparent Terminal Elimination Rate Constant (Kel)
Timepoint [3] 0 0
SAD cohort: Day 1 through Day 21; MAD cohort: Day 1 through 30
Secondary outcome [4] 0 0
Exposure of Trichomylin by assessment of area under the drug concentration-time curve (AUC).
Timepoint [4] 0 0
SAD cohort: Day 1 through Day 21; MAD cohort: Day 1 through 30

Eligibility
Key inclusion criteria
1. Male or female volunteers, aged 18 to 65 years (inclusive at the time of consent);

2. Must have a Body Mass Index (BMI) = 18 to = 32 kg/m2 with weight = 50 kg at Screening;

3. Must have a negative urine drug screen at the Screening visit and the day before
dosing (Day -1); one repeat urine drug may be conducted for a suspected false positive
result;

4. Must be willing to abstain from the use of cannabis and other cannabinoid compounds
(other than the study drug) for the duration of the study (from the time of Screening
until the EOS visit);

5. Must be willing to abstain from smoking (including the use of tobacco or nicotine
products and e-cigarettes) for the duration of the study (from the time of Screening
until the EOS visit);

6. Must not have any hepatic and/or renal impairment as judged by the PI;

7. Must be willing and able to comply with all study procedures and be available for the
duration of the study (from the time of Screening until the EOS visit);

8. Must not be currently using anti-depressants (selective serotonin reuptake inhibitors
[SSRIs], monoamine oxidase inhibitors [MOAIs], serotonin-norepinephrine reuptake
inhibitors [SNRIs], or tricyclic anti-depressants [TCAs]) for 14 days or 5 half-lives
of the drug, whichever is longer, prior to IP administration, and for the duration of
the study;

9. Must not have any current or past allergic or adverse reaction or known sensitivity to
olive oil, gelatin, glycerin and titanium dioxide, or to cannabinoid-like substances
(including but not limited to
Dronabinol/Marinol/Nabilone/marijuana/cannabis/tetrahydrocannabinol [THC], cannabinoid
oil);

10. Females must be non-pregnant and non-lactating and must use two forms ("double
contraception") of acceptable, highly effective contraception from Screening and for
12 weeks following the last dose of study drug. Double contraception is defined as a
condom AND one other form of the following:

1. Established hormonal contraception (with an approved oral contraceptive pill
[OCP]);

2. Depot or injectable birth control;

3. A vaginal ring or an intrauterine device ([IUD], with or without hormones); OR

4. Documented evidence of surgical sterilization as a single form of birth control,
at least 6 months prior to Screening (e.g., tubal ligation, hysterectomy,
bilateral salpingectomy, or bilateral oophorectomy for women, OR vasectomy for
men [with documented azoospermia 90 days after procedure] provided that partner
is the sole sexual partner).

Women not of childbearing potential must be post-menopausal (defined as cessation or
regular menstrual periods for at least 12 months). Post-menopausal status will be
confirmed through testing of follicle-stimulating hormone (FSH) consistent with
post-menopausal state based on lab reference ranges.

True subject abstinence for the duration of the study and 12 weeks after IP dosing is
acceptable only when the subject has not been sexually active at all during their
lifetime.

Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation
methods), withdrawal (coitus interruptus), spermicides only, and lactational
amenorrhoea methods are not considered "true" abstinence and are not acceptable
methods of contraception.

Female participants who are in a long-term, same-sex, monogomous relationship are not
required to use contraception.

11. Male subjects of childbearing potential will be required to use condoms from Screening
until 12 weeks following the last dose of the study drug and to refrain from sperm
donation during the same period. Male subjects not of childbearing potential are
permanently sterile by bilateral orchidectomy or vasectomy (with documented
azoospermia 90 days after procedure).

Male participants who are in a long-term, same-sex, monogamous relationship are not
required to use contraception.

Male subjects should be informed that if a female partner becomes pregnant while he is
enrolled in the study, contact with the female partner will be attempted to request
her consent to collect pregnancy outcome information.

12. Women of childbearing potential must have a negative pregnancy test at Screening and
Day -1 and be willing to have additional pregnancy tests, as required, throughout the
study, at the Investigator's discretion;

13. Males must not donate sperm and females must not donate ova from Screening until 12
weeks after the last dose of the study drug.

14. Must agree to adhere to the current state and national advice regarding minimizing
exposure to corona virus disease of 2019 (COVID-19) from the first Screening visit
until the EOS visit;

15. Must be willing and able to provide written informed consent after the nature of the
study has been explained and prior to the commencement of any study procedures;

16. Must be in good physical and mental health as determined by absence of any clinically
significant (in the opinion of the Investigator) abnormalities based on medical
history, physical examination, vital signs, triplicate 12-lead electrocardiogram
(ECG), clinical laboratory evaluations, at Screening and prior to administration of
the initial dose of study drug;

17. Must be able and willing to comply with all study requirements including:

1. Confinement to the CRU prior to and during study drug administration and required
follow-up periods for Part A SAD and Part B MAD

2. Refraining from using the following:

i. Any previous/current cannabis products within 2 months prior to Screening and
throughout the duration of the study (from the time of Screening until the EOS visit);
ii. Cannabis products (in the form of oil, vaporizer, or smoke) for the duration of
the study; iii. Prescription medications 14 days prior to administration of the first
dose of study drug; iv. Alcohol 48 hours prior to admission, and while confined to the
CRU. In addition, participants must agree to refrain from regular use of alcohol (i.e.
? 10 units per week or ? 4 units on any given day for men and women [1 unit = 150mL of
wine, 360 mL of beer, or 45 mL of 40% alcohol]) for the duration of the study; v.
Recreational drugs for the duration of the study.

18. For Part A SAD, participants must not have used cannabis or cannabinoid products
within 2 months prior to Screening.
Minimum age
18 Years
Maximum age
65 Years
Sex
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
1. Pregnant or lactating at Screening or planning to become pregnant (self or partner) at
any time during the study and for 12 weeks after final study drug administration;

2. Has a past or present clinically significant condition, which would prevent or limit
study assessments in accordance with the protocol, with particular reference to renal
and/or hepatic impairment, OR it would be in the best interests of the participant to
not participate;

3. Has been diagnosed with the following within 10 years of Screening: psychosis
(secondary to, for example, substance abuse, major depression, a mood disorder with
postpartum onset, bipolar disorder, schizophrenia, or borderline personality
disorder), somatoform disorder(s) or chronic fatigue syndrome;

4. Has a current/active diagnosis of generalized anxiety disorder, panic disorder,
obsessive compulsive disorder, post- traumatic stress disorder, a simple phobia(s),
anorexia nervosa or bulimia nervosa;

5. Cognitive impairment and/or a psychiatric illness (e.g., dementia, Alzheimer's disease
or psychosis), which in the opinion of the Investigator will prevent participants from
reliably providing primary outcome data;

6. Has significant suicidal ideation as defined by the Columbia-Suicide Severity Rating
Scale (C-SSRS) and Patient Health Questionnaire (PHQ-9);

7. History of abuse of substances such as opiates, amphetamines, barbiturates, cocaine,
cannabis, hallucinogens within 12 months prior to Screening or positive urine drug
screen at Screening or Day -1. A urine drug screen deemed positive due to prescription
medications or for benzodiazepines or opioids is acceptable and inclusion is at the
discretion of the Investigator;

8. Regular use of alcohol within one month prior to the Screening visit (i.e. more than
10 units of alcohol per week or 4 units on any given day [1 unit = 150mL of wine, 260
mL of beer, or 45mL of 40% alcohol]);

9. Symptomatic heart failure (per New York Heart Association [NYHA] guidelines), unstable
angina, myocardial infarction, transient ischemic attack (TIA) or cerebrovascular
accident (CVA) within 6 months prior to Screening;

10. Has an abnormal ECG of clinical relevance at Screening or Baseline, including but not
limited to the following:

1. QTcF interval > 450 msec

2. Evidence of 2nd and 3rd degree atrioventricular (AV) block, or 1st degree AV
block with PR interval > 200ms, left bundle branch block (LBBB) or right bundle
branch block (RBBB) at Screening or Baseline. Incomplete RBBB will not permitted.

3. Has a history of risk factors including hypokalemia, family history of Long QT
Syndrome, or prior use of medications that prolong the QT/QTc interval

11. Has a resting heart rate < 45 beats/minute, > 100 beats/min upon one repeated
measurement within 5 minutes;

12. Has abnormal blood pressure outside specified limits (90 mm Hg > Systolic > 140 mm Hg
and/or 50 mm Hg > Diastolic > 90 mm Hg) upon repeated measurement;

13. Has clinically significant abnormalities in any of the clinical laboratory evaluations
at Screening or Day -1 as determined by the Investigator;

14. Has a history of malignancy within the last 2 years except for adequately treated
basal cell carcinoma, squamous cell skin cancer, superficial bladder tumors, or in
situ cervical cancer. Participants with other curatively treated malignancies who have
no evidence of metastatic disease and more than a 2-year disease-free interval may be
entered following approval by the Study Medical Monitor (MM);

15. Has a history of major surgery within 6 months of Screening, OR has a history of minor
surgery within the past month which would preclude inclusion as judged by the
Investigator OR will not have fully recovered from surgery, OR has planned a surgery
during the study;

16. Has current or past allergic or adverse reaction or known sensitivity to olive oil,
gelatin, glycerin and titanium dioxide, or to cannabinoid-like substances
(Dronabinol/Marinol/Nabilone/marijuana/cannabis/tetrahydrocannabinol [THC],
cannabinoid oil);

17. Has known human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C
virus (HCV) infection, or tests positive for any of these viruses at Screening;

18. Use of the following in the 14 days prior to study drug administration or 5
half-lives, whichever is longer:

1. Sedative medications (e.g., barbiturates and other central nervous system [CNS]
depressants)

2. Warfarin (Coumadin)

3. Antipyrine

4. Disulfiram (Antabuse)

5. CYP3A4 inhibitors, inducers or substrates

6. CYP2C9 inhibitors, inducers or substrates

7. CYP2C19 inducers or substrates

8. CYP2B6 substrates

9. CYP1A2 substrates

10. P-glycoprotein substrates

Note: this includes grapefruit juice or related products, Sevilla orange juice or
related products, and St John's wort.

19. Unable to swallow an oral tablet/capsule (medication) or consume up to 300 mL of water
within 30 minutes;

20. Use of any IP or investigational medical device within 30 days prior to Screening, or
5 half-lives of the product (whichever is the longest), or current participation in an
investigational study, or participation in more than 4 investigational drug studies
within 1 year prior to Screening.

21. Refusal to maintain contraceptive practices (as defined by guidance) during the study
and for 12 weeks after final study drug administration and for women of childbearing
potential refusal to be screened for pregnancy for the duration of the study.

22. Study personnel as an immediate family or household member.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s

The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 1
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
19/04/2021
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
30/05/2022
Sample size
Target
Accrual to date
Final
41
Recruitment in Australia
Recruitment state(s)
SA
Recruitment hospital [1] 0 0
CMAX Clinical Research - Adelaide
Recruitment postcode(s) [1] 0 0
5000 - Adelaide

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
ZYUS Life Sciences Inc.
Address
Country
Other collaborator category [1] 0 0
Commercial sector/Industry
Name [1] 0 0
Novotech (Australia) Pty Limited
Address [1] 0 0
Country [1] 0 0
Other collaborator category [2] 0 0
Other
Name [2] 0 0
ZYUS Life Sciences Australia Pty Ltd
Address [2] 0 0
Country [2] 0 0

Ethics approval
Ethics application status

Summary
Brief summary
This is a first in human, randomized, double-blind, placebo-controlled SAD (with food effect)
followed by a MAD study of Trichomylin® conducted in healthy adult participants.
Trial website
https://clinicaltrials.gov/ct2/show/NCT04867057
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Paul Wabnitz, Dr
Address 0 0
CMAX clinical research
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT04867057