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Trial registered on ANZCTR
Registration number
ACTRN12622001025729
Ethics application status
Not required
Date submitted
18/07/2022
Date registered
22/07/2022
Date last updated
8/01/2024
Date data sharing statement initially provided
22/07/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
Systemic Exposure Exploratory Open-Label Study of EmtinB to Determine Presence in Cerebrospinal Fluid (CSF)
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Scientific title
A Phase 1, Single-Arm, Exploratory Open-Label Study Investigating Safety, Tolerability, and Pharmacokinetics of Subcutaneously Administered EmtinB in Healthy Adult Volunteers
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Secondary ID [1]
307613
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NSB1528-782-101
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
This study is linked to the parent study ACTRN12622001019796
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Health condition
Health condition(s) or problem(s) studied:
Neurodegenerative disorders
327087
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Condition category
Condition code
Neurological
324240
324240
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0
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Neurodegenerative diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Experimental: Single dose of EmtinB at planned dose level of 150 mg administered on a single occasion. EmtinB will be administered subcutaneously to the abdomen as a single dose in the clinic by trained, qualified personnel.
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Intervention code [1]
324063
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Treatment: Drugs
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Concentration of EmtinB in a CSF sample.
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Assessment method [1]
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Timepoint [1]
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Participants will have a single sample collected at either 3 hours or 8 hours post-dose. This will be undertaken in a non-randomised fashion such that the first 4 participants have their sample collected at 3 hours post-dose and the last 4 have their sample collected at 8 hours post-dose.
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Secondary outcome [1]
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Safety of EmtinB assessed by occurrence of treatment emergent adverse events recorded through observation and non-leading questioning in accordance with the Common Terminology Criteria for Adverse Events (CTCAE5.0) as well as through specific assessments to objectively assess for clinically significant changes from baseline in: - Laboratory evaluations (blood and urine samples for chemistry, coagulation studies, haematology and urinalysis); - Vital signs (temperature using an electronic probe, manually counted respiratory rate and pulse rate and blood pressure measured using a non-invasive automated blood pressure monitor); - Electrocardiograms; - Physical examinations.
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Assessment method [1]
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Timepoint [1]
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Safety will be assessed at each point of contact from pre-dose on Day 1 until the final contact on Day 8 which will be 7 days post-dose.
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Secondary outcome [2]
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Tolerability of EmtinB will be assessed through review of local injection site reactions, which will be assessed using:
- Local Injection Site Toxicity Grading Scale
- Visual Analogue Scale (VAS) for pain
- Photography of the injection site.
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Assessment method [2]
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Timepoint [2]
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Tolerability will be assessed at each point of contact from immediately post-dose on Day 1 until the final contact on Day 8 which will be 7 days post-dose.
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Secondary outcome [3]
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PK of EmtinB on plasma samples to assess Cmax, tmax,AUC, t1/2, Kel, CL/F, Vz/f and Css.
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Assessment method [3]
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Timepoint [3]
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Blood samples collected at pre-dose, 0.5, 1, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 30, 36and 48 hours post-dose
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Eligibility
Key inclusion criteria
1. Generally healthy with the exception of those medical conditions allowed per the inclusion/exclusion criteria.
2. Adult male and female participants aged greater than or equal to 18 and less than or equal to 60 years at the time of screening.
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Presence or history of any cardiovascular, gastrointestinal, renal, hepatic, respiratory, hematological,lymphatic, immunological, dermatological, neurological, musculoskeletal, connective tissue, genitourinary,endocrine or psychiatric diseases or disorders, which are determined as clinically relevant by the investigator as they would make implementation of the protocol or interpretation of the study data difficult, or would put the participant at risk by participation in the study in the opinion of the investigator..
2. Any evidence or treatment of malignancy (other than localized basal cell cancer, squamous cell skin cancer, or cancer in situ that has been resected or successfully treated with topical therapy e.g. Aldara) within the previous 5 years.
3. Abnormal ECG, and deemed clinically significant by the investigator, at screening and/or Day -1 defined as; QTcF >450 msec (males) or >470 msec (females).
4. Clinically significant renal disease, nephrectomy, renal transplant or estimated glomerular filtration rate of <90 mL/min/1.73 m^2 at screening based on Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) creatinine equation 2009.
5. Abnormal vital sign findings (after resting semi-supine for 5 minutes) defined as:
• Blood pressure that is >140 mm Hg or <90mm Hg systolic, or >90 mm Hg or <40 mm Hg diastolic at screening or Day -1.
• Pulse rate that is <40 or >100 bpm at screening or Day -1.
6. Used or are using over-the-counter medications, dietary/nutritional supplements (except for occasional paracetamol, up to 2 g in any 1 day) within 7 days prior to first dose on Day 1 until completion of the EOS visit.
7. Used or are using prescription medications (except stable female contraceptives that must continue uninterrupted for the duration of the study) within 14 days or 5 half-lives prior to first dose on Day 1 (whichever is longer) until completion of the EOS visit.
8. Used or are using systemic steroids (orally or intravenously administered) within 28 days prior to first dose on Day 1 until completion of EOS visit.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Withdrawn
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Reason for early stopping/withdrawal
Other reasons/comments
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Other reasons
Strategic decision of the company to withdraw from development in this indication
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Date of first participant enrolment
Anticipated
23/01/2024
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Actual
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Date of last participant enrolment
Anticipated
23/01/2024
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Actual
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Date of last data collection
Anticipated
30/01/2024
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Actual
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Sample size
Target
8
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Nucleus Network - Melbourne
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Recruitment hospital [2]
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Nucleus Network - Geelong
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Recruitment postcode(s) [1]
41101
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3004 - Melbourne
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Recruitment postcode(s) [2]
41102
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3220 - Geelong
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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NeuroScientific Biopharmaceuticals Ltd
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Address [1]
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Suite 5, 85 Forrest Street, Cottesloe WA 6011
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Country [1]
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
NeuroScientific Biopharmaceuticals Ltd
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Address
Suite 5, 85 Forrest Street, Cottesloe WA 6011
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
313358
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Other collaborator category [1]
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Commercial sector/Industry
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Name [1]
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Nucleus Network Pty Ltd
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Address [1]
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Level 5, Burnet Tower, 89 Commercial Road, Melbourne, Victoria 3004
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Country [1]
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Australia
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Other collaborator category [2]
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Commercial sector/Industry
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Name [2]
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Nucleus Network Pty Ltd
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Address [2]
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235 Ryrie Street, Geelong, Victoria 3220
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Country [2]
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Australia
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Ethics approval
Ethics application status
Not required
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Summary
Brief summary
This Phase 1 study will comprise a single group conducted in up to 8 participants who will receive a single dose of EmtinB in an open-label fashion. In addition to safety, tolerability and pharmacokinetics (PK), a single cerebrospinal fluid (CSF) sample will be collected from each participant via lumbar puncture to assess the ability of EmtinB to cross the blood brain barrier.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Philip Ryan
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Address
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Nucleus Network Pty Ltd, Level 5, Burnet Tower, 89 Commercial Road, Melbourne, Victoria 3004
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Country
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Australia
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Phone
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+61 3 8593 9800
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Nucleus Network Melbourne
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Address
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Level 5, Burnet Tower, 89 Commercial Road, Melbourne, Victoria 3004
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Country
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Australia
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Phone
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+61 1800 243 733
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Simon Scott
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Address
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NeuroScientific Biopharmaceuticals Ltd
Suite 5, 85 Forrest Street
Cottesloe 6011 WA
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Country
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Australia
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Phone
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+61 8 6382 1805
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Fax
120684
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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