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Trial registered on ANZCTR
Registration number
ACTRN12624000832572p
Ethics application status
Submitted, not yet approved
Date submitted
27/06/2024
Date registered
5/07/2024
Date last updated
5/07/2024
Date data sharing statement initially provided
5/07/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
A Phase 1, Single Centre, Open Label, Multiple Dose Study to Investigate the Safety and Pharmacokinetics of Ziverdox in Healthy Volunteers
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Scientific title
A Phase 1, Single Centre, Open Label, Multiple Dose Study to Investigate the Safety and Pharmacokinetics of Ziverdox in Healthy Volunteers
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Secondary ID [1]
312420
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Nil known
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Universal Trial Number (UTN)
U1111-1307-7794
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
COVID-19
334237
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Condition category
Condition code
Respiratory
330902
330902
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0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants will receive a single oral dose of 1 tablet of 137mg Ziverdox every day for 10 days (Day 1 to Day 10). On Days 1, 2, 3, 4, 6 and 8 participants will be given the daily dose at the clinic under supervision. On Days 5, 7 and 9 participants will take the daily dose at home and will record that they have done this in the participant diary.
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Intervention code [1]
328927
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Treatment: Drugs
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Comparator / control treatment
There will be no control group. All participants will receive Ziverdox.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Safety and tolerability of Ziverdox
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Assessment method [1]
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Composite primary outcome consisting of:
1. Incidence and severity of treatment emergent adverse events (AE) &
2. incidence of serious adverse events (SAE) and suspected unexpected serious adverse reaction events (AE).
3. Clinically significant changes from baseline in Laboratory evaluations (hematology, chemistry, urinalysis), Vital signs & Physical examinations.
Known Adverse Reactions & Tools used to assess:
• Worsening of asthma - Medical oversight, Physical Exams & Self-reporting.
• Hypotension - ECGs, Physical Exams, Vital signs.
• Elevates LFTs, Bilirubin or eosinophils - Safety Laboratory Assessments
• Fatigue - Physical exams and self-reporting
• Abdominal pain Physical exams and self-reporting.
• Diarrhoea and constipation - self-reporting.
• Dizziness and vertigo - self-reporting.
• Decreased appetite and changes to taste sensitivity - Physical exam and self-reporting.
• Oral* or Vaginal thrush - self-reporting and or Physical exam*
• Rash or itching - self-reporting and or Physical exam
• Changes to the appearance of your nails - self-reporting and or Physical exam.
• Mild irritation of the oesophagus (food pipe) - self-reporting and or Physical exam.
• Ringing or other persistent noise in the ears- self-reporting and or Physical exam.
• Decreased appetite and changes to taste sensitivity
A Diary will be used and adverse/reactions/events can be captured. Ph I Unit is available 24/7.
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Timepoint [1]
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AEs and SAEs will be collected from screening throughout the study. Screening -Day 28 to Day 22
Vital signs will be done from Screening and throughout the study.
Safety labs on: Screening Day -28 to -2, Day -1, 2, 4, 6, 9, 11 and 22.
Physical Exams: Screening Day-28 to -2, -1, 9 and 22.
Self Reported Events to be captured on Days -1 to 22.
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Secondary outcome [1]
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PK of Ziverdox
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Assessment method [1]
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1. Concentration of Ziverdox and its metabolites (where possible) in plasma samples
2. PK parameters of Ziverdox and its metabolites (where possible) in plasma samples.
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Timepoint [1]
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PK samples will be taken on Day 1, 90 mins prior to dosing, then at 0.5, 1, 1.5 2, 2.5, 3, 4, 5, 6, 8 and 12 hours post dose. Samples will be taken on Day 2, 90 mins prior to dose and 12 hours post dose then on Day 3 90 mins prior to dose, Day 4 120 mins prior to dose, Day 6 120 mins prior to dose, Day 8 120 mins prior to dose and on Day 10 90 mins prior to dose and 30 mins post dose then 0.5, 1.5, 2, 2.5, 3, 4, 5, 6, 8 and 12 hours post dose then on Day 11, 24 hours post dose and 36 hours post dose, on Day 12 48 hours post dose and on Day 13 72 hours post dose.
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Eligibility
Key inclusion criteria
1. Healthy Volunteers
2. Male or Female
3. BMI 18.0-35.0 kg/m2,
4. Weight >50kgs
5. HREC worded Contraception for both males and females. Including male partners.
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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, immunological, dermatological, neurological, or psychiatric/psychological condition, which is considered to be clinically significant by the investigator or delegate.
2. Any concomitant disease or condition that could interfere with the conduct of the study or that would, in the opinion of the investigator, pose an unacceptable risk to the participant.
3. Normal hematologic and hepatic function defined as liver function tests = 1.5 x upper limit of normal and estimated glomerular filtration rate > 59 and determined by clinical lab results. Repeat tests may be conducted at the discretion of the investigator.
4. Clinically relevant abnormal laboratory results, 12-lead electrocardiogram (ECG) and vital signs, or physical findings at screening and/or Day -1 as judged by the investigator. Tests performed during screening may be repeated once at the discretion of the investigator to confirm eligibility.
5. Use of prescription medication 14 days prior to dosing on Day 1 until the end of study (EOS) visit. Exceptions are hormone replacement therapy and contraception. Additional exceptions may apply on a case-by-case basis if considered not to interfere with the objectives of the study, at the discretion of the investigator and/or medical monitor.
6. Use of over-the-counter medications in the 7 days or 5 half-lives before dosing on Day 1 until the EOS visit. Exceptions are paracetamol (up to 2 gm/day) and vitamins. Additional exceptions may apply on a case-by-case basis if considered not to interfere with the objectives of the study, at the discretion of the investigator and/or medical monitor.
7. Active COVID-19 infection or COVID-19 infection within the last 3 months prior to screening. Long COVID-19 not resolved for longer than 3 months.
8. Treatment with an investigational drug or device within 30 days or 5 half-lives (whichever is longer) prior to screening.
9. Known allergy to the investigational product or any of its components.
10. Participants have donated or received any blood or blood products within 3 months prior to dosing.
11. Unwilling to abstain from grapefruit-containing foods or beverages or Seville orange-containing foods or beverages from 48 hours prior to investigational product administration and during the confinement periods.
12. Unwilling to refrain from alcohol consumption from 48 hours prior to investigational product administration and during the confinement periods.
13. Unwilling to refrain from consuming caffeine/xanthine beverages or food (tea, coffee, chocolate), from 48 hours prior to investigational product administration and during the confinement periods.
14. Unwilling to avoid heavy exercise (eg, marathon runners, weightlifters) from 48 hours prior to investigational product administration and during the confinement periods.
15. Unwilling to refrain from use of nicotine containing products from 48 hours prior to investigational product administration and during the confinement period/s. Products approved for smoking cessation such as nicotine patches, gum and lozenges may be allowed throughout the study at the investigator’s discretion.
16. Any other finding which in the opinion of the investigators would increase the risk of an adverse outcome from participation in the study or result in incomplete or poor-quality data.
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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
Safety
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
29/07/2024
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Actual
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Date of last participant enrolment
Anticipated
5/08/2024
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Actual
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Date of last data collection
Anticipated
30/09/2024
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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)
SA
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Recruitment hospital [1]
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CMAX Clinical Research Pty Ltd - Adelaide
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Recruitment postcode(s) [1]
42787
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5000 - Adelaide
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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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Topelia Aust Ltd
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Address [1]
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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
Topelia Aust Ltd
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Address
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Country
Australia
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Secondary sponsor category [1]
319065
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None
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Name [1]
319065
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Address [1]
319065
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Country [1]
319065
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
315601
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Bellberry Human Research Ethics Committee H
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Ethics committee address [1]
315601
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https://bellberry.com.au/
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Ethics committee country [1]
315601
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Australia
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Date submitted for ethics approval [1]
315601
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22/05/2024
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Approval date [1]
315601
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Ethics approval number [1]
315601
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Summary
Brief summary
The proposed clinical study will investigate the safety of multiple doses of the IP over 10 days. This IP is being trialed as a potential treatment for Coronavirus disease 2019 (COVID-19) patients with mild to moderate disease. It is anticipated that the proposed combination therapy will minimize disease progression and thereby lessen the risk of hospitalization and death.
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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 Mohamed Bakra
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Address
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CMAX Clinical Research. 21-24 North Terrace, Adelaide SA 5000
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Country
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Australia
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Phone
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+61870887900
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Fax
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Email
135210
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[email protected]
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Contact person for public queries
Name
135211
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David Fox
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Address
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Topelia Aust. 1/229 Great N Rd, Five Dock NSW 2046
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Country
135211
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Australia
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Phone
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+61 498 807 203
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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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David Fox
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Address
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Topelia Aust. 1/229 Great N Rd, Five Dock NSW 2046
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Country
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Australia
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Phone
135212
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+61 498 807 203
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Fax
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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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