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NCT Number: NCT07459166

A Phase 2 Safety, Tolerability, PK, and Efficacy Study of CS-1103 Following Fentanyl Challenge With Naloxone Blockade

The purpose of the study is to evaluate the safety, tolerability, pharmacokinetics, and efficacy of CS-1103 (1,000 mg), given by intravenous (IV) infusion in healthy participants in the presence of a clinically relevant dose of fentanyl (200 μg, IV), with naloxone blockade (400 μg, IV).

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Key information

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

California Clinical Trials Medical Group

Glendale, California, 91206, United States

Location status: Recruiting

Location contact

Lev Gertsik, M.D.

CONTACT

[email protected]

888-228-7425

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Major Inclusion Criteria:

  • Healthy participants aged 18 to 55 years, inclusive;
  • Have prior experience with opioids, such as from a dental procedure, chronic pain management, or previous inpatient surgical procedure;
  • A body mass index between 18.0 to 30.0 kg/m2, inclusive, and a minimum body weight of 56 kg;
  • Females must not be lactating and must have a negative pregnancy test during screening and admission.

Major Exclusion Criteria:

  • Estimated glomerular filtration rate <90 mL/min/1.73 m2;
  • History of cardiovascular disease;
  • History of any clinically important disease or disorder which, in the opinion of the Investigator, may interfere with safe study participation.

Treatment and study plan

Naloxone hydrochloride

Drug

Naloxone for intravenous administration

Fentanyl

Drug

Fentanyl for intravenous administration

Sterile Saline

Drug

Sterile Saline for intravenous administration

CS-1103

Drug

CS-1103 for intravenous administration

Primary outcomes

  1. Number of participants with CS-1103-related adverse events (AEs) assessed by physical examinations

    Time frame: 3 days plus follow-up on Day 10

    Physical examinations

  2. Number of participants with CS-1103-related adverse events (AEs) assessed by electrocardiograms (ECGs)

    Time frame: 3 days plus follow-up on Day 10

    Digital 12-lead electrocardiograms (ECGs). Any correlation between CS-1103 plasma concentrations and changes in QT intervals will be noted

  3. Number of participants with CS-1103-related adverse events (AEs) assessed by vital signs

    Time frame: 3 days plus follow-up on Day 10

    Blood pressure, pulse rate, respiratory rate, oxygen saturation, and body temperature

  4. Number of participants with CS-1103-related adverse events (AEs) assessed by laboratory parameters

    Time frame: 3 days plus follow-up on Day 10

    Clinical chemistry, hematology, coagulation, and urinalysis

  5. Time course of CS-1103 blood and urine concentrations

    Time frame: 48 hours

    Measurement of plasma and urine concentrations of CS-1103

  6. Time course and magnitude of urine excretion of fentanyl

    Time frame: 48 hours

    Measurement of concentration of fentanyl in urine

Secondary outcomes

  1. Effect of CS-1103 and fentanyl on QT interval

    Time frame: 48 hours

    Concentration-QT correlation performed on baseline-corrected QTcF time-matched with PK for fentanyl and CS-1103 in plasma

  2. Effect of CS-1103 on the naloxone plasma and urine PK, if any

    Time frame: 48 hours

    Measurement of standard urine and plasma PK parameters between placebo and CS-1103 treated participants

Study contacts

Contact information is provided by the study sponsor or research team.

Anna Del Rosario, B.S.

CONTACT

[email protected]

617-621-8500

Piercen Oliver, Ph.D.

CONTACT

[email protected]

617-621-8500

Sponsors and collaborators

Lead sponsor

Clear Scientific, Inc.

Industry

Collaborators

  • National Institute on Drug Abuse (NIDA)

Registry information

Official study title

A Phase 2 Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of a Single Dose of Intravenous CS 1103 Following a Single Intravenous Dose of Fentanyl in Healthy Subjects With Naloxone Blockade

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Mar 9, 2026
Registry last updated
Jul 1, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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