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NCT Number: NCT07222670

A Study Assessing Safety, Tolerability, and Efficacy of INNA-051 in Preventing Respiratory Illness Due to Viral Infections in Healthy Adults 18 to 45 Years of Age

Acute upper and lower respiratory infections are a major public health problem and a leading cause of morbidity and mortality worldwide. The purpose of this trial is to assess the safety of the investigational agent INNA-051, given intranasally, and its potential effectiveness in reducing the occurrence, severity, and/or the duration of illness resulting from respiratory virus infections. The trial will enroll generally healthy adults (age 18 - 45 years) who are at risk for exposure to viral respiratory infection, for example, due to living conditions or occupation. Participants will be treated with INNA-051 or placebo once weekly for 4 weeks (Part A) or 12 weeks (Part B) during the respiratory virus season.

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Key information

Age range

18 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Center for Vaccine Development and Global Health (CVD), Baltimore, Maryland, United States

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About this study

Viral respiratory infections are associated with significant morbidity and mortality. The diversity of viruses, along with their propensity for mutation, ignited an interest in host-directed therapies that are effective across a wide range of viral pathogens. Toll-like receptors (TLRs) are potential targets for the development of such agents given their central role in host immune defenses.

INNA-051, a TLR2/6 agonist, is being developed as an intranasal innate immune-boosting prophylactic approach for individuals at risk for symptoms and/or complications resulting from respiratory viral infections due to age, occupation, and/or co-morbidities.

This randomized, double-blind, two-part, placebo-controlled, multicenter, Phase 2a trial is designed to evaluate the safety, tolerability, and efficacy of INNA-051 in generally healthy adult participants (age 18 to 45 years, inclusive) who are at increased risk for exposure to viral respiratory infections.

The primary purpose of Part A of the trial is to assess the safety and tolerability of INNA-051 (bilateral intranasal dry powder) in an outpatient setting compared with placebo. In part A of the trial, INNA-051 will be self-administered once weekly for 4 weeks in an outpatient setting during the respiratory virus season.

The purpose of Part B of the trial is to measure the safety, tolerability, and efficacy of INNA-051 bilateral intranasal dry powder compared with placebo in the prevention of symptomatic clinical illness due to RT-qPCR-confirmed viral respiratory infections. In part B of the trial, INNA-051 will be self-administered once weekly for 12 weeks during the North American respiratory virus season.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • In good general health and without clinically significant medical, psychiatric, chronic or intermittent health conditions.
  • At risk for exposure to viral respiratory infection, for example, living in crowded housing, university housing, or military barracks, working in a childcare center or caring for a child aged 10 or less, healthcare workers, factory workers, taxi and bus drivers, grocery clerks, and educators or counselors who work in crowded environments or with multiple exposures with different people daily.
  • Agree to use highly effective birth control.

Exclusion criteria

  • Presence of Type I or Type II diabetes, asthma or other chronic respiratory condition.
  • Active infections including Hepatitis B Virus, Hepatitis C Virus, or Human Immunodeficiency (HIV).
  • Concurrent participation in another clinical trial involving investigational product or prior receipt of investigational product within 90 days or 5 half-lives of the product.
  • Active clinical signs or symptoms of acute respiratory illness (runny nose, sore throat, fever, etc.).
  • Received a vaccine against Respiratory Syncytial Virus (RSV) or COVID-19 within 180 days.
  • Pregnant or lactating women.

Treatment and study plan

INNA-051

Drug

powder nasal spray.

Placebo

Other

powder nasal spray.

Primary outcomes

  1. Part A - Number of Participants with Treatment-emergent Adverse Events (TEAEs)

    Time frame: Up to 8 weeks

  2. Part A - Percentage of Participants with TEAEs

    Time frame: Up to 8 weeks

  3. Part A - Number of participants with Serious Adverse Events (SAEs)

    Time frame: Up to 8 weeks

  4. Part A - Percentage of Participants with SAEs

    Time frame: Up to 8 weeks

  5. Part A - Number of Participants with Nasal Irritancy Questionnaire Symptoms (iTNSS Questionnaire)

    Time frame: Up to 4 weeks

  6. Part A - Percentage of Participants with Nasal Irritancy Questionnaire Symptoms (iTNSS Questionnaire)

    Time frame: Up to 4 weeks

  7. Part A - Change in White Blood Cell Count from Baseline

    Time frame: Baseline up to 4 weeks

  8. Part A - Change in Platelet Count from Baseline

    Time frame: Baseline up to 4 weeks

  9. Part A - Change in Hemoglobin from Baseline

    Time frame: Baseline up to 4 weeks

  10. Part A - Change in Alanine Transaminase (ALT) from Baseline

    Time frame: Baseline up to 4 weeks

  11. Part A - Change in Bilirubin (Total) from Baseline

    Time frame: Baseline up to 4 weeks

  12. Part A - Change in Bilirubin (Direct) from Baseline

    Time frame: Baseline up to 4 weeks

  13. Part A - Change in Alkaline Phosphatase (ALP) from Baseline

    Time frame: Baseline up to 4 weeks

  14. Part A - Change in Creatinine from Baseline

    Time frame: Baseline up to 4 weeks

  15. Part A - Change in High Sensitivity C-reactive Protein from Baseline

    Time frame: Baseline up to 4 weeks

  16. Part B - Number of Participants with TEAEs

    Time frame: Up to 16 weeks

  17. Part B - Percentage of Participants with TEAEs

    Time frame: Up to 16 weeks

  18. Part B - Number of Participants with SAEs

    Time frame: Up to 16 weeks

  19. Part B - Percentage of Participants with SAEs

    Time frame: Up to 16 weeks

  20. Part B - Number of Participants with Nasal Irritancy Questionnaire Symptoms (iTNSS Questionnaire)

    Time frame: Up to 12 weeks

  21. Part B - Percentage of Participants with Nasal Irritancy Questionnaire Symptoms (iTNSS Questionnaire)

    Time frame: Up to 12 weeks

  22. Part B - Change in White Blood Cell Count from Baseline

    Time frame: Baseline up to 12 weeks

  23. Part B - Change in Platelet Count from Baseline

    Time frame: Baseline up to 12 weeks

  24. Part B - Change in Hemoglobin from Baseline

    Time frame: Baseline up to 12 weeks

  25. Part B - Change in ALT from Baseline

    Time frame: Baseline up to 12 weeks

  26. Part B - Change in Bilirubin (Total) from Baseline

    Time frame: Baseline up to 12 weeks

  27. Part B - Change in Bilirubin (Direct) from Baseline

    Time frame: Baseline up to 12 weeks

  28. Part B - Change in ALP from Baseline

    Time frame: Baseline up to 12 weeks

  29. Part B - Change in Creatinine from Baseline

    Time frame: Baseline up to 12 weeks

  30. Part B - Change in High Sensitivity C-reactive Protein from Baseline

    Time frame: Baseline up to 12 weeks

  31. Part B - Number of Participants with Reverse Transcription Quantitative Polymerase Chain Reaction (RT-qPCR)-confirmed Symptomatic Viral Respiratory Infections

    Time frame: Up to 12 weeks

  32. Part B - Area Under the Curve (AUC) of the Total Respiratory and Systemic Symptom Scores for Participants with RT-qPCR-confirmed Symptomatic Viral Respiratory Infections

    Time frame: Up to 12 weeks

    The AUC of the total respiratory and systemic symptom scores will be assessed using the respiratory infection intensity and impact questionnaire (RiiQ) for participants with RT-qPCR-confirmed symptomatic viral respiratory infections.

Secondary outcomes

  1. Part B - Number of Participants With RT-qPCR-confirmed Symptomatic Viral Respiratory Infections by Pathogen

    Time frame: Up to 12 weeks

  2. Part B - AUC of the Total Respiratory and Systemic Symptom Scores for Participants with RT-qPCR-confirmed Symptomatic Viral Respiratory Infections by Pathogen

    Time frame: Up to 12 weeks

    The AUC of the total respiratory and systemic symptom scores will be assessed using the RiiQ for participants with RT-qPCR-confirmed symptomatic viral respiratory infections.

  3. Part B - Time to Symptom Resolution in Participants with RT-qPCR-confirmed Symptomatic Viral Respiratory Infections

    Time frame: Up to 12 weeks

    Time to symptom resolution in participants with RT-qPCR-confirmed symptomatic viral respiratory infections will be measured using the RiiQ.

  4. Part B - Duration of Infection for Participants with RT-qPCR-confirmed Symptomatic Viral Respiratory Infections

    Time frame: Up to 12 weeks

    Duration of Infection for participants with RT-qPCR-confirmed symptomatic viral respiratory infections as assessed by time to undetectable viral load measured by RT-qPCR.

  5. Part B - Activities of Daily Living in Participants who have RT-qPCR-Confirmed Symptomatic Viral Respiratory Infections (assessed by EuroQol 5-Dimensions 5-Levels questionnaire [EQ-5D-5L])

    Time frame: Up to 12 weeks

Study contacts

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

ENA Respiratory

CONTACT

[email protected]

Sponsors and collaborators

Lead sponsor

ENA Respiratory Pty Ltd

Industry

Registry information

Official study title

A Randomized, Double-Blind, Two-Part, Placebo-Controlled, Multicenter, Phase 2a Study to Evaluate Safety, Tolerability, and Efficacy of INNA-051 as Prophylaxis for Respiratory Tract Illness in Healthy Adults 18 to 45 Years of Age Who Are at Risk for Viral Respiratory Infections

Acronym: POSITS

Important dates

Study start
2025
Primary completion
2027
Study completion
2027
First posted
Oct 30, 2025
Registry last updated
Feb 11, 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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