Nucleus Network Pty Ltd
Melbourne, Victoria, 3004, Australia
NCT Number: NCT06038279
This is a Phase I/Ib, randomised, double-blind, placebo-controlled study of INI-2004, administered as single or multiple doses. This study will be conducted in two parts: Phase I single ascending dose (SAD) and Phase Ib multiple ascending dose (MAD).
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Notify Me18 year–64 year
All sexes
Interventional
Phase 1
Melbourne, Victoria, 3004, Australia
This is a Phase I/Ib, randomised, double-blind, placebo-controlled study of INI-2004, administered as single or multiple doses.
Phase I (SAD) - Healthy Participants will be enrolled and randomised to 4 dose cohorts (n=8 per cohort) to receive single ascending doses of INI-2004 or placebo (ratio 3:1 active: placebo). Dosing in each cohort will commence with two sentinels, with one of the two sentinels randomised to receive INI-2004 and the other randomised to receive placebo. The safety and tolerability of each sentinel participant will be monitored in the clinic until Day 2 and will be reviewed by the Principal Investigator (PI) prior to dosing the remainder of participants in each cohort. The decision to escalate between cohorts will be made by a safety review committee (SRC) following completion of the Day 3 visit for at least 6 out of 8 participants in the cohort. Cohorts will be dosed in an escalating order.
Phase Ib (MAD) - Phase Ib (MAD) may commence following completion of SAD Cohort 3 or SAD Cohort 4.
Up to 3 dose levels are planned to be evaluated. To be eligible for study inclusion, participants must have a positive response to the ragweed nasal allergen challenge at screening. Cohorts will be dosed in escalating order, with participants in each cohort (up to n=12 per cohort) randomised in blocks of 4 subjects to receive INI-2004 or placebo at a ratio of 3:1 (active:placebo). INI-2004 or placebo will be administered QW, commencing 2 weeks after administration of the second ragweed nasal allergen challenge.
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
(Phase 1):
Inclusion criteria
Phase Ib (Multiple Ascending Dose)
Exclusion criteria
Phase I and Phase Ib (MAD):
INI-2004 (a toll-like receptor [TLR]4 agonist) liposomal formulation. INI-2004 is an intranasal (IN) TLR4 agonist that is targeted to prevent AR symptoms in subjects with seasonal AR.
The Placebo for INI-2004 is a clear, colorless solution free of particles supplied in 10 mL glass vials with a 10 mL fill.
Other names: Placebo for INI-2004
Time frame: Baseline, Day 1 then daily through to Day 7 End of Study Visit
Graded using 5-point scale
Time frame: Baseline = Day 0, Day 14, 21, 28, 35 through to Day 58 End of Study Visit
Graded using 5-point scale
Time frame: Baseline, Day 1 through to Day 7 End of Study Visit
Pulse rate [PR], systolic and diastolic blood pressure [BP], temperature, respiratory rate.[RR] and oxygen saturation. Blood pressure will be measured using a sphygmomanometer, body temperature will be measured using a thermometer, Heart rate (HR) is measured using vital sign machine, respiratory rate is measured manually via 60-second count and oxygen saturation is measured using a Oximeter. All abnormal assessments measured as Clinically significant post dose will be recorded as AEs.
Time frame: Baseline = Day 0 through to Day 58 End of Study Visit
Pulse rate [PR], systolic and diastolic blood pressure [BP], temperature, respiratory rate.[RR] and oxygen saturation. Blood pressure will be measured using a sphygmomanometer, body temperature will be measured using a thermometer, Heart rate (HR) is measured using vital sign machine,respiratory rate is measured manually via 60-second count.[RR] and oxygen saturation is measured using a Oximeter. All abnormal assessments measured as Clinically significant post dose will be recorded as AEs.
Time frame: Baseline, Day 1 through to Day 7 End of Study Visit
12-lead ECGs parameters include but not limited to the measurements of ventricular HR, PR interval, RR interval, QRS duration, QT interval and QTcF. At each protocol scheduled timepoint, ECGs will be performed in triplicate with each replicate separated by at least 1 minute and the full set of triplicates completed within 5 minutes.All Clinically Significant findings post-dose will be recorded as AEs.
Time frame: Baseline = Day 0 through to Day 58 End of Study Visit
12-lead ECGs parameters include but not limited to the measurements of ventricular HR, PR interval, RR interval, QRS duration, QT interval and QTcF. At each protocol scheduled timepoint, ECGs will be performed in triplicate with each replicate separated by at least 1 minute and the full set of triplicates completed within 5 minutes.All Clinically Significant findings post-dose will be recorded as AEs.
Time frame: Baseline, Day 2 through to Day 7 End of Study Visit
Hematology - Blood samples will be collected. All safety laboratory assessments will be assessed by a certified local laboratory, using that laboratory's normal ranges. Any clinically significant changes will be recorded as Adverse events. The severity of each AE and SAE will be graded using a 5-point scale
Time frame: Baseline, Day 2 through to Day 7 End of Study Visit
Serum chemistry- Blood samples will be collected. All safety laboratory assessments will be assessed by a certified local laboratory, using that laboratory's normal ranges. Any clinically significant changes will be recorded as Adverse event. The severity of each AE and SAE will be graded using a 5-point scale
Time frame: Baseline, Day 2 through to Day 7 End of Study Visit
Urinalysis- Urine samples will be collected. All safety laboratory assessments will be assessed by a certified local laboratory, using that laboratory's normal ranges. Any clinically significant changes will be recorded as Adverse event. The severity of each AE and SAE will be graded using a 5-point scale
Time frame: Baseline = Day 0, Day 14 and Day 58 End of Study Visit
Hematology - Blood samples will be collected. All safety laboratory assessments will be assessed by a certified local laboratory, using that laboratory's normal ranges. Any clinically significant changes will be recorded as Adverse event. The severity of each AE and SAE will be graded using a 5-point scale
Time frame: Baseline = Day 0, Day 14 and Day 58 End of Study Visit
Serum chemistry- Blood samples will be collected. All safety laboratory assessments will be assessed by a certified local laboratory, using that laboratory's normal ranges. Any clinically significant changes will be recorded as Adverse event. The severity of each AE and SAE will be graded using a 5-point scale
Time frame: Baseline = Day 0, Day 14 and Day 58 End of Study Visit
Urinalysis- Urine samples will be collected. All safety laboratory assessments will be assessed by a certified local laboratory, using that laboratory's normal ranges. Any clinically significant changes will be recorded as Adverse event. The severity of each AE and SAE will be graded using a 5-point scale
Time frame: Baseline, Day 1 through to Day 7 End of Study Visit
Presence of itching, discomfort, rhinorrhoea, congestion and sneezing are assessed using a 10 cm visual analogue scale [VAS]. The participant will mark on the VAS where they rank their symptoms ranging from "no symptoms" to "worst symptoms ever experienced".
Time frame: Baseline = Day 0 through to Day 58 End of Study Visit
Presence of itching, discomfort, rhinorrhoea, congestion and sneezing are assessed individually as a Total Nasal Symptoms Score (TNSS) at different time points pre and post-ragweed allergen challenge in the MAD portion of the study. TNSS is the sum of symptoms scores for nasal congestion, rhinorrhoea, nasal itching, and sneezing (each scored on a scale of 0 to 3 (below) with total possible score of 0 to 12. The criterion used to score each symptom is described below:
0 = none: no symptoms
Time frame: Baseline, Day 1 through to Day 7 End of Study Visit
Nasal examination
Time frame: Baseline = Day 0 through to Day 58 End of Study Visit
Nasal examination
Time frame: Baseline, Day 1 through to Day 7 End of Study Visit
Peak expiratory flow [PEF]-Pulmonary function will be assessed using a handheld spirometer at the time points indicated. A minimum of 3 readings should be completed and recorded at each time point. Observed values and changes from baseline for PEF will be summarised at each scheduled time point using descriptive statistics. Unit of measurement used for PEF is l/min.
Time frame: Baseline, Day 1 through to Day 7 End of Study Visit
Forced expiratory volume in 1 second [FEV1]- Pulmonary function will be assessed using a handheld spirometer at the time points indicated. A minimum of 3 readings should be completed and recorded at each time point. Observed values and changes from baseline for FEV1 will be summarised at each scheduled time point using descriptive statistics. Unit of measurement used for FEV1 is liters.
Time frame: Baseline, Day 1 through to Day 7 End of Study Visit
Forced vital capacity [FVC]- Pulmonary function will be assessed using a handheld spirometer at the time points indicated. A minimum of 3 readings should be completed and recorded at each time point. Observed values and changes from baseline for FVC will be summarised at each scheduled time point using descriptive statistics. Units of measurement used for FVC is liters.
Time frame: Baseline, Day 1 through to Day 7 End of Study Visit
Forced expiratory flow over the middle one-half of the FVC [FEF25-75%]- Pulmonary function will be assessed using a handheld spirometer at the time points indicated. A minimum of 3 readings should be completed and recorded at each time point. Observed values and changes from baseline for spirometry assessments FEF25-75% will be summarised at each scheduled time point using descriptive statistics. Unit of measurement used for FEV1/FVC is %.
Time frame: Baseline, Day 1 through to Day 7 End of Study Visit
FEV1/FVC ratio- Pulmonary function will be assessed using a handheld spirometer at the time points indicated. A minimum of 3 readings should be completed and recorded at each time point. Observed values and changes from baseline for spirometry assessments FEV1/FVC ratio will be summarised at each scheduled time point using descriptive statistics. Unit of measurement used for FEF 25%-75% is l/s.
Time frame: Baseline = Day 0 through to Day 58 End of Study Visit
Peak expiratory flow [PEF]- Pulmonary function will be assessed using a handheld spirometer at the time points indicated. A minimum of 3 readings should be completed and recorded at each time point. Observed values and changes from baseline for PEF will be summarised at each scheduled time point using descriptive statistics. Unit of measurement used for PEF is l/min.
Time frame: Baseline = Day 0 through to Day 58 End of Study Visit
Forced expiratory volume in 1 second [FEV1]- Pulmonary function will be assessed using a handheld spirometer at the time points indicated. A minimum of 3 readings should be completed and recorded at each time point. Observed values and changes from baseline for FEV1 will be summarised at each scheduled time point using descriptive statistics. Unit of measurement used for FEV1 is liters.
Time frame: Baseline = Day 0 through to Day 58 End of Study Visit
Forced vital capacity [FVC]- Pulmonary function will be assessed using a handheld spirometer at the time points indicated. A minimum of 3 readings should be completed and recorded at each time point. Observed values and changes from baseline for FVC will be summarised at each scheduled time point using descriptive statistics. Units of measurement used for FVC is liters.
Time frame: Baseline = Day 0 through to Day 58 End of Study Visit
FEF25-75% - Pulmonary function will be assessed using a handheld spirometer at the time points indicated. A minimum of 3 readings should be completed and recorded at each time point. Observed values and changes from baseline for FEF25-75%, will be summarised at each scheduled time point using descriptive statistics. Unit of measurement used for FEV1/FVC is %.
Time frame: Baseline = Day 0 through to Day 58 End of Study Visit
FEV1/FVC ratio- Pulmonary function will be assessed using a handheld spirometer at the time points indicated. A minimum of 3 readings should be completed and recorded at each time point. Observed values and changes from baseline for FEV1/FVC ratio will be summarised at each scheduled time point using descriptive statistics. Unit of measurement used for FEF 25%-75% is l/s.
Time frame: Baseline = Day 0 through to Day 58
Determined by acoustic rhinometry. Acoustic rhinometry will be performed using GM Instruments. Measurements to include (at a minimum) nasal volume and cross-sectional area. Measurements will be performed for both left and right nasal cavities independently.
Time frame: Baseline = Day 0 through to Day 58
Peak nasal inspiratory flow to be determined using the mean of three replicates.
Time frame: Baseline = Day 0 through to Day 58
Total nasal symptom score [TNSS] will be measured on a scale of 0 to 3 with a total possible score of 0 to 12. 0= none, no symptoms, 1= mild, 2= moderate, 3=severe.
Time frame: Baseline = Day 0 through to Day 58 End of Study Visit
Nasal examination- A macroscopic nasal examination will be performed, including conventional anterior rhinoscopy using an otoscope with an attached otic speculum (or nasal speculum and headlight) to assess swelling of the mucosa, erythema, and secretions. All post-dose CS events will be recorded as AEs.
Time frame: Baseline = Day 0 through to Day 58
PEF- Unit of measurement or PEFis l/min
Time frame: Baseline = Day 0 through to Day 58
FEV1- FEV1 is measured in liters
Time frame: Baseline = Day 0 through to Day 58
FVC is measured in liters
Time frame: Baseline = Day 0 through to Day 58
FEV1/FVC- is measured in %
Time frame: Baseline = Day 0 through to Day 58
FEF 25%-75%- is measured as l/s
Time frame: Day 1 pre dose, then at 15 and 30 mins post-dose, then 1, 2 and 4 hours post-dose, Day 2 at 24 hours post-dose.
Pharmacokinetics (PK) of INI-2004 in blood plasma following single dose
Time frame: Day 1 pre dose, then at 15 and 30 mins post-dose, then 1, 2 and 4 hours post-dose, Day 2 at 24 hours post-dose.
Pharmacokinetics (PK) of INI-2004 in blood plasma following single dose
Time frame: Day 1 pre dose, then at 15 and 30 mins post-dose, then 1, 2 and 4 hours post-dose, Day 2 at 24 hours post-dose.
Pharmacokinetics (PK) of INI-2004 in blood plasma following single dose
Time frame: Day 1 pre dose, then at 15 and 30 mins post-dose, then 1, 2 and 4 hours post-dose, Day 2 at 24 hours post-dose.
Pharmacokinetics (PK) of INI-2004 in blood plasma following single dose
Time frame: Day 1 pre dose, then at 15 and 30 mins post-dose, then 1, 2 and 4 hours post-dose, Day 2 at 24 hours post-dose.
Pharmacokinetics (PK) of INI-2004 in blood plasma following single dose
Time frame: Day 1 pre dose, then at 15 and 30 mins post-dose, then 1, 2 and 4 hours post-dose, Day 2 at 24 hours post-dose.
Pharmacokinetics (PK) of INI-2004 in blood plasma following single dose
Time frame: Day 1 pre dose, then at 15 and 30 mins post-dose, then 1, 2 and 4 hours post-dose, Day 2 at 24 hours post-dose.
Pharmacokinetics (PK) of INI-2004 in blood plasma following single dose
Time frame: Day 1 pre dose, then at 15 and 30 mins post-dose, then 1, 2 and 4 hours post-dose, Day 2 at 24 hours post-dose.
Pharmacokinetics (PK) of INI-2004 in blood plasma following single dose
Time frame: Day 14 pre dose then 1, 2 and 4 hours post-dose, Day 35 pre dose then 1, 2 and 4 hours post-dose
Pharmacokinetics (PK) of INI-2004 in blood plasma following multiple doses
Time frame: Day 14 pre dose then 1, 2 and 4 hours post-dose, Day 35 pre dose then 1, 2 and 4 hours post-dose
Pharmacokinetics (PK) of INI-2004 in blood plasma following multiple doses
Time frame: Urine to be collected at 0-2 hours post-dose interval on Day 14 only.
Pharmacokinetics (PK) of INI-2004 in urine following multiple doses - decision if endpoint will be evaluated will be determined following review of plasma PK data from Phase I (SAD).
Time frame: Baseline Day 1 pre-dose then 4, 24 and 48 hours post-dose.
Pharmacodynamics (PD) of INI-2004 in nasal secretions following single dose
Time frame: Baseline Day 1 pre-dose then 4, 24 and 48 hours post-dose.
Pharmacodynamics (PD) of INI-2004 in blood plasma following single dose
Time frame: Baseline pre-dose on Day 14 and 35, post-dose Days 14 and 35.
Pharmacodynamics (PD) of INI-2004 in nasal secretions following multiple doses
Time frame: Baseline pre-dose on Day 14 and 35, post-dose Days 14 and 35.
Pharmacodynamics (PD) of INI-2004 in blood plasma following multiple doses
Time frame: Day 51 pre ragweed challenge.
Effects of INI-2004 in blood serum on ragweed-specific immunoglobulins following multiple doses.
Time frame: Day 51 pre ragweed challenge.
Effects of INI-2004 in blood serum on ragweed-specific immunoglobulins following multiple
Time frame: Day 51 pre ragweed challenge.
Effects of INI-2004 in blood serum on ragweed-specific immunoglobulins following multiple
Inimmune Corporation
Industry
A Randomised, Double-blind, Placebo-controlled, Single and Multiple Ascending Dose Trial of INI-2004 in Healthy Volunteers and Participants With Allergic Rhinitis.
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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