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This is a Phase 1 (healthy adult volunteers), 2-part, double-blind, randomized, placebo controlled trial to evaluate the safety and pharmacokinetic (PK) profiles of escalating single doses of Voriconazole Inhalation Powder versus placebo (SAD part) and escalating multiple doses of Voriconazole Inhalation Powder versus placebo (MAD part). SAD part will be initiated first and includes a sentinel design. MAD part will not utilize a sentinel design and will be initiated once the lowest doses from SAD part are deemed safe.
This is a Phase 1, randomized, 2 part double-blind, placebo-controlled trial to evaluate the safety and PK profiles of Voriconazole Inhalation Powder (VIP) in a SAD/MAD study design.
Part A is a double-blinded, placebo-controlled, randomized, dose- ranging single dose study evaluating four different dose levels.
On Day 1 of each group, two selected subjects (sentinel subjects) will receive either Voriconazole Inhalation Powder or a matching placebo. Blood and sputum samples and safety measurements including Adverse Events (AEs) will be collected over 24 hour period following the drug administration. The safety results to be evaluated include AEs, concomitant medications, out of specification clinical laboratory results, vital signs, Electrocardiograms (ECGs), visual examinations, pulmonary function tests, pulse oximetry results and any new findings on physical examinations. If the administration is safe as deemed by Principal Investigator & Medical Monitor, the remaining six subjects will be dosed, with identical safety and PK procedures performed after minimum of 3 days interval. A minimum of 3 days will separate each dose escalation, with the remaining dose groups dosed in a sentinel fashion.
Part B is a double-blinded, placebo-controlled, randomized, dose- ranging multi-dose study evaluating four different dose levels. Dose level 1 of Part B can begin in parallel once safety assessments of Part A dose level 2 are complete and indicate safety is present. Voriconazole Inhalation Powder will be administered twice daily (BID) × 13 doses. Blood samples for safety and PK will be collected over 12 hours after the first dose and 24 hours after the last dose. A minimum of 1 week will separate the start of each dose escalation, with the remaining dose groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Voriconazole Inhalation Powder | Experimental | Investigational drug will be supplied as capsules, each capsule contains 10 mg of Voriconazole Inhalation Powder. The capsules will be administered with the provided breath actuated Plastiape RS00 Model 8 Dry Powder Inhaler device. |
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| Placebo | Placebo Comparator | Placebo will be supplied as capsules, each capsule will contain no active ingredient. The capsules will be administered with the provided breath actuated Plastiape RS00 Model 8 Dry Powder Inhaler device. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Voriconazole Inhalation Powder | Drug | PART A (SAD): Voriconazole Inhalation Powder (VIP) will be supplied as one to eight 10 mg capsules. Each capsule contains 10 mg of VIP and will be administered with a Plastiape RS00 Dry Powder inhaler. Doses may require multiple inhalations. All inhalations must be conducted within a 10-minute period. SAD subjects will receive a single dose of study medication. Subjects in Cohort 1 will receive 10 mg, Cohort 2: 20 mg, Cohort 3: 40 mg, Cohort 4: 80 mg. PART B (MAD): Voriconazole Inhalation Powder (VIP) and will be administered with a will be supplied as one to eight 10 mg capsules. Each capsule contains 10 mg of VIP and will be administered with a Plastiape RS00 Dry Powder inhaler. Doses may require multiple inhalations. All inhalations must be conducted within a 10-minute period. MAD subjects will receive VIP BID for a total of 13 doses. Subjects in Cohort 1 will receive 10 mg BID, Cohort 2: 20 mg BID, Cohort 3: 40 mg BID, Cohort 4: 80 mg BID. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants who experience Adverse Events (AEs), Serious Adverse Events (SAEs) and withdrawals due to AEs | Number of AEs, SAEs, and discontinuations due to AEs | Through study completion, an average of 14 days |
| Number of participants who experience vital sign abnormalities | Number of participants with potentially clinically significant vital sign values | Baseline through study completion, an average of 14 days |
| Number of participants who experience pulse oximetry abnormalities | Number of participants with potentially clinically significant pulse oximetry values | Baseline through study completion, an average of 14 days |
| Mean change from baseline in forced expiratory volume (FEV1) | Spirometry used to measure FEV1 lung function | Baseline through study completion, an average of 14 days |
| Mean change from baseline in forced vital capacity (FVC) | Spirometry used to measure FVC lung function | Baseline through study completion, an average of 14 days |
| Mean change from baseline in FEV1/FVC ratio | Spirometry used to measure FEV1 and FVC lung function | Baseline through study completion, an average of 14 days |
| Mean change from baseline in QTcF changes via ECG | Number of participants with potentially clinically significant ECG values |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dale Christensen, PhD | TFF Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cliantha Research | Mississauga | Ontario | L4W 1N2 | Canada |
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| ID | Term |
|---|---|
| D053120 | Respiratory Aspiration |
| D001228 | Aspergillosis |
| D009181 | Mycoses |
| D055732 | Pulmonary Aspergillosis |
| ID | Term |
|---|---|
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Part A: Eight (8) subjects will participate in each of the 4 dose escalations. Subjects will be randomized to receive either Voriconazole Inhalation Powder or placebo by inhalation (6 active, 2 placebo per group of 8).
Part B: Eight (8) subjects will participate in each of the 4 dose escalations. Subjects will be randomized to receive either Voriconazole Inhalation Powder or placebo by inhalation (6 active, 2 placebo per group of 8).
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The investigators, study coordinators, study subjects and the Sponsor will be blinded to treatment assignment.
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| Placebo | Drug | PART A (SAD): Placebo capsules will be supplied as one to eight capsules. Each capsule contains placebo inhalation powder. The capsules will be matched for use within the provided Plastiape RS00 Dry Powder inhaler device (Model 8). Doses may require multiple inhalations through the inhaler device. All inhalations must be conducted within a maximum of 10-minute period. Subjects in PART A will receive a single dose of placebo. PART B (MAD): Placebo will be supplied as one to eight capsules. Each capsule contains placebo inhalation powder. The capsules will be matched for use within the provided Plastiape RS00 Dry Powder inhaler device (Model 8). Doses may require multiple inhalations through the inhaler device. All inhalations must be conducted within a maximum of 10-minute period. Subjects in PART B will receive Placebo BID for a total of 13 doses. |
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| Baseline through study completion, an average of 14 days |
| Number of participants who experience physical examination abnormalities | Number of participants with potentially clinically significant physical examination findings | Baseline through study completion, an average of 14 days |
| Number of participants who experience laboratory test abnormalities | Number of participants with potentially clinically significant laboratory test results | Baseline through study completion, an average of 14 days |
| PK of VIP in plasma: Area under the plasma-concentration time curve (AUC) | Blood samples will be collected for plasma analysis | Predose Day 1 and through 12 hours post last dose (day 6) |
| PK of VIP in plasma: Area under the concentration time curve, from time 0 to the last observed non-zero concentration (AUC0-tlast) | Blood samples will be collected for analysis | Predose Day 1 and through 12 hours post last dose (day 6) |
| PK of VIP in plasma: Maximum observed concentration (Cmax) | Blood samples will be collected for analysis | Predose Day 1 and through 12 hours post last dose (day 6) |
| PK of VIP in plasma: Time to maximal observed concentration (tmax) | Blood samples will be collected for analysis | Predose Day 1 and through 12 hours post last dose (day 6) |
| PK of VIP in plasma: Area under the plasma-concentration time curve over the first 12 hours after dosing (AUC0-12) | Blood samples will be collected for analysis | Predose Day 1 and through 12 hours post last dose (day 6) |
| PK of VIP in plasma: Area under the concentration time curve from time 0 extrapolated to infinity (AUC∞) | Blood samples will be collected for analysis | Predose Day 1 and through 12 hours post last dose (day 6) |
| PK of VIP in plasma: Termination elimination half-life (t½) | Blood samples will be collected for analysis | Predose Day 1 and through 12 hours post last dose (day 6) |
| PK of VIP in plasma: Apparent total body clearance (CL/F) | Blood samples will be collected for analysis | Predose Day 1 and through 12 hours post last dose (day 6) |
| PK of VIP in plasma: Apparent volume of distribution during the terminal elimination phase (Vz/F) | Blood samples will be collected for analysis | Predose Day 1 and through 12 hours post last dose (day 6) |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D008172 | Lung Diseases, Fungal |
| D008171 | Lung Diseases |