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This is a Phase 2a, randomized, double-blind, proof-of-concept, single-center study evaluating the safety, tolerability, and whole blood concentration of TP-05 (lotilaner) in the killing of ticks after they have attached to human skin.
The study will consist of a screening period of no more than 30 days. Participants will come to the study center on Day -1 for tick placements on the skin. Nymphal ticks that have been tested negative for human pathogens and are known to be ready to attach will be placed.
On Day 1, the number of attached, live ticks will be counted. Participants will be randomized on Day 1 to receive either low dose or high dose of TP-05 or placebo. Tick attachment and mortality will be completed on Day 1 and after participants' return to the study center on Day 2 (24 hours after dosing). Participants will have ticks removed from the skin at the study center after the Day 2 (24 hours) tick count.
Participants will come to the study center on Day 30 for another placement of ticks on the skin. Tick attachment and mortality will be determined on Day 30 and on Day 31 (24 hours after placement).
Participants will complete the treatment period at Day 60. Participants will undergo a long-term safety follow-up period which will include additional safety and PK visits through Day 301.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low Dose of TP-05 (lotilaner) | Experimental | Single Oral Low Dose of TP-05 tablet. |
|
| High Dose of TP-05 (lotilaner) | Experimental | Single Oral High Dose of TP-05 tablet. |
|
| Placebo | Placebo Comparator | Single Oral Dose of placebo tablet. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Low Dose TP-05 | Drug | Healthy Volunteers will receive a single low dose of TP-05 on Day 1. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The Incidence of treatment emergent adverse events from baseline | Safety and tolerability will be evaluated by incidence rate of treatment emergent adverse events from baseline. | Day -1 through Day 301 |
| Clinically significant changes from Baseline chemistry laboratory tests | Number of participants with clinically significant changes in clinical laboratory tests | Day -1 through Day 301 |
| Clinically significant changes from Baseline hematology laboratory tests | Number of participants with clinically significant changes in clinical laboratory tests | Day -1 through Day 301 |
| Clinically significant changes from Baseline vital signs | Number of participants with clinically significant changes in vital signs. | Day -1 through Day 301 |
| Clinically significant changes from Baseline electrocardiograms (ECGs) | Safety will be assessed by evaluating clinically significant changes from Baseline ECGs change in mean ventricular rate [beats/min] | Day -1 through Day 301 |
| Clinically significant changes from Baseline electrocardiograms (ECGs) measures | Safety will be assessed by evaluating clinically significant changes from Baseline ECGs change in pulse rate [msec] | Day -1 through Day 301 |
| Clinically significant changes from Baseline QTC interval |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluate the concentration of lotilaner in whole blood | Measure of concentration of lotilaner in whole blood at specified timepoints | Day -1 through Day 301 |
| TP-05 on Tick Mortality | Evaluate Tick Mortality after TP-05 administration. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kavita Dhamdhere, MD, PhD | Tarsus Pharmaceuticals, Inc. | Study Director |
| Linden Hu, MD | Tufts University School of Medicine | Principal Investigator |
| Yoav Golan | Tufts Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tufts University School of Medicine | Boston | Massachusetts | 02111 | United States |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| May 26, 2026 | Jun 22, 2026 | 5 |
| ID | Term |
|---|---|
| D008193 | Lyme Disease |
| ID | Term |
|---|---|
| D016905 | Gram-Negative Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
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| ID | Term |
|---|---|
| C000711088 | lotilaner |
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| High Dose TP-05 | Drug | Healthy Volunteers will receive a single high dose of TP-05 on Day 1. |
|
|
| Placebo Comparator | Drug | Healthy Volunteers will receive a single dose of placebo on Day 1. |
|
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Safety will be assessed by evaluating clinically significant changes from Baseline ECGs change in QTC interval
| Day -1 through Day 301 |
| Clinically significant changes from Baseline QRS interval | Safety will be assessed by evaluating clinically significant changes from Baseline ECGs change in QRS interval | Day -1 through Day 301 |
| Day 2 through Day 31 |
| D001899 | Borrelia Infections |
| D013145 | Spirochaetales Infections |
| D017282 | Tick-Borne Diseases |
| D000079426 | Vector Borne Diseases |