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This will be a randomized, double-blind, placebo-controlled, parallel-group study to assess the safety, tolerability, pharmacokinetics, and pharmacodynamics of oral TMP-301, given concurrently with cocaine. The study will consist of 4 phases: Screening, Baseline, Treatment, and Follow-up.
This will be a randomized, double-blind, placebo-controlled, parallel-group study to assess the safety, tolerability, PK, and PD of oral TMP-301, given concurrently with cocaine. The study will consist of 4 phases: Screening, Baseline, Treatment, and Follow-up. The Screening Phase will be completed as an outpatient visit within 24 days of the Baseline Phase and will consist of a standard medical screen. Within 24 days of a standard medical screening, eligible participants will return to the clinical site as inpatients to complete the Baseline Phase. All participants will remain in-clinic for the duration of the 7-day Treatment Phase. Following confirmation of eligibility, participants will be randomized to one of two treatment groups, either TMP-301 or. A safety follow-up visit will be conducted on Day 23.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TMP-301 | Experimental | Once daily [QD] × 14 days |
|
| Placebo | Placebo Comparator | Once daily [QD] × 14 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TMP-301 | Drug | Once daily [QD] × 14 days |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| To evaluate the safety and tolerability of TMP-301 alone via incidence and severity of treatment-emergent adverse events (TEAEs) with cocaine infusions. | Baseline to Day 23 | |
| To evaluate the safety and tolerability of TMP-301 in combination with cocaine via incidence and severity of treatment-emergent adverse events (TEAEs) with cocaine infusions. | Baseline to Day 23 | |
| To evaluate the safety and tolerability of TMP-301 alone via peak change from baseline of heart rate (CFBmax). | Baseline to Day 23 | |
| To evaluate the safety and tolerability of TMP-301 in combination with cocaine via peak change from baseline of heart rate (CFBmax). | Baseline to Day 23 | |
| To evaluate the safety and tolerability of TMP-301 alone via peak change from baseline of systolic blood pressure (SBP). | Baseline to Day 23 | |
| To evaluate the safety and tolerability of TMP-301 in combination with cocaine via peak change from baseline of systolic blood pressure (SBP). | Baseline to Day 23 | |
| To evaluate the safety and tolerability of TMP-301 alone via peak change from baseline of diastolic blood pressure (DBP). | Baseline to Day 23 | |
| To evaluate the safety and tolerability of TMP-301 in combination with cocaine via peak change from baseline of diastolic blood pressure (DBP). | Baseline to Day 23 | |
| Measure | Description | Time Frame |
|---|---|---|
| To assess the maximum observed plasma concentration (Cmax) of cocaine alone. | Days 7 and 14 | |
| To assess the maximum observed plasma concentration (Cmax) of cocaine with TMP-301. | Days 7 and 14 | |
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Inclusion Criteria:
Males and females between 18 and 55 years of age, inclusive.
Understand the study procedures, follow instructions, and provide written informed consent.
Have a body mass index (BMI) within a range of 18.0 to 34.0 kg/m2 and body weight ≥50.0 kg at Screening.
Healthy, as determined by no clinically significant medical history, physical examination, 12-lead ECG, vital signs, and clinical laboratory results (including hematology, clinical chemistry, urinalysis, and serology) at Screening, as judged by the investigator.
≥6 uses of cocaine by the smoked or IV route in the 12 months prior to Screening
Provide a positive urine drug screen (UDS) for cocaine at least once during the screening period or at admission. Repeat or rescheduled testing will be allowed at the investigator's discretion.
Have BP and Heart Rate (HR) within the following ranges after 5 minutes' rest at Screening and admission:
If male, agree to use a double-barrier method (e.g., condom and spermicide) or agree to remain abstinent from heterosexual intercourse at the time of Screening, during the study, and for 90 days following the last administration of study drug. Male participants must agree not to donate sperm during the study and for 90 days following the last administration of study drug.
If female, meets one of the following criteria:
a. Physiological postmenopausal status, defined as the following: i. Absence of menses for at least 12 months prior to the first study drug administration (without an alternative medical condition); OR b. Surgically sterile (e.g., have undergone hysterectomy, bilateral oophorectomy, bilateral salpingectomy, or tubal ligation/occlusion).
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dr. Vince Clinical Research | Overland Park | Kansas | 66212 | United States |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | May 5, 2026 | |
| Reset | Jun 2, 2026 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| May 5, 2026 | Jun 2, 2026 |
| ID | Term |
|---|---|
| C536778 | Systemic carnitine deficiency |
| D019966 | Substance-Related Disorders |
| ID | Term |
|---|---|
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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Randomized, Participant- and Investigator-blinded, Placebo-controlled, Parallel-group
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| Drug |
Once daily [QD] × 14 days |
|
| To evaluate the safety and tolerability of TMP-301 alone via peak change from baseline of quantitative electrocardiogram PR interval |
| Baseline to Day 23 |
| To evaluate the safety and tolerability of TMP-301 alone via peak change from baseline of quantitative electrocardiogram QRS complex. | Baseline to Day 23 |
| To evaluate the safety and tolerability of TMP-301 in combination with cocaine via peak change from baseline of quantitative electrocardiogram PR interval. | Baseline to Day 23 |
| To evaluate the safety and tolerability of TMP-301 in combination with cocaine via peak change from baseline of quantitative electrocardiogram QRS complex. | Baseline to Day 23 |
| To assess the Tmax of cocaine alone. |
| Days 7 and 14 |
| To assess the Tmax of cocaine with TMP-301. | Days 7 and 14 |
| To assess the area under the plasma concentration-time curve from time 0 to the last measured concentration (AUC0-t) of cocaine alone. | Days 7 and 14 |
| To assess the area under the plasma concentration-time curve from time 0 to the last measured concentration (AUC0-t) of cocaine with TMP-301. | Days 7 and 14 |
| To assess the AUC from time 0 to infinity (AUC0-inf) of cocaine alone. | Days 7 and 14 |
| To assess the AUC from time 0 to infinity (AUC0-inf) of cocaine alone in combination with TMP-301. | Days 7 and 14 |
| To assess the elimination rate constant (λz) of cocaine alone. | Days 7 and 14 |
| To assess the elimination rate constant (λz) of cocaine in combination with TMP-301. | Days 7 and 14 |
| To assess the t1/2 of cocaine alone. | Days 7 and 14 |
| To assess the t1/2 of cocaine in combination with TMP-301. | Days 7 and 14 |
| To assess the apparent clearance (CL; if data permit) of cocaine alone. | Days 7 and 14 |
| To assess the apparent clearance (CL; if data permit) of cocaine in combination with TMP-301. | Days 7 and 14 |
| To assess the apparent volume of distribution (Vd; if data permit) of cocaine alone. | Days 7 and 14 |
| To assess the apparent volume of distribution (Vd; if data permit) of cocaine in combination with TMP-301. | Days 7 and 14 |
| To assess the metabolite-to-parent ratio (Cmax) of cocaine alone. | Days 7 and 14 |
| To assess the metabolite-to-parent ratio (area under the plasma concentration versus time curve) of cocaine alone. | Days 7 and 14 |
| To assess the metabolite-to-parent ratio (Cmax) of cocaine in combination with TMP-301. | Days 7 and 14 |
| To assess the metabolite-to-parent ratio (area under the plasma concentration versus time curve) of cocaine in combination with TMP-301. | Days 7 and 14 |
| To assess the visual analog scale (0-100): maximum effect (Emax) from time 0 to 60 minutes post-cocaine infusion of cocaine alone. | Higher score is worse | Days 7 and 14 |
| To assess the visual analog scale (0-100): Area Under the Effect Curve (AUE) from time 0 to 60 minutes post-cocaine infusion of cocaine alone. | Higher score is worse | Days 7 and 14 |
| To assess the visual analog scale (0-100): maximum effect (Emax) from time 0 to 60 minutes post-cocaine infusion of cocaine in combination with TMP-301. | Higher score is worse | Days 7 and 14 |
| To assess the visual analog scale (0-100): AUE from time 0 to 60 minutes post-cocaine infusion of cocaine in combination with TMP-301. | Higher score is worse | Days 7 and 14 |
| To assess the Brief Substance Craving Scale (BSCS) scores over time of cocaine alone. | The BSCS is a self-administered assessment that asks the participant to rate his or her craving for cocaine. The BSCS used for this study is a modification of the State of Feelings and Cravings Questionnaire. | Days 7 and 14 |
| To assess the Brief Substance Craving Scale (BSCS) scores over time of cocaine in combination with TMP-301. | The BSCS is a self-administered assessment that asks the participant to rate his or her craving for cocaine. The BSCS used for this study is a modification of the State of Feelings and Cravings Questionnaire. | Days 7 and 14 |
| To assess the Cmax of TMP-301. | Days 7 and 14 |
| To assess the Tmax of TMP-301. | Days 7 and 14 |
| To assess the AUC during a dosing interval (AUC0-τ) of TMP-301. | Days 7 and 14 |
| To assess the λz of TMP-301. | Days 7 and 14 |
| To assess the t1/2 of TMP-301. | Days 7 and 14 |
| To assess the CL/F (if data permit) of TMP-301. | Days 7 and 14 |
| To assess the Vd/F (if data permit) of TMP-301. | Days 7 and 14 |
| To evaluate the safety and tolerability of TMP-301 as assessed by the incidence and severity of Treatments Emergent Adverse Events (TEAEs). | Baseline to Day 23 |
| To evaluate the safety and tolerability of TMP-301 as assessed by number of participants taking concomitant medications taken during study participation. | Baseline to Day 23 |
| To evaluate the safety and tolerability of TMP-301 as assessed by systolic blood pressure. | Baseline to Day 23 |
| To evaluate the safety and tolerability of TMP-301 as assessed by diastolic blood pressure. | Baseline to Day 23 |
| To evaluate the safety and tolerability of TMP-301 as assessed by heart rate. | Baseline to Day 23 |
| To evaluate the safety and tolerability of TMP-301 as assessed by electrocardiogram PR interval. | Baseline to Day 23 |
| To evaluate the safety and tolerability of TMP-301 as assessed by electrocardiogram QRS complex. | Baseline to Day 23 |
| To evaluate the safety and tolerability of TMP-301 as assessed by number of participants with abnormal laboratory test results. | Baseline to Day 23 |
| To evaluate the safety and tolerability of TMP-301 as assessed by Beck Depression Inventory (BDI) scores (0-63) over time. | Score of 63 is worse. | Baseline to Day 23 |
| To evaluate the safety and tolerability of TMP-301 as assessed by the Brief Psychiatric Rating Scale (BPRS) scores (0-126) over time. | Score of 126 is worse. | Baseline to Day 23 |
| To evaluate the safety and tolerability of TMP-301 as assessed by number of participants with abnormal physical examination findings. | Baseline to Day 23 |
| To evaluate the safety and tolerability of TMP-301 as assessed by Columbia-Suicide Severity Rating Scale (C-SSRS) score (0-5) | Score of 5 is worse. | Baseline to Day 23 |