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Healthy VolunteerPhase 1NCT04976855

Study to Assess Repeated Doses of INDV-2000 in Healthy Volunteers and in Treatment Seeking Individuals With Opioid Use Disorder

A Phase 1 study testing INDV-2000 and SUBOXONE® sublingual film in people with Healthy Volunteer and Opioid-use Disorder, run by Indivior Inc. at 3 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objectives for the study are: Part I and Part II: Assess safety and tolerability of repeated doses of INDV-2000 in healthy volunteers. Part III: Assess the safety and tolerability of repeated doses of INDV-2000 administered alone and with SUBOXONE sublingual (SL) film in an opioid use disorder (OUD)… Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteer, Opioid-use Disorder
What is being tested?
INDV-2000 and SUBOXONE® sublingual film
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
64 participants
Where
3 sitesUnited States
Study dates
17 Aug 2022to 5 Jul 2023
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Able to verbalize understanding of the consent form, able to provide written informed consent, and verbalize willingness to complete study procedures, be able to comply with protocol requirements, rules and regulations of study site, and be likely to complete all the study interventions.
  • Female subjects of child-bearing potential who are sexually active with males must use, with their partner, a condom plus an approved method of effective contraception from the time of screening until 30 days after the last dose of Investigational Medicinal Product (IMP). The impact of IMP on the efficacy of hormonal contraceptives is unknown. Male subjects who are sexually active with female partners of child-bearing potential must use, with their partner, a condom plus an approved method of effective contraception from the time of screening until 90 days after the last dose of IMP and agree to not donate sperm over this time period. Effective methods of contraception are:
  • Combined (estrogen and progestogen-containing) hormonal contraception associated with inhibition of ovulation: oral, intravaginal, or transdermal
  • Progestogen-only hormonal contraception: oral, injectable/implantable, or intrauterine hormone-releasing system (IUD)
  • Implantable intrauterine device (IUS)
  • Surgical sterilization (for example, vasectomy or bilateral tubal ligation)
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  • Male condom with spermicidal gel/foam or with female cap or diaphragm (double barrier)
  • abstinence from heterosexual intercourse as a conscious choice and established pattern of lifestyle
  • Part I and II only:
  • Healthy male or female.
  • Between 18 and 55 years of age inclusive.
  • Body mass index (BMI) within 18.0 to 32.0 kg/m^2, inclusive (minimum weight of at least 50.0 kg at Screening).
  • Part III only:
  • Male or female seeking treatment for OUD with a diagnosis of moderate or severe OUD by Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria.
  • Between 18 and 65 years of age inclusive.
  • BMI within 18.0 to 35.0 kg/m^2, inclusive (minimum weight of at least 50.0 kg at Screening).

Who cannot join

  • Have a medical history of clinically significant neurological, cardiovascular, renal, hepatic, chronic respiratory or gastrointestinal disease, or psychiatric disorder as judged by an Investigator.
  • Have clinically significant abnormal biochemistry, hematology or urinalysis results as judged by an Investigator or medically responsible physician.
  • Have a history of narcolepsy or other significant sleep disorders.
  • Have disorders that may interfere with drug absorption, distribution, metabolism and excretion (ADME) processes.
  • Positive test results for human immunodeficiency virus (HIV)-1/HIV-2 antibodies, hepatitis B surface antigen (HBsAg) or hepatitis C antibody (HCVAb).
  • Serious cardiac illness or other cardiac assessments including, but not limited to:
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  • Uncontrolled arrhythmias.
  • History of congestive heart failure (CHF).
  • Myocardial infarction <6 months from receipt of first dose of IMP
  • Uncontrolled symptomatic angina
  • QTcF > 450 msec for males and > 470 msec for females or history of prolonged QT syndrome.
  • Current active hepatic or biliary disease, including subjects with cholecystectomy <90 days prior to Screening.
  • Concurrent treatment or treatment with an investigational drug within 30 days prior to the first dose of any study drug.
  • History of suicidal ideation within 30 days prior to providing written informed consent as evidenced by answering "yes' to questions 4 or 5 on the suicidal ideation portion of the Columbia-Suicide Severity Rating Scale (C-SSRS) completed at the Screening Visit or history of a suicide attempt (per the C-SSRS) in the 6 months prior to informed consent.
  • Pregnant or lactating females.
  • Any consumption of food or drink containing poppy seeds, grapefruit or Seville oranges within 7 days prior to the IMP administration.
  • Treatment with any known drugs that are moderate or strong inhibitors/inducers of cytochrome P450 (CYP) 3A4 within 30 days prior to first dose of IMP.
  • Known allergy or hypersensitivity to IMP or its excipients.
  • Any condition that, in the opinion of an Investigator or medically responsible physician, would interfere with evaluation of the IMP or interpretation of subject safety or study results.
  • Affiliated with, or a family member of, site staff directly involved in the study, or anyone with a financial interest in the outcome of the study.
  • Subjects who are unable, in the opinion of an Investigator or medically responsible physician, to comply fully with the study requirements.
  • Participation in any other clinical study within 30 days prior to signing the informed consent form.
  • Current incarceration or pending incarceration/legal action that could prevent participation or compliance in the study.
  • Part I and II only:
  • Regular alcohol consumption in males > 21 units per week and females > 14 units per week (1 unit = ½ pint beer, 25 mL of 40% spirit or a 125 mL glass of wine).
  • Positive test result for alcohol and/or any drugs of abuse at screening
  • Have a blood pressure reading outside of the following range: Systolic < 86 or > 149 mmHg; Diastolic < 50 or > 94 mmHg
  • Current smokers and those who have smoked within the last 90 days. Current users of e-cigarettes and nicotine replacement products, and those who have used these products within the last 90 days.
  • Blood donation of greater than 500 mL within 56 days or plasma donation within 7 days of screening; clinically significant anemia or low hemoglobin (<11 g/dL for females, <12 g/dL for males).
  • Healthy volunteers who are taking, or have taken, any prescribed or over-the-counter drugs (other than 2 g per day acetaminophen, hormone replacement therapy [HRT], hormonal contraception) or herbal remedies in the 14 days before IMP administration. Exceptions may apply on a case by case basis if considered not to interfere with the objectives of the study, as agreed by an Investigator and Sponsor's Medical Monitor.
  • Part III only:
  • Regular alcohol consumption in males > 27 units per week and females > 20 units per week (1 unit = ½ pint beer, 25 mL of 40% spirit or a 125 mL glass of wine).
  • Current substance use disorder, as defined by DSM-5 criteria, with any substances other than opioids, tobacco, cannabis, or alcohol, or dependence with any substance that would interfere with the completion of the study by judgment of the Investigator or medically responsible physician.
  • Current history of alcohol withdrawal within one year prior to screening.
  • Blood donation of greater than 500 mL within 56 days or plasma donation within 7 days of screening; clinically significant anemia or low hemoglobin (< 10 g/dL for females, < 12 g/dL for males).
  • Have a blood pressure reading outside of the following range: Systolic < 86 or > 159 mmHg; Diastolic < 50 or > 99 mmHg. Investigator should rule out acute changes resulting from opioid withdrawal.
  • Has total bilirubin ≥ 1.5 × upper limit of normal (ULN) (with direct bilirubin > 1.3 mg/dL), alanine aminotransferase (ALT) ≥ 3 × ULN, aspartate aminotransferase (AST) ≥ 3 × ULN, serum creatinine > 2 × ULN, or international normalized ratio (INR) > 1.5 × ULN at Screening).
  • Received medication-assisted treatment for OUD (e.g., methadone, buprenorphine) in the 30 days prior to providing written informed consent.
  • Received any prior treatment with a buprenorphine implant or injection.
  • Treatment for OUD required by court order.

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Johns Hopkins University School of Medicine BPRU

    Baltimore, Maryland, 21224

  • InSite Clinical Research

    DeSoto, Texas, 75115

  • Worldwide Clinical Trials

    San Antonio, Texas, 78217

Other trials in United States

About this study

Official title: A Phase I Double-Blind, Placebo-Controlled Randomized Study to Assess Repeated Doses of INDV-2000 (C4X_3256) up to 28 Days in Healthy Volunteers, and an Open-Label Study of INDV-2000 up to 11 Days in Treatment Seeking Individuals With Opioid Use Disorder

The primary objectives for the study are:

  • Part I and Part II: Assess safety and tolerability of repeated doses of INDV-2000 in healthy volunteers.
  • Part III: Assess the safety and tolerability of repeated doses of INDV-2000 administered alone and with SUBOXONE sublingual (SL) film in an opioid use disorder (OUD) treatment seeking population.
Read the detailed description

The study will be conducted in 3 parts:

Part I: Double-blind, placebo-controlled, randomized, multiple ascending dose study for 7 days of dosing with INDV-2000 in healthy volunteers.

Part II: Double-blind, placebo-controlled, randomized, multiple ascending dose study for 28 days of dosing with INDV-2000 in healthy volunteers.

Part III: This part is an open-label study in OUD treatment seeking individuals.

Being tested
INDV-2000, Placebo, SUBOXONE® sublingual film
Medical subject headings
Opioid-Related Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • INDV-2000Drug

    Also called C4X_3256

    Capsule for oral administration

  • PlaceboDrug

    Capsule for oral administration

  • SUBOXONE® sublingual filmDrug

    Also called Buprenorphine and naloxone

    Administered either under the tongue (sublingual) or between the gum and cheek (buccal)

Study groups in NCT04976855
Study groupRoleWhat they receive
Part I Cohort 1 INDV-2000 100 mg QDExperimentalHealthy volunteers will receive INDV-2000 100 mg once daily for 7 days.
Receives: Drug: INDV-2000
Part I Cohort 1 PlaceboPlacebo comparatorHealthy volunteers will receive placebo once daily for 7 days.
Receives: Drug: Placebo
Part I Cohort 2 INDV-2000 100 mg BIDExperimentalHealthy volunteers will receive INDV-2000 100 mg twice daily for 7 days.
Receives: Drug: INDV-2000
Part I Cohort 2 PlaceboPlacebo comparatorHealthy volunteers will receive placebo twice daily for 7 days.
Receives: Drug: Placebo
Part II Cohort 1 INDV-2000 200 mg BIDExperimentalHealthy volunteers will receive INDV-2000 200 mg twice daily for 28 days.
Receives: Drug: INDV-2000
Part II Cohort 1 PlaceboPlacebo comparatorHealthy volunteers will receive placebo twice daily for 28 days.
Receives: Drug: Placebo
Part II Cohort 2 INDV-2000 400 mg BIDExperimentalHealthy volunteers will receive INDV-2000 400 mg twice daily for 28 days.
Receives: Drug: INDV-2000
Part II Cohort 2 PlaceboPlacebo comparatorHealthy volunteers will receive placebo twice daily for 28 days.
Receives: Drug: Placebo
Part III INDV-2000 400 mg BID + SUBOXONE SL FilmExperimentalParticipants with opioid use disorder will receive SUBOXONE sublingual (SL) film for 6 days during the run-in period. Participants will then receive SUBOXONE SL film alone for 2 days, then SUBOXONE SL film and INDV-2000 for 7 days followed by INDV-2000 dosing alone for 4 days.
Receives: Drug: INDV-2000; Drug: SUBOXONE® sublingual film

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part I and Part II: Number of Participants With Adverse Events

    Measured: From first dose of study drug up to 7 days after last dose (up to 14 days in Part I and 35 days in Part II).

  2. Part III: Number of Participants With Adverse Events

    Measured: From first dose of INDV-2000 up to 7 days after last dose (up to 18 days).

Secondary outcomes (3)
  1. Part I and Part II: Maximum Plasma Concentration (Cmax) of INDV-2000 Following Dosing on Days 1 and 7 for Part I and Days 1, 7, and 28 for Part II

    Day 28 is only for Part II.

    Measured: Days 1 and 7 for Part I and Days 1, 7, and 28 for Part II, predose and at 0.5, 1, 2, 3, 4, 6, 8, 12, and 24 hours post-dose

  2. Part I and Part II: Time to Maximum Plasma Concentration (Tmax) of INDV-2000 Following Dosing on Days 1 and 7 for Part I and Days 1, 7, and 28 for Part II

    Day 28 is only for Part II

    Measured: Days 1 and 7 for Part I and Days 1, 7, and 28 for Part II, predose and at 0.5, 1, 2, 3, 4, 6, 8, 12, and 24 hours post-dose

  3. Part I and Part II: Area Under the Plasma Concentration-time Curve (AUC0-τ) of INDV-2000 Following Dosing on Days 1 and 7 for Part I and Days 1, 7, and 28 for Part II

    τ = 12 hours for BID dosing and 24 hours for QD dosing. Day 28 is only for Part II.

    Measured: Days 1 and 7 for Part I and Days 1, 7, and 28 for Part II, predose and at 0.5, 1, 2, 3, 4, 6, 8, 12, and 24 hours post-dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Jul 2021
  2. Study start17 Aug 2022
  3. Primary completion5 Jul 2023
  4. Study completion5 Jul 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
64 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04976855
Sponsor's protocol ID
INDV-2000-102
Other IDs
UG3DA050308
Status last verified
Jul 2024
First submitted
15 Jul 2021
Last updated
21 Aug 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing INDV-2000 and SUBOXONE® sublingual film in people with Healthy Volunteer and Opioid-use Disorder, run by Indivior Inc. at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 16 inclusion and 40 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 21 Aug 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Part I and Part II: Number of Participants With Adverse Events (time frame: From first dose of study drug up to 7 days after last dose (up to 14 days in Part I and 35 days in Part II).). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Aug 2024.

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