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Cocaine Use DisorderPhase 1NCT06648668

A Study to Investigate the Interaction Between TMP-301 and Cocaine.

A Phase 1 study testing TMP-301 in people with Cocaine Use Disorder, run by Tempero Bio, Inc. at 1 site 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

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. Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Cocaine Use Disorder
What is being tested?
TMP-301
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
18 participants
Where
1 siteUnited States
Study dates
4 Jan 2025to 5 May 2025
Phase
Phase 1
Are there results?
None posted in the registry

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 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • 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.
Show all 13Show fewer
  • Have BP and Heart Rate (HR) within the following ranges after 5 minutes' rest at Screening and admission:
  • SBP: 90 to 139 mmHg, inclusive
  • DBP: 50 to 89 mmHg, inclusive
  • HR: 45 to 99 bpm, inclusive
  • 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:
  • 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).

Who cannot join

  • Meet current Diagnostic and Statistical Manual of Mental Disorders - Fifth Edition (DSM-5) criteria for any SUDs other than cocaine, cannabis, or nicotine. Diagnosis of mild to moderate alcohol use disorder will not be considered exclusionary.
  • Have a DSM-5 psychiatric disorder other than SUD, including but not limited to, Bipolar Disorder, Major Depressive Disorder, or Schizophrenia, or have a neurological disorder requiring ongoing treatment and/or making study participation unsafe.
  • Have any previous medically adverse reaction to cocaine, including loss of consciousness, chest pain, paranoid reaction, or epileptic seizure.
  • Have a 12-lead ECG with repeated demonstration of corrected QT interval (QTcF) ≥470 msec in female participants or ≥450 msec in male participants at Screening.
  • Unable to tolerate a 20 mg cocaine IV infusion (Day -2) or a 40 mg cocaine IV infusion (Day -1) during the Baseline Phase, as judged by the investigator or designee and per criteria in protocol;
  • History or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, gastrointestinal, neurological, respiratory, or endocrine disorder, which would preclude safe or successful completion of the study, as determined by an investigator.
Show all 28Show fewer
  • Have a history of any illness, or a family history of early significant cardiovascular disease that, in the opinion of the investigator, might confound the results of the study or pose additional risk in administering the study drugs to the participant.
  • Have a significant risk of developing psychosis (assessed by Prevention through Risk Identification, Management, and Education [PRIME] screen) or have a personal history of psychotic symptoms (hallucinations or delusions), with or without a formal psychiatric diagnosis.
  • Have a family history of significant mental, behavioral, or neurodevelopmental disorders, unless determined by the investigator to be not clinically significant (NCS).
  • Have a current or past history of seizures, including alcohol- or stimulant-related seizures (excluding childhood febrile seizures), or significant family history of idiopathic seizure disorder or clinically significant (CS) head injury.
  • Have a diagnosis of adult (i.e., 21 years or older) asthma, or chronic obstructive pulmonary disease (COPD), including those with a history of acute asthma within the past two years, and those with current or recent (past 2 years) treatment with inhaled or oral beta-agonist.
  • Smoked >40 cigarettes per day on average, in the month prior to Screening, or are unable to abstain from smoking (or use of any nicotine-containing substance) for at least 8 hours.
  • History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance, unless approved by an investigator.
  • History of stomach or intestinal surgery, or resection that would potentially alter absorption and/or excretion of orally administered drugs (uncomplicated appendectomy and hernia repair will be allowed).
  • Evidence of CS hepatic or renal impairment, including alanine aminotransferase (ALT), aspartate aminotransferase (AST), or creatinine >1.5 × the upper limit of normal (ULN) at Screening or admission to the Baseline Phase. Retesting may be permitted at the discretion of an investigator.
  • Any clinically significant abnormalities in laboratory test results at Screening that would, in the opinion of an investigator, increase the participant's risk of participation, jeopardize complete participation in the study, or compromise interpretation of study data. Retesting may be permitted at the discretion of an investigator.
  • Are seropositive for hepatitis B surface antigen, hepatitis C antibody (asymptomatic hepatitis C virus infection at Screening is allowed), or human immunodeficiency virus (HIV).
  • Have significant current suicidal ideation or a history of suicide attempt within the past 12 months, as assessed by the C-SSRS (baseline version), or have significant current homicidal ideation.
  • If female, is currently pregnant (positive pregnancy test) or lactating, or who is planning to become pregnant within 30 days of last study drug administration.
  • Use of a prohibited medication or investigational drug, as specified in protocol.
  • Consumption of any foods or beverages that alter CYP1A2 activity (e.g., barbecued food or cruciferous vegetables, such as broccoli and cauliflower) or CYP3A4 activity (e.g., foods or beverages containing grapefruit or Seville-type oranges), within 7 days prior to admission to the Baseline Phase (a list of prohibited foods will be provided to participants).
  • Have received blood products within 2 months of admission to the Baseline Phase.
  • Positive UDS at admission to the Baseline Phase (Day -3), other than cocaine or tetrahydrocannabinol (THC). If THC is positive, a cannabis intoxication evaluation will be done by an investigator, and participants may be permitted to continue in the study at the discretion of an investigator. The UDS may be repeated and/or the participant may be rescheduled at the investigator's discretion.
  • Have donated or lost more than 500 mL whole blood within 56 days or have donated plasma within 7 days prior to Screening, or have participated in another clinical trial within the last 30 days prior to screening.
  • Have difficulty with venous access or are unsuitable or unwilling to undergo catheter insertion or direct venipuncture.
  • Currently on probation or have any pending legal action that could prohibit participation or compliance in the study.
  • Are an employee of the sponsor, a research site staff member directly affiliated with this study, or are an immediate family member, defined as a spouse, parent, child, or sibling, whether biological or legally adopted.
  • Have any other condition that, in an investigator's opinion, (i) puts participant at increased risk, (ii) could confound the study results, (iii) may interfere significantly with participant's participation in the study, or (iv) have the potential to limit the participant's ability to complete the study .

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Dr. Vince Clinical Research

    Overland Park, Kansas, 66212

Other trials in United States

About this study

Official title: A Randomized, Participant- and Investigator-blinded, Placebo-controlled, Parallel-group Study to Assess the Safety, Tolerability, and Pharmacokinetics of Oral TMP-301 Given Concurrently With Cocaine

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.

Read the detailed description

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.

Being tested
TMP-301, Placebo
Keywords
CUD, Substance Use Disorder, SUD
Medical subject headings
Systemic carnitine deficiency, Substance-Related Disorders

What participants receive

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

  • TMP-301Drug

    Once daily [QD] × 14 days

  • PlaceboDrug

    Once daily [QD] × 14 days

Study groups in NCT06648668
Study groupRoleWhat they receive
TMP-301ExperimentalOnce daily [QD] × 14 days
Receives: Drug: TMP-301
PlaceboPlacebo comparatorOnce daily [QD] × 14 days
Receives: Drug: Placebo

What is being measured

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

  1. To evaluate the safety and tolerability of TMP-301 alone via incidence and severity of treatment-emergent adverse events (TEAEs) with cocaine infusions.

    Measured: Baseline to Day 23

  2. 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.

    Measured: Baseline to Day 23

  3. To evaluate the safety and tolerability of TMP-301 alone via peak change from baseline of heart rate (CFBmax).

    Measured: Baseline to Day 23

  4. To evaluate the safety and tolerability of TMP-301 in combination with cocaine via peak change from baseline of heart rate (CFBmax).

    Measured: Baseline to Day 23

  5. To evaluate the safety and tolerability of TMP-301 alone via peak change from baseline of systolic blood pressure (SBP).

    Measured: Baseline to Day 23

  6. To evaluate the safety and tolerability of TMP-301 in combination with cocaine via peak change from baseline of systolic blood pressure (SBP).

    Measured: Baseline to Day 23

  7. To evaluate the safety and tolerability of TMP-301 alone via peak change from baseline of diastolic blood pressure (DBP).

    Measured: Baseline to Day 23

  8. To evaluate the safety and tolerability of TMP-301 in combination with cocaine via peak change from baseline of diastolic blood pressure (DBP).

    Measured: Baseline to Day 23

  9. To evaluate the safety and tolerability of TMP-301 alone via peak change from baseline of quantitative electrocardiogram PR interval

    Measured: Baseline to Day 23

  10. To evaluate the safety and tolerability of TMP-301 alone via peak change from baseline of quantitative electrocardiogram QRS complex.

    Measured: Baseline to Day 23

  11. To evaluate the safety and tolerability of TMP-301 in combination with cocaine via peak change from baseline of quantitative electrocardiogram PR interval.

    Measured: Baseline to Day 23

  12. To evaluate the safety and tolerability of TMP-301 in combination with cocaine via peak change from baseline of quantitative electrocardiogram QRS complex.

    Measured: Baseline to Day 23

Secondary outcomes (45)
  1. To assess the maximum observed plasma concentration (Cmax) of cocaine alone.

    Measured: Days 7 and 14

  2. To assess the maximum observed plasma concentration (Cmax) of cocaine with TMP-301.

    Measured: Days 7 and 14

  3. To assess the Tmax of cocaine alone.

    Measured: Days 7 and 14

  4. To assess the Tmax of cocaine with TMP-301.

    Measured: Days 7 and 14

  5. To assess the area under the plasma concentration-time curve from time 0 to the last measured concentration (AUC0-t) of cocaine alone.

    Measured: Days 7 and 14

  6. 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.

    Measured: Days 7 and 14

  7. To assess the AUC from time 0 to infinity (AUC0-inf) of cocaine alone.

    Measured: Days 7 and 14

  8. To assess the AUC from time 0 to infinity (AUC0-inf) of cocaine alone in combination with TMP-301.

    Measured: Days 7 and 14

  9. To assess the elimination rate constant (λz) of cocaine alone.

    Measured: Days 7 and 14

  10. To assess the elimination rate constant (λz) of cocaine in combination with TMP-301.

    Measured: Days 7 and 14

  11. To assess the t1/2 of cocaine alone.

    Measured: Days 7 and 14

  12. To assess the t1/2 of cocaine in combination with TMP-301.

    Measured: Days 7 and 14

  13. To assess the apparent clearance (CL; if data permit) of cocaine alone.

    Measured: Days 7 and 14

  14. To assess the apparent clearance (CL; if data permit) of cocaine in combination with TMP-301.

    Measured: Days 7 and 14

  15. To assess the apparent volume of distribution (Vd; if data permit) of cocaine alone.

    Measured: Days 7 and 14

  16. To assess the apparent volume of distribution (Vd; if data permit) of cocaine in combination with TMP-301.

    Measured: Days 7 and 14

  17. To assess the metabolite-to-parent ratio (Cmax) of cocaine alone.

    Measured: Days 7 and 14

  18. To assess the metabolite-to-parent ratio (area under the plasma concentration versus time curve) of cocaine alone.

    Measured: Days 7 and 14

  19. To assess the metabolite-to-parent ratio (Cmax) of cocaine in combination with TMP-301.

    Measured: Days 7 and 14

  20. To assess the metabolite-to-parent ratio (area under the plasma concentration versus time curve) of cocaine in combination with TMP-301.

    Measured: Days 7 and 14

  21. 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

    Measured: Days 7 and 14

  22. 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

    Measured: Days 7 and 14

  23. 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

    Measured: Days 7 and 14

  24. 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

    Measured: Days 7 and 14

  25. 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.

    Measured: Days 7 and 14

  26. 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.

    Measured: Days 7 and 14

  27. To assess the Cmax of TMP-301.

    Measured: Days 7 and 14

  28. To assess the Tmax of TMP-301.

    Measured: Days 7 and 14

  29. To assess the AUC during a dosing interval (AUC0-τ) of TMP-301.

    Measured: Days 7 and 14

  30. To assess the λz of TMP-301.

    Measured: Days 7 and 14

  31. To assess the t1/2 of TMP-301.

    Measured: Days 7 and 14

  32. To assess the CL/F (if data permit) of TMP-301.

    Measured: Days 7 and 14

  33. To assess the Vd/F (if data permit) of TMP-301.

    Measured: Days 7 and 14

  34. To evaluate the safety and tolerability of TMP-301 as assessed by the incidence and severity of Treatments Emergent Adverse Events (TEAEs).

    Measured: Baseline to Day 23

  35. To evaluate the safety and tolerability of TMP-301 as assessed by number of participants taking concomitant medications taken during study participation.

    Measured: Baseline to Day 23

  36. To evaluate the safety and tolerability of TMP-301 as assessed by systolic blood pressure.

    Measured: Baseline to Day 23

  37. To evaluate the safety and tolerability of TMP-301 as assessed by diastolic blood pressure.

    Measured: Baseline to Day 23

  38. To evaluate the safety and tolerability of TMP-301 as assessed by heart rate.

    Measured: Baseline to Day 23

  39. To evaluate the safety and tolerability of TMP-301 as assessed by electrocardiogram PR interval.

    Measured: Baseline to Day 23

  40. To evaluate the safety and tolerability of TMP-301 as assessed by electrocardiogram QRS complex.

    Measured: Baseline to Day 23

  41. To evaluate the safety and tolerability of TMP-301 as assessed by number of participants with abnormal laboratory test results.

    Measured: Baseline to Day 23

  42. 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.

    Measured: Baseline to Day 23

  43. 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.

    Measured: Baseline to Day 23

  44. To evaluate the safety and tolerability of TMP-301 as assessed by number of participants with abnormal physical examination findings.

    Measured: Baseline to Day 23

  45. 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.

    Measured: Baseline to Day 23

Timeline

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

  1. First posted18 Oct 2024
  2. Study start4 Jan 2025
  3. Primary completion5 May 2025
  4. Study completion5 May 2025

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
Parallel groups
Model description
Randomized, Participant- and Investigator-blinded, Placebo-controlled, Parallel-group
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
18 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06648668
Sponsor's protocol ID
TMP-301-CUD-102
Status last verified
May 2025
First submitted
10 Oct 2024
Last updated
18 May 2025
Results posted
No
Data monitoring committee
Yes
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 TMP-301 in people with Cocaine Use Disorder, run by Tempero Bio, Inc. at 1 site 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 13 inclusion and 28 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 18 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

To evaluate the safety and tolerability of TMP-301 alone via incidence and severity of treatment-emergent adverse events (TEAEs) with cocaine infusions. (time frame: Baseline to Day 23). The study lists 12 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 18 May 2025.

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