CompletedPhase 1ACTRN12621001365853

A study of RLS103 (CBD-Technosphere® Inhalation Powder) in Healthy Adult Volunteers

A Phase 1 Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of RLS103 (CBD-Technosphere® Inhalation Powder) in Healthy Adult Volunteers


Sponsor

Receptor Life Sciences Australia Pty Ltd

Enrollment

30 participants

Start Date

Oct 24, 2021

Study Type

Interventional

Conditions

Summary

The study will investigate the safety, tolerability, pharmacokinetics, and pharmacodynamics of single ascending doses of RLS103 in healthy adult volunteers. Safety oversight will be provided by a Safety Review Committee comprised of the Principal Investigator (PI), Sponsor’s medical representative, and an Independent Medical Monitor. The study consist of 3 cohorts and each cohort includes 4 treatment period with a washout period of 7 days between each treatment in each cohort. The total duration of study participation will be up to 38 days.


Eligibility

Sex: Both males and femalesMin Age: 18 YearssMax Age: 55 Yearss

Inclusion Criteria18

  • Healthy male or female volunteers, between 18 and 55 years of age, inclusive at the time of informed consent.
  • In good health as determined by past medical history, physical examination, vital signs, ECG, and clinical laboratory tests at Screening. Continued participation in each subsequent treatment period will be at the discretion of Investigator upon review of ongoing safety and compliance assessments.
  • BMI between 18 and 32 kg/m2 (inclusive) with a body weight greater than or equal to 50 kg.
  • Non-smoker (cigarettes, cigars, e-cigarettes, or nicotine containing products in the 6 months prior to Screening) as confirmed by negative cotinine results (less than 10 ng/mL) at Screening and must be willing to abstain from smoking for the duration of the study.
  • Must have no medical contraindication to CBD, including known allergies or hypersensitivities to CBD or the excipients in Cannabidiol Inhalation Powder.
  • Must demonstrate the ability to use the inhaler correctly through a training tool (BluHale) and must be able to tolerate inhalation of a placebo powder.
  • Females must be non-pregnant and non-lactating, and must use an acceptable, highly effective double contraception from Screening until study completion, including the follow up period. Double contraception is defined as a condom AND one other form of the following:
  • a. Established hormonal contraception (including oral contraceptive pills [OCPs] long acting implantable hormones and injectable hormones) for at least 1 month prior to Screening.
  • b. A vaginal ring or an intrauterine device (IUD).
  • c. Documented evidence of surgical sterilization at least 6 months prior to Screening (eg, tubal occlusion, hysterectomy, bilateral salpingectomy, or bilateral oophorectomy) for women or vasectomy at least 90 days prior to Screening for men (with appropriate post-vasectomy documentation of the absence of sperm in semen), provided the male partner is a sole partner.
  • Women not of childbearing potential must be postmenopausal for greater than or equal to 12 months. Postmenopausal status will be confirmed through testing of follicle stimulating hormone (FSH) levels greater than or equal to 40 IU/L at Screening for amenorrhoeic female participants. Females who are abstinent from heterosexual intercourse will also be eligible.
  • Periodic abstinence (eg, calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not considered highly effective methods of birth control. Participant complete abstinence for the duration of the study and for 1 month after the last study treatment is acceptable.
  • All women that are not postmenopausal must have a negative pregnancy test at Screening and Day -1 and be willing to have additional pregnancy tests as required throughout the study.
  • Female participants who are in same sex relationships are not required to use contraception.
  • Males must be surgically sterile (more than 90 days since vasectomy with no viable sperm), abstinent, or if engaged in sexual relations with a WOCBP, the participant and his partner must be surgically sterile (eg, tubal occlusion, hysterectomy, bilateral salpingectomy, bilateral oophorectomy) or using an acceptable, highly effective contraceptive method from Screening until study completion, including the follow-up period. Acceptable methods of contraception include the use of condoms and the use of an effective contraceptive for the female partner that includes: OCPs, long-acting implantable hormones, injectable hormones, a vaginal ring, or an IUD. Participants with same sex partners (abstinence from penile-vaginal intercourse) are eligible when this is their preferred and usual lifestyle.
  • Males must not donate sperm for at least 90 days after the last dose of study drug.
  • Must have the ability and willingness to attend the necessary visits to the CRU.
  • Must sign an informed consent form (ICF) indicating that they understand the purpose of the study and the procedures required for the study and are willing to participate in the study.

Exclusion Criteria10

  • Pregnant or lactating at Screening or planning to become pregnant (self or partner) at any time during the study, including the follow-up period.
  • Currently using marijuana, marijuana cigarettes, cannabis-related products, or CBD; or have used any of these products within 3 weeks prior to Screening.
  • History of or current clinically significant medical illness including but not limited to, cardiac arrhythmias or other cardiac disease; vascular disease; hematologic disease; coagulation disorders (including any abnormal bleeding or blood dyscrasias); lipid abnormalities; any pulmonary disease, including bronchospastic respiratory disease, or chronic obstructive pulmonary disease [COPD]; diabetes mellitus; hepatic or renal insufficiency (creatinine clearance below 60 mL/min per the Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI]); thyroid disease; neurologic (including epilepsy) or psychiatric disease, current infection, or any other illness that the Investigator considers should exclude the participant or that could interfere with the interpretation of the study results.
  • Use of prescription or nonprescription medications, including vitamins or herbal supplements, within 7 days of Day 1 and until EOS (excluding hormonal contraceptives and acetaminophen, which are not expected to interfere with the study drug).
  • Clinically significant abnormal values for hematology, serum chemistry, or urinalysis at Screening as deemed appropriate by the Investigator, including:
  • a. Alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) greater than 1.5 × the upper limit of normal (ULN)
  • b. Total bilirubin greater than 1.5 × ULN unless due to Gilbert’s syndrome or if considered to be normal variability in the absence of other clinically relevant liver impairment, as approved by Medical Monitor
  • Clinically significant abnormal physical examination, vital signs, or 12-lead ECG at Screening as deemed appropriate by the Investigator.
  • History of respiratory disease including, but not limited to asthma and COPD and must not be under active treatment for an underlying respiratory disease. No family history of bronchial asthma. Not having severe allergic rhinitis.
  • Lymphoma, leukemia, or any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years.

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Interventions

Cannabidiol Inhalation Powder, is a dry powder product comprising Cannabidiol and the inhalation excipients fumaryl diketopiperazine and 1,2 distearoyl sn glycero-3-phosphocholine, filled into cartrid

Cannabidiol Inhalation Powder, is a dry powder product comprising Cannabidiol and the inhalation excipients fumaryl diketopiperazine and 1,2 distearoyl sn glycero-3-phosphocholine, filled into cartridges for administration by oral inhalation through the DreamboatTM inhaler The RLS103 is a drug/device combination consisting of single-use cartridges filled with a dry powder for inhalation and a breath-powered inhaler. When the participant inhales through the device, the powder is aerosolized and delivered to the lungs. The study consists of total 3 cohorts. A total of 30 participants will be sequentially assigned to 1 of 3 cohorts (10 participants per cohort). Each cohort have 4 treatment periods with a washout period of 7 days between each treatment within a cohort. The Cohorts will be conducted one after the other, starting with cohort 1. A cohort may overlap with treatment periods with smaller doses in a previous cohort Three different formulations (20% CBD, 28% CBD and 35% CBD). One formulation will be tested in each cohort. Thus participants in Cohort 1 will receive the 20% formulation in escalating amounts; and participants in Cohorts 2 and 3 will receive the 28% and 35% formulations, respectively. Cohort 1 includes: - Treatment period 1: 2 mg, single cartridge of orally inhaled RLS103 - Treatment period 2: 3 mg, single cartridge of orally inhaled RLS103 - Treatment period 3: 4 mg. single cartridge of orally inhaled RLS103 - Treatment period 4: 8 mg, 2 cartridges, 1 immediately after the other, of orally inhaled RLS103 For Cohort 1 only, a sentinel dosing approach will be taken in each Treatment Period so that 4 participants will be dosed initially and, if there are no safety concerns in the 48 hours post dose, the remaining 6 participants will then be dosed. Cohort 2 includes: - Treatment period 1: 2 mg, single cartridge of orally inhaled RLS103 - Treatment period 2: 4.2 mg, single cartridge of orally inhaled RLS103 - Treatment period 3: 5.6 mg, single cartridge of orally inhaled RLS103 - Treatment period 4: 11.2 mg, 2 cartridges, 1 immediately after the other, of orally inhaled RLS103 Cohort 3 includes: - Treatment period 1: 2 mg, single cartridge of orally inhaled RLS103 - Treatment period 2: 4.2 mg, single cartridge of orally inhaled RLS103 - Treatment period 3: 5.6 mg, single cartridge of orally inhaled RLS103 - Treatment period 4: 11.2 mg, 2 cartridges, 1 immediately after the other, of orally inhaled RLS103 In treatment periods 1, 2, and 3 in each Cohort, participants will receive a single cartridge of orally inhaled RLS103 and in treatment period 4 in each cohort, participants will receive 2 cartridges, 1 immediately after the other, of orally inhaled RLS103. Each cartridge will be weighed before and after inhalation to quantify the amount of powder inhaled by each participant in each treatment in each cohort. Duration for each participant is up to 38 days plus or minus 2 days at End Of Study.


Locations(1)

Q-Pharm Pty - Clive Berghofer Research Centre (CBCRC) - Herston

QLD, Australia

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ACTRN12621001365853


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