Study to Evaluate the parameters of TRX-248 Transdermal System in Healthy Female Volunteers
A Phase 1 Study to Evaluate the Pharmacokinetics of Multiple Formulations of Once Daily TRX-248 Transdermal System in Healthy Female Volunteers
Corsair Pharma, Inc.
9 participants
Jun 30, 2025
Interventional
Conditions
Summary
This is a Phase 1, open-label, placebo-controlled, randomized crossover study evaluating the pharmacokinetics (PK), safety, tolerability, and adhesion performance of multiple formulations of the TRX-248 transdermal system (TS) in healthy female volunteers. The study consists of two parts: Part A: Subjects receive single doses of three different TRX-248 formulations in a crossover design, with PK and safety assessments after each 24-hour application. Part B: Based on Part A results, one optimized formulation is selected for further evaluation, where subjects receive either three patches of the selected formulation from Part A or a newly optimized Formulation D. The TRX-248 Transdermal System is expected to provide the convenience of a once-daily needle-free delivery system, steady and continuous delivery of treprostinil, which provides optimal efficacy and safety.
Eligibility
Inclusion Criteria9
- Healthy female adults.
- Caucasian with light/pale skin aged 18 to 55 years (inclusive) on the day of Screening.
- Body weight is greated than or equal to 55 kg and less than or equal to 80 kg.
- Body Mass Index (BMI) between 18.5 to 32 kg/m² (inclusive) as calculated using the site standard procedures.
- Willing and able to understand and participate in all scheduled evaluations by providing a signed and dated written informed consent prior to the initiation of any study procedures.
- Negative pregnancy test at the Screening and Baseline Visit and agrees to practice adequate birth control throughout the duration of the study and for 32 days post last administration of IP. Subjects confirmed at Screening to be not pregnant and postmenopausal (follicle stimulating hormone [FSH] > 40 mIU/mL) will not require pregnancy testing at each admission.
- Negative urine drug screen for drugs of abuse (list as per site protocol) unless there is documentation that the subject has been prescribed the corresponding medication and the medication is otherwise acceptable for the study.
- Negative serology test for human immunodeficiency virus (HIV), hepatitis, tuberculosis (TB), and syphilis.
- Use of tylenol (paracetamol), zofran (ondansetron) and imodium (loperamide) is permitted when-required (PRN). Concomitant medication may be allowed with Investigator/Sponsor approval if on stable dose (at least 28 days prior to randomization on Day 1). Hormonal contraceptives are allowed.
Exclusion Criteria28
- Participation in another clinical study with an investigational product (IP) or device within 60 days or 5 half-lives prior to Screening (days from last dose).
- Plasma donation within 14 days of Screening or any blood donation or blood loss > 500 mL within 30 days of Screening.
- Has skin color or tone that may not allow reliable evaluation of irritation.
- Unwilling to abstain from strenuous physical exercise and from alcohol consumption for 48 hours prior to scheduled PK blood draws at the clinic visits.
- Has intolerance to venipuncture and/or inability to comply with the extensive blood sampling required for this study or does not have suitable veins in both arms.
- Has cuts, scratches/abrasions, scars, breaks in the skin surface, tattoos at the application sites, skin with excessive hair, indications of sunburn, excessive skin tanning, stretch marks, moles and/or similar abnormalities at the intended application sites which would affect absorption of the IP.
- Unwilling to refrain from using tanning salons, saunas, or sunbathe during the conduct of the study. Unwilling to also refrain from shaving of application site, waxing of application site, or using lotion hair remover on or near application site from 21 days before TS application and during the conduct of the study.
- Smoke more than 2 cigarettes per day, or vaping equivalent.
- History of or current clinically important disease or disorder, including neurologic, pulmonary, hepatic, renal, metabolic, psychiatric, cardiovascular, gastrointestinal, endocrinologic, immunologic, hematologic, active cancer, clinically important infection, or other abnormality that may interfere with the evaluation or administration of the IP, interpretation of subject safety or study results, or would make participation in the study an unacceptable risk including any significant acute or chronic medical condition. It is the responsibility of the Investigator to assess the clinical significance; however, consultation with the Sponsor/Medical Monitor may be warranted. These include but are not limited to:
- Myocardial infarction, hospitalization for unstable angina or arrhythmia, or unexplained syncope within 6 months of Screening.
- Transient Ischemic Attack (TIA) or stroke within 6 months of Screening.
- History of severe allergy/hypersensitivity reactions or ongoing allergy/hypersensitivity reactions, or history of hypersensitivity to treprostinil or other prostacyclin drugs.
- History of allergy with skin reaction is excluded even if not considered clinically significant.
- History of allergy or sensitivity or hypersensitivity to the ingredients in the TS including glues/adhesives, topical alcohol, medical grade adhesive tapes, sunscreens, cosmetics, lotions, fragrances, and/or latex.
- History of allergy, dermatitis or sensitivity or hypersensitivity to band aids, ECG dots, or other adhesive.
- Any medical or surgical procedure or trauma within 28 days of Day 1.
- Clinically significant finding in physical examination, vital signs, ECG or clinical laboratory tests at Screening or Day -1 that could
- affect the subject’s safety or ability to complete the study, as judged by the Investigator.
- Hemoglobin < 110 g/L.
- Blood pressure: Systolic value 140/90 mmHg.
- AST (aspartate transaminase) or ALT (alanine transaminase) levels > 1.5 upper limit of normal (ULN).
- Creatinine clearance of < lower limit of normal (LLN) as determined by the Cockcroft-Gault formula.
- Positive pregnancy test at Screening or between Screening and randomization (fertile females only).
- Heart rate is less than or equal to 40 bpm.
- Assessment may be repeated once for eligibility determination at Screening or Day -1.
- Use of any topical medication in the areas intended for TS application within 14 days prior to the first TS application and throughout the study.
- Use of any topical products with or without medicinal ingredient (including but not limited to perfumes, body lotions, sunscreens, spray or TS oils, creams and alcohol) on the sites intended for TS application within 48 hours prior to the first TS application and throughout the study. Topical application of products without significant systemic absorption are allowed in areas other than the ones intended for TS application. Sponsor to be consulted with any questions.
- Non-metastatic basal cell carcinoma of the skin, completely resected squamous skin cancer with no recurrence for 12 months, carcinoma in situ of the cervix may be enrolled with prior approval from Corsair.
Interested in this trial?
Get notified about updates and connect with the research team.
Interventions
This is a Phase 1, open-label, placebo-controlled, crossover study evaluating the pharmacokinetics, safety, and tolerability of multiple formulations of the TRX-248 transdermal system (TS) in healthy female volunteers. TRX-248 is an inert prodrug that will penetrate the skin, be metabolized in the liver and converted to active drug, tresprostinil. Part A: Each participant will receive a single dose of TRX-248 TS (one active system) along with two placebo systems in each treatment period. The dose administered will depend on: - the excipient/formulation, and - the amount of TRX-248 in each formulation: 42.6 mg (formulation A), 71.0 mg (formulation B), or 30.0 mg (formulation C) TRX-248 per patch and - on the surface area in direct contact with the TS. There will be three treatment periods, each lasting 24 hours, followed by a washout period of at least 6 days before the next treatment. Part B: Participants from Part A (9 subjects) will receive three active TRX-248 TS patches of either: One of the three formulations (A, B, or C) tested in Part A or an optimized formulation (Formulation D), developed within the parameters of Formulations A, B, or C. The treatment period will last 24 hours, followed by a 6-day follow-up period. Each TRX-248 TS and each matching placebo will be applied to intact skin on preferably the back. Locations may be re-used after at least 2 week rest period. Patch application and removal will be done by research staff while participant is in confinement at site, under close medical observation. A sentinel treatment sequence will ensure that a single formulation will be tested in 1 participant for at least 1 day before proceeding to the next formulation, such that all 3 formulations are tested in a single participant before proceeding to fill the 9-subject cohort.
Locations(1)
View Full Details on ANZCTR
For the most up-to-date information, visit the official listing.
ACTRN12625000563460