An early stage trial to check how safe and tolerable, as well as how the body handles continuous daily use of Active IMP over 28 days in healthy volunteers.
Detailed information restricted because this is a Phase 1 clinical trial.
Drug: Ivermectin
Ivermectin: Investigation of the safety, tolerability and the pharmacokinetic profile of the active IMP in an exploratory study
Drug: Placebo
Matching Placebo to the Active IMP.
Important Inclusion Criteria:
- Subject is male of any ethnic origin.
- Subject is aged between 18 to 45 years, inclusive.
- Subject has a body mass index (BMI) of 18.5 to 32.0 kg/m2, inclusive.
- Subject is ≥50 kg.
- Negative reverse transcription polymerase chain reaction (RT-PCR) Test for severe
acute respiratory syndrome coronavirus-2 (SARS-CoV-2) at Screening and negative
lateral flow immunoassay test for SARS-CoV-2 at Day -1.
- Healthy as determined by a responsible physician, based on medical evaluation
including medical history, physical examinations, neurological examinations,
concomitant medication, vital signs, 12-lead ECG and clinical laboratory evaluations.
- Male subjects must use a condom during the study and for 3 months after their final
dose of study medication, if their partner is a woman of childbearing potential. In
addition, their female partner of childbearing potential must use an additional method
of highly effective contraception from first dosing until 3 months following final
dosing.
Important Exclusion Criteria:
- Clinically relevant history of abnormal physical or mental health (defined as any
subject requiring medical, psychological or pharmacotherapeutic intervention for
mental illness) interfering with the study as determined by medical history and
physical examinations obtained during Screening and Day -1 as judged by the
Investigator (including [but not limited to], neurological, psychiatric, endocrine,
cardiovascular, respiratory, gastrointestinal, hepatic, or renal disorder).
- Any other concomitant disease or condition that could interfere with, or for which the
treatment might interfere with, the conduct of the study as outlined in this Protocol,
or that would, in the opinion of the Investigator, pose an unacceptable risk to the
subject in this study.
- Evidence of previous SARS-CoV-2 infection from medical history.
- Ophthalmologic disorder (moderate and sever retina or optic nerve pathology; cataracts
excluded).
- Subjects with a diagnosis of asthma or any other respiratory conditions.
- A neurologic disorder that may compromise blood brain barrier permeability (stroke
within 90 days, brain tumour, multiple sclerosis, or other neuroinflammatory
condition, a neurodegenerative disorder, epilepsy) or history of seizures.
- Positive test for hepatitis B surface antigen (HBsAg), anti-hepatitis C antibody
(anti-HCV) or human immunodeficiency virus I and II (anti-HIV I/II) at Screening.
- The subject has participated in a clinical study and has received a medication or a
new chemical entity within 3 months or 5 half-lives (whichever is longer) prior to
first dosing of current study medication.
- Use of any drugs that are known substrates of CYP3A4, P-glycoprotein (P-gp) from
within 4 weeks of Screening and unable to refrain from them until the end of the study
(e.g., rifampicin, quinidine, amiodarone, diltiazem, spironolactone, verapamil,
clarithromycin, erythromycin, itraconazole, ketoconazole, cyclosporine, tacrolimus,
indinavir, ritonavir or cobicistat). Use of critical CYP3A4 substrate drugs such as
warfarin or coumarin anticoagulants.
- Recent or expected microfilaricidal drug use, including ivermectin, or travel history
to areas that are endemic for Loa loa or onchocerciasis (Angola, Cameroon, Central
African Republic, Chad, Democratic Republic of Congo, Ethiopia, Equatorial, Guinea,
Gabon, Republic of Congo, Nigeria and Sudan).
- Use of medications having potential activity against SARS-CoV-2 such as
hydroxychloroquine, chloroquine, lopinavir, ritonavir, remdesivir, azithromycin, in
the 30 days prior to Screening and unable to refrain from them until the end of the
study.
- Consumption of any food or drinks containing cranberry, pomegranate, starfruit,
grapefruit, pomelos, exotic citrus fruits or Seville oranges (including marmalade and
juices made from these fruits) within 14 days prior to first dosing until the end of
the study.
MAC Clinical Research Manchester (Early Phase Unit), Neuroscience Centre of Excellence
Manchester, Greater Mancherster, United Kingdom
Pui Man Leung, MD, Principal Investigator
MAC Clinical Research