Safety, Tolerability and Pharmacokinetics of Inhaled Nanoparticle Formulation of Remdesivir (GS-5734) and NA-831

Last updated: July 16, 2020
Sponsor: NeuroActiva, Inc.
Overall Status: Active - Recruiting

Phase

1

Condition

Pneumonia

Respiratory Syncytial Virus (Rsv) Infection

Nerve Injury

Treatment

N/A

Clinical Study ID

NCT04480333
NEUROSIVIR
  • Ages 21-50
  • All Genders

Study Summary

The clinical study is designed to evaluate the safety, tolerability and pharmacokinetics of inhaled nanoparticle nanoparticle formulation of Remdesivir (GS-5734) alone and in combination with NA-831 in 48 healthy volunteers.

Eligibility Criteria

Inclusion

INCLUSION CRITERIA:

  1. Healthy adult volunteers, aged 21 to 50 years old, men or women.

  2. Subjects negative for human immunodeficiency virus (HIV antibody screen), Hepatitis Bvirus surface Antigen (HBsAg) and Hepatitis C virus (HCV antibody screen).

  3. Subjects who are willing to comply with the requirements of the study protocol, attendscheduled visits and make themselves available for the duration of the study withaccess to a consistent means of telephone contact.

  4. Subjects who give written informed consent approved by the Internal Review Boardgoverning the site.

  5. Satisfactory baseline medical assessment as assessed by physical examination and astable health status. Normal laboratory values must be within normal range of theassessing site or show minor variations that are deemed not clinically significant asjudged by the Investigator and acceptable for study entry.

  6. Accessible vein in the forearm for blood collection.

  7. Female subjects of childbearing potential may be enrolled in the study if they havenegative urine pregnancy tests on the day of screening and day of admission.

  8. Female subjects of non-childbearing potential due to surgical sterilization (hysterectomy or bilateral oophorectomy or tubal ligation) or menopause.

  9. Both male (if he has a partner of childbearing potential) and female subjects (ofchildbearing potential) must agree to use adequate and reliable contraceptive measures (e.g. spermicides, condoms, contraceptive pills, etc.) or practice abstinencethroughout the duration of the study (up to 30 days post-dosing).

Exclusion

EXCLUSION CRITERIA:

  1. Subject previously diagnosed with COVID-19 or had been issued with a quarantine orderby the Center of Disease Control (CDC).

  2. Presence of acute infection in the preceding 14 days, or presence of a temperature ≥ 100.0 ˚F (oral or tympanic temperature assessment), or acute symptoms of any severityon the scheduled date of admission.

  3. History of severe drug and / or food allergies and / or known allergies to the trialproduct or its components.

  4. Female subject who is pregnant or breast-feeding.

  5. History or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, , or immunosuppressive disorders.

  6. Any neurological disease or history of significant neurological disorder (e.g.meningitis, seizures, multiple sclerosis, vasculitis, migraines, Guillain-Barrésyndrome [genetic/congenital or acquired]).

  7. Evidence of clinically significant anemia (HB < 10 g/dL) or any other significantactive hematological disease, or having donated > 450 mL of blood within the pastthree (3) months.

  8. Participation or planned participation in a study involving the administration of aninvestigational compound within the past four (4) months or during this study period.

  9. Receipt of immunoglobulins and/or any blood products within nine (9) months of studyenrolment or planned administration of any of these products during the study period.

  10. Evidence of Hepatitis B or C or HIV by laboratory testing.

  11. A positive test result for drugs of abuse (except a positive test result associatedwith prescription medication that has been reviewed and approved by the investigator)or alcohol at screening.

  12. Administration of any licensed vaccine within 30 days before the first study vaccinedose.

  13. Both male (if he has a partner of childbearing potential) and female subjects (ofchildbearing potential) who are unwilling to use adequate contraception or practiceabstinence throughout the duration of the study (up to 84 days post-dosing).

  14. Any condition that, in the opinion of the Investigator, would complicate or compromisethe study or well-being of the subject.

Study Design

Total Participants: 45
Study Start date:
September 15, 2020
Estimated Completion Date:
March 31, 2021

Study Description

It has been discovered that SARS-CoV-2 viruses (Covid-19) can directly invade the nervous system of patients, instead of injuring the nervous system through the immune response. Neurotropism is one common feature of Covid-19. Such neuro-invasive propensity of Covid-19 has been documented almost for all the Beta-coronaviruses including SARS‐CoV and MERS‐CoV.

Increasing evidence suggests that infection with Sars-CoV-2 causes neurological deficits in a substantial proportion of affected patients. It was observed that patients surviving COVID-19 are at high risk for subsequent development of neurological disease and in particular Alzheimer's disease.

NA-831 is a new neuroprotective and neurogenesis drug that has been demonstrated its promising safety and efficacy in Phase 2A for the treatment of early onset of Alzheimer's disease. NA-831 in oral formulation is well tolerated NA-831 with no adverse effects. NA-831 in oral formulation exhibits predictable pharmacokinetics including dose-dependent exposure linearity and low variability.

Based on animal studies, NA-831 can provide effective interventions during the severe acute respiratory syndrome, and provide appropriate rehabilitation measures afterwards.

Remdesivir (GS-5734) intravenous formulation has been approved by the FDA under the emergency use authorization for potential treatment of severe cases of Covid-19.

It was found the upper respiratory tract is the most prevalent site of SARS-CoV-2 infection early in disease. Delivering drugs directly to the primary site of infection with a nebulizer, inhaled nanoparticle formulation may enable more targeted and accessible administration in non-hospitalized patients and potentially lower systemic exposure to the drug.

The study is designed to evaluate the safety, tolerability and pharmacokinetics of a new nanoparticle formulation of Remdesivir (GS-5734) and combination therapy with NA-831 in healthy volunteers.

Connect with a study center

  • Coronavirus Research Institute

    Sunnyvale, California 94086
    United States

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.