INDV-6001 Multiple-Dose Pharmacokinetic Study
Purpose
This is a multicentre, open-label, multiple dose study of INDV-6001 in adult participants with moderate or severe OUD as defined by the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). The current study will evaluate the pharmacokinetics (PK), safety, and tolerability of INDV-6001 following multiple doses in participants with OUD to select optimum dosing regimens for future studies. Prior to receiving INDV-6001, participants will be stabilised on 12-16 mg of transmucosal (TM) BUP (SUBOXONE®) or will transition from a 100-mg monthly maintenance dose of SC extended-release BUP (SUBLOCADE®). This study will also evaluate the use of alternative injection sites (thigh, back of upper arm), which may be desirable in this patient population for the anticipated extended durations of treatment.
Condition
- Moderate to Severe Opioid Use Disorder
Eligibility
- Eligible Ages
- Between 18 Years and 65 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Criteria
Inclusion Criteria
Participants are eligible to be included in any cohort open to enrolment in the study
only if all of the following criteria apply:
1. Has signed the ICF and have the ability to understand and comply with the
requirements and restrictions listed therein
2. Is an adult (male or female) between the ages of 18 and 65 years, inclusive, at the
time of signing the ICF
3. Has a BMI of ≥18.0 to ≤33.0 kg/m2
4. Is seeking MOUD and currently meets or has documented history of moderate or severe
OUD as per DSM-5 criteria. For Cohorts 1-4 only: can be dose-adjusted to 12 to 16 mg
SUBOXONE QD or currently taking TM BUP for OUD and can be dose-adjusted to 12 to 16
mg SUBOXONE QD
5. Agrees not to take any BUP-containing products, other than those administered for
the current study, throughout the duration of the study
6. If a woman of childbearing potential, not pregnant or lactating and agrees to follow
contraception guidelines per protocol; if a women of non-childbearing potential
(WONCBP), is:
1. Postmenopausal (defined as no menses for 12 months without an alternative
medical cause and confirmed by high FSH level of >30 mIU/mL in women not using
hormonal contraception or hormonal replacement therapy) or
2. Permanently sterilised (eg, bilateral tubal occlusion, bilateral tubal
ligation, complete hysterectomy, bilateral salpingectomy, bilateral
oophorectomy)
7. If a man, agrees to follow contraception guidelines per protocol 5.2 Exclusion
Criteria
A participant will not be eligible for inclusion in this study if any of the following
criteria apply:
1. Has current diagnosis or medical condition, other than OUD, requiring chronic opioid
treatment
2. Has a concurrent primary substance use disorder, as defined by DSM-5 criteria, other
than opioid, tobacco, cannabis, or mild to moderate alcohol use disorders
3. Has an injection area unsuitable for SC injections (eg, nodules, scarring, lesions,
excessive pigment) in the areas designated for possible injection in the study
4. Is currently using another MOUD treatment other than TM BUP (eg, SUBOXONE) or has
had prior treatment with any long-acting injectable form of a BUP-containing product
in the past 18 months (or if 18-24 months with a positive UDS) prior to consent;
treatment with oral naltrexone or methadone products within 14 days prior to consent
(or positive UDS for methadone at Screening); or treatment with depot naltrexone
within the 3 months prior to consent
5. Has had significant traumatic injury or major surgical procedure (as defined by the
investigator) within 30 days prior to the first dose of INDV-6001 or still
recovering from such prior injury or surgery
6. Has congenital long QT syndrome, history of prolonged QT in the 3 months prior to
screening, or a corrected QT interval (Fridericia's - QTcF) >450 msec (male) or >470
msec (female), or history of risk factors for Torsades de Pointes. Has known
personal history of taking Class IA antiarrhythmic medications (eg, quinidine,
procainamide, disopyramide) or Class III antiarrhythmic medications (eg, sotalol,
amiodarone) or other mediations that prolong the QT interval
7. Has known family history of congenital QT prolongation or sudden unexplained death
8. Is currently taking (within the 30 days prior to signing the ICF) prescription or
OTC medications that are clinically relevant moderate or strong cytochrome P450
(CYP) 3A4 or CYP 2C8 inducers or inhibitors (eg, rifampin, azole antifungals [eg,
ketoconazole], macrolide antibiotics [eg, erythromycin])
9. Has a history of suicidal ideation within 30 days prior to providing written
informed consent (evidenced by answering yes to either question 1 or 2 on the
C-SSRS) or a history of a suicide attempt in the 6 months prior to consent
10. Has any active medical condition (including organ disease), psychiatric illness,
social/legal situation (including court order requiring treatment for OUD), or
concurrent medication/treatment that may compromise participant safety, interfere
with study endpoints, limit compliance with study requirements, or compromise the
ability of the participant to provide written informed consent
11. Has active hepatitis B or C as evidenced by positive serology and PCR test
confirmation
12. Has total bilirubin ≥1.5 × ULN (with direct bilirubin >20% of total bilirubin), ALT
≥3 × ULN, AST ≥3 × ULN, or INR >1.5 × ULN at Screening)
13. Has serum creatinine >1.5 × ULN or estimated glomerular filtration rate (eGFR) <60
mL/min/1.73m2 by CKD-EPI formula
14. Has known allergy or hypersensitivity to BUP, any excipients of INDV-6001, SUBOXONE,
or SUBLOCADE
15. Is currently participating in another interventional clinical study, and/or has been
treated with investigational product INDV-2000 within 1 month prior to Screening
Visit, or another investigational agent within 3 months prior to Screening Visit
16. Is currently being treated with medications contraindicated for use with BUP as per
local prescribing information
17. Has donated more than 500 mL of blood within the past 3 months prior to consent
18. Is a member of site staff, has a financial interest in Indivior, or is an immediate
family member of anyone directly involved in the study (eg, site staff or Indivior
employee)
Study Design
- Phase
- Phase 2
- Study Type
- Interventional
- Allocation
- Non-Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Experimental Cohort 1 |
SUBOXONE 12-16 mg once daily (to continue through Day 7), followed by INDV-6001 (600 mg Day 1, followed by 600 mg on Day 8, Day 92, and Day 176) |
|
Experimental Cohort 2 |
SUBOXONE 12-16 mg once daily (to continue through Day 7), followed by INDV-6001 (600 mg Day 1, followed by 600 mg on Day 8, Day 64, Day 120, and Day 176) |
|
Experimental Cohort 3 |
SUBOXONE 12-16 mg once daily (to continue through Day 7), followed by INDV-6001 (600 mg Day 1, 600 mg Day 8, followed by 250 mg on Day 15, Day 43, Day 71, and Day 99) |
|
Experimental Cohort 4 |
SUBOXONE 12-16 mg once daily (to continue through Day 7), followed by INDV-6001 (600 mg Day 1, followed by 100 mg on Day 8, Day 36, Day 64, and Day 92) |
|
Experimental Cohort 1a |
In Cohort 1, up to 15 participants who reach Day 260 will be enrolled into Cohort 1a. Participants in Cohort 1a will receive an additional injection of INDV-6001 600 mg in the back of the upper arm on Day 260. |
|
Experimental Cohort 2a |
In Cohort 2, up to 15 participants who reach Day 232 will be enrolled into Cohort 2a. Participants in Cohort 2a will receive an additional injection of INDV-6001 600 mg in the thigh on Day 232. |
|
Experimental Cohort 3a |
In Cohort 3, up to 15 participants who reach Day 127 will be enrolled into Cohort 3a. Participants in Cohort 3a will receive an injection of SUBLOCADE 300 mg (abdomen) on Day 127. |
|
Experimental Cohort 4a |
In Cohort 4, up to 15 participants who reach Day 120 will be enrolled in Cohort 4a. Participants in Cohort 4a will receive an injection of SUBLOCADE 100 mg (abdomen) on Day 120. |
|
Experimental Cohort 7 |
Participants in Cohort 7 who are new to BUP treatment will undergo rapid induction with SUBLOCADE 300 mg (per product labelling) in the abdomen on Day 1 following an initial dose of SUBOXONE (eg, 4 mg). All participants in Cohort 7 will receive: SUBLOCADE 300 mg (abdomen) on Day 1 and Day 8, SUBLOCADE 100 mg (abdomen) on Day 36, and 600mg INDV-6001 on Day 64. |
|
Recruiting Locations
San Diego, California 92103
Miami Lakes, Florida 33016
Chicago, Illinois 60607
Flowood, Mississippi 39232
Marlton, New Jersey 08053
Staten Island, New York 10314
Desoto, Texas 75115
Houston, Texas 77043
Richardson, Texas 75080
Bountiful, Utah 84010
More Details
- NCT ID
- NCT06576843
- Status
- Recruiting
- Sponsor
- Indivior Inc.
Detailed Description
Study Cohorts: There are multiple cohorts (1, 2, 3, 4 and 7) testing varying dose strengths and frequencies of INDV-6001 in participants who are not receiving long-acting treatment for OUD. Up to 15 participants from each of the Cohorts 1, 2, 3, and 4 will enrol into Cohorts 1a, 2a, 3a, and 4a, respectively. Study Periods: Screening Period: from the Screening Visit until prior to the first SUBOXONE or SUBLOCADE dose as a part of this study Pre-Investigational Medicinal Product (IMP) Period: from the first SUBOXONE or SUBLOCADE dose as a part of this study until prior to the first INDV-6001 dose IMP Period: from the first INDV-6001 dose until the SUBLOCADE injection (Cohorts 3a and 4a only) or until the end of the study (EOS; all remaining cohorts) Post-IMP Period: (Cohorts 3a and 4a only) from the SUBLOCADE injection until EOS