INDV-2000 First in Human
Condition: Opioid Dependence
MeSH terms: Opioid-Related Disorders
Intervention: INDV-2000; Placebo
Intervention description: INDV-2000 will be administered as either powder in solution or powder in capsule, depending on dose administered.; Placebo will be administered as either powder in solution or powder in capsule, depending on dose administered.
Phase: Phase 1
Study type: Interventional
Primary purpose: Treatment
Allocation: Randomized
Intervention model: Sequential Assignment
Intervention model description: Part I - sequential escalating dose cohorts; within each dose cohort participants will be randomized to INDV-2000 or matching placebo in a 3:1 ratio.
Part II - single cohort crossover study in which participants will receive INDV-2000 on 2 occasions separated by a 1-week washout period, once under fasting conditions and once after a standard high-fat breakfast.
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Masking description: Part I: Double-blind;
Part II: Open-label
Enrollment: 73.0
Sex: All
Minimum age: 18 Years
Maximum age: 55 Years
Healthy volunteers: Accepts Healthy Volunteers

Summary:

      This study is a single ascending dose (SAD) study conducted to identify the maximum tolerated
      dose (MTD) of INDV-2000. After completion of the SAD portion of the study and acceptable
      safety evaluation, a food-interaction, single-dose study under fed and fasted conditions will
      be conducted.
    

Eligibility criteria:

        Inclusion Criteria:

          -  Must be able to verbalize understanding the consent form, able to provide written
             informed consent, and verbalize willingness to complete study procedures, and be able
             to comply with protocol requirements, rules and regulations of the study site, and be
             likely to complete all the study interventions.

          -  Must be considered a healthy male or non-childbearing female for Part I

          -  For Part II, must be a healthy male who did not participate in Part I and willing to
             consume a high-fat meal.

          -  Body mass index (BMI) within 18.0 to 30.0 kg/m^2, inclusive (minimum weight of at
             least 50.0 kg at Screening)

          -  Male subjects who are sexually active with female partners of child-bearing potential
             must use, with their partner, a condom plus an approved method of effective
             contraception from time of screening until 90 days after last dose of Investigational
             Medicinal Product (IMP). Additionally, male subjects must agree to not donate sperm
             during the study and for at least 90 days from last dose of IMP.

        Exclusion Criteria:

          -  Have a medical history of clinically significant neurological, cardiovascular, renal,
             hepatic, chronic respiratory or gastrointestinal disease, or psychiatric disorder as
             judged by an Investigator,

          -  Have clinically significant abnormal biochemistry, hematology or urinalysis results as
             judged by an Investigator,

          -  Have a history of narcolepsy or other significant sleep disorders

          -  Have disorders that may interfere with drug absorption, distribution, metabolism and
             excretion (ADME) processes,

          -  Positive test results for human immunodeficiency virus (HIV)-1/HIV-2 antibodies,
             hepatitis B surface antigen (HBsAg) or hepatitis C antibody (HCVAb).

          -  Serious cardiac illness or other medical condition including, but not limited to:
             Uncontrolled arrhythmias; History of congestive heart failure (CHF); myocardial
             infarction < 6 months from receipt of first dose of IMP; uncontrolled symptomatic
             angina; corrected QT value (QTcF) > 450 msec for males and > 470 msec for females or
             history of prolonged QT syndrome; Have a blood pressure reading outside of the
             following range: systolic < 86 or > 149 mmHg; diastolic < 50 or > 94 mmHg

          -  Current active hepatic or biliary disease. Subjects with cholecystectomy < 90 days
             prior to screening.

          -  Regular alcohol consumption in males > 21 units per week and females > 14 units per
             week (1 unit = ½ pint beer, 25 mL of 40% spirit or a 125 mL glass of wine).

          -  Positive test result for alcohol and/or drugs of abuse at screening or prior to the
             first IMP administration.

          -  Current smokers and those who have smoked within the last 90 days. Current users of
             e-cigarettes and nicotine replacement products, and those who have used these products
             within the last 90 days.

          -  Concurrent treatment or treatment with an investigational drug within 30 days prior to
             the first dose.

          -  Blood donation of approximately 500 mL within 56 days or plasma donation within 7 days
             of screening.

          -  Subjects who are taking, or have taken, any prescribed or over-the-counter drugs
             (other than 2 g per day acetaminophen, hormone replacement therapy, hormonal
             contraception) or herbal remedies in the 14 days before IMP administration. Exceptions
             may apply on a case by case basis if considered not to interfere with the objectives
             of the study, as agreed by an Investigator and Sponsor's Medical Monitor.

          -  Any consumption of food or drink containing poppy seeds, grapefruit or Seville oranges
             within 7 days prior to the IMP administration

          -  Treatment with any known drugs that are moderate or strong inhibitors/inducers of
             cytochrome P450 (CYP) 3A4 within 30 days prior to first dose of IMP.

          -  Known allergy or hypersensitivity to IMP or its excipients.

          -  Any condition that, in the opinion of an Investigator, would interfere with evaluation
             of the IMP or interpretation of subject safety or study results.

          -  Affiliated with, or a family member of, site staff directly involved in the study, or
             anyone with a financial interest in the outcome of the study.

          -  Subjects who are unable, in the opinion of an Investigator, to comply fully with the
             study requirements.