Clinical trial NCT04674709: Evaluation of the Safety and Pharmacokinetics of Oleander 4X in Healthy Volunteers
Official title: A Phase 1, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety and Pharmacokinetics of Oleander 4X in Healthy Volunteers
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: PHASE1
Conditions: Flu-like Symptoms
Keywords: Flu-like symptoms
Avila Herbals
Phoenix Biotechnology
Lead sponsor: Avila Herbals
Sponsor class: INDUSTRY
First posted: 2020-12-19
Enrollment: 75
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This is a randomized, double-blind, placebo-controlled Phase I study that will investigate the safety and efficacy of OLEANDER 4X HPUS in Healthy Volunteers.
Primary purpose: TREATMENT

Brief summary: The homeopathic medicine, Oleander 4X HPUS is indicated for temporary relief of symptoms associated with flu, such as muscle or body aches, headaches, chills and fever, cough, and congestion. The primary purpose of this study is to assess the safety of Oleander 4X HPUS in health male and female subjects compared to a placebo. This is a randomized, double blind, placebo-controlled Phase I Proof of Concept clinical trial to evaluate the safety and efficacy of OLEANDER 4X HPUS in Healthy Volunteers. Briefly, 45 Healthy volunteers who meet the eligibility criteria and agree to participation in the study will be placed on 1.0 mL of OLEANDER 4X HPUS, four-to-twelve times per day for seven days. For the pharmacokinetics study (cohorts 4-6), participants will take OLEANDER 4X HPUS at a prescribed dose one time.

The aim of the present study is to evaluate the safety of OLEANDER 4X HPUS. This real-world cohort provides a unique opportunity to study this medicine. This protocol outlines a study involving Healthy volunteers. Up to 45 volunteers will be recruited in specific health systems in the USA.

Second ARM, sub-study: As a second arm of this study, a random double blind, placebo-controlled pharmacokinetics study in healthy volunteers. Briefly, 15 healthy volunteers who meet the same eligibility criteria and agree to participation in the study will be placed on one, two, or 4 doses (1 mL per dose) of OLEANDER 4X HPUS one time.

This is effectively three ascending doses in 4 subjects on OLEANDER 4X HPUS, compared to the placebo (1 subject).

Detailed description: The aim of the present study is to evaluate the safety of OLEANDER 4X HPUS. This protocol outlines a study involving Healthy volunteers. Up to 45 volunteers will be recruited in the USA.

Second ARM, sub-study: As a second arm of this study, a random double blind, placebo-controlled pharmacokinetics study in healthy volunteers. Briefly, 15 healthy volunteers who meet the same eligibility criteria and agree to participation in the study will be placed on one, two, or 4 doses (1 mL per dose) of OLEANDER 4X HPUS one time.

This is effectively three ascending doses in 4 subjects on OLEANDER 4X HPUS, compared to the placebo (1 subject).

Eligibility criteria: Inclusion Criteria:

* Healthy Volunteers.
* Subjects with no symptoms of respiratory illness such as fever, rhinorrhea, mild cough, sore throat, headache, fatigue, muscle pain, and malaise but with no shortness of breath.
* Male or non-pregnant female adult \> 18 to 65 years of age at time of enrollment to include all races and ethnic minorities.
* Agree to the collection of blood specimens (for the pharmacokinetics study).
* Willingness of study participant to provide informed consent and accept randomization to any assigned treatment arm.
* Must agree not to enroll in another study of an investigational agent prior to Day 28 of study, unless hospitalized.

Exclusion Criteria:

* Signs of any respiratory distress or pulmonary infection defined as the need for non-invasive or invasive mechanical ventilator support, ECMO or shock requiring vasopressor support.
* Subjects with risk factors for severe disease (e.g. hypertension, diabetes, pulmonary, cardiovascular, renal, hepatic, neurologic disease or immune compromise, obesity, and pregnancy).
* Any previous history of clinically significant cardiovascular disease, including ventricular arrhythmias.
* Current use of cardiac glycosides or a known allergic reaction to cardiac glycosides or compounds of similar chemical or biologic composition.
* Any risk factors that can lead to severe COVID-19 including uncontrolled diabetes, hypertension, and systemic diseases including hepatic disease and renal insufficiency.
* Pregnancy or breastfeeding.
* Participation in any other clinical trial of an experimental treatment for COVID-19.

Primary outcomes:
measure: Number of participants with adverse events, serious event, and any related reactions as assessed by CTCAE v5.0.
timeFrame: 1-7 days
measure: proportion of subjects undergoing DLT events
timeFrame: 1-7 days
Secondary outcomes:
measure: pharmacokinetic parameters - AreaUnderCUrve (AUCt) [Time Frame: 24 hours]
timeFrame: 0-24 hours
measure: half-life (t1/2)
timeFrame: 0-24 hours
measure: maximum and minimum plasma concentration
timeFrame: 0-24 hours
measure: total body clearance (Cltot)
timeFrame: 0-24 hours
Other outcomes:
Locations:
city: Roanoke
country: United States
facility: Dr. William Ball offices
state: Virginia
Study officials:
affiliation: Avila Herbals
name: Theresa G Obiso, PhD
role: STUDY_DIRECTOR
References: