A First in Human Single Ascending Dose (SAD) Study of ATI-1013 in Healthy Smokers

Study Purpose

This study is a first-in-human clinical trial of drug ATI-1013, in healthy adult cigarette smokers. The main questions it aims to answer are to learn about the safety of drug ATI-1013, how long drug ATI-1013 remains within the body, does drug ATI-1013 trigger an immune response, and the effects of drug ATI-1013 on nicotine levels within the body. The clinical trial will compare drug ATI-1013 to a placebo (a look-alike substance that contains no drug) to see if drug ATI-1013 has comparable safety. Participants will have a Screening visit (Day -28 to -3) and will be admitted on Day -2. Each participant will receive one intravenous (IV) infusion of ATI-1013 or placebo (Day 1). Participants will remain in-clinic for at least 48 hours post-dose and return for follow-up visits on Days 7, 21, 42, 56, and 84, with telephone check-ins on Days 5, 14, 28, and 70. Participants will keep a diary of their cigarette use and smoking behaviors.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

Yes
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 23 Years - 59 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria. 1. Provides written informed consent before any study procedures. 2. Age 23 to 59 years, inclusive. 3. Body weight ≥50 kg at Screening. 4. Body mass index (BMI) 18.5-29.9 kg/m² at Screening. 5. In good health with no medically significant conditions, in the opinion of the Investigator. 6. Current smoker, ≥10 cigarettes per day for ≥2 years, with no abstinence >6 months. 7. Female participants must agree not to donate ova during the study and for 90 days after dosing. 8. Female participants of childbearing potential must use an acceptable, effective method of birth control from 30 days prior to Screening through 90 days after dosing. 9. Female participants of non-childbearing potential must be surgically sterile (hysterectomy, bilateral salpingectomy, bilateral oophorectomy, or tubal ligation) or postmenopausal (≥1 year without menses) 10. Male participants must agree to use contraception and not donate sperm for 90 days after dosing. 11. Willing to abstain from all other tobacco products from Day -2 through Day 84. 12. Willing to abstain from all other nicotine products from Day -2 through Day 84. 13. Willing to abstain from smoking regular cigarettes: 1. Approximately 18 hours from evening of Day -2. 2. Approximately 42 hours from evening of Day -1.Exclusion Criteria. 1. Pregnant, breastfeeding, or planning pregnancy. 2. Positive serum pregnancy test at Screening or urine pregnancy test on Day -2 (women only) 3. Prior exposure to any anti-nicotine vaccine or antibody. 4. Use of mentholated tobacco products within 30 days before Screening, unwilling to refrain during the study. 5. History of severe allergic reaction to antibodies or vaccines (including Guillain-Barré syndrome) 6. Received any vaccination within 90 days prior to Screening. 7. Clinically significant allergic adverse reaction (seasonal allergies allowed) 8. Use of systemic steroids or immunomodulating drugs within 90 days (inhaled steroids allowed) 9. History of cancer (except treated basal/squamous cell skin cancer), HIV, other immunodeficiency, or autoimmune disease. 10. History of drug (excluding nicotine) or alcohol use disorder (DSM-5 criteria) 11. Clinically significant cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, neurological, or psychiatric disorder, as determined by the Investigator. 12. Clinically significant abnormal clinical chemistry, hematology, or urinalysis at Screening or Day -2, in the opinion of the Investigator. 13. COVID-19 within the past 6 months or ongoing symptoms likely attributable to COVID-19. 14. Use of varenicline, bupropion, nicotine replacement therapy (NRT), or other anti-smoking pharmacologic treatments (including off-label nortriptyline, clonidine, or cytisinicline) within 90 days prior to Screening. 15. Received an investigational product within 30 days (90 days for biologics) or 5 half-lives (whichever is longer) prior to Screening. 16. Exhaled carbon monoxide (CO) <8 ppm at Screening. 17. Positive test for hepatitis B surface antigen, hepatitis C antibody, or HIV antibody at Screening. 18. Positive urine alcohol test at Screening and/or Day -2. 19. Positive urine drug test (e.g., cocaine, amphetamines, barbiturates, opiates, benzodiazepines, cannabinoids) at Screening and/or Day -2. 20. Unwilling to abstain from xanthine-containing products (coffee, tea, cola, chocolate, energy drinks) within 24 hours prior to admission until discharge. 21. Unwilling to abstain from alcohol or alcohol-containing products within 24 hours prior to admission until discharge. 22. Significant blood donation or blood loss >500 mL within 56 days before Screening. 23. Plasma donation or loss within 30 days prior to Screening through Day 84. 24. Hypersensitivity to the study drug, its excipients, or similar products. 25. Unable or unwilling to comply with protocol requirements, restrictions, or instructions. 26. Currently enrolled in another clinical study

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT07215923
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 1
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Antidote Therapeutics, Inc
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Matthew Kalnik, PhD
Principal Investigator Affiliation Antidote Therapeutics, Inc
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry, NIH
Overall Status Recruiting
Countries United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Thromboangiitis Obliterans (Buerger's Disease)
Arms & Interventions

Arms

Experimental: ATI-1013 (0.2 g)

Single-ascending-dose Cohort 1. Participants receive a single intravenous (IV) infusion of ATI-1013 0.2 g on Day 1. Randomization within the cohort is 4:1 (ATI-1013:placebo).

Experimental: ATI-1013 (0.8 g)

Single-ascending-dose Cohort 2. Participants receive a single IV infusion of ATI-1013 0.8 g on Day 1. Randomization 4:1 (ATI-1013:placebo).

Experimental: ATI-1013 (3.2 g)

Single-ascending-dose Cohort 3. Participants receive a single IV infusion of ATI-1013 3.2 g on Day 1. Randomization 4:1 (ATI-1013:placebo).

Interventions

Biological: - ATI-1013 (0.2 g)

Single intravenous (IV) infusion of ATI-1013, 0.2 g total dose.

Biological: - ATI-1013 (0.8 g)

Single IV infusion of ATI-1013, 0.8 g total dose.

Biological: - ATI-1013 (3.2 g)

Single IV infusion of ATI-1013, 3.2 g total dose.

Other: - Placebo

Matching placebo (vehicle) IV infusion.

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

Dr. Vince Clinical Research, Overland Park 4276873, Kansas 4273857

Status

Recruiting

Address

Dr. Vince Clinical Research

Overland Park 4276873, Kansas 4273857, 66212

Site Contact

Collin Gerringer

[email protected]

913-333-3000