Pharmacokinetic (PK) Evaluation of Nalmefene Formulations

NCT07543276 — Phase 1, Completed, 13 participants, Knoa Pharma LLC

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A Phase 1, Open Label, Randomized, Single Dose, Three-Period Crossover Study in Healthy Subjects to Compare the Pharmacokinetic Profiles of Nalmefene Following Administration of Intravenous and Intramuscular Nalmefene 0.5 mg (0.94% MgCl2) and Intravenous Nalmefene Hydrochloride Injection 0.5 mg

RegistryNCT07543276
StatusCompleted
PhasePhase 1
Study typeInterventional; randomized, crossover, masking: none, treatment
Enrollment13 (Actual)
SponsorKnoa Pharma LLC (Industry); collaborators: Purdue Pharma LP
ConditionsOpioid Overdose
InterventionsNalmefene + 0.94% MgCl2, Nalmefene Hydrochloride Injection (Drug)
Datesstart 2026-02-06, primary completion 2026-04-03, completion 2026-04-03, first posted 2026-04-21, last updated 2026-06-05
Locations1 site in United States

Related Papers Related Patents Related Grants Related Experts
All trials for Opioid Overdose All trials of Nalmefene + 0.94% MgCl2 All trials of Nalmefene Hydrochloride Injection

-Summary

This study is designed to characterize the PK of nalmefene following IV bolus and IM injections using nalmefene 0.5 mg (0.94% MgCl2) and IV bolus of 0.5 mg nalmefene hydrochloride injection in healthy subjects.

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+Arms and interventions

ArmTypeInterventionsDescription
Treatment AExperimentalDrug: Nalmefene + 0.94% MgCl2Nalmefene + 0.94% MgCl2 (IV)
Treatment BExperimentalDrug: Nalmefene + 0.94% MgCl2Nalmefene + 0.94% MgCl2 (IM)
Treatment CActive comparatorDrug: Nalmefene Hydrochloride InjectionNalmefene Hydrochloride injection
  • Nalmefene + 0.94% MgCl2 (Drug): Nalmefene 0.5 mg + 0.94% MgCl2 for IV (bolus) administration
  • Nalmefene + 0.94% MgCl2 (Drug): Nalmefene 0.5 mg + 0.94% MgCl2 for IM administration
  • Nalmefene Hydrochloride Injection (Drug): Nalmefene Hydrochloride Injection 0.5 mg for IV (bolus) administration

+Outcome measures

Primary outcomes

  • Area Under the Curve (AUC0-2.5) [2.5 minutes post-dose]: Partial area under the plasma concentration-time curve from time zero to 2.5 minutes following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene hydrochloride injection 0.5 mg IV bolus administration
  • Area Under the Curve (AUC0-5) [5 minutes post-dose]: Partial area under the plasma concentration-time curve from time zero to 5 minutes following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene hydrochloride injection 0.5 mg IV bolus administration
  • Area Under the Curve (AUC0-10) [10 minutes post-dose]: Partial area under the plasma concentration-time curve from time zero to 10 minutes following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene hydrochloride injection 0.5 mg IV bolus administration
  • Area Under the Curve (AUC0-15) [15 minutes post-dose]: Partial area under the plasma concentration-time curve from time zero to 15 minutes following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene hydrochloride injection 0.5 mg IV bolus administration
  • Area Under the Curve (AUC0-20) [20 minutes post-dose]: Partial area under the plasma concentration-time curve from time zero to 20 minutes following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene hydrochloride injection 0.5 mg IV bolus administration
  • Area Under the Curve (AUC0-30) [30 minutes post-dose]: Partial area under the plasma concentration-time curve from time zero to 30 minutes following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene hydrochloride injection 0.5 mg IV bolus administration
  • Area Under the Curve (AUCt) [Up to 48 hours post-dose]: Area under the plasma concentration-time curve from time zero to the time of last measurable concentration following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene hydrochloride injection 0.5 mg IV bolus administration
  • Area Under the Curve (AUCinf) [Up to 48 hours post-dose]: Area under the plasma concentration-time curve from time zero to infinity following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene hydrochloride injection 0.5 mg IV bolus administration
  • Maximum Plasma Concentration (Cmax) [Up to 48 hours post-dose]: Maximum plasma concentration of nalmefene following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene hydrochloride injection 0.5 mg IV bolus administration
  • Area Under the Curve (AUC0-2.5) [2.5 minutes post-dose]: Partial area under the plasma concentration-time curve from time zero to 2.5 minutes following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene 0.5 mg (0.94% MgCl2) IM administration
  • Area Under the Curve (AUC0-5) [5 minutes post-dose]: Partial area under the plasma concentration-time curve from time zero to 5 minutes following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene 0.5 mg (0.94% MgCl2) IM administration
  • Area Under the Curve (AUC0-10) [10 minutes post-dose]: Partial area under the plasma concentration-time curve from time zero to 10 minutes following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene 0.5 mg (0.94% MgCl2) IM administration
  • Area Under the Curve (AUC0-15) [15 minutes post-dose]: Partial area under the plasma concentration-time curve from time zero to 15 minutes following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene 0.5 mg (0.94% MgCl2) IM administration
  • Area Under the Curve (AUC0-20) [20 minutes post-dose]: Partial area under the plasma concentration-time curve from time zero to 20 minutes following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene 0.5 mg (0.94% MgCl2) IM administration
  • Area Under the Curve (AUC0-30) [30 minutes post-dose]: Partial area under the plasma concentration-time curve from time zero to 30 minutes following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene 0.5 mg (0.94% MgCl2) IM administration
  • Area Under the Curve (AUCt) [Up to 48 hours post-dose]: Area under the plasma concentration-time curve from time zero to the time of last measurable concentration following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene 0.5 mg (0.94% MgCl2) IM administration
  • Area Under the Curve (AUCinf) [Up to 48 hours post-dose]: Area under the plasma concentration-time curve from time zero to infinity following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene 0.5 mg (0.94% MgCl2) IM administration
  • Maximum Plasma Concentration (Cmax) [Up to 48 hours post-dose]: Maximum plasma concentration of nalmefene following nalmefene 0.5 mg (0.94% MgCl2) IV bolus administration and nalmefene 0.5 mg (0.94% MgCl2) IM administration

+Eligibility

Sex: All, ages: 18 Years to 55 Years, accepts healthy volunteers

Key Inclusion criteria:

1. Participants who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring.
2. Body weight ranging from 50 to 100 kg (110-220 lbs) inclusive at screening and body mass index (BMI) within the range \[18.0-30.0\] kg/m2 (inclusive).
3. Willing to be compliant with the protocol, are able to read, understand, and answer verbal questions.

Key Exclusion criteria:

1. Females who are pregnant or lactating.
2. Current or recent (within 5 years) history of drug or alcohol abuse.
3. History or any current conditions that might interfere with drug absorption, distribution, metabolism or excretion.
4. Known allergy or hypersensitivity to nalmefene hydrochloride or any of the excipients or other drug product components of nalmefene hydrochloride.
5. Dosing in a clinical drug study during the 30 days preceding the initial dose in this study.
6. Any significant illness during the 30 days preceding the initial dose in this study

Other inclusion/exclusion criteria may apply.

+Locations (1)

FacilityCityCountryStatus
Ohio Clinical TrialsColumbus, OhioUnited States