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CompletedNCT04294862Updated Oct 19, 2022

Tissue Distribution, Pharmacokinetics, Safety, and Tolerability After a Single Dose of TNP-2092 in Participants Undergoing Primary Total Hip or Knee Arthroplasty

A Phase 1 interventional study of TNP-2092 in Prosthetic Joint Infection, sponsored by TenNor Therapeutics Limited. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-10-19.

Sponsored by TenNor Therapeutics Limited · Phase 1, Interventional, and Other

From the registry’s dates

  • Primary completion was Dec 2021, 4 years 9 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
13
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study will investigate TNP-2092 distribution into joint tissues in participants undergoing a total hip arthroplasty (THA) or a total knee arthroplasty (TKA). Tissue distribution is the primary objective, and plasma pharmacokinetics (PK), safety, and tolerability are secondary objectives.

Read the detailed description

This is a Phase 1, open-label study to evaluate the tissue distribution, plasma PK, safety, and tolerability after a single 300 mg intravenous (IV) dose of TNP-2092 administered before induction of anesthesia in adult participants undergoing THA or TKA. Sixteen patients who are scheduled to undergo primary THA or TKA will be enrolled.

The enrolled participants who meet the inclusion/exclusion criteria will receive the study intervention (a single 300 mg IV dose of TNP-2092) 2 hours before induction of anesthesia on Day 1. Tissue samples from bone and synovial fluid will be collected during surgery and analyzed for TNP-2092 and cefazolin concentrations. Plasma samples will be collected on Day 1 and Day 2 for PK analysis. Safety and tolerability information will be collected on Day 1 and Day 2 at the clinical center, on Day 7 by phone, and on Day 14 at a final follow-up visit.

02

Conditions studied

  • Prosthetic Joint Infection

Keywords

  • TNP-2092
  • tissue distribution
  • THA
  • TKA
  • safety
  • PK
03

In context

Lead sponsor

TenNor Therapeutics Limited is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Participants are eligible to be included in the study only if all inclusion criteria are met:

  1. Male or females, 18 years of age or older
  2. Participants who require primary THA or TKA
  3. Body mass index (BMI) >=18 kg/m2 but \<=40 kg/m2
  4. Capable of giving signed informed consent

Exclusion criteria

Exclusion Criteria:

Participants are excluded from the study if any of the following exclusion criteria are met:

  1. History or hypersensitivity or intolerability to any of the following drugs: any member of fluoroquinolones, rifamycin, cefazolin or TNP-2092
  2. History of known methicillin-resistant Staphylococcus aureus (MRSA) infections
  3. Presence of any surgical or medical condition that in the opinion of the principal investigator and the medical monitor that could impact the interpretation of the results of the study;
  4. Evidence of significant hepatic, hematologic or immunologic disease;
  5. History or evidence of severe renal disease
05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
13 participants (actual)

Study arms

  • Experimental
    TNP-2092 300mg IV

    TNP-2092 for injection 100mg/vial, 300mg, BID, 1 dose

    Drug: TNP-2092

Interventions

  • DrugTNP-2092

    TNP-2092 for injection 100mg/vial

    Also known as: CBR-2092

06

What researchers measure

Primary outcomes

  1. Concentration of TNP-2092 in synovial fluid

    Concentration in ng/mL

    Time frame: 2 hours after infusion

  2. Concentration of TNP-2092 in bone

    Concentration in ng/g

    Time frame: 2 hours after infusion

Secondary outcomes

  1. Plasma PK of a single IV dose of TNP-2092

    CTissue: Drug concentration in tissue, ng/mL

    Time frame: pre-dose, end of infusion, 1 hours, 3 hous, 6 hours, 12 hours and 24 hours after infusion

  2. Plasma PK of a single IV dose of TNP-2092

    Cmax: Peak plasma concentration,ng/mL

    Time frame: pre-dose, end of infusion, 1 hours, 3 hous, 6 hours, 12 hours and 24 hours after infusion

  3. Plasma PK of a single IV dose of TNP-2092

    Tmax: Time to maximum plasma concentration, hours

    Time frame: pre-dose, end of infusion, 1 hours, 3 hous, 6 hours, 12 hours and 24 hours after infusion

  4. Plasma PK of a single IV dose of TNP-2092

    AUC0-24: AUC versus time from time 0 to 24 hours, h\*ng/mL

    Time frame: pre-dose, end of infusion, 1 hours, 3 hous, 6 hours, 12 hours and 24 hours after infusion

  5. Rate of adverse event with TNP-2092

    Description of adverse events as assessed by CTCAE 4.0

    Time frame: Day2, Day7, Day14

07

Study locations

1 site
  • Rothman Orthopedic Institute
    Philadelphia, Pennsylvania 19107, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 19, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04294862
Lead sponsor
TenNor Therapeutics Limited
Responsible party
Sponsor
First posted
Mar 4, 2020
Start date
Mar 1, 2021
Primary completion
Dec 31, 2021
Completion
Jun 29, 2022
Last update
Oct 19, 2022

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2022. You cannot join it, but the record below documents what was studied.

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