ClinicalTrials.gg
CompletedNCT04696822Updated Jan 5, 2024

Bioavailability of Nasal Epinephrine

A Phase 1 interventional study of Epinephrine Nasal Product, 1.6 mg and Epinephrine nasal product, 1.6 mg + allergen in Anaphylaxis, sponsored by Nasus Pharma. Completed at 1 site in Israel. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-01-05.

Sponsored by Nasus Pharma · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years to 55 Years
Sex
All
01

Study summary

A Study to Compare the Bioavailability of Epinephrine following a Single Nasal Dose of FMXIN002 Microspheres Powder with Epinephrine 0.3 mg Intramuscular Injection in Adult Subjects with Seasonal Allergic Rhinitis with and without Nasal Allergen Challenge

Read the detailed description

Study Design: Open-label, single-dose, two-period, three-treatment, fixed-sequence, comparative bioavailability study Study Population: Non-smoking, male and female subjects, from 18 to 55 years of age with known history of hay fever, seasonal allergies, or rhinitis during the last year.

02

Conditions studied

  • Anaphylaxis

Browse trials for

03

In context

Anaphylaxis

100 studies on the registry are indexed under Anaphylaxis; 20 are open to participants now.

This study's enrollment of 12 is below the median of 40 across 50 interventional studies indexed under Anaphylaxis.

Browse Anaphylaxis studies →

Lead sponsor

Nasus Pharma is the lead sponsor of 7 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

The following inclusion criteria will be assessed at screening (within 28 days prior to the first drug administration):

  1. Non-smoking, male and female subjects from 18 to 55 years of age.
  2. Documented Positive skin allergy test during the last year.
  3. History of hay fever, seasonal allergies, or rhinitis.
  4. ≥18 and \<=30 kg/m2.
  5. Females may be of childbearing or non-:

    • Childbearing potential:

      o Physically capable of becoming pregnant

    • Non-childbearing potential:

      • Surgically sterile (i.e., both ovaries removed, uterus removed, or bilateral tubal ligation); and/or
      • (no menstrual period for at least 12 consecutive months without any other medical cause.
  6. Willing to use acceptable, effective methods of .
  7. Able to tolerate venipuncture.
  8. Be informed of the nature of the study and give written consent prior to any study procedure.
  9. Willing and being able to remain in the clinic for the entire duration of the confinement period.
  10. Have good intravenous access on both arms and hands.

Exclusion criteria

-

Exclusion Criteria:

Known history or presence of neurologic, hematologic, endocrine, oncologic, pulmonary, immunologic, genitourinary, psychiatric, or cardiovascular disease or any other condition which, in the opinion of the Investigator, would jeopardize the safety of the subject or impact the validity of the study results.

Known or suspected carcinoma. Known history or presence of or idiosyncratic reaction to epinephrine, sulfite, other of epinephrine auto-injector, or any other drug substances with similar activity.

Known history or presence of clinically significant lactose, galactose, or fructose intolerance.

Known history or presence of cardiac arrythmias, coronary artery disease or organic heart disease.

Known history or presence of hyperthyroidism. Known history or presence of diabetes. Known history or presence of Parkinson's disease. Known history or presence of any food allergy. Presence of hepatic or renal dysfunction. Presence of nostril or septum piercing. Presence of abnormal nasal anatomy (e.g., polyps, unilateral or bilateral abnormalities of the nares, nasal turbinates, or septum including deviated septum).

History of nasal surgery. Presence of a medical condition requiring regular medication (prescription and/or over-the-counter) with systemic absorption.

History of drug or alcohol addiction requiring treatment or positive alcohol breath test at check-in.

Any acute illness (e.g. cold, acute infection) which is considered significant by the Investigator and that has not resolved within 7 days before the first drug administration.

Positive test result for , surface antigen, or antibody.

Positive test result for urine drugs of abuse (amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, methadone, opiates, phencyclidine, and tricyclic antidepressants) or urine cotinine.

Difficulty fasting or consuming standard meals. Inability to communicate well with the Investigators and staff (e.g., language problem, poor mental development or impaired cerebral function).

Non-cooperative or unwilling to sign consent form or unwilling to attend scheduled clinic visits and/or comply with the study protocol.

Use of tobacco or nicotine-containing products within 6 months prior to drug administration.

Females who:

  • Have discontinued or changed the use of implanted, intrauterine, intravaginal, or injected hormonal within 6 months prior to drug administration;
  • Have discontinued or changed the use of oral or patch hormonal contraceptives within 1 month prior to drug administration;
  • Are pregnant (serum hCG consistent with pregnancy); or
  • Are lactating.

Donation or loss of whole blood (including clinical trials):

  • ≥50 mL and \<500 mL within 30 days prior to drug administration;
  • ≥500 mL within 56 days prior to drug administration. Participation in a clinical trial that involved administration of an medicinal product within 30 days prior to drug administration, or recent participation in a clinical investigation that, in the opinion of the Investigator, would jeopardize subject safety or the integrity of the study results.

On a special diet within 30 days prior to drug administration (e.g., liquid, protein, raw food diet).

Have had a tattoo or body piercing within 30 days prior to drug administration. Have clinically significant findings in vital signs measurements at screening. Systolic blood pressure increase or decrease in value by more than 20 mmHg and/or diastolic blood pressure decrease in value by more than 10 mmHg, from supine or sitting to standing position during orthostatic blood pressure measurement taken at screening.

Have clinically significant findings in a 12-lead . Have clinically significant abnormal laboratory values and \<135 g/L for males or \<120 g/L for females at screening.

Have significant diseases at the screening. Have clinically significant findings from a physical examination.

Use of the following drugs within 14 days prior to drug administration:

  • Alpha-adrenergic blocking drugs (e.g., phentolamine);
  • Anti-arrhythmics;
  • Beta-adrenergic blocking drugs (e.g., propranolol);
  • Cardiac glycosides;
  • Diuretics;
  • Drugs having an effect on cytochrome P450 (CYP450);
  • Enzyme-altering drugs (e.g., barbiturates, phenothiazines, cimetidine, carbamazepine, etc.);
  • Enzyme-modifying drugs known to induce/inhibit hepatic drug metabolism;
  • Ergot alkaloids;
  • Levothyroxine sodium;
  • Monoamine oxidase inhibitors;
  • Oral or topical ;
  • Phenylephrine;
  • Reserpine-type or clonidine-type antihypertensives;
  • Sodium cromoglycate; or
  • Tricyclic antidepressants.

Use of the following drugs within 7 days prior to drug administration:

  • Nasal decongestants;
  • Nonsteroidal anti-inflammatory drugs (NSAIDs); or
  • Oral or topical antihistamines.
Terms in these criteria, in plain language(14)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Adults with seasonal allergic rhinitis

    Single administration of 1.6mg or 3.2 mg Epinephrine powder nasal spray, with or without allergenic challenge, and single IM 0.3 mg Epinephrine without allergenic challenge.

    Drug: Epinephrine Nasal Product, 1.6 mg · Drug: Epinephrine nasal product, 1.6 mg + allergen · Drug: Epinephrine Injection 0.3 mg · Drug: Epinephrine Nasal Product, 3.2 mg · Drug: Epinephrine Nasal Product, 3.2 mg + allergen

Interventions

  • DrugEpinephrine Nasal Product, 1.6 mg

    Single dose Nasal powder spray without allergen challenge

    Also known as: FMXIN002 Microspheres Powder

  • DrugEpinephrine nasal product, 1.6 mg + allergen

    Single dose Nasal powder spray with allergen challenge

    Also known as: FMXIN002 Microspheres Powder

  • Intramuscular injection

    Also known as: EpiPen

  • DrugEpinephrine Nasal Product, 3.2 mg

    Twice dose Nasal powder spray without allergen challenge

    Also known as: FMXIN002 Microspheres Powder, double dose

  • DrugEpinephrine Nasal Product, 3.2 mg + allergen

    Twice dose Nasal powder spray with allergen challenge

    Also known as: FMXIN002 Microspheres Powder, double dose

06

What researchers measure

Primary outcomes

  1. Epinephrine in blood - Cmax

    pharmacokinetic analysis

    Time frame: -1 hour to 8 hours post-dose

  2. Epinephrine in blood- Tmax

    pharmacokinetic analysis

    Time frame: -1 hour to 8 hours post-dose

  3. Epinephrine in blood- AUC

    pharmacokinetic analysis

    Time frame: -1 hour to 8 hours post-dose

  4. Epinephrine in blood- T half

    pharmacokinetic analysis

    Time frame: -1 hour to 8 hours post-dose

Secondary outcomes

  1. body temperature

    Safety Monitoring

    Time frame: morning

  2. Hemoglobin level in blood

    Safety Monitoring, blood test

    Time frame: at check-in morning

  3. blood hematocrit

    Safety Monitoring: the ratio of the volume of red blood cells to the total volume of blood

    Time frame: check-in morning

  4. Blood pressure

    Vital signs

    Time frame: Prior to drug administration

  5. Pulse

    Vital signs

    Time frame: Prior to drug administration

  6. Blood pressure

    Vital signs

    Time frame: 15 minutes

  7. Pulse

    Vital signs

    Time frame: 15 minutes

  8. Blood pressure

    Vital signs

    Time frame: 30 minutes

  9. Pulse

    Vital signs

    Time frame: 30 minutes

  10. Blood pressure

    Vital signs

    Time frame: 45 minutes

  11. Pulse

    Vital signs

    Time frame: 45 minutes

  12. Blood pressure

    Vital signs

    Time frame: 1 hour

  13. Pulse

    Vital signs

    Time frame: 1 hour

  14. Blood pressure

    Vital signs

    Time frame: 2 hours

  15. Pulse

    Vital signs

    Time frame: 2 hours

  16. Blood pressure

    Vital signs

    Time frame: 4 hours post-dose

  17. Pulse

    Vital signs

    Time frame: 4 hours post-dose

  18. electrocardiogram

    Safety Monitoring

    Time frame: 3 hours prior to drug administration

  19. electrocardiogram

    Safety Monitoring

    Time frame: 45 minutes

07

Study locations

1 site
  • Hadassah Medical Center, Ein Kerem
    Jerusalem, Israel
08

References and documents

Publications

  • Tal Y, Ribak Y, Rubin L, Talmon A, Shamriz O, Hershko AY, Blotnick S, Bouhajib M, Krayz GT, Abrutzky C, Megiddo D, Lapidot T, Caraco Y. Fast Acting, Dry Powder, Needle-Free, Intranasal Epinephrine Spray: A Promising Future Treatment for Anaphylaxis. J Allergy Clin Immunol Pract. 2023 Oct;11(10):3047-3054. doi: 10.1016/j.jaip.2023.06.044. Epub 2023 Jun 30. PubMed 37394178 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04696822
Lead sponsor
Nasus Pharma
Responsible party
Sponsor
First posted
Jan 6, 2021
Start date
Nov 1, 2020
Primary completion
Sep 28, 2021
Completion
Sep 28, 2021
Last update
Jan 5, 2024

Study contacts

Yoseph Caraco, Prof.
principal investigator · Hadassah Medical Organization

Oversight

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

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This study is completed, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Epinephrine

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