ClinicalTrials.gg
RecruitingNCT05340790Updated Dec 11, 2023

First in Human Study in Healthy Volunteers of Antimicrobial Peptide PL-18 Vaginal Suppositories

A Phase 1 interventional study of Dose 1 to 5 of Antimicrobial Peptide PL-18 Vaginal Suppositories and Placebo dose 1 to 5 of Antimicrobial Peptide PL-18 Vaginal Suppositories in Colpomycosis, Bacterial Vaginosis and Mixede Vaginitis, sponsored by Protelight Pharmaceuticals Australia PTY LTD. Recruiting at 1 site in Australia. Open to female participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-12-11.

Sponsored by Protelight Pharmaceuticals Australia PTY LTD · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2022; still recruiting 4 years 3 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
Female
01

Study summary

This is a Single-center, Randomized, Double-blind, Placebo-controlled Phase I Study to Evaluate the Safety, Tolerability and PK Profiles of Single and Multiple Ascending Doses of Antimicrobial Peptide PL-18 Vaginal Suppositories.

Read the detailed description

Subjects who provide written informed consent to participate voluntarily in the clinical study will be screened. Eligible subjects will be sequentially enrolled into the above five sequential cohorts and randomized to receive PL-18 (cohort 1: n=8; cohort 2/3/4/5: n=6) or matching placebo (n=2). Subjects will be observed for 3 days after a single dose and receive PL-18 or placebo, once daily, for 6 consecutive days, if no grade ≥2 drug-related adverse events (AEs) occur. During the study, PK sample collection, physical examination, vital signs, laboratory tests, electrocardiography (ECG) and tolerance evaluation will be performed based on the protocol schedule.

To ensure the safety of the subjects, two sentinel subjects will be enrolled first in each cohort; one subject will be randomized to receive PL-18, and the other subject randomized to receive placebo. The safety data of the two sentinel subjects from initiation of single dosing to the last drug administration of multiple dosing on D11 will be reviewed by the investigator and sponsor before the subsequent subjects in that dose cohort are enrolled. Subsequent subjects could be simultaneously enrolled, with one randomized to receive placebo and others randomized to receive PL-18.

02

Conditions studied

  • Colpomycosis
  • Bacterial Vaginosis
  • Mixede Vaginitis

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03

In context

Vaginosis, Bacterial

240 studies on the registry are indexed under Vaginosis, Bacterial; 39 are open to participants now.

This study's planned enrollment of 50 is below the median of 100 across 203 interventional studies indexed under Vaginosis, Bacterial.

Browse Vaginosis, Bacterial studies →

Lead sponsor

This is the only study on the registry with Protelight Pharmaceuticals Australia PTY LTD as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
Female
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

  • A subject will be eligible for inclusion in this study only if all of the following criteria are met:

    1. Voluntarily signed written ;
    2. Ability to comprehend the purpose of the study; ability to co-operate with the investigator and comply with all study requirements;
    3. Adult females aged between 18 and 55 years (inclusive);
    4. Body weight between 50 and 100 kg (inclusive) and (BMI) within 18\~32 kg/m2 (inclusive).
    5. In good health as determined by screening tests. Good health is defined as having no abnormalities identified by a detailed medical history, full physical examination (including measurement of blood pressure and pulse rate), 12-lead , and clinical laboratory tests:

      • Vital signs (measured after resting for 5 minutes seated position) within normal range, or outside the normal range and not considered clinically significant by the Investigator;
      • Standard 12-lead ECG parameters (recorded after resting for 5 minutes in supine position) in the following ranges; (Fridericia algorithm recommended) ≤470 ms, and normal ECG tracing, or abnormal ECG tracing not considered clinically relevant by the Investigator;
      • Laboratory parameters demonstrating no clinically significant abnormalities, as determined by the Investigator. A total outside the normal range may be acceptable if total bilirubin does not exceed 1.5 × conjugated bilirubin (with the exception of a participant with documented Gilbert syndrome).
    6. Self-report regular menstrual cycle (21-35 days), and planned to avoid menstruation from the first administration until 7 days after the last administration;
    7. Negative human papilloma virus (HPV) test result (at screening or negative HPV test result performed in study site within 2 months prior to screening;
    8. History of sexual life, including vaginal intercourse;
    9. Be willing to use vaginal suppositories;
    10. Currently in a mutually monogamous sexual relationship or no sexual activity;
    11. Sexual abstinence from 72 hours prior to the first drug administration until 7 days after the last administration;
    12. Agreement to avoid the use of any other intravaginal products (i.e., creams, gels, foams, sponges, lubricants, irrigation solutions, etc.) from screening until 7 days after the last administration;
    13. Subjects in a intercourse relationship must agree to use highly effective methods of contraception (as specified in Section 4.6.3) from informed consent obtained until 3 months after the last administration, and pregnancy test results must be negative at screening.

Exclusion criteria

Exclusion Criteria:

  • A subject meeting any of the following exclusion criteria will not be allowed to participate in this study:

    1. Significant deep epithelial disruption by colposcopy at screening;
    2. Anatomical anomalies of the genito-urinary tract and vaginal prolapse;
    3. Genitourinary infections at screening or within 21 days prior to screening, including but not limited to bacterial urinary tract infection, bacterial vaginosis, trichomoniasis and vulvovaginal candidiasis;
    4. Known, active sexually transmitted infection (STI) in partner, as per anamnesis;
    5. Two or more confirmed trichomoniasis, gonococcal, chlamydia trachomatis or syphilis spirochete infections within 180 days prior to screening;
    6. History of recurrent genital herpes or active herpes simplex virus (HSV) at screening;
    7. virus, virus, (HIV), syphilis infection, or positive hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb), hepatitis C virus antibody (HCVAb), HIV antibody (HIVAb), treponema pallidum antibody (TP-Ab) at screening;
    8. History of clinically severe relevant cardiovascular, hepatic, renal, pulmonary, gastrointestinal, endocrine, or neurological diseases that, in the investigator's opinion, may interfere with the aim of the study or affect the subject's safety;
    9. Uncontrolled or acute illness that may complicate the study evaluation in the investigator's opinion;
    10. History of hysterectomy;
    11. Pelvic surgery within 90 days prior to screening;
    12. Cervical cryotherapy or cervical laser treatment within 90 days prior to screening;
    13. Intrauterine device insertion or removal within 90 days prior to screening;
    14. Any antibiotic or antifungal therapy (intravaginal or systemic) within 30 days prior to screening;
    15. therapy within 60 days prior to screening;
    16. Ascertained or presumptive (including allergies) to any ingredient of the medicinal product (IMP); history of other significant anaphylaxis to drugs or allergic reactions in general;
    17. Pregnant or lactating women, or women within 60 days of the last pregnancy;
    18. Subjects who consume or are unable to abstain from products containing caffeine/xanthine within 24 hours before a visit or admission;
    19. History of drug or alcohol abuse within 1year prior to screening, or a positive result of drug abuse or alcohol breath test at screening or check-in;
    20. Previously dosed with an investigational drug within 3 months prior to Day 1 or still participating in another trial at the time of screening;
    21. Any vaccination from the 28 days prior to administration of the first dose until 28 days after the last dose;
    22. Those considered by the investigator as inappropriate to participate in the study.
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

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.

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.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

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.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

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.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    Antimicrobial Peptide PL-18 Vaginal Suppositories

    Dose 1 to 5 of Antimicrobial Peptide PL-18 Vaginal Suppositories

    Drug: Dose 1 to 5 of Antimicrobial Peptide PL-18 Vaginal Suppositories

  • Placebo comparator
    Placebo dose

    Placebo dose 1 to 5 of Antimicrobial Peptide PL-18 Vaginal Suppositories

    Drug: Placebo dose 1 to 5 of Antimicrobial Peptide PL-18 Vaginal Suppositories

Interventions

  • DrugDose 1 to 5 of Antimicrobial Peptide PL-18 Vaginal Suppositories

    Escalating doses of 1 mg (0.1%)、2.5mg (0.25%)、5 mg (0.5%)、10mg (1%)、15 mg (1.5%);single dose administration;topical vaginal suppository ;multiple-dose administration after single dose administration a 3-day wash out period ; once-daily for 6 consecutive days;

    Also known as: AMP PL-18

  • DrugPlacebo dose 1 to 5 of Antimicrobial Peptide PL-18 Vaginal Suppositories

    Dose 1、2、3、4 and 5 of Antimicrobial Peptide PL-18 Vaginal Suppositories respective placebos;single dose administration;topical vaginal suppository ;multiple-dose administration after single dose administration a 3-day wash out period ; once-daily for 6 consecutive days;

    Also known as: Placebo PL-18

06

What researchers measure

Primary outcomes

  1. Characterize safety profile of Antimicrobial Peptide PL-18 Vaginal Suppositories about the incidence of treatment emergent adverse events

    All AEs will be summarized by system organ class (SOC) and preferred term (PT). The numbers and percentages of subjects experiencing AEs will be calculated.

    Time frame: 38 days

  2. The numbers and percentages of subjects experiencing vital sign abnormalities with/without clinical significance.

    Vital signs abnormalities will be summarized with descriptive statistics. Vital signs include body temperature, blood pressure, heart rate/pulse, respiration. Changes from the baseline of each test over time will be summarized.

    Time frame: 17 days

  3. The numbers and percentages of subjects experiencing physical examination abnormalities with/without clinical significance.

    Physical examinations abnormalities will be summarized with descriptive statistics. Physical examination will include general condition, skin, head, eyes, ears, nose, throat, heart, lungs, chests, abdomen, extremities, nerves, back/spine, lymph, nodes. Changes from the baseline of each test over time will be summarized.

    Time frame: Day 4 , Day 11 , Day 17

  4. Safety assessment about the changes of clinical laboratory tests.

    Laboratory abnormalities will be summarized with descriptive statistics. Clinical laboratory tests include hematology, blood chemistry, level of immune factors, urinalysis.

    Time frame: Day2, Day 4 , Day5, Day 8, Day 11 , Day 17

  5. Safety assessment about the changes of 12-lead ECG .

    12-lead ECG abnormalities will be summarized with descriptive statistics.

    Time frame: Day1, Day 4 , Day 5, Day 7, Day 11 , Day 17

Secondary outcomes

  1. Maximum plasma concentration (Cmax)

    Concentrations of Antimicrobial Peptide PL-18 in Plasma samples at different time points are measured.Maximum plasma concentration (Cmax) is a PK parameter of the single-dose stage.Plasma concentrations at different time points will be listed and summarized by descriptive statistics.

    Time frame: Day1~Day4

  2. Time to Maximum plasma concentration (Tmax)

    Tmax is a PK parameter of the single-dose stage.Plasma PK parameters will be analyzed by non-compartmental analysis (NCA) with WinNonlin® version 8.1 or above and SAS® version 9.4 or higher.

    Time frame: Day1~Day4

  3. Area under the concentration-time curve from the time zero to last measurable concentration (AUC0-t)

    AUC0-t is a PK parameter of the single-dose stage.Plasma PK parameters will be analyzed by non-compartmental analysis (NCA) with WinNonlin® version 8.1 or above and SAS® version 9.4 or higher.

    Time frame: Day1~Day4

  4. Area under concentration-time from time zero to infinity (AUC0-inf)

    AUC0-t is a PK parameter of the single-dose stage.Plasma PK parameters will be analyzed by non-compartmental analysis (NCA) with WinNonlin® version 8.1 or above and SAS® version 9.4 or higher.

    Time frame: Day1~Day4

  5. Terminal half-life (t1/2)

    t1/2 is a PK parameter of the single-dose stage.Plasma PK parameters will be analyzed by non-compartmental analysis (NCA) with WinNonlin® version 8.1 or above and SAS® version 9.4 or higher.

    Time frame: Day1~Day4

  6. Apparent clearance (CL/F)

    CL/F is a PK parameter of the single-dose stage.Plasma PK parameters will be analyzed by non-compartmental analysis (NCA) with WinNonlin® version 8.1 or above and SAS® version 9.4 or higher.

    Time frame: Day1~Day4

  7. Apparent volume of distribution (Vz/F)

    Vz/F is a PK parameter of the single-dose stage.Plasma PK parameters will be analyzed by non-compartmental analysis (NCA) with WinNonlin® version 8.1 or above and SAS® version 9.4 or higher.

    Time frame: Day1~Day4

  8. Mean residence time (MRT)

    MRT is a PK parameter of the single-dose stage.Plasma PK parameters will be analyzed by non-compartmental analysis (NCA) with WinNonlin® version 8.1 or above and SAS® version 9.4 or higher.

    Time frame: Day1~Day4

  9. Terminal elimination rate constant (λz)

    λz is a PK parameter of the single-dose stage.Plasma PK parameters will be analyzed by non-compartmental analysis (NCA) with WinNonlin® version 8.1 or above and SAS® version 9.4 or higher.

    Time frame: Day1~Day4

  10. Maximum observed concentration at steady state (Cmax,ss)

    Concentrations of Antimicrobial Peptide PL-18 in Plasma samples at different time points are measured.Maximum observed concentration at steady state (Cmax,ss) is a PK parameter of the multi-dose stage.

    Time frame: Day5~Day 11

  11. Minimum observed concentration at steady state (Cmin,ss)

    Concentrations of Antimicrobial Peptide PL-18 in Plasma samples at different time points are measured. Minimum observed concentration at steady state (Cmin,ss) is a PK parameter of the multi-dose stage.

    Time frame: Day5~Day 11

  12. The average concentration during a dosing interval at steady state (Cav,ss)

    The average concentration during a dosing interval at steady state (Cav,ss) is a PK parameter of the multi-dose stage. Plasma PK parameters will be analyzed by non-compartmental analysis (NCA) with WinNonlin® version 8.1 or above and SAS® version 9.4 or higher.

    Time frame: Day5~Day 11

  13. Area under the concentration-time curve from zero to the end of the dosing interval at steady state (AUCss)

    AUCss is a PK parameter of the multi-dose stage. Plasma PK parameters will be analyzed by non-compartmental analysis (NCA) with WinNonlin® version 8.1 or above and SAS® version 9.4 or higher.

    Time frame: Day5~Day 11

  14. Accumulation ratio (Rac)

    Accumulation ratio (Rac) is a PK parameter of the multi-dose stage. Plasma PK parameters will be analyzed by non-compartmental analysis (NCA) with WinNonlin® version 8.1 or above and SAS® version 9.4 or higher.

    Time frame: Day5~Day 11

  15. Characterize the effect of Antimicrobial peptide PL-18 Vaginal Suppositories on vaginal bacteria

    Changes in vaginal bacteria after single and multiple doses of Antimicrobial Peptide PL-18 Vaginal Suppositories in healthy adult female subjects assessed. Changes in vaginal bacteria will be summarized with descriptive statistics.

    Time frame: 17 days

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Aug 2022 to primary completion in Dec 2023, 16 months.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 23, 2022
First posted
Apr 22, 2022
StartActual
Aug 1, 2022
Primary completionActual
Dec 4, 2023
CompletionEst.
Mar 1, 2024
Last update
Dec 11, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 11, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05340790
Lead sponsor
Protelight Pharmaceuticals Australia PTY LTD
Responsible party
Sponsor
First posted
Apr 22, 2022
Start date
Aug 1, 2022
Primary completion
Dec 4, 2023
Completion
Mar 1, 2024 (estimated)
Last update
Dec 11, 2023

Study contacts

Kristi McLendon, Dr
Contact
k.mclendon@nucleusnetwork.com.au
37072720
John McNeil, Professor
study chair · 90768825

Oversight

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

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