ClinicalTrials.gg
CompletedNCT06963411Updated Aug 27, 2025

Phase 1 Crossover Study Evaluating the Safety, Tolerability, and Pharmacokinetics of KP001 in Healthy Adult Volunteers

A Phase 1 interventional study of KP001 and Placebo in Acute Allergic Reaction and Anaphylaxis, sponsored by Kokua Pharma Inc.. Completed at 1 site in Canada. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-27.

Sponsored by Kokua Pharma Inc. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
16
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
All
01

Study summary

The goal of this clinical trial is to evaluate the safety, tolerability, and pharmacokinetics (PK) of several KP001 dose regimens to identify a treatment regimen with a PK profile that safely meets or exceeds the PK profile of existing injected epinephrine products. The main questions it aims to answer are:

  • To evaluate any carryover effect with a 7-day washout of different dose regimens of KP001 in healthy adult volunteers.
  • To evaluate the safety, tolerability and PK of different dose regimens of KP001 in healthy adult volunteers.
  • To explore the safety, tolerability and PK of one KP001 dose regimen without inhalation (breath holding).

Participants will:

  • Be admitted to clinical research unit (Day -1) and receive treatment the following day (Day 1) and then will be discharged
  • Visit the clinic on Days 2 \& 3 post dose for required assessments
  • Visit the clinic 6 days post their last dose for dosing and repeated until 5 dosing visits have been completed
  • Visit the clinic for a safety follow-up visit approximately 1 week from last dose administered
Read the detailed description

This study is a 5-period crossover design to evaluate the safety, tolerability, and PK of KP001 compared to placebo and to evaluate for the potential for carryover effect (Arms A \& B). An exploratory 3rd arm (Arm C) will evaluate the PK of KP001 when breath holding to replicate an unconscious patient situation, and results will be used to design a possible future breath-holding study. Sequence will be either AABBC or BBAAC. Two doses of KP001 (0.25 mg or 1.0 mg) or placebo will be administered to 16 subjects (12 active and 4 placebo subjects) on two separate occasions, separated by a 1-week washout period. A third arm will evaluate one dose of KP001 (0.5 mg) PK while breath holding.

The total study duration for subjects will be up to 11 weeks, consisting of:

  • Participation in up to 6-week screening period
  • Attendance of 5 in-patient dosing visits, separated by 1 week
  • Attendance of 1-week post-treatment follow up period
02

Conditions studied

  • Acute Allergic Reaction
  • Anaphylaxis

Keywords

  • Epinephrine
  • Aerosol
  • Inhalation
  • Immunotherapy
  • Upper airway laryngeal edema
  • Upper airway pharyngeal edema
  • Hypersensitivity, immediate
  • Anaphylaxis
  • Vasoconstrictor agents
  • Adrenergic alpha-Agonists
  • Adrenergic beta-Agonists
  • Bronchodilator agents
03

In context

Anaphylaxis

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

This study's enrollment of 16 is below the median of 40 across 50 interventional studies indexed under Anaphylaxis.

Browse Anaphylaxis studies →

Lead sponsor

This is the only study on the registry with Kokua Pharma Inc. as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Key Inclusion Criteria:

  1. Males or females, non-smoker (no use of tobacco or nicotine products within 3 months prior to screening), aged ≥ 18 to ≤ 45 years.
  2. A (BMI) ≥18.5 and ≤ 30 kg/m\^2, with body weight, ≥ 50.0 kg for males and ≥ 45.0 kg for females.
  3. Healthy as defined by a) the absence of illness and surgery within 4 weeks prior to study drug administration. b) the absence of clinically significant history of neurological, endocrine, cardiovascular, respiratory, hematological, immunological, psychiatric, gastrointestinal, renal, hepatic, and metabolic disease.
  4. Normal lung function measured by spirometry.
  5. Demonstrated ability to successfully complete pressurized metered dose inhaler (pMDI) training.
  6. Demonstrated ability to successfully hold their breath for a minimum of 30 seconds.

Key Exclusion Criteria:

  1. Positive urine drug screen, urine cotinine test, or alcohol breath test, at screening.
  2. Known reaction or sensitivity to sympathomimetic amines, or idiosyncratic reaction to epinephrine or any of the ingredients of KP001, placebo.
  3. History of anaphylaxis or other severe allergic reactions (e.g., angioedema)
  4. Surgical procedures within 90 days of admission that could result in confounding of results or additional risk to the subject, per the judgment of the Investigator.
  5. History or presence of alcohol abuse or drinking more than 2 standard drinks per day/10 standard drinks per week for women or 3 standard drinks per day/15 standard drinks per week for men; or a positive alcohol breath test at screening or admission.
  6. History or presence of drug abuse/dependence (not including nicotine and caffeine) within the previous 1 year or a positive urine drug test at screening or admission.
  7. Use of any tobacco or nicotine-containing products within 3 months prior to screening.
  8. Use of any inhaled products, including vaping and water pipes (Hookahs) within 6 months prior to screening.
  9. Use of any prescription medications within 14 days prior to admission, or over-the-counter medications (including herbal remedies and supplements) within 7 days prior to admission, with the exception of the occasional use of acetaminophen (up to 2 g daily), or an anticipated need to use them during the study.
  10. A depot injection or implant of any drug (other than hormonal ) within 3 months prior to dosing.
  11. Monoamine oxidase (MAO) inhibitors within 30 days prior to dosing.
  12. Positive test for (HIV), virus (HCV), or virus (HBsAg) at screening.
  13. Abnormal clinical laboratory findings, vital signs, or
  14. Females who are pregnant or lactating, or who have a positive pregnancy test at screening or admission.
  15. Donated plasma within 7 days prior to screening, or donation or loss of whole blood (excluding the volume drawn during screening for this study) as follows: 50 to 499 mL of whole blood within 30 days prior to screening, or ≥ 500 mL of whole blood within 56 days prior to screening.
  16. Participation in another clinical study involving an drug within 30 days prior to screening, an investigational biologic within 90 days prior to screening, or current/planned participation in another interventional study during this study.
Terms in these criteria, in plain language(8)

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.

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.

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.

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 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.

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.

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.

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
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
16 participants (actual)

Study arms

  • Experimental
    Treatment Arm A: Two Treatments

    Subjects will receive two sets of treatments of 0.25 mg (2 inhalations of 0.125 mg each time) of KP001 (or matching placebo) over 2 visits separated by a 1-week washout period. Investigational Product (IP) will be delivered as 1 set of 2 inhalations (2 total) spaced approximately 10 seconds apart. Subjects will repeat Arm therefore total dose in mg for Arm = 0.5 mg.

    Drug: KP001 · Drug: Placebo

  • Experimental
    Treatment Arm B: Four Treatments

    Subjects will receive four sets of treatments of 0.25 mg (2 inhalations of 0.125 mg each time), totaling 1.0mg of KP001 (or matching placebo) over 2 visits separated by a 1-week washout period. IP will be delivered as 4 sets of 2 inhalations (8 total) spaced approximately 10 seconds apart. Each set of 2 inhalations will be spaced approximately 2 minutes apart. Subjects will repeat Arm therefore total dose in mg for Arm = 2.0 mg.

    Drug: KP001 · Drug: Placebo

  • Experimental
    Treatment Arm C: Breath Hold

    Subjects will receive 0.5 mg of KP001 (or matching placebo) delivered as 4 rapidly administered sequential inhalations (4 total), dosed approximately 5 seconds apart, spaced over approximately 15 seconds while holding their breath during the entire dosing treatment and after treatment for a total minimum 30 seconds (or longer) before exhaling. Total dose in mg for Arm = 0.5 mg.

    Drug: KP001 · Drug: Placebo

Interventions

  • DrugKP001

    Epinephrine Inhalation Aerosol (0.125 mg per inhalation)

  • DrugPlacebo

    Matched Placebo control (KP001 vehicle only)

06

What researchers measure

Primary outcomes

  1. The maximal observed plasma concentration (Cmax)

    Blood samples for PK collected at pre dose (-60, -30, -15 mins prior to dosing) and 1, 2, 3, 5, 7, 9, 12, 15, 20, 30, 45, 60, 90 min postdose and, 2-, 6 hours post-dose.

    Time frame: 1 hour pre-dose to 6 hours post-dose on Day 1, 8, 15, 22 and 29

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

    Blood samples for PK collected at pre dose (-60, -30, -15 mins prior to dosing) and 1, 2, 3, 5, 7, 9, 12, 15, 20, 30, 45, 60, 90 min postdose and, 2-, 6 hours post-dose.

    Time frame: 1 hour pre-dose to 6 hours post-dose on Day 1, 8, 15, 22 and 29

  3. Area under the concentration-time curve from time zero to infinity (AUC0-inf)

    Blood samples for PK collected at pre dose (-60, -30, -15 mins prior to dosing) and 1, 2, 3, 5, 7, 9, 12, 15, 20, 30, 45, 60, 90 min postdose and, 2-, 6 hours post-dose.

    Time frame: 1 hour pre-dose to 6 hours post-dose on Day 1, 8, 15, 22 and 29

  4. Time when the maximal plasma concentration is observed (Tmax)

    Blood samples for PK collected at pre dose (-60, -30, -15 mins prior to dosing) and 1, 2, 3, 5, 7, 9, 12, 15, 20, 30, 45, 60, 90 min postdose and, 2-, 6 hours post-dose.

    Time frame: 1 hour pre-dose to 6 hours post-dose on Day 1, 8, 15, 22 and 29

  5. Rate at which drug is removed from the body (Kel)

    Blood samples for PK collected at pre dose (-60, -30, -15 mins prior to dosing) and 1, 2, 3, 5, 7, 9, 12, 15, 20, 30, 45, 60, 90 min postdose and, 2-, 6 hours post-dose.

    Time frame: 1 hour pre-dose to 6 hours post-dose on Day 1, 8, 15, 22 and 29

  6. Half-life of drug (T1/2)

    Blood samples for PK collected at pre dose (-60, -30, -15 mins prior to dosing) and 1, 2, 3, 5, 7, 9, 12, 15, 20, 30, 45, 60, 90 min postdose and, 2-, 6 hours post-dose.

    Time frame: 1 hour pre-dose to 6 hours post-dose on Day 1, 8, 15, 22 and 29

07

Study locations

1 site
  • Syneos HealthClinique Inc.
    Québec, Quebec G1P 0A2, Canada
08

References and documents

Individual participant data

Plan to share: Yes — All individual participant data collected during the trial, after deidentification

Supporting information: Study protocol, Informed consent form, Clinical study report

Time frame: Immediately after publication, and for a period of 5 years.

Access criteria: Any purpose. URL to be added.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2025 to primary completion in Jul 2025, 2 months.

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

Registered
Apr 24, 2025
First posted
May 9, 2025
StartActual
May 9, 2025
Primary completionActual
Jul 18, 2025
CompletionActual
Jul 18, 2025
Last update
Aug 27, 2025
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 Aug 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06963411
Lead sponsor
Kokua Pharma Inc.
Responsible party
Sponsor
First posted
May 9, 2025
Start date
May 9, 2025
Primary completion
Jul 18, 2025
Completion
Jul 18, 2025
Last update
Aug 27, 2025

Study contacts

Bruno Francoeur, MD
principal investigator · Syneos HealthClinique Inc.

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 Aug 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: KP-001

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