ClinicalTrials.gg
Active, not recruitingNCT07562087Updated Jul 9, 2026

A Study to Evaluate Safety and Efficacy of TP-05 in Healthy Participants With Tick Exposure

A Phase 2 interventional study of TP-05 (lotilaner) Low Dose and TP-05 (lotilaner) High Dose in Lyme Disease, sponsored by Tarsus Pharmaceuticals, Inc.. Active, not recruiting at 19 sites in United States. Open to participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-09.

Sponsored by Tarsus Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
722
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This study is designed to evaluate the safety, tolerability, and pharmacokinetics of TP05 administered orally to healthy adult participants.

Read the detailed description

This is a randomized, double-blind, placebo-controlled study conducted in healthy adult participants prior to anticipated exposure to Lyme Borreliosis. Participants will be randomized to receive either TP05 or placebo according to a predefined dosing schedule. Safety will be evaluated through adverse event monitoring, clinical laboratory assessments, vital signs, and physical examinations. The study will consist of a screening period, a treatment period (up to 24 weeks) and a safety follow up period. Participants will be randomized to receive one of two treatment regimens of TP-05 or placebo. Participants will be followed up for approximately 15 months and evaluated further for tick bites or symptoms of Lyme borreliosis.

02

Conditions studied

  • Lyme Disease

Keywords

  • Lyme Disease
  • Lyme Borreliosis
  • Lyme
  • Borrelia
  • Preventative Therapeutic
  • Prophylaxis
  • Healthy Volunteers
  • Randomized Controlled Trial
  • Gram-Negative Bacterial Infections
  • Bacterial Infections
  • Bacterial Infections and Mycoses
  • Infections
  • Borrelia Infections
  • Spirochaetales Infections
  • Tick-Borne Diseases
  • Vector Borne Diseases
03

In context

Lyme Disease

97 studies on the registry are indexed under Lyme Disease; 26 are open to participants now.

This study's enrollment of 722 is above the median of 120 across 52 interventional studies indexed under Lyme Disease.

Browse Lyme Disease studies →

Lead sponsor

Tarsus Pharmaceuticals, Inc. is the lead sponsor of 13 studies on the registry; 2 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 3 (38%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 70 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

  • Overtly healthy adult participants aged 18 to 70 years
  • Able to provide written
  • Willing and able to comply with study procedures
  • At high risk of exposure to ticks
  • use by men and women consistent with local regulations

Exclusion criteria

Exclusion Criteria:

  • Prior exposure to TP05 or any isooxazoline in the last 12 months
  • Known to TP05 or related compounds
  • medical conditions that may interfere with study participation
  • Use of products within 30 days prior to screening.
  • Received previous vaccination against Lyme borreliosis, including investigational vaccines intended to prevent Lyme borreliosis
  • Receiving long-term antibiotic therapy
  • Received active or passive immunization within 4 weeks prior to Day
  • Pregnant or breastfeeding individuals
Terms in these criteria, in plain language(5)

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.

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.

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.

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.

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 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
722 participants (actual)

Study arms

  • Active comparator
    TP-05 (lotilaner) High Dose

    Oral Tablet

    Drug: TP-05 (lotilaner) High Dose

  • Placebo comparator
    Placebo

    Oral Tablet

    Drug: Placebo

  • Active comparator
    TP-05 (lotilaner) Low Dose

    Oral Tablet

    Drug: TP-05 (lotilaner) Low Dose

Interventions

  • TP05 administered orally at the protocol-defined preventative dose.

  • TP05 administered orally at the protocol-defined preventative dose.

  • DrugPlacebo

    Matching placebo administered orally according to the same dosing schedule as TP05.

06

What researchers measure

Primary outcomes

  1. The Incidence of Treatment Emergent Adverse Events From Baseline

    Safety and tolerability will be evaluated by incidence rate of treatment emergent adverse events from baseline.

    Time frame: From day 1 through the end of study follow-up, an average of 15 months.

  2. Clinically Significant Changes From Baseline Chemistry Laboratory Tests

    Number of participants with clinically significant changes in clinical laboratory tests

    Time frame: From day 1 through the end of study follow up, an average of 15 months.

  3. Clinically Significant Changes From Baseline Hematology Laboratory Tests

    Number of participants with clinically significant changes in clinical laboratory tests.

    Time frame: From day 1 through the end of study follow up, an average of 15 months.

  4. Clinically Significant Changes From Baseline Vital Signs

    Number of participants with clinically significant changes in vital signs.

    Time frame: From day 1 through the end of study follow up, an average of 15 months.

  5. Clinically Significant Changes From Baseline Electrocardiograms (ECGs)

    Safety will be assessed by evaluating clinically significant changes from Baseline ECGs change in mean ventricular rate \[beats/min\].

    Time frame: From day 1 through the end of study follow up, an average of 15 months.

  6. Clinically Significant Changes From Baseline Electrocardiograms (ECGs) Measures

    Safety will be assessed by evaluating clinically significant changes from Baseline ECGs change in pulse rate \[msec\].

    Time frame: From day 1 through the end of study follow up, an average of 15 months.

  7. Clinically Significant Changes From Baseline QTC Interval

    Safety will be assessed by evaluating clinically significant changes from Baseline ECGs change in QTC interval

    Time frame: From day 1 through the end of study follow up, an average of 15 months.

  8. Clinically Significant Changes From Baseline QRS Interval

    Safety will be assessed by evaluating clinically significant changes from Baseline ECGs change in QRS interval.

    Time frame: From day 1 through the end of study follow up, an average of 15 months.

Secondary outcomes

  1. Concentration of Lotilaner in Whole Blood

    Concentration of lotilaner in whole blood at specified timepoints measured using validated bioanalytical assays.

    Time frame: From dose through study completion, an average of 15 months.

  2. Terminal Elimination Half Life (t½) of Lotilaner

    Terminal elimination half life (t½) of lotilaner.

    Time frame: At protocol specified timepoints through end study treatment phase, an average of 28 weeks.

  3. Area Under the Concentration Time Curve (AUC) of Lotilaner

    Area under the concentration time curve (AUC) of lotilaner.

    Time frame: At protocol specified timepoints through end of pharmacokinetic sampling, an average of 15 months.

  4. Maximum Observed Concentration (Cmax) of Lotilaner

    Maximum observed concentration (Cmax) of lotilaner.

    Time frame: At protocol specified timepoints through end of pharmacokinetic sampling, an average of 15 months.

  5. Time to Maximum Observed Concentration (Tmax) of Lotilaner

    Time to maximum observed concentration (Tmax) of lotilaner.

    Time frame: At protocol specified timepoints through end of pharmacokinetic sampling, an average of 15 months.

07

Study locations

19 sites
  • Study Site
    Pikesville, Maryland 21208, United States
  • Study Site
    Brookline, Massachusetts 02445, United States
  • Study Site
    Fall River, Massachusetts 02723, United States
  • Study Site
    Minneapolis, Minnesota 55402, United States
  • Study Site
    Marlboro, New Jersey 07746, United States
  • Study Site
    Albany, New York 12205, United States
  • Study Site
    Binghamton, New York 13905, United States
  • Study Site
    Buffalo, New York 14217, United States
  • Study Site
    East Syracuse, New York 13057, United States
  • Study Site
    Middletown, New York 10941, United States
  • Study Site
    New York, New York 10036, United States
  • Study Site
    Rochester, New York 14609, United States
  • Study Site
    Erie, Pennsylvania 16508, United States
  • Study Site
    Hatboro, Pennsylvania 19040, United States
  • Study Site
    Philadelphia, Pennsylvania 19107, United States
  • Study Site
    Pittsburgh, Pennsylvania 15236, United States
  • Study Site
    Pottstown, Pennsylvania 19464, United States
  • Study Site
    West Chester, Pennsylvania 19380, United States
  • Study Site
    Warwick, Rhode Island 02886, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07562087
Lead sponsor
Tarsus Pharmaceuticals, Inc.
Collaborators
PPD Development, LP
Responsible party
Sponsor
First posted
May 1, 2026
Start date
Mar 9, 2026
Primary completion
Oct 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Jul 9, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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