ClinicalTrials.gg
CompletedNCT07824193Updated Sep 17, 2026

Drug-drug Interaction Study of Clemizole (EPX-100) in Healthy Participants

A Phase 1 interventional study of EPX-100 and Itraconazole in Drug Drug Interaction, sponsored by Epygenix. Completed at 1 site in United States. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-17.

Sponsored by Epygenix · Phase 1, Interventional, and Basic science

From the registry’s dates

  • Primary completion was Apr 2025, 1 year 7 months ago, and no results have been posted to the registry.
  • Registered 1 year 7 months after the study started (first participant enrolled Jan 2025, registered Sep 2026).
Phase
Phase 1
Study type
Interventional
Enrollment
54
Allocation
Non-randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

This is a 3-part, drug-drug interaction study in healthy participants. Each part is designed as a 2-period, fixed-sequence and can be conducted concurrently.

Part 1 will assess the effect of itraconazole on the pharmacokinetics (PK) of EPX-100. Part 2 will assess the effect of phenytoin on the PK of EPX-100. Part 3 will assess the effect of EPX-100 on the PK of omeprazole, midazolam, and bupropion.

02

Conditions studied

  • Drug Drug Interaction

Keywords

  • Healthy Volunteers
03

In context

Lead sponsor

Epygenix is the lead sponsor of 5 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

  • Healthy, adult, male or female, 18-55 years of age, inclusive, at the screening visit
  • Continuous non-smoker who has not used nicotine- and tobacco-containing products for at least 3 months prior to the first dosing.
  • ≥18.0 and ≤32.0 kilograms per square meter(kg/m\^2) within 28 days prior to first dosing.

Exclusion criteria

Exclusion Criteria:

  • Is mentally or legally incapacitated or has significant emotional problems at the time of the screening visit or expected during the conduct of the study.
  • History or presence of medical or psychiatric condition or disease in the opinion of the Investigator or designee.
  • History of any illness that, in the opinion of the Investigator or designee, might confound the results of the study or poses an additional risk to the participant by their participation in the study.

Note: Additional inclusion/exclusion criteria may apply, per protocol

Terms in these criteria, in plain language(2)

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.

05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
54 participants (actual)

Study arms

  • Experimental
    Part 1 - Itraconazole

    Treatment A (Period 1): EPX-100 on Day 1. Treatment B (Period 2): itraconazole twice daily (BID) on Day 1; then once daily (QD) on Days 2-5, with EPX-100 administered approximately 2 hours after itraconazole dosing on Day 5.

    Drug: EPX-100 · Drug: Itraconazole

  • Experimental
    Part 2 - Phenytoin

    Treatment C (Period 1): EPX-100 on Day 1. Treatment D (Period 2): phenytoin three times daily (TID) on Days 1 to Day 14, with EPX-100 coadministered on the morning of Day 14.

    Drug: EPX-100 · Drug: Phenytoin

  • Experimental
    Part 3 - Omeprazole, Midazolam, and Bupropion

    Treatment E (Period 1): omeprazole on Day 1; midazolam on Day 2; bupropion on Day 3. Treatment F (Period 2): EPX-100 BID on Days 1-18 with omeprazole coadministered on the morning of Day 12; midazolam coadministered on the morning of Day 14; bupropion coadministered on the morning of Day 15.

    Drug: EPX-100 · Drug: Omeprazole · Drug: Midazolam · Drug: Bupropion

Interventions

  • Oral solution

    Also known as: Clemizole hydrochloride

  • DrugItraconazole

    Oral solution

  • DrugPhenytoin

    Phenytoin sodium extended-release capsules

  • DrugOmeprazole

    Delayed-release capsule

  • DrugMidazolam

    Midazolam hydrochloride (HCl) syrup

  • DrugBupropion

    Bupropion HCl tablets

06

What researchers measure

Primary outcomes

  1. Area Under The Concentration-time Curve (AUC), from Time 0 to the Last Observed Non-zero Concentration (AUC0-t) Of EPX-100

    Time frame: Up to Day 15

  2. AUC From Time 0 extrapolated to infinity (AUC0-inf) of EPX-100

    Time frame: Up to Day 15

  3. Maximum Observed Concentration (Cmax) of EPX-100

    Time frame: Up to Day 15

  4. AUC0-t of Omeprazole

    Time frame: Up to Day 15

  5. AUC0-inf of Omeprazole

    Time frame: Up to Day 15

  6. Cmax of Omeprazole

    Time frame: Up to Day 15

  7. AUC0-t of Midazolam

    Time frame: Up to Day 15

  8. AUC0-inf of Midazolam

    Time frame: Up to Day 15

  9. Cmax of Midazolam

    Time frame: Up to Day 15

  10. AUC0-t of Bupropion

    Time frame: Up to Day 19

  11. AUC0-inf of Bupropion

    Time frame: Up to Day 19

  12. Cmax of Bupropion

    Time frame: Up to Day 19

Secondary outcomes

  1. Number of Participants with Treatment Emergent Adverse Events

    Time frame: Up to 12 Weeks

07

Study locations

1 site
  • Celerion
    Tempe, Arizona 85283, United States
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 Jan 2025 to primary completion in Apr 2025, 2 months.

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

Registered
Sep 11, 2026
First posted
Sep 17, 2026
StartActual
Jan 15, 2025
Primary completionActual
Apr 3, 2025
CompletionActual
Apr 3, 2025
Last update
Sep 17, 2026
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 Sep 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07824193
Lead sponsor
Epygenix
Responsible party
Sponsor
First posted
Sep 17, 2026
Start date
Jan 15, 2025
Primary completion
Apr 3, 2025
Completion
Apr 3, 2025
Last update
Sep 17, 2026

Study contacts

Amit Ray, MD, MBA, FAES, FAAN
study director · Epygenix

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 completed, as verified in Sep 2026. 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: Clemizole hydrochloride

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