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Not yet recruitingNCT07921966Updated Nov 6, 2026

Pharmacokinetics and Relative Bioavailability of Intranasal vs Intramuscular Olanzapine in Healthy Adult Participants

A Phase 1 interventional study of NRL-1004 2.5 mg and ZYPREXA IM 10mg in Healthy Adult Participants, sponsored by Neurelis, Inc.. Not yet recruiting. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Neurelis, Inc. · Phase 1, Interventional, and Treatment

Updated Nov 6, 2026Newly registeredGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a Phase 1, open-label, 5-period, 2-sequence, single ascending dose study designed to assess the pharmacokinetics, dose proportionality, safety, and tolerability of NRL-1004 (olanzapine nasal spray), and to assess the relative bioavailability of NRL-1004, compared to olanzapine intramuscular injection (ZYPREXA IM), in healthy adult participants. The study will be conducted in a single clinical research unit (CRU).

02

Conditions studied

  • Healthy Adult Participants

Keywords

  • Agitation
  • Bipolar mania
  • Bipolar disorder
  • antipsychotic
  • Bipolar I
  • Schizoaffective disorder
  • Schizophrenia
  • psychomotor
03

In context

Bipolar Disorder

1,683 studies on the registry are indexed under Bipolar Disorder; 266 are open to participants now.

This study's planned enrollment of 24 is below the median of 64 across 1,279 interventional studies indexed under Bipolar Disorder.

Browse Bipolar Disorder studies →

Lead sponsor

Neurelis, Inc. is the lead sponsor of 6 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 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

  • A participant will be eligible for study participation if the participant meets all of the following criteria:

    1. Male and female participants aged between 18 to 65 years, inclusive.
    2. Body weight ≥50 kg and (BMI) within the range of 18.0 to 30.0 kg/m2 (inclusive).
    3. Participants must be healthy and without abnormalities as assessed at screening and at first CRU admission visit.
    4. No clinically significant abnormality on 12-lead .
    5. Normal blood pressures and pulse rate at screening and at first CRU admission visit.
    6. If male, meets one of the following criteria:

      1. Is able to procreate and agrees to use one of the accepted regimens and not to donate sperm from the first study drug administration to at least 90 days after the last drug administration.
      2. Is unable to procreate; defined as surgically sterile
    7. If female, meets one of the following criteria:

      1. Is of and agrees to use an acceptable contraceptive method.
      2. Is of non-childbearing potential, defined as surgically sterile or is in a state.

Exclusion criteria

Exclusion Criteria:

  • A participant will be excluded from the study if the participant meets any of the following criteria:

    1. Female who is pregnant or plans to become pregnant, or who is lactating or plans to be lactating during the study.
    2. cardiac, cardio- or cerebrovascular, respiratory, gastrointestinal, endocrine, hematologic, psychiatric, renal, hepatic, pulmonary, immunologic, dermatologic or nervous system disorders.
    3. History of or current postural orthostatic tachycardia syndrome, or orthostatic hypotension at screening and at first CRU admission.
    4. Current or history of psychiatric or psychotic diagnosis.
    5. Evidence or history of suicidal ideation as per the C-SSRS administered at screening and at first CRU admission, violence, or homicidality.
    6. Major surgery or open within 90 days prior to screening or expected/scheduled to have such procedure(s) performed during the study.
    7. Any other conditions or unstable diseases/disorders which may affect the ability of the participant to comply with the protocol requirements, jeopardize the safety of the participant, or impact the interpretation of the study results.
    8. Any clinical or laboratory measurements assessed by the Investigator as clinically relevant.
    9. Positive blood screen for (HIV-1/2), surface antigen (HBsAg), or virus antibody (HCV Ab) at screening.
    10. History of drug abuse or alcohol abuse within 12 months prior to Screening, and/or unwilling to refrain from such use throughout the study.
    11. History of smoking or use of tobacco or other nicotine-containing products within 3 months prior to screening and unwilling to refrain throughout the study.
    12. Use of medical or recreational cannabinoid use and unwilling to refrain throughout the study.
    13. Positive drug screen for alcohol, cotinine, or illicit drug/substance of abuse.
    14. Presence of acute conditions that could interfere with IN administration and drug absorption.
    15. National Institute of Health (NIH) Toolbox Odor Identification test score of 0 at screening.
    16. Current use of any drugs that may affect the absorption, metabolism, or elimination of study drugs, and that such treatment cannot be discontinued at least 4 weeks prior to screening and throughout the study.
    17. Unwilling to refrain from intake of food or consumption of caffeine-containing drinks that affect CYP1A2 activity throughout the course of the study.
    18. Use of any prescription medication within 14 days or 5 half-lives prior to the first dose of study drug or during the study unless approved by the Investigator. (Hormonal or hormone replacement therapy are allowed.)
    19. Use of any over-the-counter medications within 14 days or 5 half lives prior to Screening and throughout the study unless approved by the Investigator.
    20. History of or anaphylactic reactions to the active ingredient or any of study drugs.
    21. Received an drug within 30 days or within 5 half-lives or twice the duration of the biological effect of the investigational drug in previous study prior to screening.
    22. Inadequate or difficult venous access.
    23. Donation of plasma in the 7 days prior to the first study drug administration, or donation of 500 mL or more of blood in the 56 days prior to the first study drug administration.
Terms in these criteria, in plain language(13)

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.

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.

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.

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).

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

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.

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.

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
Sequential assignment
Masking
None (open label)
Enrollment
24 participants (estimated)

Study arms

  • Experimental
    NRL 1004 25 mg/mL solution

    NRL-1004 (olanzapine nasal spray), 25 mg/mL solution

    Drug: NRL-1004 2.5 mg

  • Experimental
    NRL-1004 50 mg/mL solution

    NRL-1004 (olanzapine nasal spray), 50 mg/mL solution

    Drug: NRL-1004 5.0 mg

  • Experimental
    NRL-1004 75 mg/mL solution

    NRL-1004 (olanzapine nasal spray), 75 mg/mL solution

    Drug: NRL-1004 7.5 mg

  • Experimental
    NRL-1004 100 mg/mL solution

    NRL-1004 (olanzapine nasal spray), 100 mg/mL solution

    Drug: NRL-1004 10.0 mg

  • Active comparator
    ZYPREXA IM 10mg/vial

    ZYPREXA IntraMuscular (olanzapine) Injection, Powder, for Solution for Intramuscular use, 10 mg/vial

    Drug: ZYPREXA IM 10mg

Interventions

  • DrugNRL-1004 2.5 mg

    Olanzapine nasal spray

  • DrugZYPREXA IM 10mg

    Olanzapine IM injection

  • DrugNRL-1004 5.0 mg

    Olanzapine nasal spray

  • DrugNRL-1004 7.5 mg

    Olanzapine nasal spray

  • DrugNRL-1004 10.0 mg

    Olanzapine nasal spray

06

What researchers measure

Primary outcomes

  1. Pharmacokinetic parameters of olanzapine in plasma

    Maximum observed plasma concentration (Cmax)

    Time frame: Time zero to 14 days postdose

  2. Pharmacokinetic parameters of olanzapine in plasma

    Time to maximum plasma concentration (Tmax)

    Time frame: Time zero to 14 days postdose

  3. Pharmacokinetic parameters of olanzapine in plasma

    Area under the plasma concentration time curve (AUC) from time zero to the last quantifiable concentration (AUC0-t)

    Time frame: Time zero to 14 days postdose

  4. Pharmacokinetic parameters of olanzapine in plasma

    AUC from time zero extrapolated to infinity (AUC0-inf)

    Time frame: Time zero to 14 days postdose

  5. Pharmacokinetic parameters of olanzapine in plasma

    Partial AUC from time zero to 2 hours postdose (AUC0-2 h)

    Time frame: Time zero to 14 days postdose

  6. Pharmacokinetic parameters of olanzapine in plasma

    Partial AUC from time zero to 24 hours postdose (AUC0-24 h)

    Time frame: Time zero to 14 days postdose

  7. Pharmacokinetic parameters of olanzapine in plasma

    Terminal phase half-life (t½)

    Time frame: Time zero to 14 days postdose

  8. Pharmacokinetic parameters of olanzapine in plasma

    Terminal phase rate constant (λz)

    Time frame: Time zero to 14 days postdose

  9. Pharmacokinetic parameters of olanzapine in plasma

    Apparent clearance (CL/F)

    Time frame: Time zero to 14 days postdose

  10. Pharmacokinetic parameters of olanzapine in plasma

    Apparent volume of distribution (Vz/F)

    Time frame: Time zero to 14 days postdose

  11. Pharmacokinetic parameters of olanzapine in plasma

    Relative bioavailability (Frel)

    Time frame: Time zero to 14 days postdose

07

Study locations

No study locations are listed for this record.

08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Oct 2026; primary completion for Jan 2027, 2 months later.

Of 22 phase 1 interventional studies under Bipolar Disorder, half reached primary completion within 14 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 43. This study's planned 2 months is below that.

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

Registered
Oct 26, 2026
First posted
Nov 6, 2026
StartEst.
Oct 16, 2026
Primary completionEst.
Jan 14, 2027
CompletionEst.
Jan 14, 2027
Last update
Nov 6, 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.
Registered
First appeared on the registry. No changes since
Nov 6, 2026
Show all 1 update
  1. Nov 6, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07921966
Lead sponsor
Neurelis, Inc.
Responsible party
Sponsor
First posted
Nov 6, 2026
Start date
Oct 16, 2026 (estimated)
Primary completion
Jan 14, 2027 (estimated)
Completion
Jan 14, 2027 (estimated)
Last update
Nov 6, 2026

Study contacts

Stella Ngo, PhD
Contact
sngo@neurelis.com
(908) 499-2326

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 not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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