- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06019000
Study of CYR-064 Versus Placebo in Patients.
A Randomized, Double-Blinded, Placebo-Controlled Trial to Determine The Safety and Efficacy of CYR-064
Study Overview
Detailed Description
The purpose of this study is to determine the safety and effectiveness of CYR-064 in a randomized, double-blinded, placebo-controlled trial to determine the safety and efficacy of CYR064.
The study will take approximately 32 weeks which will include a 4-week screening period to evaluate if participants are right for the Study, followed by a 24-week Treatment Period, and a 1 week follow up after participants have completed the Study. About 150 subjects will participate in this study in about 25 research sites in the United States.
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Rick Geoffrion
- Phone Number: 9256677099
- Email: Rick@cyranotherapeutics.com
Study Contact Backup
- Name: Krista Geoffrion
- Email: Krista@cyranotherapeutics.com
Study Locations
-
-
Colorado
-
Colorado Springs, Colorado, United States, 80923
- Recruiting
- Colorado ENT & Allergy
-
Contact:
- Sierra Archuleta
- Phone Number: 719-867-7804
- Email: SArchuleta@coloradoent.com
-
Contact:
- Monica Davis
- Phone Number: 719-867-7804
- Email: mdavis@coloradoent.com
-
Principal Investigator:
- Bryan Davis, MD
-
-
Florida
-
Boca Raton, Florida, United States, 33487
- Recruiting
- ENTAAFL
-
Contact:
- Sandy Dibattista
- Phone Number: 561-939-0186
- Email: oadibattista@entaaf.com
-
Contact:
- Phone Number: 561-414-3816
-
Principal Investigator:
- Nathan Nachlas, MD
-
Plantation, Florida, United States, 33324
- Recruiting
- ENTAAFL
-
Contact:
- Lindsay Dwyer
- Phone Number: 954-476-0400
- Email: ldwyer@entaaf.com
-
Principal Investigator:
- Jon Rosenthal, MD
-
Port Saint Lucie, Florida, United States, 34952
- Recruiting
- ENTAAFL
-
Principal Investigator:
- John Lanza, MD
-
Contact:
- Laurie Robinson
- Phone Number: 772-777-2124
- Email: lrobinson@entaaf.com
-
Contact:
- Phone Number: 119 772-398-9911
-
-
Illinois
-
Chicago, Illinois, United States, 60612
- Active, not recruiting
- Rush University Medical Center
-
-
Kansas
-
Kansas City, Kansas, United States, 66160-8500
- Recruiting
- KU Medical Center-University of Kansas
-
Contact:
- Bryan Humphrey
- Phone Number: 913-588-3759
- Email: bhumphrey@kumc.edu
-
Contact:
- Kelsey Murray
- Email: kmurray@kumc.edu
-
Principal Investigator:
- Jennifer Villwock, MD
-
-
Kentucky
-
Louisville, Kentucky, United States, 40220
- Recruiting
- Advanced ENT and Allergy
-
Contact:
- Rhonda Dase
- Phone Number: 1184 502-893-0159
- Email: rdase@advancedentandallergy.com
-
Principal Investigator:
- Amy Ingram, MD
-
Louisville, Kentucky, United States, 40205
- Recruiting
- Kentuckian ENT
-
Contact:
- Kathleen Sheeley
- Phone Number: 225 502-894-8441
- Email: ksheeley@kentuckianaent.com
-
Principal Investigator:
- Thomas Higgins, MD
-
-
Louisiana
-
Marrero, Louisiana, United States, 70072
- Recruiting
- Tandem Clinical Research
-
Principal Investigator:
- Adil Fatakia, MD
-
Contact:
- Will Bryan
- Phone Number: 504-934-8424
- Email: wbryan@tandemclinicalresearch.com
-
Contact:
- Nikki LaCroix
- Phone Number: 504-934-8424
- Email: NLaCroix@tandemclinicalresearch.com
-
-
Maryland
-
Baltimore, Maryland, United States, 21204
- Recruiting
- Centers for Advanced ENT
-
Contact:
- Shayne Litz
- Phone Number: 410-821-5151
- Email: slitz@cadentcare.com
-
Principal Investigator:
- Douglas Reh, MD
-
-
Pennsylvania
-
Bethlehem, Pennsylvania, United States, 18017
- Recruiting
- Specialty Physician Associates
-
Principal Investigator:
- David Yen, MD
-
Contact:
- David Campbell
- Phone Number: 610-866-5555
- Email: dcambell@specialtyphysicianassociates.com
-
-
South Carolina
-
Charleston, South Carolina, United States, 29425
- Recruiting
- Medical University of South Carolina-MUSC
-
Contact:
- Alejandro Marrero-Gonzalez
- Phone Number: 843-792-1356
- Email: marrerog@musc.edu
-
Principal Investigator:
- Rodney Schlosser, MD
-
Sub-Investigator:
- Shaun Nguyen, MD
-
-
Texas
-
Houston, Texas, United States, 77030
- Recruiting
- Houston Methodist
-
Contact:
- Tariq Syed
- Phone Number: 346-238-6466
- Email: Tasyed@houstonmethodist.org
-
Principal Investigator:
- Mas Takashima, MD
-
-
Washington
-
Puyallup, Washington, United States, 98374
- Recruiting
- Ear Nose Throat & Allergy Associates
-
Principal Investigator:
- Greg Davis, MD
-
Contact:
- Anne Davis
- Phone Number: 253-770-9000
- Email: adavis16@icloud.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Able to provide written informed consent.
- Male or female 18-65 years of age.
- Endoscopy of the nasal cavity showing no structural or pathologic issues leading to hyposmia (nasal polyps, sinusitis, infection, etc.) that in the opinion of the Investigator, believes would hinder the delivery of study drug to the olfactory receptors.
- CT scan of the nasal cavity after the onset of hyposmia (within prior 2 years) prior to Baseline showing no structural or pathologic issue leading to hyposmia that in the opinion of the Investigator, believes would hinder the delivery of study drug to the olfactory receptors.
- Willing and able to self-administer the study drug, follow the study drug administration instructions, comply with study procedures, and participate in the scheduled study visits specified in this protocol.
Exclusion Criteria:
- History of traumatic brain injury, Parkinson's disease, early dementia, Alzheimer's disease, or any other condition in which hyposmia is not expected to improve in the opinion of the Investigator, such as history of congenital or idiopathic hyposmia or a surgical procedure that led to hyposmia.
- History of surgery that led to hyposmia.
- Concomitant Medical Conditions
- Current symptoms or signs of an acute respiratory viral illness at Screening or Baseline.
- Chronic viral infection or immunodeficiency condition (e.g., medical history of human immunodeficiency virus) based on medical records.
- Any active malignancy.
- Any concomitant medical condition that in the opinion of the Investigator, compromises patient safety or compliance with the study protocol or collected data.
- History of moderate to severe Substance Use Disorder within the past 3 years as assessed by the Investigator.
- History of persistent chronic sinusitis without polyps or chronic sinusitis with polyps.
- Use or planned use of tobacco or nicotine-containing products, including smoking, smokeless tobacco, e-cigarettes, or nicotine replacement products within 3 months prior to Screening through EOS.
- Unwilling or unable to discontinue current or planned use of over the counter or prescription medication administered intranasally, with the exception of nasal saline.
- Use or planned use of another investigational drug within 4 weeks prior to Screening through Follow-Up.
- Receiving any concomitant medication/therapy that would, in the opinion of the Investigator, compromise patient safety or compliance with the study protocol or collected data.
- General Exclusions Any female who is pregnant, planning to become pregnant during the study, or who is lactating.
Vulnerable patients. Any condition or abnormality (including clinical laboratory, physical examination, or vital sign abnormalities), current or past, that, in the opinion of the Investigator, would compromise the efficacy evaluation, safety of the patient, or would interfere with or complicate study procedures or assessments.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: CYR-064 dose 1
Treatment with nasal solution of CYR-064 twice a day for 24 weeks.
CYR-064 will be self-administered by patients.
|
CYR-064 is a nasal solution.
|
Experimental: CYR-064 dose 2
Treatment with nasal solution of CYR-064 twice a day for 24 weeks.
CYR-064 will be self-administered by patients.
|
CYR-064 is a nasal solution.
|
Placebo Comparator: Placebo
Treatment with Placebo nasal solution for 24 weeks.
CYR-064 will be self-administered by patients.
|
CYR-064 is a nasal solution.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Primary Outcome - Safety and Tolerability
Time Frame: Approximately 32 weeks
|
The count and percentage of patients reporting AEs, SAEs, and SUSARs will be summarized overall, by System Organ Class, Preferred Term within the System Organ Class, maximum severity, and relationship to study drug.
All other safety parameters, including clinical laboratory values through blood draws, will be summarized using descriptive statistics for continuous variables and counts and percentages for categorical variables.
All changes in nasal mucosal appearance will be noted.
|
Approximately 32 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Secondary Outcome-improvement on NRS-11 Smell-PRO
Time Frame: Approximately 24 weeks
|
Improvement in patient reported NRS-11 Smell-PRO (scale of 0-10) in CYR-064 low dose and high dose groups as compared with placebo from Baseline to Week 24.
|
Approximately 24 weeks
|
Secondary Outcome-improvement on NRS-11 Taste-PRO
Time Frame: Approximately 24 weeks
|
Improvement in patient reported NRS-11 Taste-PRO (scale of 0-10) in CYR-064 low dose and high dose groups as compared with placebo from Baseline to Week 24.
|
Approximately 24 weeks
|
Secondary Outcome-Mean Change in NRS-11 Smell-PRO
Time Frame: Approximately 24 weeks
|
Mean Change in NRS-11 Smell-PRO from Baseline to Week 24 between CYR-064 low and high dose and placebo from Baseline to Week 24
|
Approximately 24 weeks
|
Secondary Outcome-Mean Change in NRS-11 Taste-PRO
Time Frame: Approximately 24 weeks
|
Mean Change in NRS-11 Taste-PRO from Baseline to Week 24 between CYR-064 low and high dose and placebo from Baseline to Week 2
|
Approximately 24 weeks
|
Change in Visual Rating Scale (VRS) scores
Time Frame: Approximately 24 weeks
|
Change in Visual Rating Scale (VRS) scores in CYR-064 low dose and high dose groups as compared with placebo from Baseline to Week 24.
|
Approximately 24 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Mas Takashima, MD, The Methodist Hospital Research Institute
Publications and helpful links
General Publications
- Henkin RI. Growth Factors in Olfaction. In: Preedy VR, editor. Handbook of Growth and Growth Monitoring in Health and Disease. New York, NY: Springer New York; 2012. p. 1417-36.
- Henkin RI, Abdelmeguid M. Improved Smell and Taste Dysfunction with Intranasal Theophylline. Am J Otolaryngol Head Neck Surg. 2019;2(9):1070.
- Henkin RI, Levy LM, Fordyce A. Taste and smell function in chronic disease: a review of clinical and biochemical evaluations of taste and smell dysfunction in over 5000 patients at The Taste and Smell Clinic in Washington, DC. Am J Otolaryngol. 2013 Sep-Oct;34(5):477-89. doi: 10.1016/j.amjoto.2013.04.006. Epub 2013 Jun 2.
- Henkin RI. Comparative monitoring of oral theophylline treatment in blood serum, saliva, and nasal mucus. Ther Drug Monit. 2012 Apr;34(2):217-21. doi: 10.1097/FTD.0b013e3182492a20.
- Henkin RI, Hosein S, Stateman WA, Knoppel AB, Abdelmeguid M. Improved smell function with increased nasal mucus sonic hedgehog in hyposmic patients after treatment with oral theophylline. Am J Otolaryngol. 2017 Mar-Apr;38(2):143-147. doi: 10.1016/j.amjoto.2016.11.010. Epub 2016 Nov 23.
- Henkin RI, Schultz M, Minnick-Poppe L. Intranasal theophylline treatment of hyposmia and hypogeusia: a pilot study. Arch Otolaryngol Head Neck Surg. 2012 Nov;138(11):1064-70. doi: 10.1001/2013.jamaoto.342.
- Henkin RI, Velicu I. cAMP and cGMP in nasal mucus related to severity of smell loss in patients with smell dysfunction. Clin Invest Med. 2008;31(2):E78-84. doi: 10.25011/cim.v31i2.3367.
- Henkin RI, Velicu I, Schmidt L. An open-label controlled trial of theophylline for treatment of patients with hyposmia. Am J Med Sci. 2009 Jun;337(6):396-406. doi: 10.1097/MAJ.0b013e3181914a97.
- Henkin RI, Velicu I, Schmidt L. Relative resistance to oral theophylline treatment in patients with hyposmia manifested by decreased secretion of nasal mucus cyclic nucleotides. Am J Med Sci. 2011 Jan;341(1):17-22. doi: 10.1097/MAJ.0b013e3181f1fdc8.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CYR-064-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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