Efficacy and Safety of Inhaled NC-107 As Compared to Placebo After 4 Weeks of Treatment in Patients with Anxiety (CALM)

October 23, 2024 updated by: Henry Anthony Punzi, Trinity Hypertension & Metabolic Research Institute

A Double-Blind, Placebo-Controlled, Single Center Study to Evaluate the Efficacy and Safety of Inhaled NC-107 As Compared to Placebo After 4 Weeks of Treatment in Patients with Anxiety

The goal of this clinical trial is to learn if inhaled drug NC-107 works to treat Generalized anxiety disorder in adults. It will also learn about the safety of the drug NC-107. The main questions it aims to answer are:

Does the inhaled drug NC-107 decrease the severity of anxiety in participants? What medical problems could participants have when taking drug NC-107? How quickly does NC-107 absorb and get into the blood stream? Researchers will compare drug NC-107 to a placebo (a look-alike substance that contains no drug) to see how effective NC-107 in treating generalized anxiety disorder.

Participants will be equal to or above 18 years of age and sign an informed consent. They will answer two questionnaires about anxiety and have vitals taken, as well as blood drawn for laboratory results. If a questionnaire reveals moderate anxiety and all blood work is normal the patient will enter the study. The patient will be instructed on the use of an inhaler, that will deliver the medication via the lung. Two puffs twice daily of NC-107 or placebo will be used during the remainder of the study.

Blood will be drawn for peak and trough levels of NC-107. Questionnaires will be completed at each visit.

Study Overview

Study Type

Interventional

Enrollment (Estimated)

40

Phase

  • Early Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

    • Texas
      • Carrollton, Texas, United States, 75006
        • Punzi Medical Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria

Inclusion Criteria:

Subjects must satisfy all the following criteria to be included in the study

  1. Capable of reading, comprehending the consent process and providing written informed consent to participate in the study.
  2. Male or female ≥ 18 years of age with generalized anxiety disorder. This includes a STAI ≥16 (moderate anxiety) or a GAD-7 score ≥10 (moderate anxiety).
  3. Stable pharmacotherapeutics regimen with no change in the past 3 months.
  4. Cannabis Naïve or abstinent from regular use (defined as >1x/month) for more than 6 months prior to the baseline visit.
  5. Negative urine screen for metabolites of THC.
  6. Women may be enrolled if all three of the following criteria are met:

    • Have a negative urine pregnancy test at screening, for females of childbearing potential.
    • Are not breastfeeding
    • Do not plan to become pregnant during the study And if one of the following three criteria is met
    • Have had a hysterectomy or tubal ligation at least 6 months prior to signing the informed consent form
    • Have been postmenopausal for at least 1 year
    • Are of childbearing potential and will practice one of the following methods of birth control throughout the study: oral, patch, injectable, or implantable hormone contraception, intrauterine device, diaphragm plus spermicide or female condom plus spermicide.

Exclusion Criteria:

  1. Patients with severe hypertension (mean seated cuff diastolic blood pressure >115 mmHg or mean seated systolic blood pressure >180mmHg) or any form of secondary hypertension at time of screening
  2. Patients within the past 6 months with a history of hypertensive encephalopathy, stroke, or transient ischemic attack.
  3. Patients within the last 6 months with a history of myocardial infarction, percutaneous transluminal coronary revascularization, coronary bypass graft, valvular surgery or unstable angina.
  4. Patients with a history of heart block greater than First Degree Sinoatrial Block. Wolff-Parkinson-White Syndrome, Sick Sinus Syndrome, Atrial Fibrillation, Atrial Flutter, Congestive Heart Failure, or other manifestations of clinically significant cardiac valvular disease.
  5. Patients with hemo-dynamically significant cardiac valvular disease.
  6. Patients with evidence of significant chronic renal impairment as indicated by a serum creatinine of > 2.5mg/dL at Screening.
  7. Patients with evidence of liver disease as indicated by AST (SGOT) or ALT (SGPT) > 2.5 times or total bilirubin > 1.5 times, the upper limit of the laboratory normal range at Screening.
  8. Patients who demonstrate other laboratory test values deviating from the normal range which are considered clinically significant by the investigator.
  9. Patients with insulin and non-insulin dependent diabetes mellitus not controlled on diet, insulin or oral hypoglycemics as defined by a HgA1c >10.5 mg/dcL at Visit 1
  10. Severe psychological or emotional condition ( Current substance abuse, major depressive, psychotic, and bipolar disorder) that are not associated with Generalized Anxiety Disorder which may interfere with participation in the study.
  11. History of or current use of illicit drugs or alcohol abuse.
  12. Participation in a clinical trial and taking any investigational drug within 30 days prior to enrolling into the study (Screening).
  13. Any other medical condition which, in the Investigator's opinion, may render the patient unable to complete the study or which would interfere with optimal participation in the study or produce significant risk to the patient

    -

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Determine the presence and concentration of CBD in Subject's plasma with inhaled CBD
Determine the presence and concentration of CBD in the plasma of male and female subjects with generalized anxiety disorder treated with inhaled CBD
Determine the presence and concentration of CBD in plasma of subjects with generalized anxiety disorder treated with inhaled CBD
Active Comparator: Measure concentrations of CBD is spot urine collections in subjects with inhaled CBD
Measure concentration of CBD in spot urine collections in subject's with generalized anxiety disorder treated with inhaled CBD
Measure concentrations of CBD in spot urine collections from subjects with generalized anxiety disorder treated with inhaled CBD

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Measure the concentration of CBD in the plasma of subjects
Time Frame: 4 weeks
Measure the concentration of CBD in the plasma of male and female subjects with Generalized Anxiety Disorder treated with inhaled CBD.
4 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Concentrations of CBD in spot urine collections.
Time Frame: 4 weeks
Measure concentrations of CBD in spot urine collections from male and female subjects with Generalized Anxiety Disorder treated with inhaled CBD.
4 weeks

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Decrease in the levels of Anxiety with Questionnaires
Time Frame: 4 weeks
Whether there is a decrease in the levels of anxiety in the STAI and or GAD-7 questionnaires at weeks 1, 2, 3, and 4, when compared to baseline week 0.
4 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

December 1, 2024

Primary Completion (Estimated)

May 1, 2025

Study Completion (Estimated)

May 1, 2025

Study Registration Dates

First Submitted

September 18, 2024

First Submitted That Met QC Criteria

October 23, 2024

First Posted (Actual)

October 24, 2024

Study Record Updates

Last Update Posted (Actual)

October 24, 2024

Last Update Submitted That Met QC Criteria

October 23, 2024

Last Verified

September 1, 2024

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • NC-65-002

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

Phase 1 clinical trial

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

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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