A Phase I Randomized, Placebo Controlled, Double-Blind, Single-Ascending Dose Study of the Safety, Tolerability and Pharmacokinetics of PCN-101 (Arketamine) and a Relative Safety Comparison of PCN-101 and Esketamine in Healthy Volunteers
Phase I, randomized, double-blind, placebo-controlled study in healthy volunteers assessing single ascending IV doses of PCN-101 (arketamine) and a crossover relative safety comparison with esketamine (15 mg IV).
Detailed Description
The trial has two parts: Part 1 is a randomized, placebo-controlled, double-blind single-ascending-dose study of PCN-101 administered as 40‑minute IV infusions (cohorts: 5, 15, 30, 60, 100, 150 mg) enrolling up to 48 healthy volunteers to evaluate safety, tolerability and pharmacokinetics.
Part 2 is a double-blind crossover in 10 healthy volunteers comparing the identified PCN-101 dose from Part 1 with esketamine 15 mg IV; each subject receives two 40‑minute infusions 48 hours apart. Safety assessments include vital signs, 12‑lead ECG, clinical labs, neuropsychological scales, sedation and adverse events.
Study Arms & Interventions
PCN-101
experimentalSingle-ascending IV doses of PCN-101 (arketamine); cohorts 5→150 mg, infusion over 40 minutes.
Interventions
- Ketamine5 - 150 mgvia IV• single dose
Ascending single doses 5,15,30,60,100,150 mg via 40-minute IV infusion; Part 1 up to 48 subjects.
Placebo
inactive0.9% saline IV placebo comparator.
Interventions
- Placebovia IV• single dose
0.9% normal saline over 40 minutes; used as placebo in Part 1 and Part 2.
Esketamine
active comparatorEsketamine 15 mg IV comparator in crossover (Part 2).
Interventions
- Esketamine15 mgvia IV• single dose
15 mg IV over 40 minutes; Part 2 crossover (n=10) with 48 h between infusions.
Participants
Inclusion Criteria
- Healthy volunteers; age 18–99 years; able to give informed consent; medically stable per screening assessments; non-pregnant and non-lactating for females of childbearing potential.
Exclusion Criteria
- Pregnant or breast‑feeding female
- Primary diagnosis of current (active) generalized anxiety disorder, panic disorder, obsessive compulsive disorder, post traumatic stress disorder, anorexia nervosa, or bulimia nervosa
- Active psychotic disorder within 10 years of baseline
- Taking compounds known to induce or inhibit cytochrome P450 enzymes
- Clinically significant laboratory abnormalities at screening or baseline
- Hypertension (systolic >140 mmHg or diastolic >90 mmHg) or history of hypertensive crisis
- Abnormal ECG of clinical relevance at screening or baseline
- Past history of seizures
- Received an investigational drug or participated in a clinical trial within 30 days of screening
- Drug or alcohol abuse disorder within the past 5 years prior to baseline or suspected history of such
- Smoked tobacco or used nicotine products (including e-cigarettes) in the past 6 months prior to baseline
Study Details
- StatusCompleted
- PhasePhase I
- Typeinterventional
- DesignRandomizeddouble Blind
- Target Enrollment58 participants
- TimelineStart: 2020-02-25End: 2021-04-08
- Compounds
- Topic