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Safety, Tolerability, and Efficacy of RLS103 in Subjects With Acute Anxiety Within Social Anxiety Disorder (SAD)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT05429788
Recruitment Status : Recruiting
First Posted : June 23, 2022
Last Update Posted : August 24, 2022
Sponsor:
Information provided by (Responsible Party):
Receptor Life Sciences

Brief Summary:

This is a Phase 1b/2a clinical trial to evaluate the safety, tolerability, and efficacy of RLS103 (cannabidiol [CBD] inhaled dry powder) to relieve the anxiety induced by a public speaking challenge in adults with social anxiety disorder (SAD).

Subject participation will last 4 - 6 weeks. Upon signing an informed consent, all subjects will enter a screening phase lasting up to 3 weeks and including history, physical examination, laboratory tests, ECG, spirometry, and psychological tests. Subjects will undergo a public speaking test after screening tests are performed and eligibility is confirmed. One week after the completion of the public speaking test, subjects will come back for a follow-up visit that will involve a repeat of the safety and psychiatric assessments conducted during screening.


Condition or disease Intervention/treatment Phase
Social Anxiety Disorder Drug: Low dose RLS103 Drug: High dose RLS103 Drug: placebo inhaled dry powder Phase 1

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 30 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: A Phase 1b/2a Randomized, Double-Blind, Placebo Controlled, Parallel Study to Evaluate the Safety, Tolerability, and Efficacy of Two Doses of RLS103 (CBD Technosphere® Inhalation Powder) in Subjects With Acute Anxiety Within Social Anxiety Disorder (SAD)
Actual Study Start Date : May 18, 2022
Estimated Primary Completion Date : March 2023
Estimated Study Completion Date : March 2023


Arm Intervention/treatment
Experimental: Low dose RLS103
3 mg CBD inhaled dry powder
Drug: Low dose RLS103
3 mg CBD inhaled powder administered before public speaking challenge

Experimental: High dose RLS103
6 mg CBD inhaled dry powder
Drug: High dose RLS103
6 mg CBD inhaled powder administered before public speaking challenge

Experimental: placebo
placebo inhaled dry powder
Drug: placebo inhaled dry powder
placebo inhaled powder administered before public speaking challenge




Primary Outcome Measures :
  1. Incidence and severity of adverse events [ Time Frame: 1 week (visit 3 to follow up visit) ]
    Safety and tolerability of RLS103 will be assessed by evaluating the incidence and severity of treatment emergent serious adverse events (TESAEs), treatment emergent adverse events (TEAEs), and adverse events (AEs) leading to discontinuation from the study.


Secondary Outcome Measures :
  1. Change in subject-reported anxiety [ Time Frame: 1 week (Visit 2 to Visit 3) ]
    To evaluate and compare the average Subjective Units of Distress Scale (SUDS) between RLS103- and placebo-treated patients reported during the 5-minute performance phases of the Visit 2 and Visit 3 public speaking challenge

  2. Change in CGI [ Time Frame: 1 week (Visit 2 to Visit 3) ]
    Investigator's impression of improvement of anxiety via the Clinical Global Impressions Scale (CGI) from Visit 2 to Visit 3


Other Outcome Measures:
  1. Changes in pulse rate in subjects with SAD [ Time Frame: 10 minutes, assessed at Visit 2 and Visit 3 ]
    Changes in physiologic measures of anxiety (pulse rate) from before and after the 5-minute performance phases of the public speaking challenges from Visit 2 to Visit 3

  2. Changes in respiratory rate in subjects with SAD [ Time Frame: 10 minutes, assessed at Visit 2 and Visit 3 ]
    Changes in physiologic measures of anxiety (respiratory rate) from before and after the 5-minute performance phases of the public speaking challenges from Visit 2 to Visit 3

  3. Changes in blood pressure in subjects with SAD [ Time Frame: 10 minutes, assessed at Visit 2 and Visit 3 ]
    Changes in physiologic measures of anxiety (blood pressure) from before and after the 5-minute performance phases of the public speaking challenges from Visit 2 to Visit 3



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Must sign an informed consent form (ICF) indicating that they understand the purpose of the study and the procedures required for the study and are willing to participate in the study and attend all visits and requirements.
  • Male or female 18 through 65 years of age, inclusive.
  • Current diagnosis of SAD as defined in the MINI.
  • Clinician-rated LSAS total score ≥75 at Screening (Visit 1).
  • Clinician-rated Hamilton Depression Score 17-items total score <18 at Screening (Visit 1).
  • Women of childbearing potential must commit to the consistent and correct use of an effective method of birth control throughout the study and must also have negative pregnancy test result at Screening (Visit 1), Baseline (Visit 2), and Visit 3. Effective methods of contraception include surgical sterilization of the subject, condoms with spermicide, diaphragm with spermicide, hormonal contraceptive agents (oral, transdermal, or injectable), or implantable contraceptive devices.
  • Body mass index (BMI) between 18 and 32 kg/m2 (inclusive) with a body weight ≥50 kg.
  • Non-smoker with no cigarettes, cigars, e-cigarettes, or nicotine-containing products used in the 1 month prior to Screening as confirmed by negative serum cotinine results (<10 ng/mL) at Screening.
  • Negative viral serology test results (HIV-1/HIV-2, hepatitis B and C virus).
  • Must have no medical contraindication to CBD, including known allergies or hypersensitivities to CBD or the excipients in RLS103.
  • Must demonstrate the ability to use the inhaler correctly through a training tool and must be able to tolerate inhalation of a placebo powder.
  • Must have the ability and willingness to attend the necessary clinic visits.

Exclusion Criteria:

  • Any history of bipolar disorder (I or II), schizophrenia, schizoaffective disorder, psychosis, anorexia or bulimia, premenstrual dysphoric disorder, autism-spectrum disorder, or obsessive-compulsive disorder.
  • Any other current Axis I disorder, other than SAD, which is the primary focus of treatment. Note that subjects with concurrent Generalized Anxiety Disorder are eligible for the study provided that Generalized Anxiety Disorder is not the primary diagnosis.
  • Subject with alcohol or substance use disorder within the 1 year prior to study entry.
  • In the opinion of the Investigator, has a significant risk for suicidal behavior during the course of their participation in the study, or
  • At Screening (Visit 1): the subject scores "yes" on items 1 or 2 in the C-SSRS with reference to a 6-month period prior to Screening; or
  • At Screening (Visit 1): the subject has had 1 or more suicidal attempts with reference to a 2-year period prior to Screening; or
  • At Visit 2 or Visit 3: the subject scores "yes" on items 1 or 2 in the Suicidal Ideation section of the C-SSRS with reference to Screening; or
  • The subject is considered to be an imminent danger to themself or others.
  • Two or more documented failed treatment trials with a registered medication approved for SAD, in the last three years whereby an adequate treatment trial is defined as that described in the package insert for a particular drug during which the subject received an adequate medication dosage (defined as the treatment dose indicated in the package insert to obtain efficacy for that particular drug).
  • Use of any psychotropic or beta blocker medications within 14 days before study entry (other than medication permitted for insomnia: eszopiclone, ramelteon, melatonin, zaleplon, zolpidem, or antihistamines).
  • Use of any over-the-counter product, prescription product, or herbal preparation for treatment of the symptoms of anxiety or social anxiety within 30 days before study entry; concomitant use is prohibited during the study.
  • Pregnant or lactating at Screening or planning to become pregnant (self or partner) at any time during the study, including the follow-up period.
  • Currently using marijuana, marijuana cigarettes, cannabis-related products, or CBD; or have used any of these products within 3 weeks prior to Screening (at the discretion of the Investigator in consultation with the Sponsor, to be confirmed by a urine drug test at Screening).
  • Any history of pulmonary disease, including bronchospastic respiratory disease (bronchial asthma), or chronic obstructive pulmonary disease.
  • Clinically significant abnormal values for ECG, chest X-ray, or spirometry, or hematology, serum chemistry, or urinalysis at Screening as deemed appropriate by the Investigator, including:
  • Alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) >1.5 × the ULN
  • Total bilirubin >1.5 × ULN (isolated bilirubin >1.5 ×ULN is acceptable if total bilirubin and direct bilirubin <35%)
  • Lymphoma, leukemia, or any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years.
  • Received an investigational medicinal product within 30 days or 5 half-lives prior to Baseline, whichever is longer.
  • Donated blood or blood products or had substantial loss of blood (more than 500 mL) within 3 months before the first administration of study drug or intention to donate blood or blood products during the study.
  • Fever (body temperature >38°C) or symptomatic viral or bacterial infection within 2 weeks prior to Screening, including confirmed active COVID-19.
  • Had major surgery (general anesthetic) in the last 3 months or minor surgery (local anesthetic) in the last 1 month prior to Screening or have any pre-planned surgery or procedures that would interfere with the conduct of the study.
  • Is an employee of the Investigator or study site, with direct involvement in the proposed study or other studies under the direction of that Investigator or study site, as well as family members of the employees or the Investigator.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05429788


Contacts
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Contact: Tiffany Smith 727-897-9000 tsmith@cogres.com

Locations
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United States, California
Receptor 102 Recruiting
Los Angeles, California, United States, 90024
Receptor 105 Recruiting
Oceanside, California, United States, 92056
Receptor 103 Recruiting
Torrance, California, United States, 90502
Sponsors and Collaborators
Receptor Life Sciences
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Responsible Party: Receptor Life Sciences
ClinicalTrials.gov Identifier: NCT05429788    
Other Study ID Numbers: RC2022-01
First Posted: June 23, 2022    Key Record Dates
Last Update Posted: August 24, 2022
Last Verified: June 2022
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Anxiety Disorders
Phobia, Social
Mental Disorders
Phobic Disorders