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Phase IIa Study of Fomepizole for Acetaldehyde Toxicity After Ethanol Exposure in Subjects With Altered Ethanol Metabolism

A Phase IIa, Prospective, Randomized, Blinded, Intra-Subject Controlled, Single Dose, Dose Escalation Study of Antizol® for Mitigation of Acetaldehyde Related Toxicity in Human Subjects With Symptoms of Inborn Altered Ethanol Metabolism With Concomitant Ethanol Exposure

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00661141
Enrollment
32
Registered
2008-04-18
Start date
2008-04-30
Completion date
2008-06-30
Last updated
2024-12-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Aldehyde Dehydrogenase-2 (ALDH2) Deficiency

Keywords

acetaldehyde, ethanol, ALDH2

Brief summary

This trial will evaluate if fomepizole (4-methylpyrazole) can treat symptoms associated with alcohol intolerance due to aldehyde dehydrogenase 2 (ALDH2) deficiency, an inherited metabolic disorder. These symptoms include flushing, nausea, headache, shortness of breath and dizziness, resulting from exposure to acetaldehyde, the primary metabolite of ethanol. Long-term, serious health risks have been associated with repeated exposure to acetaldehyde, a carcinogen, among ALDH2-deficient individuals.

Detailed description

Approximately 32 subjects will be enrolled in ascending dosing cohorts of 8 subjects each. Each subject will receive an oral dose of study drug (fomepizole or placebo) with concomitant ethanol with group assignment in a randomized 1:1:1:1 ratio (2 subjects each group) on Study Day 1. Each subject is their own intra-subject control with the alternative study drug (fomepizole or placebo) administered on the next day (Study Day 2). Four subjects in each cohort will receive study drug (fomepizole or placebo) administered 30 minutes prior to ethanol, 4 with study drug (fomepizole or placebo) administered 30 minutes after ethanol. The study will assess safety and tolerability of fomepizole and the PK/PD of 4-MP, ethanol and acetaldehyde in the subject population. Study with completed results acquired from Horizon in 2024.

Interventions

DRUGAntizol
DRUGPlacebo
OTHEREthanol

oral dose of ethanol (0.5 g/kg)

Sponsors

Amgen
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
21 Years to 50 Years
Healthy volunteers
Yes

Inclusion criteria

* Signed informed consent * Age 21 to 50 years * Subject of Japanese descent * History of flushing, with or without palpitations, or nausea (Alcohol Sensitivity Screening Test ≥ 3.1) following occasional or inadvertent ethanol consumption either currently or in the past * Subjects must be healthy volunteers with no other clinically relevant abnormalities as determined by medical history, blood chemistry, complete blood count (CBC), urinalysis,and 12-lead electrocardiogram (ECG) * Positive skin ethanol patch test (100 μL of 70% ethanol on a lint pad applied to skin for 7 minutes results in an area of erythema) * For Cohort 4, enrolled subjects were either homozygous or heterozygous for the ALDH2\*2 genotype as assessed by genotyping at Screening

Exclusion criteria

* Vaccination within 2 weeks of Day 1 * Current respiratory disease or a past history of chronic respiratory disease, or current smoker within last six months * Any one of the following Screening ECG findings: * QTc (Bazett) interval duration greater than 450 msec (male) or 470 msec (female), or * QRS interval greater than 120 msec, or * PR interval greater than 220 msec * History or evidence of drug or alcohol abuse or regular consumption of more than 8 units of alcohol daily (1 unit = 300 mL beer, 1 glass wine, 1 measure spirit) or those who may have difficulty abstaining from non study alcohol during the 36 hours prior to dose administration and until completion of blood sampling on Day 7 * Subjects who have donated blood totalling more than 550 mL within the 3 months prior to Day 1 * Use of any prescription medication other than oral contraceptives during the 14 days prior to Day 1, unless approved by both the Principal Investigator (PI) and the Sponsor * Inability to abstain from smoking any tobacco product from within prior to 2 hours of blood sampling to after 2 hours of blood sampling during the study period. * Use of any over-the-counter product, herbal product, diet aid, hormone supplement, etc., within 14 days prior to Day 1 unless approved by both the PI and the Sponsor * Chronic use of pain medications * Administration of an investigational agent within the last 30 days (or within a period of less than 5 times the agent's half-life, whichever is longer) prior to Day 1 * Major surgery within 60 days prior to Day 1, or any planned surgery or medical procedure during the study period (through Day 7) * Positive alcohol breath-test or Positive drug screen (e.g., opiates, barbiturates, cannabinoids, benzodiazepines, cocaine, amphetamines) during screening or at Day 0 Check-In * Known hypersensitivity reaction to Antizol® or other pyrazoles, tomato juice * Abnormal laboratory results, including: * WBC ≤3.5 × 109/L or neutrophil count ≤2.0 × 10\^9/L * Hemoglobin \<12.0 or \>16.0 gm/dL * Creatinine ≥2 mg/dL * Total bilirubin ≥2 mg/dL * Alanine aminotransferase and/or aspartate aminotransferase ≥2 times the upper limit of normal * PaO2 ≤95% on room air by pulse oximetry * Urine dipstick positive for protein, blood, ketones, glucose or leukocyte esterase * Any other clinically significant abnormal result for hematology, clinical chemistry, or urinalysis at screening or check-In * Positive serum pregnancy test for females of childbearing potential * Subject and/or partner unable or unwilling to use an effective form of barrier contraceptives during the course of the study and for 7 days after study drug administration. * Cancer (excluding adequately treated basal cell carcinoma) within the last 5 years * Significant past medical history of hepatic, renal, cardiovascular (including family history of prolonged QT syndrome), pulmonary, gastrointestinal, hematological, locomotor, immunologic, ophthalmologic, metabolic endocrine or other diseases; or any condition that in the opinion of the Investigator would complicate or compromise the study, or the well-being of the subject * Any other reason, which in the opinion of the Principal Investigator, would prevent the subject from completing or following the study schedule

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationStudy Day 0 through Study Visit Day 7AEs were collected to evaluate the safety and tolerability of oral Antizol with concomitant ethanol administration in particitpants with symptoms of acetaldehyde toxicity associated with altered ethanol metabolism. AE: any untoward medical event that occurs following the first administration of study medication until the study participant's last study visit, whether or not the event is considered drug related. SAE: an event that meets any of the following criteria: results in death; is life threatening; requires inpatient hospitalization or prolongation of an existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect in the offspring of an exposed subject; is medically significant or an important medical event as assessed by investigator or sponsor; is, in the opinion of the investigator, an important medical event.

Secondary

MeasureTime frame
PK of Ethanol: AUC(0-∞)Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
Pharmacokinetics (PK) of 4-MP: Maximum Plasma Concentration (Cmax)Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of 4-MP: Dose-Normalized (DN) CmaxDays 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of 4-MP: Time to Cmax (Tmax)Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of 4-MP: Area Under the Plasma Concentration-Time Curve (AUC), Calculated to the Last Measured Concentration (AUC[0-t])Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of 4-MP: DN AUC(0-t)Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of 4-MP: AUC, From Time 0 Extrapolated to Infinite Time (AUC[0-∞])Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of 4-MP: DN AUC(0-∞)Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of 4-MP: Percentage of AUC0-∞ Obtained by Extrapolation (AUC%Extrap)Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of 4-MP: Half-Life (T1/2)Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of 4-MP: Apparent Clearance (CL/F)Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of 4-MP: Apparent Volume of Distribution During Terminal Phase (Vz/F)Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Ethanol: CmaxDays 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Ethanol: DN CmaxDays 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Ethanol: TmaxDays 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Ethanol: DN AUC(0-t)Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Ethanol: DN AUC(0-∞)Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Ethanol: AUC%ExtrapDays 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Ethanol: T1/2Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Ethanol: CL/FDays 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Ethanol: Vz/FDays 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Acetaldehyde: CmaxDays 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Acetaldehyde: DN CmaxDays 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Acetaldehyde: TmaxDays 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Acetaldehyde: AUC(0-t)Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Acetaldehyde: DN AUC(0-t)Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Acetaldehyde: AUC(0-∞)Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Acetaldehyde: DN AUC(0-∞)Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Acetaldehyde: AUC%ExtrapDays 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Acetaldehyde: T1/2Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment
PK of Ethanol: AUC(0-t)Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Countries

United States

Participant flow

Pre-assignment details

Although originally planned to receive Antizol 7.0 mg/kg, participants in Cohort 4 were dosed with study drug (Antizol or placebo) at 1.0 mg/kg,the same level dosed for the Cohort 1 participants. As a result, Cohorts 1 and 4 were combined together in the data summary and statistical analyses.

Participants by arm

ArmCount
Antizol 1.0 mg/kg and Placebo
Participants received alternating study treatment (oral Antizol 1.0 mg/kg or placebo) on 2 sequential days (Study Day 1 and Study Day 2), administered 30 minutes prior to ethanol or 30 minutes after ethanol.
16
Antizol 3.0 mg/kg and Placebo
Participants receive alternating study treatment (oral Antizol 3.0 mg/kg or placebo) on 2 sequential days (Study Day 1 and Study Day 2), administered 30 minutes prior to ethanol or 30 minutes after ethanol.
8
Antizol 5.0 mg/kg and Placebo
Participants receive alternating study treatment (oral Antizol 5.0 mg/kg or placebo) on 2 sequential days (Study Day 1 and Study Day 2), administered 30 minutes prior to ethanol or 30 minutes after ethanol.
8
Total32

Baseline characteristics

CharacteristicAntizol 3.0 mg/kg and PlaceboAntizol 5.0 mg/kg and PlaceboTotalAntizol 1.0 mg/kg and Placebo
Age, Continuous29 years34 years34 years38 years
Race/Ethnicity, Customized
Asian
8 Participants8 Participants32 Participants16 Participants
Race/Ethnicity, Customized
Born in Japan
7 Participants8 Participants25 Participants10 Participants
Race/Ethnicity, Customized
Japanese Ancestry
8 Participants8 Participants32 Participants16 Participants
Race/Ethnicity, Customized
Not Born in Japan
1 Participants0 Participants7 Participants6 Participants
Race/Ethnicity, Customized
Not Hispanic/Latino
8 Participants8 Participants32 Participants16 Participants
Sex: Female, Male
Female
3 Participants5 Participants14 Participants6 Participants
Sex: Female, Male
Male
5 Participants3 Participants18 Participants10 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —
other
Total, other adverse events
13 / 166 / 88 / 821 / 3228 / 32
serious
Total, serious adverse events
0 / 160 / 80 / 80 / 320 / 32

Outcome results

Primary

Number of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study Discontinuation

AEs were collected to evaluate the safety and tolerability of oral Antizol with concomitant ethanol administration in particitpants with symptoms of acetaldehyde toxicity associated with altered ethanol metabolism. AE: any untoward medical event that occurs following the first administration of study medication until the study participant's last study visit, whether or not the event is considered drug related. SAE: an event that meets any of the following criteria: results in death; is life threatening; requires inpatient hospitalization or prolongation of an existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect in the offspring of an exposed subject; is medically significant or an important medical event as assessed by investigator or sponsor; is, in the opinion of the investigator, an important medical event.

Time frame: Study Day 0 through Study Visit Day 7

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Antizol 1.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationModerate AE2 Participants
Antizol 1.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationPossibly or Probably Related AE13 Participants
Antizol 1.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationMild AE13 Participants
Antizol 1.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationSerious AE0 Participants
Antizol 1.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationSevere AE0 Participants
Antizol 1.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationAE Leading to Study Discontinuation0 Participants
Antizol 1.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationDeath0 Participants
Antizol 1.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationAny AE13 Participants
Antizol 1.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationLife-Threatening/Disabling AE0 Participants
Antizol 3.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationMild AE6 Participants
Antizol 3.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationAE Leading to Study Discontinuation0 Participants
Antizol 3.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationDeath0 Participants
Antizol 3.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationLife-Threatening/Disabling AE0 Participants
Antizol 3.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationAny AE6 Participants
Antizol 3.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationPossibly or Probably Related AE6 Participants
Antizol 3.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationSerious AE0 Participants
Antizol 3.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationModerate AE0 Participants
Antizol 3.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationSevere AE0 Participants
Antizol 5.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationModerate AE0 Participants
Antizol 5.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationMild AE8 Participants
Antizol 5.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationSevere AE0 Participants
Antizol 5.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationLife-Threatening/Disabling AE0 Participants
Antizol 5.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationDeath0 Participants
Antizol 5.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationPossibly or Probably Related AE5 Participants
Antizol 5.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationAE Leading to Study Discontinuation0 Participants
Antizol 5.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationSerious AE0 Participants
Antizol 5.0 mg/kgNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationAny AE8 Participants
Pooled PlaceboNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationAE Leading to Study Discontinuation0 Participants
Pooled PlaceboNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationPossibly or Probably Related AE18 Participants
Pooled PlaceboNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationDeath0 Participants
Pooled PlaceboNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationAny AE21 Participants
Pooled PlaceboNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationLife-Threatening/Disabling AE0 Participants
Pooled PlaceboNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationSevere AE0 Participants
Pooled PlaceboNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationMild AE19 Participants
Pooled PlaceboNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationModerate AE5 Participants
Pooled PlaceboNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationSerious AE0 Participants
OverallNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationSevere AE0 Participants
OverallNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationAE Leading to Study Discontinuation0 Participants
OverallNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationAny AE28 Participants
OverallNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationMild AE28 Participants
OverallNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationPossibly or Probably Related AE27 Participants
OverallNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationSerious AE0 Participants
OverallNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationLife-Threatening/Disabling AE0 Participants
OverallNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationDeath0 Participants
OverallNumber of Participants With Adverse Events (AEs), Serious AEs, and AEs Leading to Study DiscontinuationModerate AE7 Participants
Secondary

Pharmacokinetics (PK) of 4-MP: Maximum Plasma Concentration (Cmax)

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPharmacokinetics (PK) of 4-MP: Maximum Plasma Concentration (Cmax)2386 ng/mLStandard Deviation 625
Antizol 3.0 mg/kgPharmacokinetics (PK) of 4-MP: Maximum Plasma Concentration (Cmax)1358 ng/mLStandard Deviation 359
Antizol 5.0 mg/kgPharmacokinetics (PK) of 4-MP: Maximum Plasma Concentration (Cmax)5605 ng/mLStandard Deviation 1183
Pooled PlaceboPharmacokinetics (PK) of 4-MP: Maximum Plasma Concentration (Cmax)4680 ng/mLStandard Deviation 645
OverallPharmacokinetics (PK) of 4-MP: Maximum Plasma Concentration (Cmax)8623 ng/mLStandard Deviation 2674
Secondary

PK of 4-MP: Apparent Clearance (CL/F)

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure, received study assessments through Study Day 2, and who had available data.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of 4-MP: Apparent Clearance (CL/F)6.70 L/hr
Antizol 3.0 mg/kgPK of 4-MP: Apparent Clearance (CL/F)8.23 L/hrStandard Deviation 0.618
Antizol 5.0 mg/kgPK of 4-MP: Apparent Clearance (CL/F)3.15 L/hr
Pooled PlaceboPK of 4-MP: Apparent Clearance (CL/F)2.99 L/hr
OverallPK of 4-MP: Apparent Clearance (CL/F)2.35 L/hrStandard Deviation 0.782
Secondary

PK of 4-MP: Apparent Volume of Distribution During Terminal Phase (Vz/F)

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure, received study assessments through Study Day 2, and who had available data.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of 4-MP: Apparent Volume of Distribution During Terminal Phase (Vz/F)26.3 Liters
Antizol 3.0 mg/kgPK of 4-MP: Apparent Volume of Distribution During Terminal Phase (Vz/F)24.7 LitersStandard Deviation 4.22
Antizol 5.0 mg/kgPK of 4-MP: Apparent Volume of Distribution During Terminal Phase (Vz/F)24.4 Liters
Pooled PlaceboPK of 4-MP: Apparent Volume of Distribution During Terminal Phase (Vz/F)24.9 Liters
OverallPK of 4-MP: Apparent Volume of Distribution During Terminal Phase (Vz/F)24.7 LitersStandard Deviation 9.91
Secondary

PK of 4-MP: Area Under the Plasma Concentration-Time Curve (AUC), Calculated to the Last Measured Concentration (AUC[0-t])

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of 4-MP: Area Under the Plasma Concentration-Time Curve (AUC), Calculated to the Last Measured Concentration (AUC[0-t])13804 ng*hr/mLStandard Deviation 4492
Antizol 3.0 mg/kgPK of 4-MP: Area Under the Plasma Concentration-Time Curve (AUC), Calculated to the Last Measured Concentration (AUC[0-t])7409 ng*hr/mLStandard Deviation 1437
Antizol 5.0 mg/kgPK of 4-MP: Area Under the Plasma Concentration-Time Curve (AUC), Calculated to the Last Measured Concentration (AUC[0-t])44942 ng*hr/mLStandard Deviation 17784
Pooled PlaceboPK of 4-MP: Area Under the Plasma Concentration-Time Curve (AUC), Calculated to the Last Measured Concentration (AUC[0-t])34310 ng*hr/mLStandard Deviation 14431
OverallPK of 4-MP: Area Under the Plasma Concentration-Time Curve (AUC), Calculated to the Last Measured Concentration (AUC[0-t])109298 ng*hr/mLStandard Deviation 30635
Secondary

PK of 4-MP: AUC, From Time 0 Extrapolated to Infinite Time (AUC[0-∞])

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure, received study assessments through Study Day 2, and who had available data.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of 4-MP: AUC, From Time 0 Extrapolated to Infinite Time (AUC[0-∞])11035 ng*hr/mL
Antizol 3.0 mg/kgPK of 4-MP: AUC, From Time 0 Extrapolated to Infinite Time (AUC[0-∞])7627 ng*hr/mLStandard Deviation 948
Antizol 5.0 mg/kgPK of 4-MP: AUC, From Time 0 Extrapolated to Infinite Time (AUC[0-∞])55452 ng*hr/mL
Pooled PlaceboPK of 4-MP: AUC, From Time 0 Extrapolated to Infinite Time (AUC[0-∞])57028 ng*hr/mL
OverallPK of 4-MP: AUC, From Time 0 Extrapolated to Infinite Time (AUC[0-∞])136871 ng*hr/mLStandard Deviation 43703
Secondary

PK of 4-MP: DN AUC(0-∞)

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure, received study assessments through Study Day 2, and who had available data.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of 4-MP: DN AUC(0-∞)149 (ng*hr/mL)/mg
Antizol 3.0 mg/kgPK of 4-MP: DN AUC(0-∞)122 (ng*hr/mL)/mgStandard Deviation 9.15
Antizol 5.0 mg/kgPK of 4-MP: DN AUC(0-∞)317 (ng*hr/mL)/mg
Pooled PlaceboPK of 4-MP: DN AUC(0-∞)334 (ng*hr/mL)/mg
OverallPK of 4-MP: DN AUC(0-∞)460 (ng*hr/mL)/mgStandard Deviation 129
Secondary

PK of 4-MP: DN AUC(0-t)

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of 4-MP: DN AUC(0-t)223 (ng*hr/mL)/mgStandard Deviation 105
Antizol 3.0 mg/kgPK of 4-MP: DN AUC(0-t)103 (ng*hr/mL)/mgStandard Deviation 16.6
Antizol 5.0 mg/kgPK of 4-MP: DN AUC(0-t)231 (ng*hr/mL)/mgStandard Deviation 110
Pooled PlaceboPK of 4-MP: DN AUC(0-t)204 (ng*hr/mL)/mgStandard Deviation 83.1
OverallPK of 4-MP: DN AUC(0-t)378 (ng*hr/mL)/mgStandard Deviation 110
Comparison: 1.0 mg/kg Cohort, 3.0 mg/kg cohort, 5.0 mg/kg cohortp-value: 0.0023ANOVA
Comparison: 1.0 mg/kg Cohort, 3.0 mg/kg cohortp-value: 0.386ANOVA
Comparison: 1.0 mg/kg, 5.0 mg/kgp-value: 0.0006ANOVA
Comparison: 3.0 mg/kg, 5.0 mg/kgp-value: 0.0154ANOVA
Secondary

PK of 4-MP: Dose-Normalized (DN) Cmax

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of 4-MP: Dose-Normalized (DN) Cmax38.3 (ng/mL)/mgStandard Deviation 15.9
Antizol 3.0 mg/kgPK of 4-MP: Dose-Normalized (DN) Cmax18.9 (ng/mL)/mgStandard Deviation 4.65
Antizol 5.0 mg/kgPK of 4-MP: Dose-Normalized (DN) Cmax27.6 (ng/mL)/mgStandard Deviation 3.05
Pooled PlaceboPK of 4-MP: Dose-Normalized (DN) Cmax28.0 (ng/mL)/mgStandard Deviation 4.26
OverallPK of 4-MP: Dose-Normalized (DN) Cmax30.2 (ng/mL)/mgStandard Deviation 11
Comparison: 1.0 mg/kg Cohort, 3.0 mg/kg cohort, 5.0 mg/kg cohortp-value: 0.8727ANOVA
Secondary

PK of 4-MP: Half-Life (T1/2)

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure, received study assessments through Study Day 2, and who had available data.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of 4-MP: Half-Life (T1/2)2.72 hours
Antizol 3.0 mg/kgPK of 4-MP: Half-Life (T1/2)3.11 hoursStandard Deviation 1.8
Antizol 5.0 mg/kgPK of 4-MP: Half-Life (T1/2)5.37 hours
Pooled PlaceboPK of 4-MP: Half-Life (T1/2)5.76 hours
OverallPK of 4-MP: Half-Life (T1/2)9.26 hoursStandard Deviation 4.93
Secondary

PK of 4-MP: Percentage of AUC0-∞ Obtained by Extrapolation (AUC%Extrap)

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure, received study assessments through Study Day 2, and who had available data.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of 4-MP: Percentage of AUC0-∞ Obtained by Extrapolation (AUC%Extrap)16.8 percentage
Antizol 3.0 mg/kgPK of 4-MP: Percentage of AUC0-∞ Obtained by Extrapolation (AUC%Extrap)13.0 percentageStandard Deviation 0.606
Antizol 5.0 mg/kgPK of 4-MP: Percentage of AUC0-∞ Obtained by Extrapolation (AUC%Extrap)3.31 percentage
Pooled PlaceboPK of 4-MP: Percentage of AUC0-∞ Obtained by Extrapolation (AUC%Extrap)4.37 percentage
OverallPK of 4-MP: Percentage of AUC0-∞ Obtained by Extrapolation (AUC%Extrap)13.2 percentageStandard Deviation 12.6
Secondary

PK of 4-MP: Time to Cmax (Tmax)

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEDIAN)
Antizol 1.0 mg/kgPK of 4-MP: Time to Cmax (Tmax)1.00 hours
Antizol 3.0 mg/kgPK of 4-MP: Time to Cmax (Tmax)2.50 hours
Antizol 5.0 mg/kgPK of 4-MP: Time to Cmax (Tmax)0.667 hours
Pooled PlaceboPK of 4-MP: Time to Cmax (Tmax)1.48 hours
OverallPK of 4-MP: Time to Cmax (Tmax)1.00 hours
Secondary

PK of Acetaldehyde: AUC(0-∞)

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Acetaldehyde: AUC(0-∞)234 µM*hrStandard Deviation 64.4
Antizol 3.0 mg/kgPK of Acetaldehyde: AUC(0-∞)154 µM*hrStandard Deviation 63.3
Antizol 5.0 mg/kgPK of Acetaldehyde: AUC(0-∞)297 µM*hr
Pooled PlaceboPK of Acetaldehyde: AUC(0-∞)302 µM*hr
OverallPK of Acetaldehyde: AUC(0-∞)188 µM*hrStandard Deviation 28.1
Placebo Followed by EthanolPK of Acetaldehyde: AUC(0-∞)205 µM*hrStandard Deviation 71.1
Ethanol Followed by PlaceboPK of Acetaldehyde: AUC(0-∞)227 µM*hrStandard Deviation 92.9
90% CI: [78.01, 1113.63]
Comparison: 3 participants in Cohort 3 had some residual 4-MP detected on Day 2 (Placebo treatment). As a result, the data for the participants on Day 2 were excluded from these statistical analyses, which could be compared with the analyses below where all available data were included.90% CI: [87.42, 131.1]
Comparison: Analyses for Cohort 3 where all available data were included.90% CI: [84.84, 112.97]
Secondary

PK of Acetaldehyde: AUC(0-t)

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Acetaldehyde: AUC(0-t)178 µM*hrStandard Deviation 53
Antizol 3.0 mg/kgPK of Acetaldehyde: AUC(0-t)118 µM*hrStandard Deviation 56.4
Antizol 5.0 mg/kgPK of Acetaldehyde: AUC(0-t)155 µM*hrStandard Deviation 68.7
Pooled PlaceboPK of Acetaldehyde: AUC(0-t)167 µM*hrStandard Deviation 84.4
OverallPK of Acetaldehyde: AUC(0-t)128 µM*hrStandard Deviation 33.2
Placebo Followed by EthanolPK of Acetaldehyde: AUC(0-t)163 µM*hrStandard Deviation 61.3
Ethanol Followed by PlaceboPK of Acetaldehyde: AUC(0-t)139 µM*hrStandard Deviation 93.7
90% CI: [69.54, 117]
90% CI: [103.72, 121.54]
90% CI: [96.81, 116.24]
90% CI: [83.5, 129.84]
Comparison: 3 participants in Cohort 3 had some residual 4-MP detected on Day 2 (Placebo treatment). As a result, the data for the participants on Day 2 were excluded from these statistical analyses, which could be compared with the analyses below where all available data were included.90% CI: [77.86, 129.49]
Comparison: Analyses for Cohort 3 where all available data were included.90% CI: [82.7, 108.42]
Secondary

PK of Acetaldehyde: AUC%Extrap

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Acetaldehyde: AUC%Extrap19.0 percentageStandard Deviation 6.07
Antizol 3.0 mg/kgPK of Acetaldehyde: AUC%Extrap18.8 percentageStandard Deviation 8.11
Antizol 5.0 mg/kgPK of Acetaldehyde: AUC%Extrap13.1 percentage
Pooled PlaceboPK of Acetaldehyde: AUC%Extrap9.78 percentage
OverallPK of Acetaldehyde: AUC%Extrap24.7 percentageStandard Deviation 5.26
Placebo Followed by EthanolPK of Acetaldehyde: AUC%Extrap13.7 percentageStandard Deviation 5.29
Ethanol Followed by PlaceboPK of Acetaldehyde: AUC%Extrap14.5 percentageStandard Deviation 11.4
Secondary

PK of Acetaldehyde: Cmax

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Acetaldehyde: Cmax59.6 µMStandard Deviation 34.4
Antizol 3.0 mg/kgPK of Acetaldehyde: Cmax37.6 µMStandard Deviation 26.9
Antizol 5.0 mg/kgPK of Acetaldehyde: Cmax50.9 µMStandard Deviation 52.8
Pooled PlaceboPK of Acetaldehyde: Cmax55.9 µMStandard Deviation 52.2
OverallPK of Acetaldehyde: Cmax40.0 µMStandard Deviation 16.6
Placebo Followed by EthanolPK of Acetaldehyde: Cmax60.3 µMStandard Deviation 34.8
Ethanol Followed by PlaceboPK of Acetaldehyde: Cmax42.7 µMStandard Deviation 30.6
90% CI: [48.88, 97.78]
90% CI: [88.77, 174.5]
90% CI: [89.24, 124.27]
90% CI: [56.66, 138.54]
Comparison: 3 participants in Cohort 3 had some residual 4-MP detected on Day 2 (Placebo treatment). As a result, the data for the participants on Day 2 were excluded from these statistical analyses, which could be compared with the analyses below where all available data were included.90% CI: [34.16, 146.59]
Comparison: Analyses for Cohort 3 where all available data were included.90% CI: [55.78, 132.73]
Secondary

PK of Acetaldehyde: DN AUC(0-∞)

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Acetaldehyde: DN AUC(0-∞)0.00682 µM*hr/mgStandard Deviation 0.00203
Antizol 3.0 mg/kgPK of Acetaldehyde: DN AUC(0-∞)0.00432 µM*hr/mgStandard Deviation 0.00176
Antizol 5.0 mg/kgPK of Acetaldehyde: DN AUC(0-∞)0.00929 µM*hr/mg
Pooled PlaceboPK of Acetaldehyde: DN AUC(0-∞)0.0105 µM*hr/mg
OverallPK of Acetaldehyde: DN AUC(0-∞)0.00626 µM*hr/mgStandard Deviation 0.0011
Placebo Followed by EthanolPK of Acetaldehyde: DN AUC(0-∞)0.00616 µM*hr/mgStandard Deviation 0.00171
Ethanol Followed by PlaceboPK of Acetaldehyde: DN AUC(0-∞)0.00752 µM*hr/mgStandard Deviation 0.0036
Secondary

PK of Acetaldehyde: DN AUC(0-t)

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Acetaldehyde: DN AUC(0-t)0.00547 µM*hr/mgStandard Deviation 0.00148
Antizol 3.0 mg/kgPK of Acetaldehyde: DN AUC(0-t)0.00329 µM*hr/mgStandard Deviation 0.00144
Antizol 5.0 mg/kgPK of Acetaldehyde: DN AUC(0-t)0.00470 µM*hr/mgStandard Deviation 0.0023
Pooled PlaceboPK of Acetaldehyde: DN AUC(0-t)0.00597 µM*hr/mgStandard Deviation 0.00293
OverallPK of Acetaldehyde: DN AUC(0-t)0.00439 µM*hr/mgStandard Deviation 0.001
Placebo Followed by EthanolPK of Acetaldehyde: DN AUC(0-t)0.00521 µM*hr/mgStandard Deviation 0.00204
Ethanol Followed by PlaceboPK of Acetaldehyde: DN AUC(0-t)0.00455 µM*hr/mgStandard Deviation 0.00332
Secondary

PK of Acetaldehyde: DN Cmax

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Acetaldehyde: DN Cmax0.00181 µM/mgStandard Deviation 0.00101
Antizol 3.0 mg/kgPK of Acetaldehyde: DN Cmax0.00104 µM/mgStandard Deviation 0.00065
Antizol 5.0 mg/kgPK of Acetaldehyde: DN Cmax0.00157 µM/mgStandard Deviation 0.00167
Pooled PlaceboPK of Acetaldehyde: DN Cmax0.00201 µM/mgStandard Deviation 0.00192
OverallPK of Acetaldehyde: DN Cmax0.00138 µM/mgStandard Deviation 0.000542
Placebo Followed by EthanolPK of Acetaldehyde: DN Cmax0.00193 µM/mgStandard Deviation 0.00114
Ethanol Followed by PlaceboPK of Acetaldehyde: DN Cmax0.00141 µM/mgStandard Deviation 0.00112
Secondary

PK of Acetaldehyde: T1/2

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Acetaldehyde: T1/23.14 hoursStandard Deviation 0.729
Antizol 3.0 mg/kgPK of Acetaldehyde: T1/23.08 hoursStandard Deviation 0.64
Antizol 5.0 mg/kgPK of Acetaldehyde: T1/22.48 hours
Pooled PlaceboPK of Acetaldehyde: T1/21.72 hours
OverallPK of Acetaldehyde: T1/23.45 hoursStandard Deviation 3.43
Placebo Followed by EthanolPK of Acetaldehyde: T1/22.39 hoursStandard Deviation 0.521
Ethanol Followed by PlaceboPK of Acetaldehyde: T1/22.09 hoursStandard Deviation 0.895
Secondary

PK of Acetaldehyde: Tmax

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEDIAN)
Antizol 1.0 mg/kgPK of Acetaldehyde: Tmax0.500 hours
Antizol 3.0 mg/kgPK of Acetaldehyde: Tmax0.650 hours
Antizol 5.0 mg/kgPK of Acetaldehyde: Tmax1.00 hours
Pooled PlaceboPK of Acetaldehyde: Tmax1.33 hours
OverallPK of Acetaldehyde: Tmax0.500 hours
Placebo Followed by EthanolPK of Acetaldehyde: Tmax0.500 hours
Ethanol Followed by PlaceboPK of Acetaldehyde: Tmax0.925 hours
Secondary

PK of Ethanol: AUC(0-∞)

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Ethanol: AUC(0-∞)245 mg*hr/mLStandard Deviation 55.7
Antizol 3.0 mg/kgPK of Ethanol: AUC(0-∞)263 mg*hr/mLStandard Deviation 27.2
Antizol 5.0 mg/kgPK of Ethanol: AUC(0-∞)237 mg*hr/mLStandard Deviation 27
Pooled PlaceboPK of Ethanol: AUC(0-∞)215 mg*hr/mLStandard Deviation 27.9
OverallPK of Ethanol: AUC(0-∞)271 mg*hr/mLStandard Deviation 75
Placebo Followed by EthanolPK of Ethanol: AUC(0-∞)214 mg*hr/mLStandard Deviation 47.4
Ethanol Followed by PlaceboPK of Ethanol: AUC(0-∞)198 mg*hr/mLStandard Deviation 47.3
90% CI: [108.42, 136.84]
90% CI: [93.55, 163.56]
90% CI: [93.14, 242.63]
Comparison: Analysis for Cohort 3 where all available data were included.90% CI: [82.45, 183]
Secondary

PK of Ethanol: AUC(0-t)

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Ethanol: AUC(0-t)209 mg*hr/dLStandard Deviation 46.1
Antizol 3.0 mg/kgPK of Ethanol: AUC(0-t)209 mg*hr/dLStandard Deviation 24.2
Antizol 5.0 mg/kgPK of Ethanol: AUC(0-t)205 mg*hr/dLStandard Deviation 13.1
Pooled PlaceboPK of Ethanol: AUC(0-t)135 mg*hr/dLStandard Deviation 44
OverallPK of Ethanol: AUC(0-t)231 mg*hr/dLStandard Deviation 67.1
Placebo Followed by EthanolPK of Ethanol: AUC(0-t)157 mg*hr/dLStandard Deviation 53.2
Ethanol Followed by PlaceboPK of Ethanol: AUC(0-t)152 mg*hr/dLStandard Deviation 42.6
90% CI: [92.18, 211.51]
90% CI: [108.8, 134.03]
90% CI: [107.72, 190.87]
90% CI: [84.35, 126.1]
Comparison: 3 participants in Cohort 3 had some residual 4-MP detected on Day 2 (Placebo treatment). As a result, the data for the participants on Day 2 were excluded from these statistical analyses, which could be compared with the analyses below where all available data were included.90% CI: [108.61, 139.67]
Comparison: Analyses for Cohort 3 where all available data were included.90% CI: [123.3, 152.59]
Secondary

PK of Ethanol: AUC%Extrap

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure, received study assessments through Study Day 2, and who had available data.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Ethanol: AUC%Extrap14.7 percentageStandard Deviation 4.95
Antizol 3.0 mg/kgPK of Ethanol: AUC%Extrap20.5 percentageStandard Deviation 6.9
Antizol 5.0 mg/kgPK of Ethanol: AUC%Extrap13.2 percentageStandard Deviation 4.89
Pooled PlaceboPK of Ethanol: AUC%Extrap20.0 percentageStandard Deviation 4.68
OverallPK of Ethanol: AUC%Extrap12.1 percentageStandard Deviation 6.13
Placebo Followed by EthanolPK of Ethanol: AUC%Extrap13.4 percentageStandard Deviation 5.62
Ethanol Followed by PlaceboPK of Ethanol: AUC%Extrap13.9 percentageStandard Deviation 4.85
Secondary

PK of Ethanol: CL/F

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure, received study assessments through Study Day 2, and who had available data.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Ethanol: CL/F140 dL/hrStandard Deviation 36.8
Antizol 3.0 mg/kgPK of Ethanol: CL/F138 dL/hrStandard Deviation 14.3
Antizol 5.0 mg/kgPK of Ethanol: CL/F142 dL/hrStandard Deviation 8.81
Pooled PlaceboPK of Ethanol: CL/F131 dL/hrStandard Deviation 12
OverallPK of Ethanol: CL/F112 dL/hrStandard Deviation 19.6
Placebo Followed by EthanolPK of Ethanol: CL/F159 dL/hrStandard Deviation 51.8
Ethanol Followed by PlaceboPK of Ethanol: CL/F167 dL/hrStandard Deviation 32.7
Secondary

PK of Ethanol: Cmax

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Ethanol: Cmax62.7 mg/dLStandard Deviation 10.1
Antizol 3.0 mg/kgPK of Ethanol: Cmax70.3 mg/dLStandard Deviation 4.99
Antizol 5.0 mg/kgPK of Ethanol: Cmax80.5 mg/dLStandard Deviation 5.2
Pooled PlaceboPK of Ethanol: Cmax43.3 mg/dLStandard Deviation 9.54
OverallPK of Ethanol: Cmax74.9 mg/dLStandard Deviation 21.9
Placebo Followed by EthanolPK of Ethanol: Cmax59.3 mg/dLStandard Deviation 15.4
Ethanol Followed by PlaceboPK of Ethanol: Cmax55.1 mg/dLStandard Deviation 14.5
90% CI: [90.45, 147.67]
90% CI: [101.94, 155.87]
90% CI: [115.66, 163.65]
90% CI: [62.83, 108.07]
Comparison: 3 participants in Cohort 3 had some residual 4-MP detected on Day 2 (Placebo treatment). As a result, the data for the participants on Day 2 were excluded from these statistical analyses, which could be compared with the analyses below where all available data were included.90% CI: [91.19, 145.67]
Comparison: Analyses for Cohort 3 where all available data were included.90% CI: [96.14, 131.98]
Secondary

PK of Ethanol: DN AUC(0-∞)

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure, received study assessments through Study Day 2, and who had available data.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Ethanol: DN AUC(0-∞)0.00760 (mg*hr/dL)/mgStandard Deviation 0.00199
Antizol 3.0 mg/kgPK of Ethanol: DN AUC(0-∞)0.00731 (mg*hr/dL)/mgStandard Deviation 0.000843
Antizol 5.0 mg/kgPK of Ethanol: DN AUC(0-∞)0.00705 (mg*hr/dL)/mgStandard Deviation 0.000437
Pooled PlaceboPK of Ethanol: DN AUC(0-∞)0.00768 (mg*hr/dL)/mgStandard Deviation 0.000707
OverallPK of Ethanol: DN AUC(0-∞)0.00917 (mg*hr/dL)/mgStandard Deviation 0.00166
Placebo Followed by EthanolPK of Ethanol: DN AUC(0-∞)0.00681 (mg*hr/dL)/mgStandard Deviation 0.00182
Ethanol Followed by PlaceboPK of Ethanol: DN AUC(0-∞)0.00617 (mg*hr/dL)/mgStandard Deviation 0.0012
Secondary

PK of Ethanol: DN AUC(0-t)

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Ethanol: DN AUC(0-t)0.00648 (mg*hr/dL)/mgStandard Deviation 0.00171
Antizol 3.0 mg/kgPK of Ethanol: DN AUC(0-t)0.00585 (mg*hr/dL)/mgStandard Deviation 0.00115
Antizol 5.0 mg/kgPK of Ethanol: DN AUC(0-t)0.00613 (mg*hr/dL)/mgStandard Deviation 0.000641
Pooled PlaceboPK of Ethanol: DN AUC(0-t)0.00483 (mg*hr/dL)/mgStandard Deviation 0.00155
OverallPK of Ethanol: DN AUC(0-t)0.00791 (mg*hr/dL)/mgStandard Deviation 0.00163
Placebo Followed by EthanolPK of Ethanol: DN AUC(0-t)0.00508 (mg*hr/dL)/mgStandard Deviation 0.00194
Ethanol Followed by PlaceboPK of Ethanol: DN AUC(0-t)0.00476 (mg*hr/dL)/mgStandard Deviation 0.00124
Secondary

PK of Ethanol: DN Cmax

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Ethanol: DN Cmax0.00195 (mg/dL)/mgStandard Deviation 0.000448
Antizol 3.0 mg/kgPK of Ethanol: DN Cmax0.00198 (mg/dL)/mgStandard Deviation 0.00042
Antizol 5.0 mg/kgPK of Ethanol: DN Cmax0.00243 (mg/dL)/mgStandard Deviation 0.000453
Pooled PlaceboPK of Ethanol: DN Cmax0.00155 (mg/dL)/mgStandard Deviation 0.000359
OverallPK of Ethanol: DN Cmax0.00261 (mg/dL)/mgStandard Deviation 0.000871
Placebo Followed by EthanolPK of Ethanol: DN Cmax0.00193 (mg/dL)/mgStandard Deviation 0.000667
Ethanol Followed by PlaceboPK of Ethanol: DN Cmax0.00175 (mg/dL)/mgStandard Deviation 0.000543
Secondary

PK of Ethanol: T1/2

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure, received study assessments through Study Day 2, and who had available data.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Ethanol: T1/21.51 hoursStandard Deviation 0.391
Antizol 3.0 mg/kgPK of Ethanol: T1/21.95 hoursStandard Deviation 0.206
Antizol 5.0 mg/kgPK of Ethanol: T1/21.43 hoursStandard Deviation 0.219
Pooled PlaceboPK of Ethanol: T1/21.78 hoursStandard Deviation 0.64
OverallPK of Ethanol: T1/21.67 hoursStandard Deviation 0.608
Placebo Followed by EthanolPK of Ethanol: T1/21.45 hoursStandard Deviation 0.564
Ethanol Followed by PlaceboPK of Ethanol: T1/21.32 hoursStandard Deviation 0.193
Secondary

PK of Ethanol: Tmax

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure and who received study assessments through Study Day 2.

ArmMeasureValue (MEDIAN)
Antizol 1.0 mg/kgPK of Ethanol: Tmax1.50 hours
Antizol 3.0 mg/kgPK of Ethanol: Tmax0.833 hours
Antizol 5.0 mg/kgPK of Ethanol: Tmax0.500 hours
Pooled PlaceboPK of Ethanol: Tmax1.42 hours
OverallPK of Ethanol: Tmax0.500 hours
Placebo Followed by EthanolPK of Ethanol: Tmax0.500 hours
Ethanol Followed by PlaceboPK of Ethanol: Tmax1.01 hours
Secondary

PK of Ethanol: Vz/F

Time frame: Days 1 and 2: prior to administration of 1st treatment (ethanol or study drug); 10, 20, and 30 min prior to administration of second treatment (study drug or ethanol); 40, 50, 60 min and 2, 3, 4, 5, 6, and 8 hr post administration of 1st treatment

Population: Modified Intent-to-Treat: participants who received any study medication or procedure, received study assessments through Study Day 2, and who had available data.

ArmMeasureValue (MEAN)Dispersion
Antizol 1.0 mg/kgPK of Ethanol: Vz/F297 dLStandard Deviation 82.8
Antizol 3.0 mg/kgPK of Ethanol: Vz/F387 dLStandard Deviation 57
Antizol 5.0 mg/kgPK of Ethanol: Vz/F295 dLStandard Deviation 55.4
Pooled PlaceboPK of Ethanol: Vz/F330 dLStandard Deviation 89.5
OverallPK of Ethanol: Vz/F242 dLStandard Deviation 79.1
Placebo Followed by EthanolPK of Ethanol: Vz/F287 dLStandard Deviation 86.3
Ethanol Followed by PlaceboPK of Ethanol: Vz/F321 dLStandard Deviation 87.7

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026