Lyme Disease
Conditions
Keywords
Lyme Disease, Lyme Borreliosis, Lyme, Borrelia, Preventative Therapeutic, Prophylaxis, Healthy Volunteers, Randomized Controlled Trial, Gram-Negative Bacterial Infections, Bacterial Infections, Bacterial Infections and Mycoses, Infections, Borrelia Infections, Spirochaetales Infections, Tick-Borne Diseases, Vector Borne Diseases
Brief summary
This study is designed to evaluate the safety, tolerability, and pharmacokinetics of TP05 administered orally to healthy adult participants.
Detailed description
This is a randomized, double-blind, placebo-controlled study conducted in healthy adult participants prior to anticipated exposure to Lyme Borreliosis. Participants will be randomized to receive either TP05 or placebo according to a predefined dosing schedule. Safety will be evaluated through adverse event monitoring, clinical laboratory assessments, vital signs, and physical examinations. The study will consist of a screening period, a treatment period (up to 24 weeks) and a safety follow up period. Participants will be randomized to receive one of two treatment regimens of TP-05 or placebo. Participants will be followed up for approximately 15 months and evaluated further for tick bites or symptoms of Lyme borreliosis.
Interventions
TP05 administered orally at the protocol-defined preventative dose.
TP05 administered orally at the protocol-defined preventative dose.
Matching placebo administered orally according to the same dosing schedule as TP05.
Sponsors
Study design
Eligibility
Inclusion criteria
* Overtly healthy adult participants aged 18 to 70 years * Able to provide written informed consent * Willing and able to comply with study procedures * At high risk of exposure to ticks * Contraceptive use by men and women consistent with local regulations
Exclusion criteria
* Prior exposure to TP05 or any isooxazoline in the last 12 months * Known hypersensitivity to TP05 or related compounds * Clinically significant medical conditions that may interfere with study participation * Use of investigational products within 30 days prior to screening. * Received previous vaccination against Lyme borreliosis, including investigational vaccines intended to prevent Lyme borreliosis * Receiving long-term antibiotic therapy * Received active or passive immunization within 4 weeks prior to Day * Pregnant or breastfeeding individuals
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Incidence of Treatment Emergent Adverse Events From Baseline | From day 1 through the end of study follow-up, an average of 15 months. | Safety and tolerability will be evaluated by incidence rate of treatment emergent adverse events from baseline. |
| Clinically Significant Changes From Baseline Chemistry Laboratory Tests | From day 1 through the end of study follow up, an average of 15 months. | Number of participants with clinically significant changes in clinical laboratory tests |
| Clinically Significant Changes From Baseline Hematology Laboratory Tests | From day 1 through the end of study follow up, an average of 15 months. | Number of participants with clinically significant changes in clinical laboratory tests. |
| Clinically Significant Changes From Baseline Vital Signs | From day 1 through the end of study follow up, an average of 15 months. | Number of participants with clinically significant changes in vital signs. |
| Clinically Significant Changes From Baseline Electrocardiograms (ECGs) | From day 1 through the end of study follow up, an average of 15 months. | Safety will be assessed by evaluating clinically significant changes from Baseline ECGs change in mean ventricular rate \[beats/min\]. |
| Clinically Significant Changes From Baseline Electrocardiograms (ECGs) Measures | From day 1 through the end of study follow up, an average of 15 months. | Safety will be assessed by evaluating clinically significant changes from Baseline ECGs change in pulse rate \[msec\]. |
| Clinically Significant Changes From Baseline QTC Interval | From day 1 through the end of study follow up, an average of 15 months. | Safety will be assessed by evaluating clinically significant changes from Baseline ECGs change in QTC interval |
| Clinically Significant Changes From Baseline QRS Interval | From day 1 through the end of study follow up, an average of 15 months. | Safety will be assessed by evaluating clinically significant changes from Baseline ECGs change in QRS interval. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Concentration of Lotilaner in Whole Blood | From dose through study completion, an average of 15 months. | Concentration of lotilaner in whole blood at specified timepoints measured using validated bioanalytical assays. |
| Terminal Elimination Half Life (t½) of Lotilaner | At protocol specified timepoints through end study treatment phase, an average of 28 weeks. | Terminal elimination half life (t½) of lotilaner. |
| Area Under the Concentration Time Curve (AUC) of Lotilaner | At protocol specified timepoints through end of pharmacokinetic sampling, an average of 15 months. | Area under the concentration time curve (AUC) of lotilaner. |
| Maximum Observed Concentration (Cmax) of Lotilaner | At protocol specified timepoints through end of pharmacokinetic sampling, an average of 15 months. | Maximum observed concentration (Cmax) of lotilaner. |
| Time to Maximum Observed Concentration (Tmax) of Lotilaner | At protocol specified timepoints through end of pharmacokinetic sampling, an average of 15 months. | Time to maximum observed concentration (Tmax) of lotilaner. |
Countries
United States