48 Participants Needed

VK4-116 for Opioid Use Disorder

SH
DK
Overseen ByDebra Kelsh, MD
Age: 18 - 65
Sex: Any
Trial Phase: Phase 1
Sponsor: National Institute on Drug Abuse (NIDA)

Trial Summary

What is the purpose of this trial?

This first-in-human, randomized, double-blind, placebo-controlled, single ascending dose (SAD), phase I study is designed to assess the safety, tolerability and pharmacokinetics of VK4-116 in healthy volunteers in fasted and fed state.

Will I have to stop taking my current medications?

Yes, you will need to stop taking prescribed medications 14 days before the study and over-the-counter medications, supplements, or vitamins 7 days before the study.

Is VK4-116 safe for humans?

There is no specific safety data available for VK4-116 in humans, but studies in animals suggest it may be safe as it did not compromise pain relief effects while reducing opioid self-administration.12345

How does the drug VK4-116 differ from other treatments for opioid use disorder?

VK4-116 is unique because it targets dopamine D3 receptors, which are involved in the brain's reward system, to reduce opioid cravings and prevent relapse without affecting pain relief. This is different from standard treatments like methadone and buprenorphine, which primarily target opioid receptors.25678

Research Team

MD

Marta De Santis, PhD

Principal Investigator

National Institute on Drug Abuse, NIH

Eligibility Criteria

This trial is for healthy volunteers who want to help test a new drug called VK4-116. It's not for people with opioid use disorder or addiction, but the results might one day help those who do.

Inclusion Criteria

I am following the required birth control guidelines.
Be able to verbalize understanding of consent form, able to provide written informed consent, and verbalize willingness to complete study procedures
Be able and willing to comply with protocol requirements and the rules and regulations of the study site, and be likely to complete all the study treatments
See 3 more

Exclusion Criteria

Use nicotine products via smoking/vaping in past 6 months
I have a history of heart conditions.
Have any clinically significant finding within one year of Screening that contraindicates participation in the study
See 14 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

1 week
1 visit (in-person)

Treatment

Participants receive a single ascending dose of VK4-116 or placebo and are monitored for safety, tolerability, and pharmacokinetics

4 days for fasted condition, 8 days for fed condition
Continuous monitoring during clinic stay

Follow-up

Participants are monitored for safety and effectiveness after treatment

3 days
1 visit (in-person)

Treatment Details

Interventions

  • VK4-116
Trial Overview VK4-116 is being tested in this study. Volunteers will take different doses of the drug or a placebo without knowing which they're getting. The study looks at how safe it is and how the body processes it when taken with and without food.
Participant Groups
7Treatment groups
Experimental Treatment
Placebo Group
Group I: 500 mg doseExperimental Treatment1 Intervention
oral administration in fasted state
Group II: 50 mg doseExperimental Treatment1 Intervention
oral administration in fasted state
Group III: 400 mg doseExperimental Treatment1 Intervention
oral administration in fasted state
Group IV: 200 mg dose in fed stateExperimental Treatment1 Intervention
oral administration in fed state
Group V: 200 mg doseExperimental Treatment1 Intervention
oral administration in fasted state
Group VI: 100 mg doseExperimental Treatment1 Intervention
oral administration in fasted state
Group VII: placeboPlacebo Group2 Interventions
oral administration

Find a Clinic Near You

Who Is Running the Clinical Trial?

National Institute on Drug Abuse (NIDA)

Lead Sponsor

Trials
2,658
Recruited
3,409,000+

Altasciences Company Inc.

Industry Sponsor

Trials
18
Recruited
860+

Findings from Research

Medications like methadone, buprenorphine, and extended-release naltrexone are effective in improving outcomes for individuals with opioid use disorder, but their effectiveness is often hindered by challenges in diagnosis, treatment entry, and retention.
There is a critical need to enhance the use of these medications through better training for healthcare professionals and the development of new treatment models to provide personalized care for those affected by opioid use disorder.
Management of opioid use disorder in the USA: present status and future directions.Blanco, C., Volkow, ND.[2019]
Over 2 million Americans have opioid use disorder, which is partly due to overprescribing, highlighting the need for better opioid stewardship and management strategies by physicians.
Three FDA-approved medications—methadone, buprenorphine, and naltrexone—are effective for treating opioid use disorder, but successful outcomes are best achieved through comprehensive, interprofessional management plans rather than relying solely on medication.
Prescription Drug and Alcohol Use Disorders: Opioid Use Disorder.Witt, L., Butler, F.[2019]

References

The phenomics and genetics of addictive and affective comorbidity in opioid use disorder. [2022]
Effects of selective dopamine D3 receptor partial agonist/antagonists on oxycodone self-administration and antinociception in monkeys. [2023]
Characteristics of Suicides and Toxicology in a Cohort of Individuals With Opioid Use Disorder. [2021]
Management of opioid use disorder in the USA: present status and future directions. [2019]
Dopamine D3R antagonist VK4-116 attenuates oxycodone self-administration and reinstatement without compromising its antinociceptive effects. [2021]
Replication of the pharmacogenetic effect of rs678849 on buprenorphine efficacy in African-Americans with opioid use disorder. [2022]
The highly selective dopamine D3R antagonist, R-VK4-40 attenuates oxycodone reward and augments analgesia in rodents. [2021]
Prescription Drug and Alcohol Use Disorders: Opioid Use Disorder. [2019]