Clinical trial • Phase II • Psychiatry|Other
CSX-1004 for Opioid use disorder
Phase II trial of CSX-1004 for Opioid use disorder.
Overview
- Trial Therapeutic Area
- Psychiatry|Other
- Trial Disease
- Opioid use disorder
- Trial Stage
- Phase II
- Drug Modality
- Peptide/protein/enzyme|Small molecule
Key dates
- Initial CTIS Submission Date
- 15-01-2026
- First CTIS Authorization Date
- 20-03-2026
Trial design
Randomised, natriumchloride 0,9% solution for infusion (saline solution) iv infusion — comparator/placebo; specific dose/schedule not specified in record-controlled, crossover Phase II trial in Netherlands.
- Randomised
- Yes
- Comparator
- Natriumchloride 0,9% solution for infusion (saline solution) IV infusion — comparator/placebo; specific dose/schedule not specified in record
- Crossover
- Yes
- Target Sample Size
- 24
Eligibility
Recruits 24 Vulnerable populations not selected; participants must provide written informed consent prior to initiation of any protocol-specific procedures (no assent requirements specified)..
- Vulnerable Population
- Vulnerable populations not selected; participants must provide written informed consent prior to initiation of any protocol-specific procedures (no assent requirements specified).
Inclusion criteria
- {"criterion_text":"- Must provide written informed consent prior to the initiation of any protocol-specific procedures.\n- Male and female adults, between 18 and 55 years of age, inclusive.\n- Body mass index (BMI) within 18.0 to 32.0 kg/m², inclusive (minimum weight of at least 50.0 kg).\n- Must be medically stable, as determined by medical history, physical examination, ECG, and vital signs at Screening\n- Negative urine drug screen for fentanyl at Screening.\n- Is willing and able to comply with the study requirements, including clinic confinement and blood sampling.\n- Part B: Diagnosis of mild or moderate opioid use disorder (DSM-5-TR) and self-reported daily opioid use, defined as daily oral MME doses ≥30 to ≤120 mg for at least 3 months."}
Exclusion criteria
- {"criterion_text":"- History or presence of any clinically significant psychiatric, endocrine, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, renal, or other major disease or illness at Screening.\n- Part A: History of or currently meets the criteria for a diagnosis of substance use disorder according to DSM-5-TR criteria for any substances (excluding caffeine).\n- Part B: Currently meets the criteria for a diagnosis of substance use disorder according to DSM-5-TR criteria for any substances, excluding opioids, caffeine, or nicotine.\n- Part B: History of or currently meets the criteria for a diagnosis of severe opioid use disorder.\n- Requires concomitant treatment with prohibited medications that cannot be safely discontinued prior to first drug administration."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Peak change in MV (absolute and % [L/min]), calculated based on a 1-minute average of the ventilation data of each individual participant.","definition_or_measurement_approach":"Calculated based on a 1-minute average of the ventilation data of each individual participant (isohypercapnic minute ventilation)."}
Secondary endpoints
- {"endpoint_text":"- Peak change in respiratory rate [breaths/min], oxygen saturation (SpO2), tidal volume [L]","definition_or_measurement_approach":""}
- {"endpoint_text":"- Incidence of apnea (≥20 sec loss of respiratory activity)","definition_or_measurement_approach":"Apnea defined as ≥20 seconds loss of respiratory activity."}
- {"endpoint_text":"- Incidence of oxygen desaturation (<92%)","definition_or_measurement_approach":"Oxygen desaturation defined as SpO2 < 92%."}
- {"endpoint_text":"- Pupillometry (maximum pupil diameter)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Alertness/Drowsiness visual analog scale (VAS) (minimum effect [Emin])","definition_or_measurement_approach":"Measured by visual analog scale; report minimum effect (Emin)."}
- {"endpoint_text":"- Any Drug Effects VAS (maximum effect [Emax])","definition_or_measurement_approach":"Measured by visual analog scale; report maximum effect (Emax)."}
- {"endpoint_text":"- Drug Liking VAS (Emax)","definition_or_measurement_approach":"Measured by visual analog scale; report maximum effect (Emax)."}
- {"endpoint_text":"- High VAS (Emax)","definition_or_measurement_approach":"Measured by visual analog scale; report maximum effect (Emax)."}
Recruitment
- Planned Sample Size
- 24
- Recruitment Window Months
- 13
- Consent Approach
- Written informed consent required from participants prior to any protocol-specific procedures. Subject information and informed consent forms available for Part A and Part B; no assent or alternative consent procedures specified. Languages of consent forms not specified in the record.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 24
Netherlands
- Earliest CTIS Part Ii Submission Date
- 16-03-2026
- Latest Decision Or Authorization Date
- 20-03-2026
- Processing Time Days
- 4
- Number Of Sites
- 1
- Number Of Participants
- 24
Sites
- Site Name
- Centre for Human Drug Research
- Department Name
- n.a.
- Contact Person Name
- Marieke Niesters
- Contact Person Email
- clintrials@chdr.nl
- Number Of Participants
- 24
Sponsor
Primary sponsor
- Full Name
- Cessation Therapeutics Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Investigational products
- Investigational Product Name
- CSX-1004
- Active Substance
- CSX-1004
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- IV INFUSION
- Route
- IV INFUSION
- Authorisation Status
- prodAuthStatus 1
- Investigational Product Name
- Natriumchloride 0,9%, oplossing voor infusie
- Active Substance
- SODIUM CHLORIDE
- Modality
- Small molecule
- Routes Of Administration
- IV INFUSION
- Route
- IV INFUSION
- Authorisation Status
- Marketing authorisation in NL (marketingAuthNumber RVG 51680, prodAuthStatus 2)
- Combination Treatment
- Yes
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