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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