21 Participants Needed

Azithromycin Oleogel for Infections

CG
PC
Overseen ByPeter Chai, MD MMS
Age: 18 - 65
Sex: Any
Trial Phase: Phase 1
Sponsor: Brigham and Women's Hospital
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new form of azithromycin, a common antibiotic, to compare its absorption in the body with the standard pill. Researchers are examining two new delivery methods: an oral gel and a rectal gel, known as Azithromycin Oleogel. The goal is to determine if these new forms are safe and as effective as the usual pill. Healthy individuals weighing between 45 and 220 pounds, with no history of issues with azithromycin, might be suitable for this trial. As a Phase 1 trial, the research focuses on understanding how the treatment works in people.

Will I have to stop taking my current medications?

The trial information does not specify if you need to stop taking your current medications. However, if you have a medical condition that might affect how azithromycin works in your body, you may not be eligible to participate.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that azithromycin is a well-known and generally safe antibiotic. Studies have found that when azithromycin is mixed into a gel-like form called an oleogel, it remains stable and safe. The azithromycin oral and rectal oleogels use ingredients considered safe in small amounts.

In studying these oleogel forms, initial safety checks involved healthy volunteers. Participants reported their symptoms, and results suggested that the oleogels were generally well-tolerated, with most people experiencing no significant side effects.

Since the current study is in an early phase, it primarily focuses on how the body absorbs the drug and assesses its safety. This phase is crucial but doesn't yet reveal all possible side effects. However, because azithromycin is already approved for other uses, there is some confidence in its safety.12345

Why are researchers excited about this trial's treatments?

The Azithromycin Oleogel treatments are unique because they offer new delivery methods for fighting infections. Unlike standard oral azithromycin tablets, which are swallowed, the oral oleogel provides a gel-like form that could be easier to take for those with swallowing difficulties. Additionally, the rectal oleogel provides an alternative route of administration, potentially benefiting patients who are unable to take medications orally. Researchers are excited about these new options because they could improve patient compliance and make azithromycin accessible to a broader range of patients.

What evidence suggests that this trial's treatments could be effective for infections?

Research has shown that azithromycin, a common antibiotic, is being tested in a new gel form called oleogel. In this trial, participants will receive either an oral oleogel, a rectal oleogel, or a reference azithromycin tablet. Studies have found that when azithromycin is mixed into this gel, it remains stable and continues to fight bacteria effectively. Early tests suggest that the body absorbs azithromycin well from this gel, indicating that oleogel could be an effective new way to deliver the antibiotic.45678

Are You a Good Fit for This Trial?

This trial is for healthy individuals with normal blood, liver, and kidney function. Participants must be willing to use two forms of contraception or practice abstinence during the study. It's not specified who can't join because the exclusion criteria are cut off.

Inclusion Criteria

Willing to use two forms of contraceptive measures or abstinence for the entire duration of the trial.
My blood, liver, and kidney tests are within normal ranges.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

Up to 4 weeks

Treatment Period 1

Participants receive a single dose of rectal oleogel, oral oleogel, or oral reference tablet under fasting conditions with blood samples collected over 72 hours.

3 days
In-patient stay for 3 days

Washout

Participants have a washout period to allow for drug clearance before the next treatment period.

17 days

Treatment Period 2

Participants receive a different formulation of azithromycin as per randomization schedule with similar procedures as Treatment Period 1.

3 days
In-patient stay for 3 days

Washout

Participants have a washout period to allow for drug clearance before the next treatment period.

17 days

Treatment Period 3

Participants receive the final formulation of azithromycin as per randomization schedule with similar procedures as previous treatment periods.

3 days
In-patient stay for 3 days

Follow-up

End-of-study evaluation performed after completion of the final PK sample following Treatment Period 3 or up to 7 days thereafter.

1 week

What Are the Treatments Tested in This Trial?

Interventions

  • Azithromycin Oleogel
Trial Overview The study tests a new form of azithromycin called oleogel, given orally and rectally, against the standard oral drug Zithromax. It's a single-dose test where participants try each treatment in different periods to see how well it gets into the bloodstream.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Active Control
Group I: Rectal OleogelExperimental Treatment1 Intervention
Group II: Oral OleogelExperimental Treatment1 Intervention
Group III: Reference Azithromycin Tablet (Zithromax)Active Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Brigham and Women's Hospital

Lead Sponsor

Trials
1,694
Recruited
14,790,000+

Bill and Melinda Gates Foundation

Collaborator

Trials
428
Recruited
23,060,000+

Citations

A Single-Dose, Three-Way, Three- ...This is an exploratory study to describe the pharmacokinetics of the azithromycin oral and rectal oleogel in humans compared to the reference ...
Azithromycin Oleogel for InfectionsThis is an exploratory study to describe the pharmacokinetics of the azithromycin oral and rectal oleogel in humans compared to the reference oral drug to ...
In- Vitro Characterization and Rheological Behavior StudiesA pilot study identified the lecithin-based azithromycin oleogel as the most effective formulation, prompting further investigation.
Formulation and Characterization of Oleogel as a Topical ...The findings of the present study suggest that azithromycin oleogel is stable, safe, cost-effective, and it provides significant antibacterial ...
"Oleogel" Dosage Formulation of Azithromycin in Healthy ...In this new study, we will be testing the safety and absorption of azithromycin, a well-established and safe drug, when it is mixed into a gel-like mixture ...
Safety Data SheetAzithromycin and excipients generally considered non- toxic and non-hazardous in small quantities and under conditions of normal occupational exposure. Section ...
SAFETY DATA SHEETCarcinogen Status: None of the components of this formulation are listed as a carcinogen by IARC, NTP or OSHA. 300. Azithromycin dihydrate.
Study Details | NCT05796362 | A Single-Dose, Three-Way, ...Initial Azithromycin Oleogel Safety Evaluation, Initial safety of azithromycin oral and rectal oleogels in healthy volunteers measured by self reported symptoms ...
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