Trial Outcomes & Findings for Multiple Ascending Dose Noribogaine PK/PD in Healthy Volunteers (NCT NCT06480981)

NCT ID: NCT06480981

Last Updated: 2026-01-22

Results Overview

Determination of maximum plasma concentration of noribogaine

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

55 participants

Primary outcome timeframe

Day 1

Results posted on

2026-01-22

Participant Flow

All participants were recruited at a single dedicated site - Richmond Pharmacology.

All participants enrolled in the study were assigned to a treatment group.

Participant milestones

Participant milestones
Measure
Noribogaine 20mg
1 x Noribogaine 10mg capsule twice daily
Noribogaine 40mg
1 x Noribogaine 20mg capsule twice daily
Noribogaine 60mg
1 x Noribogaine 10mg capsule and 1 x Noribogaine 20mg capsule twice daily
Noribogaine 80mg
2 x Noribogaine 20mg capsule twice daily
Placebo
Placebo capsules twice daily
Overall Study
STARTED
10
12
12
9
12
Overall Study
COMPLETED
10
12
12
9
12
Overall Study
NOT COMPLETED
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Multiple Ascending Dose Noribogaine PK/PD in Healthy Volunteers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Noribogaine 20mg
n=10 Participants
1 x Noribogaine 10mg capsule twice daily
Noribogaine 40mg
n=12 Participants
1 x Noribogaine 20mg capsule twice daily
Noribogaine 60mg
n=12 Participants
1 x Noribogaine 10mg capsule and 1 x Noribogaine 20mg capsule twice daily
Noribogaine 80mg
n=9 Participants
2 x Noribogaine 20mg capsule twice daily
Placebo
n=12 Participants
Placebo capsules twice daily
Total
n=55 Participants
Total of all reporting groups
Age, Continuous
27.0 Years
STANDARD_DEVIATION 5.14 • n=270 Participants
28.7 Years
STANDARD_DEVIATION 7.6 • n=4 Participants
31.1 Years
STANDARD_DEVIATION 6.96 • n=9 Participants
29.1 Years
STANDARD_DEVIATION 4.91 • n=220 Participants
29.3 Years
STANDARD_DEVIATION 5.5 • n=3 Participants
29.1 Years
STANDARD_DEVIATION 6.12 • n=18 Participants
Sex: Female, Male
Female
1 Participants
n=270 Participants
3 Participants
n=4 Participants
9 Participants
n=9 Participants
3 Participants
n=220 Participants
4 Participants
n=3 Participants
20 Participants
n=18 Participants
Sex: Female, Male
Male
9 Participants
n=270 Participants
9 Participants
n=4 Participants
3 Participants
n=9 Participants
6 Participants
n=220 Participants
8 Participants
n=3 Participants
35 Participants
n=18 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=270 Participants
0 Participants
n=4 Participants
0 Participants
n=9 Participants
0 Participants
n=220 Participants
0 Participants
n=3 Participants
0 Participants
n=18 Participants
Race (NIH/OMB)
Asian
5 Participants
n=270 Participants
4 Participants
n=4 Participants
0 Participants
n=9 Participants
1 Participants
n=220 Participants
4 Participants
n=3 Participants
14 Participants
n=18 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=270 Participants
0 Participants
n=4 Participants
0 Participants
n=9 Participants
0 Participants
n=220 Participants
0 Participants
n=3 Participants
0 Participants
n=18 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=270 Participants
1 Participants
n=4 Participants
6 Participants
n=9 Participants
7 Participants
n=220 Participants
4 Participants
n=3 Participants
21 Participants
n=18 Participants
Race (NIH/OMB)
White
2 Participants
n=270 Participants
5 Participants
n=4 Participants
5 Participants
n=9 Participants
1 Participants
n=220 Participants
3 Participants
n=3 Participants
16 Participants
n=18 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=270 Participants
0 Participants
n=4 Participants
0 Participants
n=9 Participants
0 Participants
n=220 Participants
0 Participants
n=3 Participants
0 Participants
n=18 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=270 Participants
2 Participants
n=4 Participants
1 Participants
n=9 Participants
0 Participants
n=220 Participants
1 Participants
n=3 Participants
4 Participants
n=18 Participants
Region of Enrollment
United Kingdom
10 Participants
n=270 Participants
12 Participants
n=4 Participants
12 Participants
n=9 Participants
9 Participants
n=220 Participants
12 Participants
n=3 Participants
55 Participants
n=18 Participants
BMI
22.5 kg/m2
STANDARD_DEVIATION 3.1 • n=270 Participants
23.9 kg/m2
STANDARD_DEVIATION 2.36 • n=4 Participants
23.2 kg/m2
STANDARD_DEVIATION 2.45 • n=9 Participants
24.6 kg/m2
STANDARD_DEVIATION 3.01 • n=220 Participants
24.9 kg/m2
STANDARD_DEVIATION 2.35 • n=3 Participants
23.8 kg/m2
STANDARD_DEVIATION 2.68 • n=18 Participants

PRIMARY outcome

Timeframe: Day 1

Determination of maximum plasma concentration of noribogaine

Outcome measures

Outcome measures
Measure
Noribogaine 20mg
n=10 Participants
1 x Noribogaine 10mg capsule twice daily
Noribogaine 40mg
n=12 Participants
1 x Noribogaine 20mg capsule twice daily
Noribogaine 60mg
n=12 Participants
1 x Noribogaine 10mg capsule and 1 x Noribogaine 20mg capsule twice daily
Noribogaine 80mg
n=9 Participants
2 x Noribogaine 20mg capsule twice daily
Pharmacokinetics Cmax Day 1
10.4 ng/ml
Standard Deviation 3.26
22.7 ng/ml
Standard Deviation 8.47
39.5 ng/ml
Standard Deviation 8.27
45.2 ng/ml
Standard Deviation 10.5

PRIMARY outcome

Timeframe: Day 8

Determination of maximum plasma concentration of noribogaine

Outcome measures

Outcome measures
Measure
Noribogaine 20mg
n=10 Participants
1 x Noribogaine 10mg capsule twice daily
Noribogaine 40mg
n=12 Participants
1 x Noribogaine 20mg capsule twice daily
Noribogaine 60mg
n=12 Participants
1 x Noribogaine 10mg capsule and 1 x Noribogaine 20mg capsule twice daily
Noribogaine 80mg
n=9 Participants
2 x Noribogaine 20mg capsule twice daily
Pharmacokinetics Cmax Day 8
28.7 ng/ml
Standard Deviation 13.1
45.5 ng/ml
Standard Deviation 19.7
91.9 ng/ml
Standard Deviation 30.6
113 ng/ml
Standard Deviation 27.9

PRIMARY outcome

Timeframe: Day 1

Determination of the time to reach the maximum plasma concentration of noribogaine

Outcome measures

Outcome measures
Measure
Noribogaine 20mg
n=10 Participants
1 x Noribogaine 10mg capsule twice daily
Noribogaine 40mg
n=12 Participants
1 x Noribogaine 20mg capsule twice daily
Noribogaine 60mg
n=12 Participants
1 x Noribogaine 10mg capsule and 1 x Noribogaine 20mg capsule twice daily
Noribogaine 80mg
n=9 Participants
2 x Noribogaine 20mg capsule twice daily
Pharmacokinetics Tmax Day 1
4.01 hours
Interval 2.5 to 8.0
2.75 hours
Interval 1.5 to 8.03
3.27 hours
Interval 2.0 to 8.07
3.50 hours
Interval 1.5 to 8.07

PRIMARY outcome

Timeframe: Day 8

Determination of the time to reach the maximum plasma concentration of noribogaine

Outcome measures

Outcome measures
Measure
Noribogaine 20mg
n=10 Participants
1 x Noribogaine 10mg capsule twice daily
Noribogaine 40mg
n=12 Participants
1 x Noribogaine 20mg capsule twice daily
Noribogaine 60mg
n=12 Participants
1 x Noribogaine 10mg capsule and 1 x Noribogaine 20mg capsule twice daily
Noribogaine 80mg
n=9 Participants
2 x Noribogaine 20mg capsule twice daily
Pharmacokinetics Tmax Day 8
3.5 hours
Interval 1.5 to 4.0
1.87 hours
Interval 1.0 to 3.53
2.53 hours
Interval 1.5 to 4.0
3.0 hours
Interval 1.0 to 4.0

PRIMARY outcome

Timeframe: Day 1

Population: Insufficient datapoints to determine AUC for the missing participants.

Determination of the area under the plasma concentration-time curve from time 0 to t of noribogaine

Outcome measures

Outcome measures
Measure
Noribogaine 20mg
n=6 Participants
1 x Noribogaine 10mg capsule twice daily
Noribogaine 40mg
n=8 Participants
1 x Noribogaine 20mg capsule twice daily
Noribogaine 60mg
n=9 Participants
1 x Noribogaine 10mg capsule and 1 x Noribogaine 20mg capsule twice daily
Noribogaine 80mg
n=5 Participants
2 x Noribogaine 20mg capsule twice daily
Pharmacokinetics AUC0-t Day 1
87.8 ng·h/mL
Standard Deviation 40.1
196 ng·h/mL
Standard Deviation 48.0
335 ng·h/mL
Standard Deviation 92.2
414 ng·h/mL
Standard Deviation 72.6

PRIMARY outcome

Timeframe: Day 8

Determination of the area under the plasma concentration-time curve from time 0 to t of noribogaine

Outcome measures

Outcome measures
Measure
Noribogaine 20mg
n=10 Participants
1 x Noribogaine 10mg capsule twice daily
Noribogaine 40mg
n=12 Participants
1 x Noribogaine 20mg capsule twice daily
Noribogaine 60mg
n=12 Participants
1 x Noribogaine 10mg capsule and 1 x Noribogaine 20mg capsule twice daily
Noribogaine 80mg
n=9 Participants
2 x Noribogaine 20mg capsule twice daily
Pharmacokinetics AUC0-t Day 8
289 ng h/ml
Standard Deviation 152
429 ng h/ml
Standard Deviation 215
847 ng h/ml
Standard Deviation 329
1030 ng h/ml
Standard Deviation 275

PRIMARY outcome

Timeframe: Day 8

Population: Insufficient datapoints to determine AUC for missing participant.

Determination of the area under the plasma concentration-time curve from time 0 to infinity of noribogaine

Outcome measures

Outcome measures
Measure
Noribogaine 20mg
n=9 Participants
1 x Noribogaine 10mg capsule twice daily
Noribogaine 40mg
n=12 Participants
1 x Noribogaine 20mg capsule twice daily
Noribogaine 60mg
n=12 Participants
1 x Noribogaine 10mg capsule and 1 x Noribogaine 20mg capsule twice daily
Noribogaine 80mg
n=9 Participants
2 x Noribogaine 20mg capsule twice daily
Pharmacokinetics AUC0-infinity Day 8
934 ng h/ml
Standard Deviation 675
974 ng h/ml
Standard Deviation 679
2200 ng h/ml
Standard Deviation 1330
2550 ng h/ml
Standard Deviation 1210

PRIMARY outcome

Timeframe: Day 1

Population: Insufficient datapoints to calculate Thalf.

Determination of elimination half-life (t1/2) of noribogaine

Outcome measures

Outcome measures
Measure
Noribogaine 20mg
n=6 Participants
1 x Noribogaine 10mg capsule twice daily
Noribogaine 40mg
n=6 Participants
1 x Noribogaine 20mg capsule twice daily
Noribogaine 60mg
n=9 Participants
1 x Noribogaine 10mg capsule and 1 x Noribogaine 20mg capsule twice daily
Noribogaine 80mg
n=4 Participants
2 x Noribogaine 20mg capsule twice daily
Pharmacokinetics t1/2 Day 1
13.8 hours
Standard Deviation 4.2
10.5 hours
Standard Deviation 4.52
9.59 hours
Standard Deviation 2.38
11.5 hours
Standard Deviation 3.16

PRIMARY outcome

Timeframe: Day 8

Determination of elimination half-life (t1/2) of noribogaine

Outcome measures

Outcome measures
Measure
Noribogaine 20mg
n=10 Participants
1 x Noribogaine 10mg capsule twice daily
Noribogaine 40mg
n=12 Participants
1 x Noribogaine 20mg capsule twice daily
Noribogaine 60mg
n=12 Participants
1 x Noribogaine 10mg capsule and 1 x Noribogaine 20mg capsule twice daily
Noribogaine 80mg
n=9 Participants
2 x Noribogaine 20mg capsule twice daily
Pharmacokinetics t1/2 Day 8
23.0 hours
Standard Deviation 11.3
14.0 hours
Standard Deviation 4.34
28.4 hours
Standard Deviation 19.7
25.4 hours
Standard Deviation 12.1

Adverse Events

Noribogaine 20mg

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Noribogaine 40mg

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Noribogaine 60mg

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Noribogaine 80mg

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Noribogaine 20mg
n=10 participants at risk
1 x Noribogaine 10mg capsule twice daily
Noribogaine 40mg
n=12 participants at risk
1 x Noribogaine 20mg capsule twice daily
Noribogaine 60mg
n=12 participants at risk
1 x Noribogaine 10mg capsule and 1 x Noribogaine 20mg capsule twice daily
Noribogaine 80mg
n=9 participants at risk
2 x Noribogaine 20mg capsule twice daily
Placebo
n=12 participants at risk
Placebo capsules twice daily
Investigations
Electrocardiogram QT prolonged
0.00%
0/10 • From baseline until end of follow-up, up to 15 days.
16.7%
2/12 • From baseline until end of follow-up, up to 15 days.
50.0%
6/12 • From baseline until end of follow-up, up to 15 days.
77.8%
7/9 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
Nervous system disorders
Headache
0.00%
0/10 • From baseline until end of follow-up, up to 15 days.
16.7%
2/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/9 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
Psychiatric disorders
Anxiety
0.00%
0/10 • From baseline until end of follow-up, up to 15 days.
8.3%
1/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/9 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
Psychiatric disorders
Confusional state
0.00%
0/10 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
11.1%
1/9 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
Reproductive system and breast disorders
Dysmenorrhoea
0.00%
0/10 • From baseline until end of follow-up, up to 15 days.
8.3%
1/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/9 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
Skin and subcutaneous tissue disorders
Dermatitis contact
10.0%
1/10 • From baseline until end of follow-up, up to 15 days.
50.0%
6/12 • From baseline until end of follow-up, up to 15 days.
75.0%
9/12 • From baseline until end of follow-up, up to 15 days.
55.6%
5/9 • From baseline until end of follow-up, up to 15 days.
66.7%
8/12 • From baseline until end of follow-up, up to 15 days.
Vascular disorders
Dizziness postural
0.00%
0/10 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
8.3%
1/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/9 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
Vascular disorders
Presyncope
10.0%
1/10 • From baseline until end of follow-up, up to 15 days.
16.7%
2/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
22.2%
2/9 • From baseline until end of follow-up, up to 15 days.
8.3%
1/12 • From baseline until end of follow-up, up to 15 days.
Injury, poisoning and procedural complications
Vascular access site bruising
10.0%
1/10 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/9 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
Infections and infestations
Urinary tract infection
0.00%
0/10 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
8.3%
1/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/9 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
Infections and infestations
Viral infection
0.00%
0/10 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
8.3%
1/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/9 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
Cardiac disorders
Palpitations
0.00%
0/10 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
8.3%
1/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/9 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
Eye disorders
Conjunctivitis
0.00%
0/10 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
11.1%
1/9 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
Gastrointestinal disorders
Gastroenteritis viral
0.00%
0/10 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
8.3%
1/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/9 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
Gastrointestinal disorders
Nausea
20.0%
2/10 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
22.2%
2/9 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
Gastrointestinal disorders
Toothache
0.00%
0/10 • From baseline until end of follow-up, up to 15 days.
8.3%
1/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/9 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
Gastrointestinal disorders
Vomiting
0.00%
0/10 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
8.3%
1/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/9 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
General disorders
Injection site erythema
10.0%
1/10 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.
0.00%
0/9 • From baseline until end of follow-up, up to 15 days.
0.00%
0/12 • From baseline until end of follow-up, up to 15 days.

Additional Information

Principal Investigator

Richmond Pharmacology

Phone: 020 7042 5800

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place