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Stabilized Isoamyl Nitrite

Phase 1

Cyanide Poisoning | Small molecule | Other |Emergent BioSolutions Inc.|Last Updated: Jun 3, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDBiomarker
Total Trials1
Total Enrollment47
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05194358Study of SIAN Nasal Spray in Healthy AdultsPHASE1 COMPLETED 47Dec 21, 2021Oct 13, 2023Jun 3, 20252 United States
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Study Endpoints
Primary Endpoints
Related Serious Adverse Events (SAEs)
Through Day 8

Incidence of related SAEs

Methemoglobin (MetHb) level
Through 360 minutes post-dose

To determine the dose that will result in a 6-10% MetHb level

Secondary Endpoints
PK Endpoint: Maximum observed concentration (Cmax) of Isoamyl Alcohol (IAA metabolite)
Through 59 minutes post-dose
PK Endpoint: Time at which Cmax occurs (Tmax) of IAA
Through 59 minutes post-dose
PK Endpoint: Apparent first order terminal elimination half-life (t 1/2) of IAA
Through 59 minutes post-dose
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort 1 SIANEXPERIMENTALSIAN dose of 0.28 mg/kg (20 μL) will be administered from a single syringe-based spray device into left nostril.
Cohort 2 SIANEXPERIMENTALSIAN dose of 0.73 mg/kg (50 μL) will be administered from a single syringe-based spray device into left nostril.
Cohort 3 SIANEXPERIMENTALSIAN dose of 1.45 mg/kg (100 μL) will be administered from a single syringe-based spray device into left nostril.
Cohort 4 SIANEXPERIMENTALSIAN dose of 2.18 mg/kg (150 μL) will be administered from a single syringe-based spray device into left nostril.
Cohort 5 SIANEXPERIMENTALSIAN dose of 2.90 mg/kg (200 μL) will be administered in two syringe-based spray devices, each containing 100 μL, with dose administered in left then right nostril, one device per nostril. For doses of 2.90 milligram/kilogram (200 microliter) and higher, the dose will be split equally between the two nostrils to avoid drug overflow from the nose (using two syringe-based spray devices one immediately followed by the other). Lower doses will be administered by a single device to one nostril.
Cohort 6 SIANEXPERIMENTALSIAN dose of 3.63 mg/kg (250 μL) will be administered in two syringe-based spray devices, each containing 125 μL, with dose administered in left then right nostril, one device per nostril.
Cohort 7 SIANEXPERIMENTALSIAN dose of 4.35 mg/kg (300 μL) will be administered in two syringe-based spray devices, each containing 150 μL, with dose administered in left then right nostril, one device per nostril.
Interventions
NameTypeDescription
Stabilized Isoamyl Nitrite (SIAN)DRUGSIAN is comprised of isoamyl nitrite (IAN) stabilized with 4% by weight epoxidized linseed oil (ELSO) and administered by intranasal (IN) delivery as a nasal spray. A syringe-based spray device will be used to administer the SIAN product. This syringe-based spray device, consists of a Hamilton type syringe connected to a tip that functions as an atomizer, to provide an optimal spray plume for nasal absorption while minimizing exposure to lungs.
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Eligibility Criteria
Age Range18 Years — 45 Years
SexALL
Healthy VolunteersYes
Study Sites2

Inclusion Criteria: 1. Able and willing to provide informed consent (and assent as applicable) voluntarily signed by subject/guardian/legally acceptable representative. 2. Generally healthy, in the opinion of the PI, medical history, physical examination, vital signs, ECG and laboratory assessments...

Countries:United States
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