Recruiting
Phase 1

Nalmefene Implants

Sponsor:

ReacX Pharmaceuticals, Inc.

Code:

NCT07325279

Conditions

Opioid Abuse and Addiction

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Accepted

Interventions

1 Nalmefene implant

2 Nalmefene implants

Study Details

Brief summary:

The goal of this clinical trial is to learn how safe either one or two nalmefene implants are after remaining implanted for 4 or 12 weeks.

Additionally the pharmacokinetics (PK), how fast the drug is absorbed into the body and how long it remains in the body, will also be studies.

The data collected in this healthy volunteer study will inform the Sponsor on how best to proceed with future trials in the intended patient population.

Conditions

Opioid Abuse and Addiction

Study ID

NCT07325279

Start date

Feb 23, 2026

Status verified date

Dec, 2025

Completion date

Dec, 2026

Anticipated

Primary completion date

Dec, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Accepted

Inclusion Criteria:

\- Subjects must meet all of the following criteria to be included in the study:

1. Male or female, non-smoker, ≥18 and ≤55 years of age, with body mass index (BMI) >18.5 and <35.0 kg/m2 and body weight ≥50.0 kg for males and ≥45.0 kg for females.
2. Healthy as defined by:

1. the absence of clinically significant illness and surgery within 4 weeks prior to implant insertion.
2. the absence of clinically significant history of dermatologic, neurological, musculoskeletal, endocrine, cardiovascular, respiratory, hematological, immunological, psychiatric, gastrointestinal, renal, hepatic, and metabolic disease.
3. Female subjects of non-childbearing potential must be:

1. post-menopausal with confirmation by documented follicle-stimulating hormone (FSH) test; or
2. surgically sterile .
4. Female subjects of childbearing potential who are sexually active with a non-sterile male partner must be willing to use an acceptable contraceptive methods throughout the study and for 30 days after the implant is removed:
5. Male subjects who are not vasectomized for at least 3 months prior to implant insertion and who are sexually active with a female partner of childbearing potential must be willing to use an acceptable contraceptive methods from implant insertion and for 30 days after the implant is removed:

6 Able to understand the study procedures and provide signed informed consent to participate in the study.

Exclusion Criteria:

  • Subjects to whom any of the following applies will be excluded from the study:

1. Any clinically significant abnormal finding at physical examination at screening.
2. Clinically significant history of or current evidence of suicidal ideation or active suicidal behavior as based on the C-SSRS.
3. Clinically significant history or current evidence of depression as based on the MADRS.
4. Clinically significant abnormal laboratory test results or positive serology test results for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibody, or human immunodeficiency virus (HIV) antigen and antibody at screening.
5. Positive pregnancy test or lactating female subject.
6. Positive urine drug screen, urine cotinine test, or alcohol breath test.
7. Known medically significant intolerance or allergic reactions to nalmefene or to ethylene vinyl acetate
8. Hypersensitivity to lidocaine or other local anesthetics of the amide type, epinephrine, antiseptic solution
9. Clinically significant ECG abnormalities or vital signs abnormalities
10. History of drug use within 1 year prior to screening or recreational use of marijuana within 1 month
11. History of alcohol abuse within 1 year prior to screening
12. Use of medications for the timeframes specified below:

1. depot injection or implant within 3 months prior to implant insertion;
2. any drug known to induce hepatic drug metabolism within 30 days prior to implant insertion;
3. prescription medications within 14 days prior to implant insertion;
4. any vaccine within 14 days prior to implant insertion;
5. over-the-counter medications and natural health products within 7 days prior to implant insertion
13. Participation in a clinical research study involving the administration of an investigational or marketed drug or device within 30 days prior to implant insertion,
14. Donation of plasma within 7 days prior to dosing or donation or
15. Intolerant to venipuncture and/or have difficulty with venous access.
16. History of wound healing problems.
17. Lymphedema, scarring, or tattoos on his/her inner upper arms within 2 months prior to screening or a history of keloid scarring.
18. Any dermatologic disorder, including cancer, that precludes the safety of the implant
19. Any reason which, in the opinion of the Investigator, would prevent the subject from participating in the study.

Study Design

Enrollment

24 participants

Anticipated

Allocation

Non randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

active comparator: Cohort 1; 1 Implant

active comparator: Cohort 2; 2 Implants

Interventions

1 Nalmefene implant

One implant

2 Nalmefene implants

Two Implants

Primary outcome measure

  • Number of participants with Adverse Events (AEs) after implantation with 1 or 2 nalmefene implants. [ Time Frame: Day 1 up to Week 12 or Week 24 ]
  • Columbia-Suicide Severity Rating Scale (C-SSRS) [ Time Frame: Day 1 and Day 2 ]
  • Montgomery-Asberg Depression Rating Scale (MADRS) [ Time Frame: Day 1 and Day 2 ]

Central Contacts and Locations

Central contacts

Locations

Premier Research

Recruiting

Morrisville, North Carolina, United States, 27560

More Information

Sponsor

ReacX Pharmaceuticals, Inc.

Last update posted

Apr 6, 2026

Last verified

Dec, 2025

Keywords

  • nalmefene implant opioid addition

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by ReacX Pharmaceuticals, Inc. on 2026-04-06.