Safety, Tolerability and Prophylactic Antiviral Activity of Neumifil Against Influenza Via a Human Viral Challenge Model

Exclusion Criteria

• •1. History of, or currently active, symptoms or signs suggestive of upper or lower respiratory tract (URT, LRT) infection within 4 weeks prior to the first study visit.
• •2. Any history or evidence of any clinically significant or currently active cardiovascular, respiratory, dermatological, gastrointestinal, endocrinological, haematological, hepatic, immunological (including immunosuppression), metabolic, urological, renal, neurological, or psychiatric disease and/or other major disease that, in the opinion of the investigator, may interfere with a participant completing the study and necessary investigations. Includes a history of depression or anxiety.
• •3. Any participants who have smoked ≥ 10 pack years at any time.
• •4. Females who are pregnant or breastfeeding
• •5. Any history of anaphylaxis or history of severe allergic reactions to any foods, drugs, insect bites or stings or any known allergy to tetracycline antibiotics.
• •6. Venous access deemed inadequate for the phlebotomy and cannulation demands of the study.
• •7. a) Any significant abnormality altering the anatomy of the nose in a substantial way or nasopharynx that may interfere with the aims of the study and, in particular, any of the nasal assessments or viral challenge b) Any evidence of nasal inflammation or nasal polyps within the last month c) Any clinically significant history of epistaxis (large nosebleeds) within the last 3 months of the first study visit and/or history of being hospitalised due to epistaxis on any previous occasion.
• •d) Any nasal or sinus surgery within 3 months of the first study visit. Prior or Concomitant Medications and Assessments
• •8. a) Evidence of vaccinations within the 4 weeks prior to the planned date of first dosing with IMP.
• •b) Intention to receive any vaccination(s) before the last day of follow-up (with the exception of vaccinations recommended for COVID19 as defined by Medicines and Healthcare Regulatory Agency (MHRA)/government vaccination guidelines). No travel restrictions apply after the Day 28 (±3 days) follow-up visit.
• •c) Receipt of influenza vaccine (or another IMP relating to treatment of influenza) in the last 6 months prior to the planned date of viral challenge OR a diagnosis of influenza or influenza-like illness confirmed by a physician within the last 2 months prior to screening.
• •9. Receipt of blood or blood products, or loss (including blood donations) of 550 mL or more of blood during the 3 months prior to the planned date of first dosing with IMP or planned during the 3 months after the final follow-up visit.
• •10. a) Receipt of any investigational drug within 3 months (or 5 half-lives of the IMP used in the other study, whichever is greater), prior to the planned date of first dosing with IMP.
• •b) Receipt of 3 or more investigational drugs within the previous 12 months prior to the planned date of first dosing with IMP.
• •c) Prior inoculation with a virus from the same virus-family as the challenge virus.
• •d) Prior participation in another human viral challenge study with a respiratory virus in the preceding 3 months.
• •11. Use or anticipated use during the conduct of the study of concomitant medications
• •12. Confirmed positive test for drugs of misuse and cotinine on first study visit
• •13 Recent history or presence of alcohol addiction, or excessive use of alcohol
• •14\. A FEV1 \<80%, a FVC \<80% predicted, or an FEV1/FVC ratio \<0.7. 15. Positive HIV, hepatitis B virus, or hepatitis C virus test.