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MIRA Pharmaceuticals Announces Completion of Phase 1 Single Ascending Dose for Oral Ketamir-2 with No Safety Concerns, Advances to Multiple Ascending Dose Stage

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MIRA Pharmaceuticals (NASDAQ:MIRA) has successfully completed the Single Ascending Dose (SAD) portion of its Phase 1 clinical trial for oral Ketamir-2, demonstrating favorable safety and tolerability with no severe adverse effects. The study, conducted at Hadassah Clinical Research Center in Israel, evaluated four cohorts with doses ranging from 50mg to 600mg across 32 participants.

The company is now advancing to the Multiple Ascending Dose (MAD) stage, which will test three cohorts with daily doses of 150mg, 300mg, and 600mg for five consecutive days in up to 24 participants. MIRA plans to initiate a Phase 2a trial for neuropathic pain in Q4 2025, targeting a market of 36-51 million people in North America.

MIRA Pharmaceuticals (NASDAQ:MIRA) ha completato con successo la fase Single Ascending Dose (SAD) del suo studio clinico di Fase 1 per l'assunzione orale di Ketamir-2, mostrando un profilo di sicurezza e tollerabilità favorevole senza effetti avversi gravi. Lo studio, condotto al Hadassah Clinical Research Center in Israele, ha valutato quattro coorti con dosi comprese tra 50 mg e 600 mg su 32 partecipanti.

L'azienda sta ora passando alla fase Multiple Ascending Dose (MAD), che testerà tre coorti con dosi giornaliere di 150 mg, 300 mg e 600 mg per cinque giorni consecutivi in fino a 24 partecipanti. MIRA prevede di avviare una Fase 2a per il dolore neuropatico nel Q4 2025, puntando a un mercato di 36-51 milioni di persone in Nord America.

MIRA Pharmaceuticals (NASDAQ:MIRA) ha completado con éxito la parte de Dosis Única Ascendente (SAD) de su ensayo clínico de fase 1 para la formulación oral de Ketamir-2, demostrando una seguridad y tolerabilidad favorables sin efectos adversos graves. El estudio, realizado en el Hadassah Clinical Research Center en Israel, evaluó cuatro cohortes con dosis que oscilaron entre 50 mg y 600 mg en 32 participantes.

La compañía avanza ahora a la fase de Dosis Múltiples Ascendentes (MAD), que probará tres cohortes con dosis diarias de 150 mg, 300 mg y 600 mg durante cinco días consecutivos en hasta 24 participantes. MIRA planea iniciar un ensayo de fase 2a para el dolor neuropático en el Q4 de 2025, dirigido a un mercado de 36-51 millones de personas en Norteamérica.

MIRA Pharmaceuticals (NASDAQ:MIRA)는 경구용 Ketamir-2에 대한 1상 임상시험의 단회 상승 용량(SAD) 단계를 성공적으로 완료했으며, 중대한 이상반응 없이 안전성과 내약성이 양호함을 입증했습니다. 이스라엘 Hadassah Clinical Research Center에서 수행된 이 연구는 32명의 참가자를 대상으로 50mg에서 600mg까지 4개 코호트를 평가했습니다.

회사는 현재 다회 상승 용량(MAD) 단계로 진입하며, 최대 24명의 참가자에서 연속 5일 동안 일일 150mg, 300mg, 600mg의 3개 코호트를 시험할 예정입니다. MIRA는 2025년 4분기 Q4에 신경병성 통증 대상의 2a상 시험을 시작할 계획이며, 북미에서 3,600만~5,100만 명의 시장을 목표로 하고 있습니다.

MIRA Pharmaceuticals (NASDAQ:MIRA) a achevé avec succès la partie Single Ascending Dose (SAD) de son essai clinique de phase 1 pour la forme orale de Ketamir-2, démontrant une bonne sécurité et tolérance sans effets indésirables graves. L'étude, menée au Hadassah Clinical Research Center en Israël, a évalué quatre cohortes avec des doses comprises entre 50 mg et 600 mg sur 32 participants.

L'entreprise passe désormais à l'étape Multiple Ascending Dose (MAD), qui testera trois cohortes avec des doses quotidiennes de 150 mg, 300 mg et 600 mg pendant cinq jours consécutifs chez jusqu'à 24 participants. MIRA prévoit de lancer un essai de phase 2a pour la douleur neuropathique au T4 2025, ciblant un marché de 36 à 51 millions de personnes en Amérique du Nord.

MIRA Pharmaceuticals (NASDAQ:MIRA) hat den Single Ascending Dose (SAD)-Teil seiner Phase‑1‑Studie für die orale Formulierung Ketamir-2 erfolgreich abgeschlossen und dabei eine günstige Sicherheits- und Verträglichkeitsbilanz ohne schwerwiegende unerwünschte Ereignisse gezeigt. Die Studie wurde am Hadassah Clinical Research Center in Israel durchgeführt und untersuchte vier Kohorten mit Dosen von 50 mg bis 600 mg bei 32 Teilnehmenden.

Das Unternehmen geht jetzt in die Multiple Ascending Dose (MAD)-Phase über, die drei Kohorten mit täglichen Dosen von 150 mg, 300 mg und 600 mg über fünf aufeinanderfolgende Tage in bis zu 24 Teilnehmenden prüfen wird. MIRA plant, im Q4 2025 eine Phase‑2a‑Studie bei neuropathischen Schmerzen zu starten und zielt auf einen Markt von 36–51 Millionen Menschen in Nordamerika ab.

Positive
  • Successful completion of Phase 1 SAD trial with favorable safety profile
  • No severe or clinically significant adverse effects observed in any dose level
  • Preclinical studies showed superior efficacy versus ketamine, pregabalin, and gabapentin
  • Large market opportunity targeting 36-51 million neuropathic pain patients in North America
Negative
  • Phase 1 trial remains ongoing and blinded
  • Approximately one-third of investigational drugs typically fail during Phase 1
  • Multiple competing treatments already exist in the market

Insights

MIRA's Ketamir-2 successfully clears Phase 1 SAD trial with positive safety profile, advancing to MAD stage before Phase 2a for neuropathic pain.

MIRA Pharmaceuticals has achieved a critical milestone in its clinical development program for Ketamir-2, successfully completing the Single Ascending Dose (SAD) portion of its Phase 1 trial with no severe or clinically significant adverse effects observed across four cohorts (doses ranging from 50mg to 600mg). This safety profile is particularly noteworthy since approximately one-third of investigational drugs fail during Phase 1 due to safety concerns, according to the Tufts Center for the Study of Drug Development.

The trial employed rigorous CNS safety monitoring using validated assessment tools including the Columbia-Suicide Severity Rating Scale, Bowdle Visual Analogue Scale, and Ketamine Side Effect Tool—essential for detecting potential psychiatric or dissociative effects that might be associated with NMDA receptor-targeting compounds like Ketamir-2. This comprehensive safety monitoring strategy provides strong validation for the preliminary safety findings.

The company is now advancing to the Multiple Ascending Dose (MAD) stage, evaluating three cohorts receiving daily doses of 150mg, 300mg, or 600mg for five consecutive days in up to 24 participants. This progression keeps MIRA on track for its planned Phase 2a trial in neuropathic pain, scheduled to begin in Q4 2025 following their FDA IND clearance.

What's particularly promising is how Ketamir-2's clinical profile aligns with preclinical data showing superior efficacy in neuropathic pain models compared to existing treatments like pregabalin and gabapentin, without ketamine's dissociative side effects. As an orally bioavailable compound targeting the NMDA receptor with low affinity and minimal off-target activity, Ketamir-2 could potentially address the significant unmet need in the neuropathic pain market affecting 36-51 million people in North America alone. The company is strategically positioned to expand its clinical program to other indications including depression, anxiety, and PTSD, contingent upon continued positive results.

Following FDA IND clearance for neuropathic pain, the Company is preparing to initiate its U.S. Phase 2a trial in Q4 2025

MIAMI, FL / ACCESS Newswire / August 19, 2025 / MIRA Pharmaceuticals, Inc. (NASDAQ:MIRA) ("MIRA" or the "Company"), a clinical-stage pharmaceutical company developing novel oral therapeutics for neurologic, neuropsychiatric, and metabolic disorders, today announced the successful completion of the Single Ascending Dose (SAD) portion of its ongoing Phase 1 clinical trial evaluating oral Ketamir-2. The study, conducted at the Hadassah Clinical Research Center in Israel under the direction of Principal Investigator Prof. Yoseph Caraco, demonstrated a favorable safety and tolerability profile, with no severe or clinically significant adverse effects observed to date.

"Completion of the SAD portion with a favorable safety and tolerability profile is an important milestone in the clinical development of Ketamir-2," said Prof. Yoseph Caraco, Principal Investigator of the Phase 1 study. "Importantly, no severe or clinically significant adverse effects have been observed to date, which supports continued progression into the Multiple Ascending Dose stage of the trial."

Phase 1 Study Overview

The study- "A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Single-Centre Study of Single and Repeated Dosing of Ascending Doses, to Evaluate the Safety, Tolerability and Pharmacokinetics of Oral Ketamir-2 in Healthy Adult Subjects"-is designed to establish the safety, tolerability, and pharmacokinetics of Ketamir-2 in healthy adult volunteers.

  • Design: Single-center, randomized, double-blind, placebo-controlled SAD/MAD with sentinel dosing and Safety Steering Committee (SSC) reviews between cohorts.

  • SAD completed: Four cohorts (single doses 50 mg to 600 mg); 32 participants treated (male and female).

  • Safety monitoring: Extensive central nervous system (CNS) safety assessments were performed using well-validated clinical research tools:

    • Columbia-Suicide Severity Rating Scale (C-SSRS) - screens for suicidal ideation or behavior, supporting early detection of potential mood or psychiatric changes.

    • Bowdle Visual Analogue Scale (VAS) - measures possible psychedelic or dissociative effects sometimes seen with ketamine and related compounds.

    • Ketamine Side Effect Tool (KSET) - tracks a broad range of known ketamine-related side effects over time, including sensory, cognitive, and mood changes.
      These tools provided multiple, complementary layers of safety evaluation to help detect even subtle CNS effects throughout the trial.

  • Status: To date, no severe or clinically significant adverse effects have been observed at any dose level in the SAD portion of the study.

While the study remains ongoing and blinded, it is worth noting that, across the pharmaceutical industry as a whole, approximately one-third of investigational drugs fail during Phase 1 due to safety concerns (Tufts Center for the Study of Drug Development). These interim observations provide encouraging context as MIRA advances Ketamir-2 through the next stage of clinical evaluation, consistent with the Company's mission to prioritize safety in every step of development.

The Company is advancing to the Multiple Ascending Dose (MAD) portion, which will evaluate three cohorts receiving daily oral doses of 150 mg, 300 mg, or 600 mg for five consecutive days in up to 24 participants.

"The emerging human safety profile complements the preclinical data we've generated, which show Ketamir-2's superior efficacy in multiple neuropathic pain models without triggering the hallmark CNS side effects of ketamine," said Dr. Itzchak Angel, Chief Scientific Advisor of MIRA. "This combination of efficacy, safety, and oral delivery positions Ketamir-2 as a promising next-generation treatment for neuropathic pain and potentially other CNS disorders."

Strategic & Commercial Potential

Ketamir-2 is a proprietary, orally bioavailable new molecular entity that selectively targets the NMDA receptor (PCP site) with low affinity and shows no significant off-target activity across a broad receptor panel. Preclinical studies have demonstrated superior performance versus ketamine, pregabalin, or gabapentin (depending on comparator and model) in gold-standard neuropathic pain models-without the dissociative effects associated with ketamine.

Neuropathic pain affects an estimated 36-51 million people in North America and represents a multi-billion-dollar market today, with long-term growth driven by diabetes prevalence, cancer survivorship, and aging-related nerve damage. MIRA intends to submit a Phase 2a clinical protocol in neuropathic pain by year-end 2025 and continue evaluating potential applications in depression, anxiety, PTSD, and localized pain, subject to ongoing results and regulatory feedback.

"We are pleased to see our Phase 1 program progress as planned," said Erez Aminov, CEO of MIRA. "Advancing into the MAD stage is an important operational step as we continue to build a rigorous safety and PK foundation for Ketamir-2 and work to deliver a differentiated, non-opioid option for patients with neuropathic pain."

About MIRA Pharmaceuticals, Inc.

MIRA Pharmaceuticals, Inc. (NASDAQ:MIRA) is a clinical-stage pharmaceutical company focused on the development and commercialization of novel therapeutics for neurologic, neuropsychiatric, and metabolic disorders. The Company's pipeline includes oral drug candidates designed to address significant unmet medical needs in areas such as neuropathic pain, inflammatory pain, obesity, addiction, anxiety, and cognitive decline.

For more information, please visit www.mirapharmaceuticals.com.

Cautionary Note Regarding Forward-Looking Statements

This press release and the statements of MIRA's management related thereto contain "forward-looking statements," which are statements other than historical facts made pursuant to the safe harbor provisions of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. These statements may be identified by words such as "aims," "anticipates," "believes," "could," "estimates," "expects," "forecasts," "goal," "intends," "may," "plans," "possible," "potential," "seeks," "will," and variations of these words or similar expressions that are intended to identify forward-looking statements. Any statements in this press release that are not historical facts may be deemed forward-looking. Any forward-looking statements in this press release are based on MIRA's current expectations, estimates, and projections only as of the date of this release and are subject to a number of risks and uncertainties (many of which are beyond MIRA's control) that could cause actual results to differ materially and adversely from those set forth in or implied by such forward-looking statements, including related to MIRA's potential merger with SKNY Pharmaceuticals, Inc. These and other risks concerning MIRA's programs and operations are described in additional detail in the Annual Report on Form 10-K for the year ended December 31, 2024, and the Form 14A filed by MIRA on June 18, 2025, and other SEC filings, which are on file with the SEC at www.sec.gov and on MIRA's website at https://www.mirapharmaceuticals.com/investors/sec-filings. MIRA explicitly disclaims any obligation to update any forward-looking statements except to the extent required by law.

Contact:
Helga Moya
info@mirapharma.com
(786) 432-9792

SOURCE: MIRA Pharmaceuticals



View the original press release on ACCESS Newswire

FAQ

What were the results of MIRA Pharmaceuticals' Phase 1 SAD trial for Ketamir-2?

The Phase 1 SAD trial demonstrated a favorable safety and tolerability profile with no severe or clinically significant adverse effects across four cohorts testing doses from 50mg to 600mg in 32 participants.

When will MIRA Pharmaceuticals begin Phase 2a trials for Ketamir-2?

MIRA plans to initiate its Phase 2a clinical trial for neuropathic pain in Q4 2025 following the completion of the current Phase 1 MAD stage.

What is the market potential for MIRA's Ketamir-2?

Ketamir-2 targets the neuropathic pain market, which affects 36-51 million people in North America, representing a multi-billion-dollar opportunity with growth driven by diabetes, cancer survivorship, and aging-related nerve damage.

How does Ketamir-2 differ from existing treatments?

Ketamir-2 is an orally bioavailable compound that selectively targets the NMDA receptor with low affinity. Preclinical studies showed superior efficacy compared to ketamine, pregabalin, and gabapentin without ketamine's dissociative effects.

What is the next stage in MIRA's Ketamir-2 clinical trials?

MIRA is advancing to the Multiple Ascending Dose (MAD) stage, testing three cohorts with daily doses of 150mg, 300mg, and 600mg for five consecutive days in up to 24 participants.
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