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MIRA Pharmaceuticals Enrolls First Subjects in Phase 1 Clinical Trial of Ketamir-2 for Neuropathic Pain

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MIAMI, FLORIDA / ACCESS Newswire / April 1, 2025 / MIRA Pharmaceuticals, Inc. (NASDAQ:MIRA), a clinical-stage pharmaceutical company developing breakthrough therapeutics for neurologic and neuropsychiatric disorders, today announced the enrollment of the first subjects in its Phase 1 clinical trial of Ketamir-2, a novel oral ketamine analog in development for the treatment of neuropathic pain.

The Phase 1 trial is being conducted at the Clinical Pharmacology Unit of Hadassah Medical Center in Jerusalem, Israel. This randomized, double-blind, placebo-controlled study will assess the safety, tolerability, and pharmacokinetics of Ketamir-2 in healthy adult volunteers. A total of 56 subjects will be enrolled across both Single Ascending Dose (SAD) and Multiple Ascending Dose (MAD) cohorts.

This important clinical milestone follows compelling preclinical data, where Ketamir-2 demonstrated superior efficacy compared to FDA-approved neuropathic pain treatments, including pregabalin and gabapentin. It also showed a strong safety profile and oral bioavailability, without the dissociative or psychedelic effects commonly associated with ketamine. Additionally, Ketamir-2 is not a substrate for P-glycoprotein (P-gp), which supports its ability to efficiently cross the blood-brain barrier-a critical factor in treating central nervous system disorders.

"The Phase 1 trial is progressing smoothly and according to plan," said Dr. Itzchak Angel, Chief Scientific Advisor at MIRA. "Ketamir-2's unique mechanism and pharmacological profile make it a highly promising candidate for neuropathic pain. If successful, it could represent a safer, non-addictive alternative to opioids and a more effective option than current standard treatments like pregabalin and gabapentin."

Phase 1 Completion and Clinical Timeline

MIRA anticipates completing the Phase 1 study by Q4 2025. The Company plans to initiate a Phase 2a trial in patients with diabetic neuropathic pain by year-end, with first human efficacy data expected in the first half of 2026.

Expansion into Topical Ketamir-2 Formulation

MIRA has also successfully formulated a topical version of Ketamir-2, designed for slow-release, localized delivery in the treatment of inflammatory and neuropathic pain. This approach may offer targeted pain relief at the site of application while minimizing systemic exposure. Preclinical studies are ongoing to assess efficacy, with results expected to guide the next steps in clinical development.

Strategic Pipeline Growth Through SKNY Pharmaceuticals Acquisition

MIRA is also advancing the acquisition of SKNY Pharmaceuticals under a binding letter of intent. The transaction includes a $5 million capital infusion-comprised of cash or equivalent consideration-into MIRA, further strengthening the Company's financial position and supporting the advancement of SKNY-1, a next-generation oral therapeutic for weight loss and smoking cessation. The timing of this acquisition is especially significant given the widespread use and growing concern around GLP-1-based weight loss treatments such as Wegovy® (semaglutide) and Saxenda® (liraglutide). While these therapies have shown effectiveness, they are often associated with gastrointestinal side effects, gallbladder issues, muscle loss, high discontinuation rates, and both carry an FDA Black Box warning. Additionally, they require ongoing injections and come with substantial costs, creating barriers for long-term use and broad accessibility.