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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/show/NCT04458805




Registration number
NCT04458805
Ethics application status
Date submitted
16/06/2020
Date registered
7/07/2020
Date last updated
29/01/2021

Titles & IDs
Public title
Safety, Tolerability and Pharmacokinetics of Oral NX-13 in Healthy Adults Male and Female Volunteers
Scientific title
A Randomized, Double-Blind, Placebo-Controlled, Single and Multiple Dose-Escalation Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Oral NX-13 in Healthy Adult Male and Female Volunteers
Secondary ID [1] 0 0
NX-13-1a
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Ulcerative Colitis 0 0
Condition category
Condition code
Oral and Gastrointestinal 0 0 0 0
Inflammatory bowel disease

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - NX-13 250 mg
Treatment: Drugs - Placebo

Experimental: NX-13 250mg - Dose escalation in Part A will be conducted in 5 cohorts (Cohorts 1 to 5). Seven participants will be enrolled in each cohort and randomized to receive either NX-13 or placebo (ratio 5:2). NX-13 will be administered to Cohort 1 participants at the starting dose of 250 mg and increased in each new cohort. Five nominal dose levels in the range of 250 to 4000 mg have been selected for evaluation in Part A. The starting dose level in Part B will be determined by the SRC based on safety and tolerability data obtained in Part A. A dose level will only be evaluated in Part B if determined to be safe and tolerable in Part A. It is anticipated that 3 dose levels will be evaluated in Part B in a total of 3 cohorts (Cohorts 6 to 8). Seven participants will be enrolled in each cohort and will be randomized to receive a single oral dose of either NX-13 or placebo (ratio 5:2), once daily for seven days. NX-13 dose levels to be evaluated in Part B will be in the range of 500 to 4000 mg.

Placebo Comparator: Placebo - Dose escalation in Part A will be conducted in 5 cohorts (Cohorts 1 to 5). Seven participants will be enrolled in each cohort and randomized to receive either NX-13 or placebo (ratio 5:2). NX-13 will be administered to Cohort 1 participants at the starting dose of 250 mg and increased in each new cohort. Five nominal dose levels in the range of 250 to 4000 mg have been selected for evaluation in Part A. The starting dose level in Part B will be determined by the SRC based on safety and tolerability data obtained in Part A. A dose level will only be evaluated in Part B if determined to be safe and tolerable in Part A. It is anticipated that 3 dose levels will be evaluated in Part B in a total of 3 cohorts (Cohorts 6 to 8). Seven participants will be enrolled in each cohort and will be randomized to receive a single oral dose of either NX-13 or placebo (ratio 5:2), once daily for seven days. NX-13 dose levels to be evaluated in Part B will be in the range of 500 to 4000 mg.


Treatment: Drugs: NX-13 250 mg
Dose escalation in Part A will be conducted in a total of 5 cohorts (Cohorts 1 to 5). Seven participants will be enrolled in each cohort and will be randomized to receive either NX-13 or placebo (ratio 5:2). NX-13 will be administered to Cohort 1 participants at the starting dose of 250 mg. The NX-13 dose will be increased in each new cohort. Five nominal dose levels in the range of 250 to 4000 mg have been selected for evaluation in Part A.
It is anticipated that 3 dose levels will be evaluated in Part B in a total of 3 cohorts (Cohorts 6 to 8). Seven participants will be enrolled in each cohort and will be randomized to receive a single oral dose of either NX-13 or placebo (ratio 5:2), once daily for seven days.

Treatment: Drugs: Placebo
Dose escalation in Part A will be conducted in a total of 5 cohorts (Cohorts 1 to 5). Seven participants will be enrolled in each cohort and will be randomized to receive either NX-13 or placebo (ratio 5:2). NX-13 will be administered to Cohort 1 participants at the starting dose of 250 mg. The NX-13 dose will be increased in each new cohort. Five nominal dose levels in the range of 250 to 4000 mg have been selected for evaluation in Part A.
It is anticipated that 3 dose levels will be evaluated in Part B in a total of 3 cohorts (Cohorts 6 to 8). Seven participants will be enrolled in each cohort and will be randomized to receive a single oral dose of either NX-13 or placebo (ratio 5:2), once daily for seven days.

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Specific assessments to evaluate the incidence, severity and relationship of adverse events (AEs) - Specific assessments to evaluate treatment safety and tolerability include the following: the incidence, severity, and relationship of AEs
Timepoint [1] 0 0
Part A: 37 days Part B: 44 days
Primary outcome [2] 0 0
Incidence of abnormal Physical examination findings - Specific assessments to evaluate treatment safety and tolerability include the following: physical examinations
Timepoint [2] 0 0
Part A: 37 days Part B: 44 days
Primary outcome [3] 0 0
Measurement of body weight (Part B only) - Specific assessments to evaluate treatment safety and tolerability include the following: measurement of body weight (Part B only)
Timepoint [3] 0 0
Part A: 37 days Part B: 44 days
Primary outcome [4] 0 0
Incidence of abnormal clinical laboratory test results - Specific assessments to evaluate treatment safety and tolerability include the following: change from baseline in clinical laboratory parameters (ie, hematology, serum chemistry, coagulation, and urinalysis parameters)
Timepoint [4] 0 0
Part A: 37 days Part B: 44 days
Primary outcome [5] 0 0
Incidence of abnormal ECG results - Specific assessments to evaluate treatment safety and tolerability include the following: 12-lead ECG
Timepoint [5] 0 0
Part A: 37 days Part B: 44 days
Primary outcome [6] 0 0
Incidence of abnormal vital signs - Specific assessments to evaluate treatment safety and tolerability include the following: vital signs
Timepoint [6] 0 0
Part A: 37 days Part B: 44 days
Secondary outcome [1] 0 0
Plasma concentration of NX-13 - Blood samples for pharmacokinetic (PK) analysis will be collected prior to dosing and at several timepoints up to 48 hours post-dose. Plasma concentrations of NX-13 will be determined at each timepoint and used to calculate PK parameters.
Timepoint [1] 0 0
Part A: 37 days Part B: 44 days
Secondary outcome [2] 0 0
Urine concentration of NX-13 - Urine samples for analysis of NX-13 concentrations may also be collected prior to dosing and within 0-48 hours post-dose.
Timepoint [2] 0 0
Part A: 37 days Part B: 44 days
Secondary outcome [3] 0 0
Fecal concentration of NX-13 - Fecal samples for analysis of NX-13 concentrations may also be collected prior to dosing and within 24-48 hours post-dose.
Timepoint [3] 0 0
Part A: 37 days Part B: 44 days
Secondary outcome [4] 0 0
Measurement of NX-13 levels in stool - A small stool sample will be collected pre and post-dose for the measurement of calprotectin in the feces.
Changes in fecal calprotectin levels following administration of NX-13 will be evaluated. Elevated fecal calprotectin indicates the migration of neutrophils to the intestinal mucosa, which occurs during intestinal inflammation.
Timepoint [4] 0 0
Part A: 37 days Part B: 44 days

Eligibility
Key inclusion criteria
- Healthy volunteers will be included in Part A or Part B of the study if they satisfy
all the following criteria:

1. Must have given written informed consent before any study-related activities are
carried out and must be able to understand the full nature and purpose of the
trial, including possible risks and adverse effects;

2. Adult males and females, 18 to 64 years of age (inclusive) at screening;

3. Body mass index (BMI) = 19.0 and = 31.0 kg/m2, with a body weight = 60.0 and =
85.0 kg at screening;

4. Be nonsmokers (including tobacco, e-cigarettes and marijuana) for at least 1
month prior to first study drug administration;

5. Medically healthy without clinically significant abnormalities at screening and
pre-dose on Day 1, including:

1. Physical examination without any clinically relevant findings;

2. Systolic blood pressure in the range of 90 to 160 mmHg and diastolic blood
pressure in the range of 50 to 95 mmHg after 5 minutes in supine position;

3. Heart rate (HR) in the range of 50 to 100 bpm after 5 minutes rest in supine
position;

4. Body temperature, between 35.0°C and 37.5°C;

5. No clinically significant findings in serum chemistry, hematology,
coagulation and urinalysis tests as judged by the investigator;

6. Conventional 12-lead ECG recording in triplicate (the mean of triplicate
measurements will be used to determine eligibility at screening and Day-1)
consistent with normal cardiac conduction and function, including:

1. Normal sinus rhythm with HR between 50 and 100 bpm, inclusive;

2. QTcF between 350 to 450 msec for male subjects and 350 to 470 msec for
female subjects, inclusive;

3. QRS duration of < 120 msec;

4. PR interval of = 210 msec;

5. Electrocardiogram morphology consistent with healthy cardiac ventricular
conduction and normal rhythm, and with measurement of the QT interval;

6. No family history of short or long QT syndrome;

7. No history of risk factors for torsade de pointes or the diagnosis;

7. Female participants must: a. Be of nonchildbearing potential ie, surgically
sterilized (hysterectomy, bilateral salpingectomy, bilateral oophorectomy at
least 6 weeks before screening) or postmenopausal (where postmenopausal is
defined as no menses for 12 months without an alternative medical cause), or b.
If of childbearing potential, must have a negative pregnancy test at screening
(blood test) and before the first study drug administration (Day -1 urine test).
They must agree not to attempt to become pregnant, must not donate ova, and must
use a highly effective contraceptive method (Appendix 4) from signing the consent
form until at least 30 days after the last dose of study drug.

8. Male participants, if not surgically sterilized, must be willing not to donate
sperm and, if engaging in sexual intercourse with a female partner who could
become pregnant, must be willing to use a condom in addition to having the female
partner use a highly effective contraceptive method (Appendix 4) from signing the
consent form until at least 90 days after the last dose of study drug;

9. Have suitable venous access for blood sampling;

10. Be willing and able to comply with all study assessments and adhere to the
protocol schedule and restrictions.
Minimum age
18 Years
Maximum age
64 Years
Gender
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
- Healthy volunteers will be excluded from Part A or Part B of the study if there is
evidence of any of the following at screening, Day -1 or pre-dose on Day 1:

1. History or presence of significant cardiovascular, pulmonary, hepatic, renal,
hematological, gastrointestinal, endocrine, immunologic, dermatologic or
neurological disease, including any acute illness or surgery within the past 3
months determined by the PI to be clinically relevant;

2. Current infection that requires antibiotic, antifungal, antiparasitic or
antiviral medications;

3. Any history of malignant disease in the last 10 years (excludes surgically
resected skin squamous cell or basal cell carcinoma);

4. Presence of clinically relevant immunosuppression from, but not limited to,
immunodeficiency conditions such as common variable hypogammaglobulinemia;

5. Use of or plans to use systemic immunosuppressive (eg, corticosteroids,
methotrexate, azathioprine, cyclosporine) or immunomodulating medications (eg,
interferon) during the study or within 4 months prior to the first study drug
administration;

6. Liver function test results (ie, AST, ALT, and gamma glutamyl transferase [GGT])
and total bilirubin must not be elevated more than 1.2-fold above the ULN;

7. Positive test results for active human immunodeficiency virus (HIV), hepatitis B
surface antigen (HBsAg) or hepatitis C virus (HCV) antibodies;

8. History of active, latent or inadequately treated tuberculosis (TB) infection;

9. Presence or having sequelae of gastrointestinal, liver, kidney, or other
conditions known to interfere with the absorption, distribution, metabolism, or
excretion of drugs;

10. Estimated creatinine clearance (CrCl) < 40 mL/min using the Cockcroft-Gault
formula or serum creatinine more than 1.5-fold above the ULN;

11. History of substance abuse or alcohol abuse within 12 months prior to first study
drug administration;

12. Positive drug or alcohol test results;

13. Use of any prescription or over-the-counter medication (including herbal
products, diet aids, and hormone supplements) within 10 days or 5 half-lives of
the medication (whichever is longer) prior to the first study drug
administration, except occasional use of paracetamol;

14. Demonstrated clinically significant (required intervention, eg, emergency room
visit, epinephrine administration) allergic reactions (eg, food, drug, or atopic
reactions, asthmatic episodes) which, in the opinion of the investigator, would
interfere with the volunteer's ability to participate in the trial;

15. Known hypersensitivity to any of the study drug ingredients;

16. Use of any live vaccinations within 30 days prior to the first study drug
administration except for the influenza vaccine;

17. For women of childbearing potential, a positive serum pregnancy test at screening
or a positive urine pregnancy test with confirmatory serum pregnancy test on Day
-1;

18. Donation of blood or plasma within 30 days prior to first study drug
administration, or loss of whole blood of more than 500 mL within 30 days prior
to randomization, or receipt of a blood transfusion within 1 year of first study
drug administration;

19. Participation in another investigational clinical trial within 60 days prior to
the first study drug administration;

20. Any other condition or prior therapy that in the opinion of the PI would make the
volunteer unsuitable for this study, including inability to cooperate fully with
the requirements of the study protocol or likelihood of noncompliance with any
study requirements;

21. Is an employee of an investigator or sponsor or an immediate relative of an
investigator.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 1
Type of endpoint(s)
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
Recruitment hospital [1] 0 0
Nucleus Network - Melbourne
Recruitment postcode(s) [1] 0 0
- Melbourne

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Landos Biopharma Inc.
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
This is a randomized, double-blind, placebo-controlled, ascending dose, multi-cohort study.
The study will be conducted in 2 parts: a single ascending dose (SAD) part (Part A) followed
by a multiple ascending dose (MAD) part (Part B).

The decision to escalate between dose levels and proceed to Part B will be based upon review
of blinded available safety data by a Safety Review Committee.
Trial website
https://clinicaltrials.gov/show/NCT04458805
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Jyoti Chauhan
Address 0 0
Landos Biopharma Inc.
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries

Summary results
Other publications