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The purpose of this study is to determine the safety and efficacy of NI-03.
The primary objective of the Single-Dose Phase is to assess the pharmacokinetics (PK) and safety of single doses of NI-03 when administered at doses of 100 mg, 200 mg or 300 mg to subjects with chronic pancreatitis.
The primary objective of the Double-Blind Phase of the study is to determine the efficacy, PK and safety of three doses of NI-03 (100 mg, 200 mg and 300 mg) as compared to placebo when administered three times daily (TID) for 28 consecutive days in subjects with chronic pancreatitis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| placebo | Placebo Comparator | TID Day for 28 Days |
|
| 100 mg NI-03 | Experimental | TID Day for 28 Days |
|
| 200 mg NI-03 | Experimental | TID Day for 28 Days |
|
| 300 mg NI-03 | Experimental | TID Day for 28 Days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NI-03 | Drug |
| ||
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA | Pharmacokinetic (PK) parameters such as Maximum concentration (Cmax), time to maximum concentration (Tmax), minimum concentration(Cmin), area under the curve (AUC), half-life (t1/2), apparent clearance (CL/F), and apparent volume of distribution (Vz/F) are assessed. | pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose |
| Phase 1 - Safety and Tolerability - Treatment Emergent Adverse Events (TEAE) via CTCAE v4.0 | Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 | through 7 days post-dose |
| Phase 1 - Safety and Tolerability - Laboratory test results | Laboratory test results will be graded and summarized based on CTCAE v4.03. and by shifts in results before and after dosing | through 7 days post-dose |
| Phase 2 - Efficacy Analysis - average daily worst pain intensity score | 4 Weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA -area under the curve (AUC) | pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose. | |
| Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA - Maximum concentration (Cmax) |
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Inclusion Criteria:
To be eligible to participate in this study, subjects must meet all of the following criteria at Screening:
Exclusion Criteria:
To be eligible to participate in this study, subjects must not meet any of the following criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Phiip Hart, MD | OSU | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Arkansas | Little Rock | Arkansas | 72204 | United States | ||
| Kaiser Permanente Medical Group |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38103842 | Derived | Hart PA, Osypchuk Y, Hovbakh I, Shah RJ, Nieto J, Cote GA, Avgaitis S, Kremzer O, Buxbaum J, Inamdar S, Fass R, Phillips RW, Yadav D, Ladd AM, Al-Assi MT, Gardner T, Conwell DL, Irani S, Sheikh A, Nuttall J; TACTIC Study Investigators. A Randomized Controlled Phase 2 Dose-Finding Trial to Evaluate the Efficacy and Safety of Camostat in the Treatment of Painful Chronic Pancreatitis: The TACTIC Study. Gastroenterology. 2024 Apr;166(4):658-666.e6. doi: 10.1053/j.gastro.2023.12.008. Epub 2023 Dec 15. | |
| 31412955 |
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| Drug |
|
| pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose. |
| Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA - time to maximum plasma concentration (tmax) | pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose. |
| Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA - apparent clearance (CL/F) | pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose. |
| Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA - plasma terminal half-life (t1/2) | pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose. |
| Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA - apparent volume of distribution (Vz/F) | pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose. |
| Phase 2 - Efficacy Analysis - Change from baseline in least pain score | change from baseline to Week 4 |
| Phase 2 - Efficacy Analysis - Change from baseline in average pain score | 4 Weeks |
| Phase 2 - Efficacy Analysis - Change from baseline in current pain score | 4 Weeks |
| Phase 2 - Efficacy Analysis - Change from baseline in average morphine-equivalent daily opioid daily dose | 4 Weeks |
| Phase 2 - Efficacy Analysis - Change from baseline in quality of life | assessed using the pain interference aspects of the Brief Pain Inventory (BPI) | change from baseline to Week 4 |
| Phase 2 - Safety and Tolerability - Treatment Emergent Adverse Events (TEAE) via CTCAE v4.0 | Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 | Through day 57 (End of Study Visit) |
| Phase 2 - Safety and tolerability - Laboratory Test Results | Laboratory test results will be graded and summarized based on CTCAE v4.03. and by shifts in results before and after dosing | Through day 57 (End of Study Visit) |
| Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA -area under the curve (AUC) | Days 1 and 29, and at 0.25, 0.5, 1, 2 and 4 hours post-dose |
| Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA - Maximum concentration (Cmax) | pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose. |
| Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA - time to maximum plasma concentration (tmax) | Days 1 and 29, and at 0.25, 0.5, 1, 2 and 4 hours post-dose |
| Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA - plasma terminal half-life (t1/2) | Days 1 and 29, and at 0.25, 0.5, 1, 2 and 4 hours post-dose |
| Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA - apparent clearance (CL/F) | Days 1 and 29, and at 0.25, 0.5, 1, 2 and 4 hours post-dose |
| Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA - apparent volume of distribution (Vz/F) | Days 1 and 29, and at 0.25, 0.5, 1, 2 and 4 hours post-dose |
| Los Angeles |
| California |
| 90027 |
| United States |
| University of Southern California, Keck School of Medicine | Los Angeles | California | 90033 | United States |
| Stanford University School of Medicine | Stanford | California | 94305 | United States |
| University of Colorado-Div of Gastroenterology and Hepatology | Aurora | Colorado | 80045 | United States |
| Yale School of Medicine | New Haven | Connecticut | 06519 | United States |
| University of Florida - Division of Gastroenterology | Gainesville | Florida | 32608 | United States |
| Borland-Groover Clinic | Jacksonville | Florida | 32256 | United States |
| Gastroenterology Group of Naples | Naples | Florida | 34102 | United States |
| The Carle Foundation Hospital | Urbana | Illinois | 61801 | United States |
| Indiana University - Indiana University Hospital | Indianapolis | Indiana | 46202-5149 | United States |
| University of Iowa Hospitals and Clinics | Iowa City | Iowa | 52242 | United States |
| UMass Memorial Medical Center | Worcester | Massachusetts | 01605 | United States |
| Clinical Research Institute of Michigan, LLC | Chesterfield | Michigan | 48047 | United States |
| Gastroenterology Associates of Western Michigan | Wyoming | Michigan | 49519 | United States |
| Kansas City Research Institute | Kansas City | Missouri | 64131 | United States |
| Dartmouth-Hitchcock Medical Center | Lebanon | New Hampshire | 03756 | United States |
| Columbia University School of Medicine | New York | New York | 10027 | United States |
| PMG Research of Winston-Salem | Winston-Salem | North Carolina | 27103 | United States |
| MetroHealth Medical Center | Cleveland | Ohio | 44109 | United States |
| Ohio State University (OSU) - Wexner Medical Center | Columbus | Ohio | 43210 | United States |
| UPMC Presbyterian | Pittsburgh | Pennsylvania | 15213-2536 | United States |
| Medical University of South Carolina (MUSC) | Charleston | South Carolina | 29425 | United States |
| Texas Clinical Research Institute | Arlington | Texas | 76012 | United States |
| Texas Tech University Health Sciences Center | El Paso | Texas | 79905 | United States |
| Baylor College of Medicine | Houston | Texas | 77030 | United States |
| Virginia Mason | Seattle | Washington | 98101 | United States |
| Wisconsin Center for Advanced Research, a division of GI Associates LLC | Milwaukee | Wisconsin | 53215 | United States |
| Federal Research Centre Institute of Cytology and Genetics | Novosibirsk | 630089 | Russia |
| Military Medical Academu, Dep of Therapy of Adv. Training | Saint Petersburg | 191015 | Russia |
| Military Medical Academy, Department of Hospital Therapy | Saint Petersburg | 191124 | Russia |
| 1st Saint Petersburg State Medical University | Saint Petersburg | 197022 | Russia |
| City Hospital #40 | Saint Petersburg | 197706 | Russia |
| City Polyclinic #4 | Saint Petersburg | 199178 | Russia |
| Medical University "Reaviz" | Samara | 443011 | Russia |
| Tomsk Regional Clinical Hospital | Tomsk | 634063 | Russia |
| Institute of Gastroenterology | Dnipro | 49074 | Ukraine |
| Central city Clinical Hospital, Therapeutic Department #2 | Ivano-Frankivsk | 76018 | Ukraine |
| Malaya Therapy National Institute | Kharkiv | 61039 | Ukraine |
| City Policlinic #9 | Kharkiv | 61172 | Ukraine |
| City Hospital Named After Tropins, Therapy Department #1 | Kherson | 73000 | Ukraine |
| OK Clinic | Kyiv | 02091 | Ukraine |
| Medical Center "Consilium Medical" | Kyiv | 04050 | Ukraine |
| Emergency Care Hospital, #1 Therapeutic Department | Lviv | 79059 | Ukraine |
| Regional Hospital, Department of General Surgery | Odesa | 65025 | Ukraine |
| 1st City Clinical Hospital, Therapeutic Department | Poltava | 36038 | Ukraine |
| City Clinical Hospital #1, Gastroenterology Department | Vinnytsia | 21029 | Ukraine |
| Medical Centre Diaservis | Zaporizhia | 69076 | Ukraine |
| Derived |
| Ramsey ML, Nuttall J, Hart PA; TACTIC Investigative Team. A phase 1/2 trial to evaluate the pharmacokinetics, safety, and efficacy of NI-03 in patients with chronic pancreatitis: study protocol for a randomized controlled trial on the assessment of camostat treatment in chronic pancreatitis (TACTIC). Trials. 2019 Aug 14;20(1):501. doi: 10.1186/s13063-019-3606-y. |
| ID | Term |
|---|---|
| D050500 | Pancreatitis, Chronic |
| ID | Term |
|---|---|
| D010195 | Pancreatitis |
| D010182 | Pancreatic Diseases |
| D004066 | Digestive System Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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