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This is a Phase 1b, randomized, double-blind, multicenter dose-ranging study to evaluate the safety, tolerability, and PK of NX-13. Approximately 40 subjects will be randomized in a 3:3:3:1 ratio to receive 1 of 3 NX-13 treatment regimens (NX-13 250 mg IR, 500 mg IR, 500 mg MR) (12 evaluable subjects at each of the 3 dose levels) or placebo (4 subjects), once daily for 28 consecutive days.
Following screening period (up to 28 days in length), a total of 40 subjects are planned to be enrolled into this study from multiple sites in the United States, Australia, New Zealand, and Moldova. Eligible subjects will be randomized in a 3:3:3:1 ratio to receive 1 of 3 NX-13 treatment regimens (NX-13 250 mg IR, 500 mg IR, 500 mg MR) or placebo via a computer-generated interactive web response system (IWRS). Each of the NX-13 treatment groups will comprise 12 subjects and 4 subjects will be randomized to receive placebo. The study will include a maximum of 25% of subjects who have had prior exposure to biologic therapy for UC.
Dosing will extend over a 28-day period at each dose level. Subjects will receive the first dose of study drug in clinic on Day 1 (Visit 2) and Day 28 (Visit 4/EOT) but will self-administer IP at home once daily for the remaining dosing days. The study duration will be approximately 63 days: Screening Period (28 days) + Treatment Period (28 days) + Safety Follow-up (7 days after last dose). There will be a follow-up visit on Day 35 (Visit 5).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NX-13 250mg IR | Experimental | Oral |
|
| NX-13 500mg IR | Experimental | Oral |
|
| NX-13 500mg MR | Experimental | Oral |
|
| Placebo | Placebo Comparator | Oral |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NX-13 250mg IR | Drug | Subjects will take study drug by ingesting one tablet per day, recommended at the same time in the morning for consistency. Subjects in a NX-13 group will receive either 250 mg or 500 mg of NX-13 in an immediate release or modified release tablet and subjects in the placebo group will receive matched placebo. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Treatment-Emergent Adverse Events after multiple oral dose administration of NX-13 in subjects with active ulcerative colitis (UC) | Incidence of Treatment-Emergent Adverse Events after multiple oral dose administration of NX-13 | 63 days |
| Measure | Description | Time Frame |
|---|---|---|
| PK profile of NX-13 after multiple oral dose administration in subjects with active UC | NX-13 concentrations in plasma, colonic tissue biopsies, and feces | 63 days |
| PK Parameters - Time to maximum concentration (tmax); |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Simon Lichtiger, MD | Landos Biopharma Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Avant Research Associates LLC | Huntsville | Alabama | 35802 | United States | ||
| Om Research LLC |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37952114 | Derived | Verstockt B, Vermeire S, Peyrin-Biroulet L, Mosig R, Feagan BG, Colombel JF, Siegmund B, Rieder F, Schreiber S, Yarur A, Panaccione R, Dubinsky M, Lichtiger S, Cataldi F, Danese S. The Safety, Tolerability, Pharmacokinetics, and Clinical Efficacy of the NLRX1 agonist NX-13 in Active Ulcerative Colitis: Results of a Phase 1b Study. J Crohns Colitis. 2024 May 31;18(5):762-772. doi: 10.1093/ecco-jcc/jjad192. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jul 29, 2024 | |
| Reset | Oct 21, 2024 |
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|
| NX-13 500mg IR | Drug | Subjects will take study drug by ingesting one tablet per day, recommended at the same time in the morning for consistency. Subjects in a NX-13 group will receive either 250 mg or 500 mg of NX-13 in an immediate release or modified release tablet and subjects in the placebo group will receive matched placebo. |
|
| NX-13 500mg MR | Drug | Subjects will take study drug by ingesting one tablet per day, recommended at the same time in the morning for consistency. Subjects in a NX-13 group will receive either 250 mg or 500 mg of NX-13 in an immediate release or modified release tablet and subjects in the placebo group will receive matched placebo. |
|
| Placebo | Drug | Subjects will take study drug by ingesting one tablet per day, recommended at the same time in the morning for consistency. Subjects in a NX-13 group will receive either 250 mg or 500 mg of NX-13 in an immediate release or modified release tablet and subjects in the placebo group will receive matched placebo. |
|
NX-13 concentrations, time to maximum concentration
| 63 days |
| PK Parameters- Maximum concentration (Cmax) | NX-13 concentrations, maximum concentration | 63 days |
| PK Parameters- Area under the concentration-time curve from time 0 to last measurable time-point (AUC0-tlast); | NX-13 concentrations, area under the concentration-time curve from time 0 to last measurable | 63 days |
| PK Parameters-Terminal half-life (t1/2) | NX-13 terminal half-life PK | 63 days |
| PK Parameters- clearance (CL); | NX-13 clearance PK | 63 days |
| PK Parameters- Vz, apparent volume of distribution during terminal phase. | NX-13 - Vz, apparent volume of distribution during terminal phase. | 63 days |
| Lancaster |
| California |
| 93534 |
| United States |
| Allameh Medical Corporation | Mission Viejo | California | 92691 | United States |
| California Medical Research Associates, Inc. | Northridge | California | 91324 | United States |
| Clinical Research of California | Walnut Creek | California | 94598 | United States |
| I.H.S Health LLC | Kissimmee | Florida | 34741 | United States |
| University of Miami Crohn's and Colitis Center | Miami | Florida | 33136 | United States |
| Valencia Medical and Research Center | Miami | Florida | 33165 | United States |
| Care Access | Orlando | Florida | 32825 | United States |
| Gastroenterology Associates of Pensacola, P.A. | Pensacola | Florida | 32503 | United States |
| Atlanta Center for Gastroenterology, P.C. | Decatur | Georgia | 30033 | United States |
| Care Access | New York | New York | 10065 | United States |
| Care Access | Lumberton | North Carolina | 28538 | United States |
| Optimed Research, LTD | Columbus | Ohio | 43235 | United States |
| Care Access | Pottsville | Pennsylvania | 17901 | United States |
| Galen Medical Group | Chattanooga | Tennessee | 37404 | United States |
| Avant Research Associates, LLC | Austin | Texas | 78742 | United States |
| Biopharma Informatics, LLC | Houston | Texas | 77084 | United States |
| LinQ Research, LLC | Pearland | Texas | 77584 | United States |
| Southern Star Research Institute, LLC | San Antonio | Texas | 78229 | United States |
| Victoria Gastroenterology | Victoria | Texas | 77904 | United States |
| Care Access Research, Salt Lake City | Salt Lake City | Utah | 84124 | United States |
| Communal Enterprise I.I.Mechnykov Dnipropetrovsk Regional Clinical Hospital of Dnipropetrovsk Regional Counsil, cont. | Dnipro | 49005 | Ukraine |
| Communal Non-commercial Enterprise Regional Clinical Hospital of Ivano-Frankivsk Regional Council | Ivano-Frankivsk | 76008 | Ukraine |
| Medical Center 'Ok!Clinic+' of Copmany with limited liability "International institue of Clinical Research" | Kyiv | 02091 | Ukraine |
| Clinical Hospital "Feofaniya" of State Management of Affairs, Center of Gastroenterology and Endocrinology | Kyiv | 03143 | Ukraine |
| Communal Non-commercial Enterprise of Kyiv Regional Council Kyiv Regional Hospital, Department of Therapy | Kyiv | 04078 | Ukraine |
| Communal Non-Commercial Enterprise of M.I. Pyrohov Vinnytsia Regional Clinical Hospital of Vinnytsia Regional Council | Vinnytsia | 21018 | Ukraine |
| Communal Non-commercial Enterprise Vinnytsia City Clinical Hospital #1, Department of Gastroenterology | Vinnytsia | 21029 | Ukraine |
| Medical Center of Limited Liability Company Gastroenterology Center IBD TEAM | Zaporizhzhya | 69121 | Ukraine |
| Communal Non-commercial Enterprise O.F. Herbachevskyi Regional Clinical Hospital of Zhytomyr Regional Council | Zhytomyr | 10002 | Ukraine |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jul 29, 2024 | Oct 21, 2024 |
| ID | Term |
|---|---|
| D003093 | Colitis, Ulcerative |
| ID | Term |
|---|---|
| D003092 | Colitis |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D015212 | Inflammatory Bowel Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
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| ID | Term |
|---|---|
| C000708649 | NX-13 |
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