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.
Part A: 35 healthy volunteers will be enrolled in a total of 5 cohorts. Each cohort will enroll 7 participants with 5 participants randomized to receive NX-13 and 2 participants randomized to receive placebo. Part B: 21 healthy volunteers will be enrolled in a total of 3 cohorts. Each cohort will enroll 7 participants with 5 participants randomized to receive NX-13 and 2 participants randomized to receive placebo.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
56
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.
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.
Nucleus Network
Melbourne, Australia
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
Time frame: Part A: 37 days Part B: 44 days
Incidence of abnormal Physical examination findings
Specific assessments to evaluate treatment safety and tolerability include the following: physical examinations
Time frame: Part A: 37 days Part B: 44 days
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)
Time frame: Part A: 37 days Part B: 44 days
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)
Time frame: Part A: 37 days Part B: 44 days
Incidence of abnormal ECG results
Specific assessments to evaluate treatment safety and tolerability include the following: 12-lead ECG
Time frame: Part A: 37 days Part B: 44 days
Incidence of abnormal vital signs
Specific assessments to evaluate treatment safety and tolerability include the following: vital signs
Time frame: Part A: 37 days Part B: 44 days
Plasma concentration of NX-13
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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.
Time frame: Part A: 37 days Part B: 44 days
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.
Time frame: Part A: 37 days Part B: 44 days
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.
Time frame: Part A: 37 days Part B: 44 days
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.
Time frame: Part A: 37 days Part B: 44 days