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).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
39
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.
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.
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.
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
Time frame: 63 days
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
Time frame: 63 days
PK Parameters - Time to maximum concentration (tmax);
NX-13 concentrations, time to maximum concentration
Time frame: 63 days
PK Parameters- Maximum concentration (Cmax)
NX-13 concentrations, maximum concentration
Time frame: 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
Time frame: 63 days
PK Parameters-Terminal half-life (t1/2)
NX-13 terminal half-life PK
Time frame: 63 days
PK Parameters- clearance (CL);
NX-13 clearance PK
Time frame: 63 days
PK Parameters- Vz, apparent volume of distribution during terminal phase.
NX-13 - Vz, apparent volume of distribution during terminal phase.
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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.
Avant Research Associates LLC
Huntsville, Alabama, United States
Om Research LLC
Lancaster, California, United States
Allameh Medical Corporation
Mission Viejo, California, United States
California Medical Research Associates, Inc.
Northridge, California, United States
Clinical Research of California
Walnut Creek, California, United States
I.H.S Health LLC
Kissimmee, Florida, United States
University of Miami Crohn's and Colitis Center
Miami, Florida, United States
Valencia Medical and Research Center
Miami, Florida, United States
Care Access
Orlando, Florida, United States
Gastroenterology Associates of Pensacola, P.A.
Pensacola, Florida, United States
...and 21 more locations
Time frame: 63 days