An open-label phase 2 study to assess the safety and exploratory diagnostic performance of the oral radiopharmaceutical agent NDX-3315 and NDX-3324 in healthy participants and patients with eosinophilic esophagitis (EoE).
This study is a multi-site, Phase 2, open-label study of orally administered NDX-3315 or NDX-3324 and esophageal imaging in healthy participants and participants with EoE. Study details include: * The study duration or period will be up to around 10 weeks. * Participants will receive either one or two doses of NDX-3315 or NDX-3324 depending on their assigned regimen arm. EoE participants will receive two doses; healthy participants will receive one dose. There will be a SPECT/CT scan performed at each dose. * The visit frequency will be three site visits for healthy participants and four site visits for EoE participants followed by one follow-up phone call visit within the study period.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
34
Oral solution
Northwestern Univerisity
Chicago, Illinois, United States
University of Pennsylvania
Philadelphia, Pennsylvania, United States
University of Utah
Salt Lake City, Utah, United States
The proportion of all participants with AEs following administration of NDX-3315 and NDX-3324
An adverse event (AE) is any untoward medical occurrence in a study participant administered a pharmaceutical product and that does not necessarily have causal relationship with this treatment.
Time frame: From start of study drug administration up to End of Study (EOS) ( Up to 3 Weeks)
Peak eosinophil counts per high-power field (HPF)
A blinded pathologist will perform peak eosinophil counts per high-power field (HPF) on biopsy specimens of the esophagus.
Time frame: Up to 10 days after last dose
Absolute quantification of SPECT imaging
SPECT images will be analyzed for radioactive per region of interest(ROI) of the esophagus.
Time frame: Up to 45 minutes after dose
Determine Concordance of Outcomes
Determine concordance rate between 1. eMBP1 immunostaining score on biopsy specimens (esophagus) and 2. NDX-3315 and NDX-3324 absolute quantification of SPECT imaging of esophagus
Time frame: Up to 10 Days After Last Dose
Partial Thromboplastin Time (PTT) as marker of pharmacodynamics (PD)
Blood samples will be collected to measure Partial Thromboplastin Time (PTT), which is a blood test that looks at how long it takes for blood to clot.
Time frame: Baseline, 2 hours post-dose (Up to 1 Week)
Radioactivity of blood collected from participants exposed to NDX-3315 and NDX-3324.
Blood samples will be collected to measure radioactivity as counts per minute(cpm) and disintegrations per minute(dpm).
Time frame: 2.5 hours post-dose (Up to 1 Week)
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Visual ratings of SPECT images
A blinded central reviewer will review SPECT images for uptake of NDX-3315 or NDX-3324 per region of interest(ROI) of the esophagus using a 5-point scale (0= no uptake to 4 = uptake similar to bowel), with 4 being the worst result.
Time frame: Up to 45 minutes after dose
Deposition of eMBP1
A blinded immunostaining analyst will perform analysis of deposition of Eosinophil Major Basic Protein 1 (eMBP1) via immunostaining of biopsy specimens of the esophagus.
Time frame: Up to 10 days after last dose
EoE Endoscopic Reference Score (EREFS)
The EoE-EREFS (Edema, Rings, Furrows, Exudates, Strictures) scores are used to measure the endoscopically identified EoE esophageal mucosal characteristics. The evaluation includes stricture (if applicable); exudates (absent, mild, severe); furrows (absent, present); edema (absent, present); crepe paper esophagus (absent, present), and overall general appearance incorporating all endoscopically-identified EoE findings (e.g., fixed rings, strictures, whitish exudates, furrowing, edema, and crepe paper mucosa). The EoE -EREFS score being used in this study has a range from 0-11, with 11 being the worst result.
Time frame: Up to 10 days after last dose
EoE Symptom Collection Questionnaire
A questionnaire will be used to collect study participant symptoms such as severity of EoE dysphasia as well as concerns about pain. Answers will have corresponding score ranging from 1-18, with 18 being the worst result.
Time frame: Baseline (All participants), Day 1 (EoE participants only)