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Clinical Trials/NCT07063823
NCT07063823CompletedPhase 1

A First-in-human Study to Evaluate the Safety and Tolerability of HB-2121 as a Diagnostic for Celiac Disease

Nielsen Fernandez-Becker1 site in 1 country18 target enrollmentStarted: August 26, 2025Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Phase 1
Status
Completed
Sponsor
Enrollment
18
Locations
1
Primary Endpoint
Frequency and severity of adverse events during the study window

Study Overview

Brief Summary

The goal of this clinical trial is to learn about the safety of a single dose of HB-2121 in adults. It will also look at how the body processes the drug. The main questions it aims to answer are:

  • What side effects do participants have after receiving HB-2121?
  • How much HB-2121 is in the blood over time?

Researchers will follow participants for 30 days after receiving HB-2121 to understand how the drug behaves in the body and how safe it is.

Participants will:

  • Receive one oral dose of HB-2121
  • Attend 4 in-person clinic visits for checkups, lab tests, and monitoring
  • Complete 2 remote visits that include safety lab assessments
  • Fill out a short daily questionnaire for 7 days about symptoms and health status

Study Design

Study Type
Interventional
Allocation
Non Randomized
Intervention Model
Sequential
Primary Purpose
Diagnostic
Masking
None

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • General Inclusion Criteria (applies to all participants):
  • Aged 18 years and older
  • Body Mass Index (BMI) between 18 and 45 kg/m2
  • Overall good health, as determined by medical history and a physical exam
  • No use of an investigational drug in the past 12 weeks
  • Able and willing to follow study procedures and provide written informed consent
  • If of childbearing potential, participants must agree to use highly effective birth control during the study period. The same applies to male participants with partners of childbearing potential
  • Additional Inclusion Criteria for Healthy Volunteers:
  • No diagnosis of celiac disease
  • No first-degree relatives (parent, sibling, child) with celiac disease
  • Able to eat gluten-containing foods without adverse effects
  • No history of autoimmune gastrointestinal disorders such as Crohn's disease, ulcerative colitis, or eosinophilic enteritis
  • Additional Inclusion Criteria for Participants with Celiac Disease:
  • Biopsy-confirmed diagnosis of celiac disease
  • No history of eosinophilic enteritis, autoimmune gastrointestinal disorders such as Crohn's disease or inflammatory bowel disease

Exclusion Criteria

  • (applies to all participants):
  • Pregnant, breastfeeding, or planning to become pregnant during the study period
  • History of chemotherapy or pelvic radiation
  • History of congenital long QT syndrome or prolonged QTcF interval
  • Known HIV infection, or positive test for hepatitis B or C, or other clinically significant chronic liver disease
  • Current use of immunosuppressant medications
  • Known allergy or sensitivity to any ingredients in the study drug
  • Active cancer or history of cancer

Arms & Interventions

150 mg HB-2121 in Healthy Volunteers

Experimental

Participants in this arm will receive a one-time dose of 150 mg of HB-2121.

Intervention: HB-2121 (Drug)

50 mg HB-2121 in Healthy Volunteers

Experimental

Participants in this arm will receive a one-time dose of 50 mg of HB-2121.

Intervention: HB-2121 (Drug)

250 mg HB-2121 in Healthy Volunteers

Experimental

Participants in this arm will receive a one-time dose of 250 mg of HB-2121.

Intervention: HB-2121 (Drug)

50 mg HB-2121 in Participants with Celiac Disease

Experimental

Participants in this arm will receive a one-time dose of 50 mg of HB-2121.

Intervention: HB-2121 (Drug)

150 mg HB-2121 in Participants with Celiac Disease

Experimental

Participants in this arm will receive a one-time dose of 150 mg of HB-2121.

Intervention: HB-2121 (Drug)

250 mg HB-2121 in Participants with Celiac Disease

Experimental

Participants in this arm will receive a one-time dose of 250 mg of HB-2121.

Intervention: HB-2121 (Drug)

Outcomes

Primary Outcomes

Frequency and severity of adverse events during the study window

Time Frame: From dosing through 30 days post-dose

Adverse events (AEs) will be recorded and assessed for severity using the Common Terminology Criteria for Adverse Events (CTCAE) v5.0.

Secondary Outcomes

  • Peak Plasma Concentration (Cmax) of HB-2121(Pre-dose, and at 15, 30, 60, 120, 180, 240, and 360 minutes, and 1 day after dosing.)
  • Time to Peak Plasma Concentration (Tmax) of HB-2121(Pre-dose, and at 15, 30, 60, 120, 180, 240, and 360 minutes, and 1 day after dosing.)
  • Area Under the Plasma Concentration-Time Curve (AUC) for HB-2121(Pre-dose, and at 15, 30, 60, 120, 180, 240, and 360 minutes, and 1 day after dosing.)

Investigators

Sponsor
Nielsen Fernandez-Becker
Sponsor Class
Other
Responsible Party
Sponsor Investigator
Principal Investigator

Nielsen Fernandez-Becker

Clinical Professor, Medicine - Gastroenterology & Hepatology

Stanford University

Study Sites (1)

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