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Evaluation of Apraglutide on Gastric Emptying

Phase 1
Completed
Conditions
Healthy Subjects
Interventions
Registration Number
NCT05995704
Lead Sponsor
VectivBio AG
Brief Summary

The primary objective is to assess the effect of apraglutide on gastric emptying of liquids in healthy subjects, as measured by the PK of acetaminophen mixed with a liquid meal.

Detailed Description

This is a single-center, double-blind, randomized, multiple-dose, parallel trial with a total duration of up to 50 days. The trial population will consist of healthy volunteers. Eligible subjects will be randomized to receive either subcutaneous (SC) apraglutide or matching placebo. The effect of apraglutide on gastric emptying of liquids will be assessed by the measure of PK of acetaminophen mixed with a liquid meal.

There will be two treatment periods, occurring according to the same sequence. In Period 1 acetaminophen will be given on Day 1, apraglutide/placebo will be injected on Day2. In Period 2 apraglutide/placebo will be injected on Day 9 and acetaminophen will be given on Day 10. This will allow to assess the PK of acetaminophen without the effect of apraglutide in Period 1, and to assess the PK of acetaminophen at the maximum concentration of apraglutide in Period 2.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
42
Inclusion Criteria
  • Age between 18 and 45 years inclusive
  • Subjects who are willing and able to comply with the study procedures
  • Subjects able to understand and willing to sign the informed consent
  • Body mass index (BMI) of ≥18.0 to ≤30.0 kg/m2; and a total body weight of >50 kg (110 lb).
  • Women of childbearing potential (WOCBP) having undergone bilateral tubal occlusion or with vasectomized partner. Sterilized or infertile or postmenopausal females.
  • Male subjects with a WOCBP partner using highly effective methods of contraception and agreeing on no sperm donation during the trial and for 2 weeks after (EOT) visit.
Exclusion Criteria
  • History of clinically significant GI, bronchopulmonary, neurological, cardiovascular, endocrine, or allergic disease
  • Known hypersensitivity to the investigational medicinal product (IMP), any of their excipients or drugs of the same class
  • If capable of reproduction, unwilling to use an effective form of contraception
  • If a WOCBP, a positive urine/blood pregnancy test
  • Breast-feeding women
  • Positive urine/blood test for alcohol and drugs of abuse
  • Use of prohibited medications or herbal remedies
  • Known presence or history of intestinal polyps
  • Known presence or history of any type of cancer
  • Pancreatic events such as acute pancreatitis, pancreatic duct stenosis, pancreas infection, and increased blood amylase and lipase (>2.0-5.0×upper limit of normal range)
  • Participation in an investigational drug or device study within 30 days prior to Screening
  • Donation of blood over 500 mL within 2 months prior to Screening
  • Use of tobacco products (i.e., smokes more than 5 cigarettes per day or equivalent)
  • Concomitant disease or condition that could interfere with, or for which the treatment of might interfere with, the conduct of the study, or that would, in the opinion of the Investigator, pose an unacceptable risk to the subject in this trial
  • Any intercurrent clinically significant illness in the previous 28 days before Day 1 of this study
  • Positive blood screen for human immunodeficiency virus (HIV) antigen/antibody combo, hepatitis A (HAV IGM), hepatitis B surface antigen (HBsAgB), or hepatitis C virus (HCV)
  • Unwillingness or inability to comply with the study protocol for any other reason

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboAcetaminophen-
PlaceboPlacebo-
Apraglutide SC injectionsApraglutide-
Apraglutide SC injectionsAcetaminophen-
Primary Outcome Measures
NameTimeMethod
Maximum plasma concentration (Cmax) of acetaminophen0-300 Minutes
Time at which the maximum plasma concentration is observed (tmax) of acetaminophen0-300 Minutes
Area under the acetaminophen concentration-time curve: AUCinf (AUClast in case AUCinf cannot be estimated)0-14 hours
Area under the acetaminophen concentration-time curve: AUC0-300min0-300 Minutes
Area under the acetaminophen concentration-time curve: AUC0-60min0-60 Minutes
Secondary Outcome Measures
NameTimeMethod
WeightThrough study completion, up to 24 days

In kg

Anti-drug antibodies (ADA) analysisThrough study completion, up to 24 days

ADA will be will be examined for clinically significant changes

Clinical chemistryThrough study completion, up to 24 days

Clinical Chemistry panel of analytes will be examined for clinically significant changes.

Clinical chemistry analytes will be listed by subject. Descriptive statistics will be used to assess any changes in clinical laboratory results during and following trial treatment administration. Values outside the reference ranges will be highlighted and clinical significance stated.

Occurrence of clinically relevant changes in electrocardiogramThrough study completion, up to 24 days

ECG rhythm

HemostasisThrough study completion, up to 24 days

Hemostasis INR will be examined for clinically significant changes

Urine analysisThrough study completion, up to 24 days

Urine analysis panel of analytes will be examined for clinically significant changes

Occurrence of clinically relevant changes in vital signsThrough study completion, up to 24 days

Pulse rate in Beats per Minute

HeightThrough study completion, up to 24 days

In cm

Physical examinationThrough study completion, up to 24 days

Clinically significant outcome (as normal or abnormal) for physical examination of eyes, neurological, gastrointestinal, respiratory, circulatory, muscular, cardiovascular, lymphatic, ears, nose, throat.

HematologyThrough study completion, up to 24 days

Hematology panel of analytes will be examined for clinically significant changes.

Hematology analytes will be listed by subject. Descriptive statistics will be used to assess any changes in clinical laboratory results during and following trial treatment administration. Values outside the reference ranges will be highlighted and clinical significance stated.

Changes in body temperature in °CThrough study completion, up to 24 days
The incidence, nature and severity of adverse events (AEs) with apraglutideThrough study completion, up to 24 days

Trial Locations

Locations (1)

ICON Clinical Research Unit

🇳🇱

Groningen, Netherlands

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