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NCT Number: NCT07377565

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

The goal of this clinical trial is to learn about the safety of a single dose of HB-2121 in adults with suspected celiac disease. It will also look at how the drug affects the small intestine. The main questions it aims to answer are:

* What side effects do participants have after receiving HB-2121? * How does the drug interact with the small intestine in people with suspected celiac disease?

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 four hours before their standard-of-care esophagogastroduodenoscopy * 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

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Stanford University

Stanford, California, 94305, United States

Location status: Recruiting

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 18 to 75 years
  • Undergoing esophagogastroduodenoscopy (EGD) for suspected celiac disease
  • Body Mass Index (BMI) between 18 and 45 kg/m2
  • Creatinine < 1.5 x Upper Limit of the Normal (ULN)
  • Total bilirubin ≤ 1.5 mg/dL x (ULN)
  • Aspartate aminotransferase (AST)/Serum glutamic oxaloacetic transaminase (SGOT) & Alanine Aminotransferase (ALT)/Serum glutamic pyruvic transaminase (SGPT) ≤ 1.5 x ULN
  • Overall good health, as determined by medical history and a physical exam
  • No use of an investigational drug within 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

Exclusion criteria

  • Pregnant, breastfeeding, planning to become pregnant, or intending to donate eggs during the study period
  • History of cancer or malignancy
  • History of chemotherapy and/or pelvic radiation
  • History of congenital long QT syndrome or prolonged QTcF interval
  • Prisoners, institutionalized individuals, or individuals who are unable to consent for themselves
  • 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
  • History of eosinophilic enteritis, Crohn's disease, or ulcerative colitis

Treatment and study plan

HB-2121

Drug

HB-2121 taken once orally.

Primary outcomes

  1. 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) v6.0.

Secondary outcomes

  1. Intensity of sulfo-Cy5 fluorescent marker normalized to the mean fluorescence intensity of DAPI-stained nuclei in a confocal fluorescent microscopic field of view.

    Time frame: At least 120 minutes after dosing

    Endoscopic biopsy samples will be collected after dosing, and fresh frozen tissue sections will be stained with DAPI and analyzed using a confocal microscope to determine the fluorescence intensity of sulfo-Cy5 and DAPI.

  2. Measurement of villous height to crypt depth ratio and intraepithelial lymphocyte count.

    Time frame: At least 120 minutes after dosing

    Endoscopic biopsy samples will be collected after dosing, and the paraffin-embedded tissue sections will be stained with hematoxylin and eosin, as well as CD3, and analyzed using a microscope to determine villus height, crypt depth, and the number of CD3+ intraepithelial lymphocytes.

Other outcomes

  1. Frequency and identity of HB-2121 positive cells in the blood of celiac patients

    Time frame: Pre-dose, 60 minutes after dosing, and 360 minutes after dosing

    Blood samples will be collected at the end of the overall endoscopic evaluation procedure, and peripheral blood mononuclear cells (PBMCs) will be analyzed using flow cytometry to determine the percentage of HB-2121+ cells among CD14+CD11c+ populations, with and without β7-integrin expression.

  2. Intensity of of HB-2121-labeled ECM-associated and cellular TG2 protein in duodenal biopsy samples.

    Time frame: At least 120 minutes after dosing

    Endoscopic biopsy samples will be collected after dosing, and the paraffin-embedded tissue sections will be stained with Collagen 1, PDGFRα, αSMA, CD11c, as well as DAPI, and analyzed using the confocal microscope to determine HB-2121 colocalization with ECM proteins and cell populations.

Study contacts

Contact information is provided by the study sponsor or research team.

Joaquin Tabera

CONTACT

[email protected]

(650) 334-1308

Marissa Dobry

CONTACT

[email protected]

(313) 320-2240

Sponsors and collaborators

Lead sponsor

Nielsen Fernandez-Becker

Other

Collaborators

  • National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
  • Stanford's Innovative Medicines Accelerator

Registry information

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Jan 30, 2026
Registry last updated
Jul 28, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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