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Completed

NCT Number: NCT03543540

Bioequivalence Study of Nexvax2 in Subjects With Celiac Disease

A randomized, double-blind, placebo-controlled clinical study in non-homozygous human leukocyte antigen (HLA)-DQ.2.5+ adults with celiac disease (CeD).

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Qpharm Pty Ltd, Herston, Queensland, Australia

Loading trial locations.

About this study

A Phase 1, randomized,double-blind, placebo-controlled clinical study of Nexvax2, in adult subjects with confirmed CeD who, have been following a gluten free diet for at least 12 consecutive months prior to screening. The study will evaluate the safety and tolerability of Nexvax2 administered subcutaneously and will compare the bioavailability of subcutaneous versus intradermal administration. The study plan consists of 3 periods: a screening period of 3 to 5 weeks, a 46-day treatment period, and a 30-day post-treatment observational follow-up visit.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Adults 18 to 70 years of age (inclusive)
  • History of medically diagnosed Celiac Disease (CeD) that included duodenal biopsy.
  • Maintenance of gluten free diet (GFD) for at least 12 consecutive months prior to screening.
  • Willingness to consume a moderate amount of gluten on one occasion during screening.
  • Able to read and understand English.

Exclusion criteria

  • History of inflammatory bowel disease and/or microscopic colitis.
  • Any medical condition or lab abnormality that in the opinion of the investigator may interfere with study conduct or would impact the immune response (other than CeD), confound interpretation of study results, or pose an increased risk to the subject.
  • Use of immunomodulatory or immune-suppressing medical treatment during the 6 months prior to screening
  • Use of oral or parenteral immunomodulatory corticosteroids, within the 6 weeks prior to screening. Topical or inhaled corticosteroids are acceptable.
  • Receipt of any investigational drug or participation in another clinical study within 6 months prior to screening.
  • Females who are lactating or pregnant
  • Receipt of any vaccine within 1 week prior to planned first day of the treatment period.

Treatment and study plan

Nexvax2

Biological

Nexvax2 injections: 14 in total at twice weekly intervals

Placebo

Biological

Placebo injections: 14 in total at twice weekly intervals

Primary outcomes

  1. Safety of Nexvax 2 administered subcutaneously (SQ)

    Time frame: Treatment Period: 7 weeks

    Treatment emergent adverse events (TEAEs) will be summarized by treatment group and treatment arm, severity (grades as defined in CTCAE, Version 4.03), relationship to IP, and phase of treatment and presented as the number and percentage of patients reporting an event(s) as well as the number of events reported.

  2. Evaluate bioavailability of the constituents of Nexvax2 after SQ versus intradermal (ID) administration

    Time frame: Treatment Period: 7 weeks

    Blood draws for plasma concentration

Secondary outcomes

  1. Evaluate the pharmacodynamics (PD) of the maintenance dose levels of Nexvax2 administered SQ and ID

    Time frame: Treatment Period: 7 weeks

    Blood draw collected for cytokines

  2. Evaluate area under the plasma concentration-time curve for the constituents of Nexvax2 in SQ versus ID maintenance doses.

    Time frame: Treatment Period: 7 weeks

    Blood draw collected for Pharmacokinetic (PK) sample

  3. Compare elimination half life properties for the constituents of Nexvax2 in SQ versus ID maintenance doses.

    Time frame: Treatment Period: 7 weeks

    Blood draw collected for PK

  4. Compare time to maximal plasma concentration for the constituents of Nexvax2 in SQ versus ID maintenance doses.

    Time frame: Treatment Period: 7 weeks

    Blood draw collected for PK

Sponsors and collaborators

Lead sponsor

ImmusanT, Inc.

Industry

Registry information

Official study title

A Phase 1 Study of Nexvax2 Administered Subcutaneously After a Screening Gluten Food Challenge That Compares Relative Bioavailability With Intradermal Administration in Non-homozygous HLA-DQ2.5+ Adults With Celiac Disease

Important dates

Study start
2018
Primary completion
2018
Study completion
2018
First posted
Jun 1, 2018
Registry last updated
Sep 20, 2018

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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