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NCT Number: NCT06619990

Study of XmAb942 in Healthy Participants and Participants With Ulcerative Colitis

The Phase 1 study described herein will evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of XmAb942 in healthy volunteers (Parts A and B). Part C of this study will be a Phase 2 study to evaluate XmAb942 in participants with ulcerative colitis (UC).

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Xencor Investigative Site, Buenos Aires, Argentina

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About this study

This study consists of 3 parts, as follows:

Part A: Single ascending dose (SAD) in healthy participants, will entail administration of XmAb942 or matching placebo at 3 different dose levels of XmAb942.

Part B: Multiple ascending dosing for up to 3 doses, will entail administration of XmAb942 or matching placebo at 2 different dose levels of XmAb942.

Part C: Participants with moderately to severely active UC to receive 3 different dose levels of XmAb942 or placebo during a 12-week induction period and single dose level of XmAb942 during a 40-week maintenance period, followed by a 24 week follow-up period.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

Parts A and B

  • Age 18-55
  • Must be in good health with no significant medical history
  • Clinical laboratory values within normal range
  • BMI 18-35 (inclusive)
  • Contraceptive use by men or women consistent with local regulations
  • Able and willing to provide written informed consent

Part C

  • Age 18-75
  • Must be in good health with no significant medical history
  • UC diagnosis ≥ 3 months prior to screening
  • Diagnosis of moderately to severely active UC as defined by a (MMS) ≥ 5, with a MES ≥ 2 and RBS ≥ 1
  • Evidence of UC extending ≥ 15 cm from the anal verge, as determined by screening colonoscopy
  • Must have inadequate response to, loss of response to, or intolerance to at least 1 of the conventional or advanced therapies of UC
  • Able and willing to provide written informed consent

Exclusion criteria

Parts A and B

  • Any physical or psychological condition that prohibits study completion
  • History of suicidal behavior or suicidal ideation
  • Heavy use of nicotine containing products
  • HIV, hepatitis B and hepatitis C positive
  • Cardiac arrhythmia, or clinically significant abnormal ECG
  • Active use of prescription medications within 14 days of Day -1
  • Active use of over-the-counter, or herbal medication within 7 days of Screening
  • Other investigational products within 30 days
  • Blood or plasma donation within 60 days
  • Pregnant or breastfeeding

Part C

  • Any physical or psychological condition that prohibits study participation
  • Diagnosis of Crohn disease, indeterminate colitis, indeterminate colitis, microscopic colitis, ischemic colitis, infectious colitis, radiation colitis, and diverticular disease associated with colitis.
  • Positive screen for Clostridium difficile (C. Difficile) toxins
  • HIV, hepatitis B and hepatitis C positive
  • Cardiac arrhythmia, or clinically significant abnormal ECG
  • Pregnant or breastfeeding

Other protocol defined inclusion/exclusion criteria apply.

Treatment and study plan

XmAb942

Biological

Antibody

Placebo

Drug

Placebo

Primary outcomes

  1. Incidence, nature, and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs) of XmAb942 in healthy volunteers (Part A)

    Time frame: 20 weeks

  2. Incidence, nature, and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs) of XmAb942 in healthy volunteers (Part B)

    Time frame: 28 weeks

  3. Clinical remission based on modified mayo score (MMS), defined as MMS ≤ 2 with Mayo endoscopic score (MES) of 1, rectal bleeding subscore (RBS) of 0, and stool frequency subscore (SFS) of 0-1.

    Time frame: 12 weeks

    A composite score of ulcerative colitis (UC) disease activity on a scale of increasing severity from 0-9. It is calculated by adding the results from Mayo endoscopic subscore (MES) which measures GI bleeding, stool frequency subscore (SFS) which measures stool frequency per day, and rectal bleeding subscore (RBS), which measures presence of blood during stool passing. Each subscore is a scale of increasing severity from 0 to 3.

Secondary outcomes

  1. Serum PK parameters of XmAb942 in Healthy Volunteers (Part A)

    Time frame: up to 20 weeks

    • Cmax (Maximum concentration of drug)
  2. Serum PK parameters of XmAb942 in Healthy Volunteers (Part A)

    Time frame: up to 20 weeks

    • AUC0-last (Area under the curve drug concentration-time curve to last concentration)
  3. Serum PK parameters of XmAb942 in Healthy Volunteers (Part B)

    Time frame: up to 28 weeks

    • Cmax (Maximum concentration of drug)
  4. Serum PK parameters of XmAb942 in Healthy Volunteers (Part B)

    Time frame: up to 28 weeks

    • AUC0-tau AUC within a dosing interval, calculated using the linear trapezoidal rule
  5. Incidence and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs) (Part C)

    Time frame: 72 weeks

  6. Discontinuations due to TEAEs (Part C)

    Time frame: 72 weeks

  7. Endoscopic improvement defined as (MES) of 0 or 1 (Part C).

    Time frame: 12 weeks

  8. Change from baseline in MS (Part C).

    Time frame: 12 weeks

  9. Clinical response based on MMS score (Part C) defined as decrease from baseline in the MMS of ≥ 2 points and at least a 30% reduction from baseline, and decrease of ≥ 1 point in RBS from baseline or absolute RBS ≤ 1

    Time frame: 12 weeks

  10. Histological improvement as determined by change in Robarts Histopathology Index (RHI) scores, ranging from 0 (no disease activity) to 33 (severe disease activity).

    Time frame: 12 weeks

Study contacts

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

942 Study Information

CONTACT

[email protected]

Sponsors and collaborators

Lead sponsor

Xencor, Inc.

Industry

Registry information

Official study title

A Phase 1, Randomized, Double-Blind, Placebo-Controlled Study in Healthy Participants Followed by a Randomized, Double-Blind, Placebo-Controlled Phase 2 Study in Participants With Moderate-To-Severe Active Ulcerative Colitis.

Important dates

Study start
2024
Primary completion
2028
Study completion
2029
First posted
Oct 1, 2024
Registry last updated
Jul 24, 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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