Clinical trial

A Phase 1, Four-Part Study to Assess the Safety, Tolerability, Pharmacokinetics, and Gluten Degradation Activity of PvP001, PvP002, and PvP003 in Healthy Adult Volunteers and to Assess the Safety, Tolerability, and Pharmacokinetics of PvP001 and PvP002 in Adults With Celiac Disease

Name
PvP-102-01
Description
It is hoped that different forms of the same medicine, called PVP001, PVP002, and PVP003, will help people with celiac disease. Both healthy adults and adults with celiac disease will take part in this study. There are many main aims of the study. * To check if participants have side effects from different forms of the study medicine. These forms are called PVP001 (liquid in a cup), PVP002 capsule, and PVP003 tablet. * To check how well PVP003 breaks down gluten. * To check how much PVP003 participants can take without getting side effects from it. The study is in 4 parts. At the start of each part of the study, the study doctor will check to determine who can take part at the first study visit. Different groups of participants will be in different parts of the study. In all parts of the study, some participants will take 1 of the 3 forms of study medicine. Others will take a placebo. In this study, a placebo will look like the form of study medicine but will not have any medicine in it. This means that a placebo can either look like PVP001 liquid in a cup, the PVP002 tablet, or the PVP003 tablet. In Part 1, different small groups of participants will take lower to higher doses of PVP001 or PVP002 or a placebo. This is to work out the best dose of study medicine to take in other parts of the study. After treatment, participants will regularly visit the clinic to check that they have no problems with their treatment, including any side effects from their treatment. In Part 2, different small groups will take different doses of PVP001 or PVP002 or a placebo, either with or without a meal that has different amounts of gluten in it. This is to check if PVP001 or PVP002 has broken down gluten in the body. Participants will visit the clinic after treatment to check how much gluten has been broken down in the body. In Part 3, different small groups will take different doses of PVP003 or a placebo, either with or without a meal that has gluten in it. This is to check if PVP003 has broken down gluten in the body. Participants will visit the clinic after treatment to check if more gluten has broken down in the body. In Part 4, different small groups will take PVP003 or placebo 3 times a day for 5 days. After treatment, participants will visit the clinic to check that they have no problems with their treatment, including any side effects from their treatment.
Trial arms
Trial start
2018-06-19
Estimated PCD
2021-01-31
Trial end
2021-07-02
Status
Completed
Phase
Early phase I
Treatment
PvP001 placebo
placebo
Arms:
Part 1, Cohort 1A-1 to 1D-1 Healthy Participants, Part 1, Cohort 1A-2 - 1D-2 Celiac Disease (CeD), Part 2, Cohort 2A - Cohort 2C Healthy Participants, Part 2, Cohort 2D Healthy Participants, Part 2, Cohort 2F- Cohort 2H Healthy Participants, Part 2, Cohort 2I and Cohort 2J Healthy Participants
PvP001 100 mg
PvP001 100 mg
Arms:
Part 1, Cohort 1A-1 to 1D-1 Healthy Participants, Part 1, Cohort 1A-2 - 1D-2 Celiac Disease (CeD)
PvP001 300 mg
PvP001 300 mg
Arms:
Part 1, Cohort 1A-1 to 1D-1 Healthy Participants, Part 1, Cohort 1A-2 - 1D-2 Celiac Disease (CeD), Part 2, Cohort 2F- Cohort 2H Healthy Participants
PvP001 900 mg
PvP001 900 mg
Arms:
Part 1, Cohort 1A-1 to 1D-1 Healthy Participants, Part 1, Cohort 1A-2 - 1D-2 Celiac Disease (CeD), Part 2, Cohort 2I and Cohort 2J Healthy Participants
Maximum Feasible Dose (MFD) of PvP002
MFD of PvP002
Arms:
Part 1, Cohort 1E-1 Healthy Participants, Part 1, Cohort 1E-2 CeD, Part 2, Cohort 2E Healthy Participants
Other names:
MFD of PvP002
Maximum Tolerated Dose (MTD) of PvP001
Maximum Tolerated Dose (MTD) of PvP001
Arms:
Part 2, Cohort 2A - Cohort 2C Healthy Participants, Part 2, Cohort 2D Healthy Participants
MTD of PvP001 following 7 days of PPI treatment
Maximum Tolerated Dose (MTD) of PvP001 following 7 days of PPI (Proton Pump Inhibitor) treatment
Arms:
Part 2, Cohort 2A - Cohort 2C Healthy Participants
PvP002 placebo
Placebo
Arms:
Part 2, Cohort 2E Healthy Participants
PvP001 600 mg
PvP001 600 mg
Arms:
Part 2, Cohort 2F- Cohort 2H Healthy Participants
PvP003 placebo
Placebo tablet orally.
Arms:
Part 3, Cohorts 3A and 3B Healthy Participants, Part 3, Cohorts 3C and 3D Healthy Participants, Part 3, Cohorts 3E and 3F Healthy Participants, Part 3, Cohorts 3G and 3H Healthy Participants, Part 3, Cohorts 3I and 3J Healthy Participants, Part 4, Cohorts 4A and 4B Healthy Participants
PvP003
PvP003 tablet orally.
Arms:
Part 3, Cohorts 3A and 3B Healthy Participants, Part 3, Cohorts 3C and 3D Healthy Participants, Part 3, Cohorts 3E and 3F Healthy Participants, Part 3, Cohorts 3G and 3H Healthy Participants, Part 4, Cohorts 4A and 4B Healthy Participants
PvP003 150 mg
PvP003 150 mg
Arms:
Part 3, Cohorts 3I and 3J Healthy Participants
Size
139
Primary endpoint
Part 1: Number of Participants Reporting One or More Treatment Emergent Adverse Events (TEAEs) for PvP001 and PvP002
Cohort Treatment Day up to 5 days after 24-hour safety assessment on Day 2 (up to Day 7)
Part 4: Number of Participants Reporting One or More TEAEs for PvP003 After Multiple Doses
Day 1 of Cohort Treatment Period 1 up to 5 days after the Day 5 of Cohort Treatment Period 2 (up to Day 28)
Part 1: Number of Participants Reporting One or More Treatment Emergent Serious Adverse Events (TESAEs) for PvP001 and PvP002
Cohort Treatment Day up to 5 days after 24-hour safety assessment on Day 2 (up to Day 7)
Part 4: Number of Participants Reporting One or More TESAEs for PvP003 600 mg After Multiple Doses
Day 1 of Cohort Treatment Period 1 up to 5 days after the Day 5 of Cohort Treatment Period 2 (up to Day 28)
Part 2, Group 1, Cohort 2B: Median Percentage of Gluten Degradation by PvP001 in a Standardized 3 Gram (gm) Gluten-containing Study Meal After Administration of PvP001
Cohort Treatment Day
Part 2, Group 2, Cohort 2E: Median Percentage of Gluten Degradation by PvP002 in a Standardized 3 gm Gluten-containing Study Meal After Administration of PvP002
Cohort Treatment Day
Part 2, Group 1, Cohort 2C: Median Percentage of Gluten Degradation by PvP001 in a Standardized 3 gm Gluten-containing Study Meal Following 7 Days of Standard Dose PPI Treatment
Cohort Treatment Day
Part 2, Group 3, Cohort 2G and 2H: Median Percentage of Gluten Degradation by PvP001 300 mg and 600 mg in a Standardized 1 gm Gluten-containing Study Meal at 20 Minutes After Administration of PvP001
Cohort Treatment Day: at 20 minutes post-dose
Part 2, Group 3, Cohort 2G and 2H: Median Percentage of Gluten Degradation by PvP001 300 mg and 600 mg in a Standardized 1 gm Gluten-containing Study Meal at 35 Minutes After Administration of PvP001
Cohort Treatment Day: at 35 minutes post-dose
Part 2, Group 3, Cohort 2G and 2H: Median Percentage of Gluten Degradation by PvP001 300 mg and 600 mg in a Standardized 1 gm Gluten-containing Study Meal at 65 Minutes After Administration of PvP001
Cohort Treatment Day: at 65 minutes post-dose
Part 2, Group 3, Cohort 2J: Median Percentage of Gluten Degradation by PvP001 900 mg in a Standardized 6 gm Gluten-containing Study Meal at 20 Minutes After Administration of PvP001
Cohort Treatment Day: at 20 minutes post-dose
Part 2, Group 3, Cohort 2J: Median Percentage of Gluten Degradation by PvP001 900 mg in a Standardized 6 gm Gluten-containing Study Meal at 35 Minutes After Administration of PvP001
Cohort Treatment Day: at 35 minutes post-dose
Part 2, Group 3, Cohort 2J: Median Percentage of Gluten Degradation by PvP001 900 mg in a Standardized 6 gm Gluten-containing Study Meal at 65 Minutes After Administration of PvP001
Cohort Treatment Day: at 65 minutes post-dose
Part 3, Groups 1 to 5, Cohorts 3B, 3D, 3F, 3H and 3J: Median Percentage of Gluten Degradation by PvP003 150 mg and 600 mg in a Standardized 1 gm Gluten-containing Study Meal at 35 Minutes After Administration of PvP003
Cohort Treatment Day: at 35 minutes
Part 3, Groups 1 to 5, Cohorts 3B, 3D, 3F, 3H and 3J: Median Percentage of Gluten Degradation by PvP003 150 mg and 600 mg in a Standardized 1 gm Gluten-containing Study Meal at 65 Minutes After Administration of PvP003
Cohort Treatment Day: at 65 minutes
Eligibility criteria
Inclusion Criteria: Part 1, Part 2, Part 3 and Part 4 1. Male or female age 18- 64 years, inclusive 2. No relevant gastrointestinal symptoms 3. Able to abstain from alcohol for 72 hours prior to the Screening Visit; for 72 hours prior to and after the Cohort Treatment Day (Part 1, Part 2, and Part 3); for 72 hours prior to the Safety Visit (Part 2 and Part 3); and for 72 hours prior to Day 1 of the first Cohort Treatment Period through the Safety Visit (Part 4). 4. A female participant must have a negative pregnancy test at Screening and on Cohort Treatment Day -1 (Part 1, Part 2, and Part 3) or a negative pregnancy test at Screening and on Day -1 of each Cohort Treatment Period (Part 4), and must agree to continue acceptable birth control measures (example, abstinence, a stable hormonal contraceptive, double-barrier method, or vasectomy in partner) from the Screening Visit through the 28 ± 2 days. Follow Up ADA Blood Sampling Visit 5. A male participant must agree to use acceptable birth control measures (e.g., abstinence, latex condom, or vasectomy), or must have a female partner who will continue birth control measures (e.g., abstinence, a stable hormonal contraceptive, or double-barrier method) from the Screening Visit through the 28 ± 2 days Follow Up Anti-Drug Antibody Blood Sampling Visit 6. Able to read and understand English 7. Able to provide written informed consent Additional Inclusion Criteria for Part 1, Part 2, Part 3, and Part 4 Healthy Adult Volunteers 8. No use of over-the-counter or prescription medication, except for birth control medications for the duration of the study 9. No history of gastrointestinal diseases or disorders 10. No history of intolerance, sensitivity, or reactions to gluten or any other food or food ingredient 11. Able to maintain a gluten-free diet for 24 hours prior to the Cohort Treatment Day (Part 1, Part 2, and Part 3), or usually ingests meals three times a day (that is, breakfast, lunch, and dinner) and is able to continue doing so during each Cohort Treatment Period (Part 4) Additional Inclusion Criteria for Part 1 Participants with Celiac Disease 12. Documented history of Celiac Disease in medical records 13. Maintaining a gluten-free diet for ≥6 months 14. No use of over-the-counter or prescription medication, except for birth control medications and those allowed by the study doctor, for the duration of the study. 15. No history of gastrointestinal diseases or disorders, other than Celiac Disease 16. No history of intolerance, hypersensitivity, or reaction to any food or food ingredient 17. Able to continue a gluten-free diet for the duration of the study Exclusion Criteria: Part 1, Part 2, Part 3, and Part 4 1. Current symptoms or signs of illness 2. Chronic viral infection or immunodeficiency condition 3. Any female who is pregnant, planning to become pregnant during the study, or breast-feeding; any male who is planning to father a child during the study 4. Receipt (or planned receipt) of another investigational medication within 4 weeks prior to the Screening Visit through the duration of the study 5. Alcohol consumption greater than (\>) 5 drinks/week, alcohol consumption within 72 hours prior to any study visit (Part 1, Part 2, and Part 3), alcohol consumption within 72 hours prior to Day 1 of the first Cohort Treatment Period through the Safety Visit (Part 4), or a positive alcohol breathalyzer test at any study visit 6. History of illicit or recreational drug use within the three years prior to the Screening Visit, or a positive urine drug screen at any study visit 7. Use of tobacco or nicotine products, including smoking, smokeless tobacco, e-cigarettes, or nicotine replacement products within 12 months prior to the Screening Visit through the duration of the study
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'SEQUENTIAL', 'primaryPurpose': 'BASIC_SCIENCE', 'maskingInfo': {'masking': 'SINGLE', 'whoMasked': ['PARTICIPANT']}}, 'enrollmentInfo': {'count': 139, 'type': 'ACTUAL'}}
Updated at
2023-04-04

1 organization

4 products

1 indication

Product
PvP001
Product
PvP003
Product
PvP002