A Dose Ranging Study Evaluating Efficacy and Safety of NI-03

NCT ID: NCT02693093

Last Updated: 2022-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

264 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-24

Study Completion Date

2021-12-30

Brief Summary

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The purpose of this study is to determine the safety and efficacy of NI-03.

Detailed Description

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The primary objective of the Single-Dose Phase is to assess the pharmacokinetics (PK) and safety of single doses of NI-03 when administered at doses of 100 mg, 200 mg or 300 mg to subjects with chronic pancreatitis.

The primary objective of the Double-Blind Phase of the study is to determine the efficacy, PK and safety of three doses of NI-03 (100 mg, 200 mg and 300 mg) as compared to placebo when administered three times daily (TID) for 28 consecutive days in subjects with chronic pancreatitis.

Conditions

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Chronic Pancreatitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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placebo

TID Day for 28 Days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

100 mg NI-03

TID Day for 28 Days

Group Type EXPERIMENTAL

NI-03

Intervention Type DRUG

200 mg NI-03

TID Day for 28 Days

Group Type EXPERIMENTAL

NI-03

Intervention Type DRUG

300 mg NI-03

TID Day for 28 Days

Group Type EXPERIMENTAL

NI-03

Intervention Type DRUG

Interventions

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NI-03

Intervention Type DRUG

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

To be eligible to participate in this study, subjects must meet all of the following criteria at Screening:

1. Males and females aged 18 to 85 years, inclusive, at the time of consent
2. Ability to communicate effectively with clinic site staff, ability and willingness to comply with the study schedule, restrictions, and requirements
3. Institutional Review Board (IRB)-approved written informed consent
4. Diagnosis of chronic pancreatitis
5. Baseline average daily worst pain score must be a minimum of 4 using the Numeric Rating Scale (NRS) during the 7-day run-in period
6. Patients on a non-opioid analgesic regimen that is expected to remain stable during the study period, or an opioid regimen with a morphine-equivalent dose not more than 100 mg daily.

Exclusion Criteria

To be eligible to participate in this study, subjects must not meet any of the following criteria:

1. Any other clinically significant medical condition
2. Treatment with any investigational product within 14 days of Day 1 (or 5 drug half-lives if 5 drug half-lives are expected to exceed 14 days) of Day -7
3. Major abdominal surgery within 90 days of Day 1
4. History or presence of clinically significant cardiovascular disease
5. History of any cancer, except non-melanoma skin cancer, within 5 years of study enrollment,
6. History of endoscopic intervention within the previous 3 months or presence of a pancreatic duct stent
7. History of illicit drug abuse (i.e. use of any 'illegal' drugs within 6 months)
8. Active heavy alcohol use (defined as more than 2 alcoholic drinks per day or 14 alcoholic drinks per week)
9. Inadequate venous access
10. Significant blood loss, donation of ≥450 mL of blood, or blood or blood product transfusion within 7 days of Day 1
11. History or presence of hepatitis B (surface antigen positivity), active hepatitis C or human immunodeficiency virus (HIV) antibody
12. Active infection within 30 days of Day 1
13. Pregnant, planning to become pregnant or breast feeding
14. Positive urine or serum pregnancy test result at Screening or on Day 1
15. Active major psychiatric illness requiring a change in treatment within 3 months that would confound pain assessments
16. History of seizures within the last 12 months
17. Current use of anticonvulsants, antipsychotics, systemic steroids and, immunosuppressant therapy. \*Use of gabapentin, pregabalin and benzodiazepines as treatment for chronic pancreatitis pain are allowed.
18. Presence of generalized pain syndrome apart from chronic pancreatitis
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kangen Pharmaceuticals, Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Phiip Hart, MD

Role: PRINCIPAL_INVESTIGATOR

OSU

Locations

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University of Arkansas

Little Rock, Arkansas, United States

Site Status

Kaiser Permanente Medical Group

Los Angeles, California, United States

Site Status

University of Southern California, Keck School of Medicine

Los Angeles, California, United States

Site Status

Stanford University School of Medicine

Stanford, California, United States

Site Status

University of Colorado-Div of Gastroenterology and Hepatology

Aurora, Colorado, United States

Site Status

Yale School of Medicine

New Haven, Connecticut, United States

Site Status

University of Florida - Division of Gastroenterology

Gainesville, Florida, United States

Site Status

Borland-Groover Clinic

Jacksonville, Florida, United States

Site Status

Gastroenterology Group of Naples

Naples, Florida, United States

Site Status

The Carle Foundation Hospital

Urbana, Illinois, United States

Site Status

Indiana University - Indiana University Hospital

Indianapolis, Indiana, United States

Site Status

University of Iowa Hospitals and Clinics

Iowa City, Iowa, United States

Site Status

UMass Memorial Medical Center

Worcester, Massachusetts, United States

Site Status

Clinical Research Institute of Michigan, LLC

Chesterfield, Michigan, United States

Site Status

Gastroenterology Associates of Western Michigan

Wyoming, Michigan, United States

Site Status

Kansas City Research Institute

Kansas City, Missouri, United States

Site Status

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

Columbia University School of Medicine

New York, New York, United States

Site Status

PMG Research of Winston-Salem

Winston-Salem, North Carolina, United States

Site Status

MetroHealth Medical Center

Cleveland, Ohio, United States

Site Status

Ohio State University (OSU) - Wexner Medical Center

Columbus, Ohio, United States

Site Status

UPMC Presbyterian

Pittsburgh, Pennsylvania, United States

Site Status

Medical University of South Carolina (MUSC)

Charleston, South Carolina, United States

Site Status

Texas Clinical Research Institute

Arlington, Texas, United States

Site Status

Texas Tech University Health Sciences Center

El Paso, Texas, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Virginia Mason

Seattle, Washington, United States

Site Status

Wisconsin Center for Advanced Research, a division of GI Associates LLC

Milwaukee, Wisconsin, United States

Site Status

Federal Research Centre Institute of Cytology and Genetics

Novosibirsk, , Russia

Site Status

Military Medical Academu, Dep of Therapy of Adv. Training

Saint Petersburg, , Russia

Site Status

Military Medical Academy, Department of Hospital Therapy

Saint Petersburg, , Russia

Site Status

1st Saint Petersburg State Medical University

Saint Petersburg, , Russia

Site Status

City Hospital #40

Saint Petersburg, , Russia

Site Status

City Polyclinic #4

Saint Petersburg, , Russia

Site Status

Medical University "Reaviz"

Samara, , Russia

Site Status

Tomsk Regional Clinical Hospital

Tomsk, , Russia

Site Status

Institute of Gastroenterology

Dnipro, , Ukraine

Site Status

Central city Clinical Hospital, Therapeutic Department #2

Ivano-Frankivsk, , Ukraine

Site Status

Malaya Therapy National Institute

Kharkiv, , Ukraine

Site Status

City Policlinic #9

Kharkiv, , Ukraine

Site Status

City Hospital Named After Tropins, Therapy Department #1

Kherson, , Ukraine

Site Status

OK Clinic

Kyiv, , Ukraine

Site Status

Medical Center "Consilium Medical"

Kyiv, , Ukraine

Site Status

Emergency Care Hospital, #1 Therapeutic Department

Lviv, , Ukraine

Site Status

Regional Hospital, Department of General Surgery

Odesa, , Ukraine

Site Status

1st City Clinical Hospital, Therapeutic Department

Poltava, , Ukraine

Site Status

City Clinical Hospital #1, Gastroenterology Department

Vinnytsia, , Ukraine

Site Status

Medical Centre Diaservis

Zaporizhia, , Ukraine

Site Status

Countries

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United States Russia Ukraine

References

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Hart PA, Osypchuk Y, Hovbakh I, Shah RJ, Nieto J, Cote GA, Avgaitis S, Kremzer O, Buxbaum J, Inamdar S, Fass R, Phillips RW, Yadav D, Ladd AM, Al-Assi MT, Gardner T, Conwell DL, Irani S, Sheikh A, Nuttall J; TACTIC Study Investigators. A Randomized Controlled Phase 2 Dose-Finding Trial to Evaluate the Efficacy and Safety of Camostat in the Treatment of Painful Chronic Pancreatitis: The TACTIC Study. Gastroenterology. 2024 Apr;166(4):658-666.e6. doi: 10.1053/j.gastro.2023.12.008. Epub 2023 Dec 15.

Reference Type DERIVED
PMID: 38103842 (View on PubMed)

Ramsey ML, Nuttall J, Hart PA; TACTIC Investigative Team. A phase 1/2 trial to evaluate the pharmacokinetics, safety, and efficacy of NI-03 in patients with chronic pancreatitis: study protocol for a randomized controlled trial on the assessment of camostat treatment in chronic pancreatitis (TACTIC). Trials. 2019 Aug 14;20(1):501. doi: 10.1186/s13063-019-3606-y.

Reference Type DERIVED
PMID: 31412955 (View on PubMed)

Other Identifiers

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NI03-001

Identifier Type: -

Identifier Source: org_study_id