Safety, Tolerability, and Pharmacodynamics of NOV-001 in Adult Subjects

NCT ID: NCT04909723

Last Updated: 2023-05-17

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

TERMINATED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

153 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-02

Study Completion Date

2023-04-06

Brief Summary

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The first stage of this study is a prospective, adaptive, Phase 1, first-in-human, randomized, controlled study evaluating safety, tolerability, and pharmacodynamics of NOV-001 in adult healthy volunteers.

The second stage of this study is a prospective, randomized, single-blinded, placebo-controlled study of safety, tolerability, and early efficacy in patients with enteric hyperoxaluria.

Detailed Description

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This study is evaluating the safety, tolerability, pharmacodynamics, and early efficacy of NOV-001. NOV-001 is an investigational combination product composed of NB1000S, a recombinant live biotherapeutic product, and NB2000P, a botanically derived polysaccharide. In Stage 1, NB1000S (or placebo) is administered on the first day of treatment and NB2000P is administered once daily, or as indicated in the adaptive study design. In Stage 2, NB1000S (or placebo) is administered two times per day on the first day of the treatment and NB2000P (or placebo) is administered once daily for 28 days, at doses determined in Stage 1.

Conditions

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Healthy Volunteers Enteric Hyperoxaluria

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Stage 1 placebo arm

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo

Stage 1 NB1000S 10^9 CFU one time on Day 1

Group Type EXPERIMENTAL

NB1000S

Intervention Type BIOLOGICAL

A recombinant live biotherapeutic product.

Stage 1 NB1000S 10^9 CFU one time on Day 1 and NB2000P 0.5g/day

Group Type EXPERIMENTAL

NOV-001

Intervention Type COMBINATION_PRODUCT

NOV-001 is an investigational combination product composed of NB1000S, a recombinant live biotherapeutic product, and NB2000P, a botanically derived polysaccharide.

Stage 1 NB1000S 10^9 CFU one time on Day 1 and NB2000P 10g/day

Group Type EXPERIMENTAL

NOV-001

Intervention Type COMBINATION_PRODUCT

NOV-001 is an investigational combination product composed of NB1000S, a recombinant live biotherapeutic product, and NB2000P, a botanically derived polysaccharide.

(Optional) Stage 1 variable doses of NB1000S and NB2000P at varying dosing regimens.

Adaptive trial design supports the enrollment of additional arms with variable doses of NB1000S, NB2000P, at varying frequencies of NB1000S and NB2000P administrations.

Group Type EXPERIMENTAL

NOV-001

Intervention Type COMBINATION_PRODUCT

NOV-001 is an investigational combination product composed of NB1000S, a recombinant live biotherapeutic product, and NB2000P, a botanically derived polysaccharide.

Stage 1 NB2000P at a dose to be determined

Group Type EXPERIMENTAL

NB2000P

Intervention Type DRUG

A botanically derived polysaccharide.

Stage 2 NOV-001 at dose determined in Stage 1

In Stage 2, subjects will be randomized (3:1, NOV-001:placebo) to receive NOV-001 (consisting of NB1000S and NB2000P at a dose and regimen determined in Stage 1) for 28 days.

Group Type EXPERIMENTAL

NOV-001

Intervention Type COMBINATION_PRODUCT

NOV-001 is an investigational combination product composed of NB1000S, a recombinant live biotherapeutic product, and NB2000P, a botanically derived polysaccharide.

Stage 2 placebo arm

In Stage 2, subjects will be randomized (3:1, NOV-001:placebo) to receive placebo for 28 days.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo

Interventions

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NOV-001

NOV-001 is an investigational combination product composed of NB1000S, a recombinant live biotherapeutic product, and NB2000P, a botanically derived polysaccharide.

Intervention Type COMBINATION_PRODUCT

NB1000S

A recombinant live biotherapeutic product.

Intervention Type BIOLOGICAL

NB2000P

A botanically derived polysaccharide.

Intervention Type DRUG

Placebo

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Ages 18 to 55
* Body mass index (BMI) \< 38 kg/m2.
* Healthy as defined by no clinically relevant abnormalities being identified by a detailed medical history, physical examination, and clinical laboratory tests.
* If woman of child-bearing potential, must not be pregnant, and must also agree to use an appropriate highly-effective contraceptive.
* Willing and able to comply with all study requirements, including duration of stay at inpatient unit, dietary restrictions, daily study product administration, pregnancy testing and contraception (if applicable), stool collections, and blood and urine collections.


* Ages 18 to 65.
* Hyperoxaluria secondary to Roux-en-Y gastric bypass surgery or to biliopancreatic diversion with duodenal switch (BPD-DS) surgery.
* 24-Hour urinary oxalate (UOx) ≥ 60 mg.
* If woman of child-bearing potential, must not be pregnant and must also agree to use an appropriate highly effective contraceptive method.
* Must, in the opinion of the Investigator, be in otherwise good health.
* Willing and able to comply with all study requirements, including dietary restrictions, daily study product administration, pregnancy testing and contraception (if applicable), stool collections, and blood and 24-hour urine collections.

Exclusion Criteria

* Estimated glomerular filtration rate (eGFR) \< 80 mL/min/1.73 m2 at Screening.
* Oral or parenteral antibiotics within 4 weeks prior to Screening, or anticipation of the need for such antibiotics during the Screening or treatment periods of the study.
* Current or history of any clinically significant medical illness or disorder the Investigator considers should exclude the subject from the study.
* Participation in any investigational intervention study within 30 days prior to study product administration in this study.
* Known hypersensitivity to omeprazole.
* Applicable only to certain study groups depending on emerging Stage 1 data: no current or anticipated use during the screening or treatment periods of the study of medications that have the potential for drug-drug interactions (DDI) with omeprazole.


* Chronic kidney disease with eGFR \< 30 mL/min/1.73 m2 at Screening.
* Evidence of current acute renal injury or ongoing clinically significant renal disease.
* Oral or parenteral antibiotics within 4 weeks prior to Screening, or anticipation of the need for such antibiotics during the Screening or treatment periods of the study (topical antibiotics are permissible.)
* Taking during the study any treatment for hyperoxaluria except for NOV-001, other than stable treatments for the management of kidney stones.
* Taking Vitamin C ≥ 300 mg/day for \> 10 days within 7 days prior to Screening; unwilling or unable to discontinue and/or avoid Vitamin C supplementation for the duration of study product treatment.
* Known active autoimmune disorder or other condition requiring high dose of systemic corticosteroids (i.e., \> 10 mg/day prednisone or equivalent) or other immunosuppressant therapy.
* Current or history of any clinically significant medical illness or disorder other than enteric hyperoxaluria that the Investigator considers should exclude the patient from the study.
* Participation in any investigational intervention study within 30 days prior to study product administration in this study.
* Known hypersensitivity to omeprazole.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Novome Biotechnologies Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lachy McLean, MB ChB, PhD

Role: STUDY_DIRECTOR

Novome Biotechnologies Inc

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Mayo Clinic

Scottsdale, Arizona, United States

Site Status

Advanced Urology Institute

Daytona Beach, Florida, United States

Site Status

Prohealth Research Center

Doral, Florida, United States

Site Status

Florida Urology Partners

Tampa, Florida, United States

Site Status

Georgia Clinical Research

Lawrenceville, Georgia, United States

Site Status

Idaho Urologic Institute

Meridian, Idaho, United States

Site Status

Indiana University

Carmel, Indiana, United States

Site Status

University of Iowa Hospitals and Clinics

Iowa City, Iowa, United States

Site Status

Chesapeake Urology Associates

Hanover, Maryland, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Washington University, St. Louis

St Louis, Missouri, United States

Site Status

Associated Urologists of North Carolina

Raleigh, North Carolina, United States

Site Status

University of Cincinnati

Cincinnati, Ohio, United States

Site Status

Clinical Research Solutions

Cleveland, Ohio, United States

Site Status

The Miriam Hospital

Providence, Rhode Island, United States

Site Status

AMR Knoxville

Knoxville, Tennessee, United States

Site Status

Knoxville Kidney Center

Knoxville, Tennessee, United States

Site Status

Houston Metro Urology

Houston, Texas, United States

Site Status

Alpha Recherche Clinique

Québec, Quebec, Canada

Site Status

Countries

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United States Canada

Other Identifiers

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NOV-001-CL01

Identifier Type: -

Identifier Source: org_study_id

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