Status:

COMPLETED

Safety and Pharmacokinetics of Oral Controlled-ileocolonic-release Nicotinamide (CICR-NAM)

Lead Sponsor:

University Hospital Schleswig-Holstein

Conditions:

Safety Issues

Pharmacokinetic

Eligibility:

All Genders

18-75 years

Phase:

PHASE1

Brief Summary

Double-blind, randomised, placebo-controlled phase I trial with single-ascending and multiple-ascending dose to evaluate safety and pharmacokinetics of oral controlled-ileocolonic-release nicotinamide...

Detailed Description

Nicotinamide (NAM) has been implicated in the restoration and maintenance of a healthy gut microbiome. Conventional NAM formulations are designed for systemic NAM supplementation and therefore release...

Eligibility Criteria

Inclusion

  • Main inclusion and exclusion criteria
  • Inclusion criteria for the SAD and MAD parts with healthy subjects:
  • Male and female subjects aged 18 to 75 years.
  • Healthy subjects without relevant medical conditions.
  • Ability to understand and comply with the protocol.
  • Signed written Informed Consent.
  • A BMI of 18.5 to 29.99 kg/m².
  • Non-smoker or light smoker (average of \<7 cigarettes per week) and no history of longterm, heavy smoking (\>10 pack-years).
  • Inclusion criteria for the MD-IBD part:
  • Male and female patients with IBD and 18 to 75 years of age.
  • Ability to understand and comply with the protocol.
  • Signed written Informed Consent.
  • Documented diagnosis of relapsing ileal, ileocolonic or colonic Crohn disease or relapsing ulcerative colitis.
  • Concomitant therapy (background medication) for inflammatory bowel disease: none or stable 8 weeks before baseline.
  • No signs of malignancy.
  • Exclusion criteria for the SAD and MAD part with healthy subjects:
  • Pre-existing relevant medical conditions.
  • Clinically relevant abnormal findings in medical history or screening assessments.
  • Participation in a clinical study.
  • Use of any prescribed or over-the-counter medication, food supplements or herbal preparations.
  • Use of antibiotics (systemic or gut-acting \[non-absorbed\]).
  • Pregnant or breastfeeding women or women of childbearing potential and male participants with female partners of childbearing age not using highly effective contraception till at least 1 month after last dosing of investigational medicinal product (IMP).
  • Legal incapacity.
  • Indications that the patient may be unable to comply with the study procedures, e.g. language barriers precluding adequate understanding or cooperation
  • Exclusion criteria for the MD-IBD part:
  • Diagnosis of indeterminate colitis, microscopic colitis, ischaemic colitis, infectious colitis, radiation colitis or diverticular disease (except for diverticles accompanying CD).
  • Current or past diagnosis of complex fistulae or intra-abdominal or peritoneal abscesses.
  • Strictures with obstructive symptoms.
  • Pregnant or breastfeeding women or women of childbearing potential and male participants with female partners of childbearing age not using highly effective contraception till at least 1 month after last dosing of investigational medicinal product (IMP).
  • Legal incapacity.
  • Indications that the patient may be unable to comply with the study procedures, e.g. language barriers precluding adequate understanding or cooperation

Exclusion

    Key Trial Info

    Start Date :

    December 4 2020

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    March 30 2022

    Estimated Enrollment :

    49 Patients enrolled

    Trial Details

    Trial ID

    NCT05258474

    Start Date

    December 4 2020

    End Date

    March 30 2022

    Last Update

    November 8 2022

    Active Locations (1)

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    Page 1 of 1 (1 locations)

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    University Medical Center Schleswig-Holstein

    Kiel, Germany