Phase
Condition
Crohn's Disease
Inflammatory Bowel Disease
Treatment
PALI-2108
PALI-2108 Placebo
Clinical Study ID
Ages 18-60 All Genders Accepts Healthy Volunteers
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
Inclusion criteria for all subjects and patients:
Provision of signed and dated informed consent form (ICF)
Stated willingness to comply with all study procedures and availability for theduration of the study
If male, meets one of the following criteria:
Is able to procreate and agrees to use one of the accepted contraceptiveregimens and not to donate sperm from the first study drug administration to atleast 90 days after the last study drug administration. An acceptable method ofcontraception includes one of the following:
- Abstinence from heterosexual intercourse
- Male condom with spermicide or male condom with a vaginal spermicide (gel,foam, or suppository) Or
Is unable to procreate; defined as surgically sterile (eg, has undergone avasectomy at least 180 days prior to the first study drug administration)
If female, is of non-childbearing potential and meets one of the following criteria:
Is surgically sterile (ie, has undergone complete hysterectomy, bilateraloophorectomy, or tubal ligation) Or
Is in a postmenopausal state:
- At least 1 year without menses and without an alternative medicalcondition prior to the Screening visit and follicle stimulating hormone [FSH] levels ≥ 40 mIU/mL at Screening Or
- At least 1 year without menses and without an alternative medicalcondition prior to the Screening visit, follicle stimulating hormone FSHlevels < 40 mIU/mL and estradiol serum level ≤ 150 pmol/L at Screening
Aged at least 18 years but not older than 60 years
Body mass index (BMI) within 18.5 kg/m2 to 30.0 kg/m2, inclusively
Non- or ex-smoker (An ex-smoker is defined as someone who completely stopped usingnicotine products for at least 180 days prior to the first study drugadministration) Inclusion criteria for SAD, MAD, and FE parts (healthy subjects):
Healthy adult male or female
Have no clinically significant (CS) diseases captured in the medical history orevidence of CS findings on the physical examination (including vital signs) and/orECG, as determined by an Investigator Inclusion criteria for UC patients:
Adult male or female
Diagnosis of moderate to severe UC, established at least 6 months prior toScreening; Mayo Score ≥ 6 with rectal bleeding score (RBS) ≥ 1, stool frequencyscore (SFS) ≥ 1, (mucosal endoscopic score (MES) ≥ 2, and with disease extending ≥ 15 cm from anal verge, and physician's global assessment (PGA)
Stable UC symptoms and severity for at least 3 months prior to Screening
Well controlled with standard of care therapy for IBD including on stable treatmentwith aminosalicylates, immunomodulators (eg, methotrexate, azathioprine), orsteroids (≤ 20 mg prednisone or equivalent); use of standard of care UC therapiesmust be stable for at least 4 weeks prior to Screening
Exclusion
Exclusion Criteria:
Exclusion criteria for all subjects and patients:
Female who is lactating
Female who is pregnant according to the pregnancy test at Screening or Day -1
History of significant hypersensitivity to PALI-2108 or any other PDE4 inhibitor (including excipients of the formulations) as well as severe hypersensitivityreactions (like angioedema) to any drugs
Presence or history of significant gastrointestinal, liver or kidney disease, orsurgery that may affect drug bioavailability or transit
Presence of history of renal disease
History of significant cardiovascular, pulmonary, hematologic, neurological,psychiatric, endocrine, immunologic, or dermatologic disease
An active infection or a recent history of serious infections in the 30 days priorto first study drug administration
Presence of CS vital sign and/or ECG abnormalities (based on the average oftriplicate ECG readings) at the Screening visit, as defined by medical judgment
Major surgery in the 4 weeks prior to the first study drug administration
Vaccination with any live vaccine within 4 weeks prior to study drug administration
Maintenance therapy with any drug or significant history of drug dependency oralcohol abuse (> 3 units of alcohol per day, intake of excessive alcohol, acute orchronic)
Any CS illness in the 28 days prior to the first study drug administration
Use of St. John's wort in the 28 days prior to the first study drug administration
Any history of tuberculosis
Positive test result for alcohol and/or drugs of abuse at Screening or prior to thefirst study drug administration
Positive Screening results to HIV antigen/antibody (Ag/Ab) combo, hepatitis Bsurface antigen, or hepatitis C virus tests
Any other CS abnormalities in laboratory test results at Screening that would, inthe opinion of an Investigator, increase the subject's risk of participation,jeopardize complete participation in the study, or compromise interpretation ofstudy data
Inclusion in a previous group for this clinical study
Intake of PALI-2108 in the 28 days prior to the first study drug administration
Intake of an investigational drug in the 28 days prior to the first study drugadministration
Donation of 50 mL or more of blood in the 28 days prior to the first study drugadministration
Donation of 500 mL or more of blood (Canadian Blood Services, Hema-Quebec, clinicalstudies, etc.) in the 56 days prior to the first study drug administration Exclusion criteria for SAD, MAD, and FE parts (healthy subjects):
Use of any prescription drugs in the 28 days prior to the first study drugadministration, that in the opinion of an Investigator would put into question thestatus of the participant as healthy
Subjects with less than 3 bowel movements or more than 3 episodes of diarrhea (loosewatery stools) per week within the month prior to Screening
Subjects with history of irritable bowel syndrome and functional dyspepsia Exclusion criteria for UC patients:
Greater than 2 prior biologic failures
Use of a biologic medication within 3 months prior to Screening
Use of PDE-4 inhibitors within 3 months prior to Screening
History of bariatric surgery, total colectomy with ileorectal anastomosis, orproctocolectomy
Presence of a postoperative stoma, ostomy, or ileoanal pouch
Participants with any uncontrolled medical conditions, other than active UC, that inthe opinion of the Investigator, would put the participant at unacceptable risk orinterfere with study assessments or integrity of the data. Other medical conditionsshould be stable at the time of Screening and be expected to remain stable for theduration of the study
Current or history of chronic liver or biliary disease (with the exception ofGilbert's syndrome, asymptomatic gallstones, or uncomplicated fatty liver disease)
Study Design
Study Description
Connect with a study center
Altasciences
Montreal, Quebec H3P3H5
CanadaActive - Recruiting
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