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Chronic PancreatitisPhase 1/2TacticNCT02693093

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

A Phase 1/2 study testing NI-03 in people with Chronic Pancreatitis, run by Kangen Pharmaceuticals, Inc at 48 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

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

Who is it for?
Ages 18 to 85 years
Conditions the study is for
Chronic Pancreatitis
What is being tested?
NI-03
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
264 participants
Where
48 sitesin 3 countries
Study dates
24 Feb 2016to 30 Dec 2021
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • To be eligible to participate in this study, subjects must meet all of the following criteria at Screening:
  • Males and females aged 18 to 85 years, inclusive, at the time of consent
  • Ability to communicate effectively with clinic site staff, ability and willingness to comply with the study schedule, restrictions, and requirements
  • Institutional Review Board (IRB)-approved written informed consent
  • Diagnosis of chronic pancreatitis
  • 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
  • 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.

Who cannot join

  • To be eligible to participate in this study, subjects must not meet any of the following criteria:
  • Any other clinically significant medical condition
  • 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
  • Major abdominal surgery within 90 days of Day 1
  • History or presence of clinically significant cardiovascular disease
  • History of any cancer, except non-melanoma skin cancer, within 5 years of study enrollment,
Show all 19Show fewer
  • History of endoscopic intervention within the previous 3 months or presence of a pancreatic duct stent
  • History of illicit drug abuse (i.e. use of any 'illegal' drugs within 6 months)
  • Active heavy alcohol use (defined as more than 2 alcoholic drinks per day or 14 alcoholic drinks per week)
  • Inadequate venous access
  • Significant blood loss, donation of ≥450 mL of blood, or blood or blood product transfusion within 7 days of Day 1
  • History or presence of hepatitis B (surface antigen positivity), active hepatitis C or human immunodeficiency virus (HIV) antibody
  • Active infection within 30 days of Day 1
  • Pregnant, planning to become pregnant or breast feeding
  • Positive urine or serum pregnancy test result at Screening or on Day 1
  • Active major psychiatric illness requiring a change in treatment within 3 months that would confound pain assessments
  • History of seizures within the last 12 months
  • Current use of anticonvulsants, antipsychotics, systemic steroids and, immunosuppressant therapy. *Use of gabapentin, pregabalin and benzodiazepines as treatment for chronic pancreatitis pain are allowed.
  • Presence of generalized pain syndrome apart from chronic pancreatitis

Trial locations and contacts

48 sites in 3 countries.

48 sites in 3 countries

United States28 sites
  • Texas Clinical Research Institute

    Arlington, Texas, 76012

  • University of Colorado-Div of Gastroenterology and Hepatology

    Aurora, Colorado, 80045

  • Medical University of South Carolina (MUSC)

    Charleston, South Carolina, 29425

  • Clinical Research Institute of Michigan, LLC

    Chesterfield, Michigan, 48047

  • MetroHealth Medical Center

    Cleveland, Ohio, 44109

  • Ohio State University (OSU) - Wexner Medical Center

    Columbus, Ohio, 43210

  • Texas Tech University Health Sciences Center

    El Paso, Texas, 79905

  • University of Florida - Division of Gastroenterology

    Gainesville, Florida, 32608

  • Baylor College of Medicine

    Houston, Texas, 77030

  • Indiana University - Indiana University Hospital

    Indianapolis, Indiana, 46202-5149

  • University of Iowa Hospitals and Clinics

    Iowa City, Iowa, 52242

  • Borland-Groover Clinic

    Jacksonville, Florida, 32256

  • Kansas City Research Institute

    Kansas City, Missouri, 64131

  • Dartmouth-Hitchcock Medical Center

    Lebanon, New Hampshire, 03756

  • University of Arkansas

    Little Rock, Arkansas, 72204

  • Kaiser Permanente Medical Group

    Los Angeles, California, 90027

  • University of Southern California, Keck School of Medicine

    Los Angeles, California, 90033

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

    Milwaukee, Wisconsin, 53215

  • Gastroenterology Group of Naples

    Naples, Florida, 34102

  • Yale School of Medicine

    New Haven, Connecticut, 06519

  • Columbia University School of Medicine

    New York, New York, 10027

  • UPMC Presbyterian

    Pittsburgh, Pennsylvania, 15213-2536

  • Virginia Mason

    Seattle, Washington, 98101

  • Stanford University School of Medicine

    Stanford, California, 94305

  • The Carle Foundation Hospital

    Urbana, Illinois, 61801

  • PMG Research of Winston-Salem

    Winston-Salem, North Carolina, 27103

  • UMass Memorial Medical Center

    Worcester, Massachusetts, 01605

  • Gastroenterology Associates of Western Michigan

    Wyoming, Michigan, 49519

Other trials in United States

Ukraine12 sites
  • Institute of Gastroenterology

    Dnipro, 49074

  • Central city Clinical Hospital, Therapeutic Department #2

    Ivano-Frankivsk, 76018

  • Malaya Therapy National Institute

    Kharkiv, 61039

  • City Policlinic #9

    Kharkiv, 61172

  • City Hospital Named After Tropins, Therapy Department #1

    Kherson, 73000

  • OK Clinic

    Kyiv, 02091

  • Medical Center "Consilium Medical"

    Kyiv, 04050

  • Emergency Care Hospital, #1 Therapeutic Department

    Lviv, 79059

  • Regional Hospital, Department of General Surgery

    Odesa, 65025

  • 1st City Clinical Hospital, Therapeutic Department

    Poltava, 36038

  • City Clinical Hospital #1, Gastroenterology Department

    Vinnytsia, 21029

  • Medical Centre Diaservis

    Zaporizhia, 69076

Other trials in Ukraine

Russia8 sites
  • Federal Research Centre Institute of Cytology and Genetics

    Novosibirsk, 630089

  • Military Medical Academu, Dep of Therapy of Adv. Training

    Saint Petersburg, 191015

  • Military Medical Academy, Department of Hospital Therapy

    Saint Petersburg, 191124

  • 1st Saint Petersburg State Medical University

    Saint Petersburg, 197022

  • City Hospital #40

    Saint Petersburg, 197706

  • City Polyclinic #4

    Saint Petersburg, 199178

  • Medical University "Reaviz"

    Samara, 443011

  • Tomsk Regional Clinical Hospital

    Tomsk, 634063

Other trials in Russia

About this study

Official title: A Phase 1, Single Dose PK and Safety Study With NI-03 Followed by a Phase 2, Randomized, Double-Blind, Parallel-Group Dose-Ranging Study to Evaluate the Safety and Efficacy of NI-03 When Compared to Placebo in Subjects With Chronic Pancreatitis

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

Read the detailed description

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.

Being tested
NI-03, Placebo
Medical subject headings
Pancreatitis, Chronic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NI-03Drug

  • PlaceboDrug

Study groups in NCT02693093
Study groupRoleWhat they receive
placeboPlacebo comparatorTID Day for 28 Days
Receives: Drug: Placebo
100 mg NI-03ExperimentalTID Day for 28 Days
Receives: Drug: NI-03
200 mg NI-03ExperimentalTID Day for 28 Days
Receives: Drug: NI-03
300 mg NI-03ExperimentalTID Day for 28 Days
Receives: Drug: NI-03

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA

    Pharmacokinetic (PK) parameters such as Maximum concentration (Cmax), time to maximum concentration (Tmax), minimum concentration(Cmin), area under the curve (AUC), half-life (t1/2), apparent clearance (CL/F), and apparent volume of distribution (Vz/F) are assessed.

    Measured: pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose

  2. Phase 1 - Safety and Tolerability - Treatment Emergent Adverse Events (TEAE) via CTCAE v4.0

    Number of participants with treatment-related adverse events as assessed by CTCAE v4.0

    Measured: through 7 days post-dose

  3. Phase 1 - Safety and Tolerability - Laboratory test results

    Laboratory test results will be graded and summarized based on CTCAE v4.03. and by shifts in results before and after dosing

    Measured: through 7 days post-dose

  4. Phase 2 - Efficacy Analysis - average daily worst pain intensity score

    Measured: 4 Weeks

Secondary outcomes (19)
  1. Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA -area under the curve (AUC)

    Measured: pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose.

  2. Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA - Maximum concentration (Cmax)

    Measured: pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose.

  3. Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA - time to maximum plasma concentration (tmax)

    Measured: pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose.

  4. Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA - apparent clearance (CL/F)

    Measured: pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose.

  5. Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA - plasma terminal half-life (t1/2)

    Measured: pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose.

  6. Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA - apparent volume of distribution (Vz/F)

    Measured: pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose.

  7. Phase 2 - Efficacy Analysis - Change from baseline in least pain score

    Measured: change from baseline to Week 4

  8. Phase 2 - Efficacy Analysis - Change from baseline in average pain score

    Measured: 4 Weeks

  9. Phase 2 - Efficacy Analysis - Change from baseline in current pain score

    Measured: 4 Weeks

  10. Phase 2 - Efficacy Analysis - Change from baseline in average morphine-equivalent daily opioid daily dose

    Measured: 4 Weeks

  11. Phase 2 - Efficacy Analysis - Change from baseline in quality of life

    assessed using the pain interference aspects of the Brief Pain Inventory (BPI)

    Measured: change from baseline to Week 4

  12. Phase 2 - Safety and Tolerability - Treatment Emergent Adverse Events (TEAE) via CTCAE v4.0

    Number of participants with treatment-related adverse events as assessed by CTCAE v4.0

    Measured: Through day 57 (End of Study Visit)

  13. Phase 2 - Safety and tolerability - Laboratory Test Results

    Laboratory test results will be graded and summarized based on CTCAE v4.03. and by shifts in results before and after dosing

    Measured: Through day 57 (End of Study Visit)

  14. Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA -area under the curve (AUC)

    Measured: Days 1 and 29, and at 0.25, 0.5, 1, 2 and 4 hours post-dose

  15. Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA - Maximum concentration (Cmax)

    Measured: pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose.

  16. Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA - time to maximum plasma concentration (tmax)

    Measured: Days 1 and 29, and at 0.25, 0.5, 1, 2 and 4 hours post-dose

  17. Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA - plasma terminal half-life (t1/2)

    Measured: Days 1 and 29, and at 0.25, 0.5, 1, 2 and 4 hours post-dose

  18. Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA - apparent clearance (CL/F)

    Measured: Days 1 and 29, and at 0.25, 0.5, 1, 2 and 4 hours post-dose

  19. Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA - apparent volume of distribution (Vz/F)

    Measured: Days 1 and 29, and at 0.25, 0.5, 1, 2 and 4 hours post-dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Feb 2016 (estimated)
  2. Study start24 Feb 2016
  3. Primary completion30 Sep 2021
  4. Study completion30 Dec 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
264 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02693093
Sponsor's protocol ID
NI03-001
Acronym
Tactic
Status last verified
Dec 2022
First submitted
12 Feb 2016
Last updated
16 Dec 2022
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • 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.

    PubMed 38103842
  • 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.

    PubMed 31412955

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing NI-03 in people with Chronic Pancreatitis, run by Kangen Pharmaceuticals, Inc at 48 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 16 Dec 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 48 sites in United States, Ukraine, Russia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA (time frame: pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02693093, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Dec 2022.

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