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Healthy VolunteersEarly Phase 1NCT03105375

Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of X842 in Human: A Single/Multiple Ascending Dose Study

A Early Phase 1 study testing Single ascending dose of X842, Multiple ascending dose of X842 and Losec in people with Healthy Volunteers, run by Cinclus Pharma Holding AB at 1 site in Sweden.

Completed

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

Official record
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Trial summary

The purpose of this study is to assess and analyze the safety, tolerability and PK/PD data following single ascending and multiple ascending doses of X842 in healthy subjects. Read more about this study

Who is it for?
Ages 18 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteers
What is being tested?
Single ascending dose of X842, Multiple ascending dose of X842 and Losec
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
39 participants
Where
1 siteSweden
Study dates
21 Feb 2017to 12 Oct 2017
Phase
Early Phase 1
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 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Willing and able to give written informed consent for participation in the study.
  • Body Mass Index (BMI) ≥ 18 and ≤ 30 kg/m2 and weight at least 50 kg and no more than 100 kg at screening.
  • Clinically normal medical history, physical findings, vital signs, ECG and laboratory values at the time of screening, as judged by the Investigator.
  • Male subjects must be willing to use condom and if they have a fertile partner, she must use contraceptive methods with a failure rate of < 1% to prevent pregnancy and drug exposure of a partner and refrain from donating sperm from the date of dosing until three months after dosing of the IMP.
  • Female subjects must be of non-childbearing potential (defined as pre-menopausal females with a documented tubal ligation or hysterectomy; or post-menopausal females defined as 12 months of amenorrhoea [in questionable cases a blood sample with simultaneous follicle stimulation hormone 25-140 IE/L and estradiol <200 pmol/L is confirmatory]).

Who cannot join

  • History of any clinically significant disease or disorder which, in the opinion of the Investigator, may either put the subject at risk because of participation in the study, or influence the results or the subject's ability to participate in the study.
  • Present clinically significant psychiatric diagnosis, at discretion of the Investigator.
  • Any clinically significant illness, medical/surgical procedure or trauma within four weeks of the first administration of investigational medical product.
  • History of malignancy of any organ system (other than localized basal cell carcinoma of the skin), treated or untreated, within the past five years, regardless of whether there is evidence of local recurrence or metastases.
  • History of any surgical or medical condition which might significantly alter the absorption, distribution, metabolism or excretion of drugs. The investigator is to be guided by evidence of any of the following: history of major gastrointestinal surgery such as gastrectomy, gastroenterostomy, bowel resection or Transjugular Intrahepatic Portosystemic Shunt (TIPS).
  • History or presence of diagnosed and long-term treatment for GERD.
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  • Likelihood of having a gastric pH>2 due to for example known autoimmune gastritis or known Helicobacter pylori gastritis.
  • Known severe atrophic gastritis.
  • Vitamin B-12 deficiency and/or chronic Vitamin B-12 substitution.
  • Known malabsorption.
  • Any planned major surgery within the duration of the study.
  • Any positive result on screening for serum hepatitis B surface antigen, hepatitis C antibody and Human Immunodeficiency Virus (HIV).
  • After 10 minutes of supine rest at the time of screening, any vital signs values outside the following ranges:
  • Systolic BP 90 - 140 mm Hg
  • Diastolic BP 50 - 90 mm Hg
  • Heart rate (HR) 45-90 beats per minute
  • Prolonged QTcF (>450 ms), cardiac arrhythmias or any clinically significant abnormalities in the resting ECG at the time of screening, as judged by the Investigator.
  • History of severe allergy/hypersensitivity or on-going allergy/hypersensitivity, as judged by the Investigator, or history of hypersensitivity to drugs with a similar chemical structure or class to X842 or omeprazole.
  • Regular use of any prescribed or non-prescribed medication including antacids, analgesics, herbal remedies, vitamins and minerals within two weeks prior to the (first) administration of IMP, except occasional intake of paracetamol (maximum 2 000 mg/day; and not exceeding 6 000 mg/week), at the discretion of the Investigator and nasal decongestants without cortisone or antihistamine for a maximum of 10 days, at the discretion of the Investigator.
  • Administration of another new chemical entity (defined as a compound which has not been approved for marketing) or has participated in any other clinical study that included drug treatment with less than three months between administration of last dose and first dose of IMP in this study. Subjects consented and screened but not dosed in previous phase I studies are not excluded.
  • Current smokers or users of nicotine products. Irregular use of nicotine (e.g. smoking, snuffing, chewing tobacco) less than three times per week is allowed before screening visit.
  • Positive screen for drugs of abuse or alcohol at screening or on admission to the unit prior to administration of the IMP.
  • Current or history of alcohol abuse and/or use of anabolic steroids or drugs of abuse.
  • Intake of xanthine and/or taurine containing energy drinks within two days prior to first day of IMP administration.
  • Plasma donation within one month of screening or blood donation (or corresponding blood loss) during the three months prior to screening.
  • Other protocol-defined inclusion/exclusion criteria may apply

Trial locations and contacts

1 site in 1 country.

Sweden1 site
  • Clinical Trial Consultants

    Uppsala, 75237

Other trials in Sweden

About this study

Official title: Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of X842 in Healthy Subjects

The purpose of this study is to assess and analyze the safety, tolerability and PK/PD data following single ascending and multiple ascending doses of X842 in healthy subjects.

Read the detailed description

This is a single-centre, open label, first-in-human study with the primary objective to evaluate safety and tolerability of X842 after administration of single and multiple oral ascending doses to healthy male and female subjects. The study comprises a Single Ascending Dose (SAD) part and a Multiple Ascending Dose (MAD) part including an open-label multiple dose cohort administered active comparator (omeprazole). Four subjects will be included in each of the SAD and MAD cohorts.

Being tested
Single ascending dose of X842, Multiple ascending dose of X842, Losec
Keywords
Potassium competitive acid blocker, X842, Gastroesophageal reflux disease, Esophagitis, Intragastric pH, Acid inhibition
Medical subject headings
Gastroesophageal Reflux, Esophagitis

What participants receive

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

  • Single ascending dose of X842Drug

    Also called X842

    Each subject in a the same cohort will be assigned to the same single dose of X842. The subjects in the subsequent cohort will be assigned to a single dose of X842 based on safety and efficacy data generated from the previous cohort.

  • Multiple ascending dose of X842Drug

    Also called X842

    Each subject in a the same cohort will be assigned to the same dose of X842 once daily for five days. The subjects in the subsequent cohort will be assigned to same dose of X842 once daily for five days based on safety and efficacy data generated from the previous cohort.

  • LosecDrug

    Also called omeprazole

    Each subject in one cohort will be assigned to a standard dose of omeprazole once daily for five days.

Study groups in NCT03105375
Study groupRoleWhat they receive
Single ascending dose of X842ExperimentalSingle ascending oral dose of X842 administered to subjects in cohorts. Cohorts are administered in sequence.
Receives: Drug: Single ascending dose of X842
Multiple ascending dose of X842ExperimentalMultiple ascending oral dose of X842 administered to subjects in cohorts. Cohorts are administered in sequence.
Receives: Drug: Multiple ascending dose of X842
LosecActive comparatorStandard oral dose of omeprazole administered to subjects in one cohort.
Receives: Drug: Losec

What is being measured

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

  1. Occurrence and frequency of AEs, changes in laboratory parameters, vital signs and physical examination after single and multiple doses of X842. Summary statistics will be applied.

    Safety and tolerability will be assessed by occurrence and frequency of AEs, changes in laboratory parameters, vital signs and physical examination. The adverse event assessment will follow the recommendations and grading system of Common Terminology Criteria for Adverse Events (CTCAE) v4.03. Summary statistics will be applied.

    Measured: Five weeks

Secondary outcomes (3)
  1. Measurement of the PK profile (Cmax)

    To assess the Maximum Plasma Concentration (Cmax)

    Measured: Up to 48 hours after dosing

  2. Measurement of the PK profile (t1/2)

    To assess the plasma half life (t1/2) of drug

    Measured: Up to 48 hours after dosing

  3. Measurement of the PD profile (intragastric pH)

    To assess and characterize the PD profile with measurements of intragastric pH

    Measured: Up to 24 hours after dosing

Timeline

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

  1. First posted7 Apr 2017
  2. Study start21 Feb 2017
  3. Primary completion12 Oct 2017
  4. Study completion12 Oct 2017

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
Early Phase 1
Primary purpose
Basic science
Allocation
Non-randomised
Intervention model
Sequential
Model description
SAD and MAD study
Masking
None (open label)
Enrolment
39 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03105375
Sponsor's protocol ID
CX842A2101
Status last verified
Nov 2017
First submitted
1 Mar 2017
Last updated
17 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Andersson K, Carlsson E. Potassium-competitive acid blockade: a new therapeutic strategy in acid-related diseases. Pharmacol Ther. 2005 Dec;108(3):294-307. doi: 10.1016/j.pharmthera.2005.05.005. Epub 2005 Jul 5.

    PubMed 16000224
  • Hunt RH, Scarpignato C. Potassium-Competitive Acid Blockers (P-CABs): Are They Finally Ready for Prime Time in Acid-Related Disease? Clin Transl Gastroenterol. 2015 Oct 29;6(10):e119. doi: 10.1038/ctg.2015.39.

    PubMed 26513137

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing Single ascending dose of X842, Multiple ascending dose of X842 and Losec in people with Healthy Volunteers, run by Cinclus Pharma Holding AB at 1 site in Sweden.

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 5 inclusion and 26 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 17 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Sweden. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

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?

Occurrence and frequency of AEs, changes in laboratory parameters, vital signs and physical examination after single and multiple doses of X842. Summary statistics will be applied. (time frame: Five weeks). 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 NCT03105375, 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 17 Jun 2026.

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