AzTrials
AzTrials

Healthy VolunteersPhase 1NCT06286033

Single and Multiple Ascending Dose Study and Food Effect Study for AG181

A Phase 1 study testing AG-181 in people with Healthy Volunteers, run by Agios Pharmaceuticals, Inc. at 1 site in United States.

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 primary purpose of this study is to assess the safety and tolerability of AG-181 in healthy participants after oral administration of single ascending dose (SAD) of AG-181 in Part 1 and multiple ascending dose (MAD) in Part 2 along with the effect of food on the pharmacokinetics (PK) of single oral doses of AG-181… Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteers
What is being tested?
AG-181
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
88 participants
Where
1 siteUnited States
Study dates
20 Feb 2024to 9 Oct 2025
Phase
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 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Willing to participate in the study, give written informed consent, and comply with the study restrictions.
  • Body mass index in the range of 18.0 to 30.0 kilograms per square meter (kg/m^2).
  • Weight ≥ 50 kilograms (kg) at screening.
  • Healthy status as defined by the absence of evidence of any clinically significant, in the opinion of the Investigator, active or chronic disease following a detailed medical and surgical history, a complete physical examination including vital signs, 12-lead electrocardiogram (ECG), hematology, blood chemistry, serology, and urinalysis.
  • Ability and willingness to refrain from alcohol-, caffeine-, and methylxanthine-containing beverages or food (e.g., coffee, tea, cola, chocolate, energy drinks) from 72 hours (3 days) before administration of the first dose of study drug through follow-up.
  • All values for hematology and clinical chemistry tests of blood and urine within the normal range or showing no clinically relevant deviations, as judged by the Investigator.
Show all 12Show fewer
  • For women of child bearing potential (WOCBP)*, have a negative serum pregnancy test at Screening and during admission to the clinic.
  • *WOCBP are defined as sexually mature women who have not undergone a hysterectomy, bilateral oophorectomy, or tubal occlusion; or who have not been naturally postmenopausal. WOCBP must use an acceptable method of contraception from Screening and until 14 days or 5 half-lives of AG-181, whichever is longer, after last dose of AG-181. WOCBP using hormonal contraception as a highly effective form of contraception must also use an acceptable barrier method.
  • Male participants with female partners of childbearing potential must use a condom during treatment and for 14 days or 5 half-lives of AG-181, whichever is longer, after last dose of AG-181.
  • Male participants must agree not to donate sperm during the study and for 14 days or 5 half-lives of AG-181, whichever is longer, after the last dose of study drug.
  • Postmenopausal women are women who have not menstruated at all for at least the 12 months before providing informed consent and who have an elevated follicle-stimulating hormone (FSH) level indicative of menopause during screening.
  • Participants must have discontinued use of prescription drugs (including topical skin preparations other than nonsteroidal/nonantibiotic nonprescription moisturizers) within 2 weeks or 5 half-lives (whichever is longer) of the first dose of study drug, and over-the-counter (OTC) medication (excluding routine vitamins) within 7 days of the first dose of study drug, unless agreed as not clinically relevant by the Investigator and Medical Monitor (or designee).

Who cannot join

  • Women who are pregnant, lactating, or planning to attempt to become pregnant during this study or within 14 days or 5 half-lives of AG-181, whichever is longer, after last dose of study drug.
  • Males with female partners who are pregnant, lactating, or planning to attempt to become pregnant during this study or within 14 days or 5 half-lives of AG-181, whichever is longer, after last dose of study drug.
  • Prior exposure to AG-181.
  • Use of any investigational drug or device within 30 days before administration of the first dose of study drug.
  • Any disease which, in the opinion of the Investigator, poses an unacceptable risk to the participants.
  • Clinically significant history of, including treatment within an Emergency Department for, any drug sensitivity, drug allergy, or food allergy, as determined by the Investigator (such as anaphylaxis, hepatotoxicity, or treatment with steroids or epinephrine).
Show all 19Show fewer
  • Creatinine clearance <90 milliliters per minute (mL/min) (by Cockcroft-Gault formula) at screening.
  • Aspartate aminotransferase >upper limit of normal (ULN) or alanine aminotransferase >ULN at screening.
  • Use of tobacco or nicotine products in the 48 hours (2 days) prior to administration of the first dose of study drug.
  • Strenuous activity, sunbathing, and contact sports within 48 hours (2 days) prior to administration of the first dose of study drug.
  • History of donation of more than 450 milliliters (mL) of blood within 60 days prior to administration of the first dose of study drug.
  • Plasma or platelet donation within 7 days prior to administration of the first dose of study drug.
  • History within the 12 months before Screening of alcohol consumption exceeding 2 standard drinks per day on average (1 standard drink=12 ounce (oz) beer, 5 oz wine, and 1.5 oz spirits). Alcohol consumption will be prohibited 72 hours prior to administration of the first dose of study drug and until discharge.
  • Positive test result for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibodies, or anti-human immunodeficiency virus (HIV) 1 and 2 antibodies at screening.
  • Consumption of any nutrients known to modulate cytochrome P450 (CYP450) enzymes activity (e.g., grapefruit or grapefruit juice, pomelo juice, star fruit, or Seville [blood] orange products) within 14 days prior to administration of the first dose of study drug.
  • Positive alcohol or drug screen (cannabinoids, amphetamines, methamphetamines, 3,4-methylenedioxy-N-methylamphetamine [ecstasy], opiates, methadone, oxycodone, phencyclidine, cocaine, cotinine, benzodiazepines, and barbiturates) at screening or admission to the clinical facility.
  • Prolonged heart rate-corrected QT interval (QTc) [heart rate-corrected QT interval by Fridericia's formula (QTcF) >450 milliseconds (msec)] during screening and prior to first dose of study drug.
  • History of long-QT syndrome, torsade de pointes, or any risk factors for torsades de pointes in the opinion of the investigator.
  • A history in any family member of any of the following: sudden cardiac death, unexplained death, long-QT syndrome, or death from a primary dysrhythmia potentially associated with QT prolongation.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • ICON 1255 East 3900 South

    Salt Lake City, Utah, 84124

Other trials in United States

About this study

Official title: A Phase 1, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Safety, Tolerability, and Pharmacokinetics of AG-181 in Healthy Participants

The primary purpose of this study is to assess the safety and tolerability of AG-181 in healthy participants after oral administration of single ascending dose (SAD) of AG-181 in Part 1 and multiple ascending dose (MAD) in Part 2 along with the effect of food on the pharmacokinetics (PK) of single oral doses of AG-181 in healthy participants in Part 3.

Being tested
AG-181, Placebo

What participants receive

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

  • AG-181Drug

    AG-181 tablets

  • PlaceboDrug

    AG-181 matched-placebo tablets

Study groups in NCT06286033
Study groupRoleWhat they receive
Part 1: Single Ascending Dose (SAD)ExperimentalParticipants will receive a range of doses of AG-181 or placebo, orally, once on Day 1. AG-181 will be given under fasted conditions.
Receives: Drug: AG-181; Drug: Placebo
Part 2: Multiple Ascending Dose (MAD)ExperimentalParticipants will receive a range of doses of AG-181 or placebo twice daily (BID) for 13 days and a single dose on Day 14 under fasted conditions.
Receives: Drug: AG-181; Drug: Placebo
Part 3: Food Effect - Sequence 1: ABExperimentalParticipants will receive single oral dose of AG-181 on Day 1 of Period 1 under fasted condition (A) followed by single oral dose of AG-181 on Day 1 of Period 2 under fed (high fat meal) condition (B). Each period will be separated by a washout period of 1 week.
Receives: Drug: AG-181
Part 3: Food Effect - Sequence 2: BAExperimentalParticipants will receive a single oral dose of AG-181 on Day 1 of Period 1 under fed (high fat meal) condition (B) followed by single oral dose of AG-181 on Day 1 of Period 2 under fasted condition (A). Each period will be separated by a washout period of 1 week.
Receives: Drug: AG-181

What is being measured

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

  1. SAD: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs) by Type, Severity, and Relationship to Study Drug

    Measured: Up to Day 7

  2. MAD: Number of Participants with AEs and SAEs by Type, Severity, and Relationship to Study Drug

    Measured: Up to Day 26

  3. Food Effect: Maximum Observed Plasma Concentration (Cmax) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 4

  4. Food Effect: Area Under the Concentration-time Curve up to the Last Quantifiable Concentration (AUC0-last) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 4

  5. Food Effect: Area Under the Concentration-time Curve From Time 0 to Infinity (AUC0-inf) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 4

  6. Food Effect: Time to Reach Maximum Observed Concentration (tmax) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 4

  7. Food Effect: Terminal Elimination Rate Constant (Kel) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 4

  8. Food Effect: Terminal Elimination Half-Life (t1/2) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 4

  9. Food Effect: Apparent Oral Clearance (CL/F) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 4

  10. Food Effect: Apparent Volume of Distribution at Terminal Phase (Vz/F) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 4

Secondary outcomes (23)
  1. SAD: Maximum Observed Plasma Concentration (Cmax) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 4

  2. SAD: Time to Reach Maximum Observed Concentration (tmax) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 4

  3. SAD: Terminal Elimination Rate Constant (Kel) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 4

  4. SAD: Terminal Elimination Half-Life (t1/2) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 4

  5. SAD: Area Under the Concentration-time Curves (AUCs) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 4

  6. SAD: Apparent Oral Clearance (CL/F) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 4

  7. SAD: Apparent Volume of Distribution at Terminal Phase (Vz/F) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 4

  8. SAD: Renal Clearance (CLR) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 3

  9. SAD: Total Percent of AG-181 Dose Excreted Unchanged in Urine (Fet%)

    Measured: Predose and multiple time points postdose from Day 1 to Day 3

  10. SAD: Percent of AG-181 Dose Excreted Unchanged in Urine Between Time 1 and Time 2 (Fet1-t2%)

    Measured: Predose and multiple time points postdose from Day 1 to Day 3

  11. SAD: Cumulative Amount of AG-181 Drug Excreted in Urine (Ae0-t)

    Measured: Predose and multiple time points postdose from Day 1 to Day 3

  12. SAD: Amount of AG-181 Drug Excreted in Urine Between Time 1 and Time 2 (Aet1-t2)

    Measured: Predose and multiple time points postdose from Day 1 to Day 3

  13. MAD: Maximum Observed Plasma Concentration (Cmax) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 17

  14. MAD: Time to Reach Maximum Observed Concentration (tmax) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 17

  15. MAD: Terminal Elimination Rate Constant (Kel) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 17

  16. MAD: Terminal Elimination Half-Life (t1/2) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 17

  17. MAD: Area Under the Concentration-time Curve (AUC) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 17

  18. MAD: Apparent Oral Clearance (CL/F) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 17

  19. MAD: Apparent Volume of Distribution at Terminal Phase (Vz/F) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 17

  20. MAD: Time to Maximum Observed Plasma Concentration at Steady State (Cmax_ss) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 17

  21. MAD: Accumulation Ratio for Cmax (RA_Cmax) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 14

  22. MAD: Accumulation Ratio for Area Under the Concentration-time Curve (RA_AUC) of AG-181

    Measured: Predose and multiple time points postdose from Day 1 to Day 14

  23. Food Effect: Number of Participants with AEs and SAEs by Type, Severity, and Relationship to Study Drug

    Measured: Up to Day 7

Timeline

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

  1. First posted29 Feb 2024
  2. Study start20 Feb 2024
  3. Primary completion9 Oct 2025
  4. Study completion9 Oct 2025

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
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Model description
There are 3 parts in this study. Part 1 and 2 follows a sequential design. Part 3 is a food effect study with a 2x2 crossover design.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
88 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06286033
Sponsor's protocol ID
AG181-C-001
Status last verified
Dec 2025
First submitted
23 Feb 2024
Last updated
23 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing AG-181 in people with Healthy Volunteers, run by Agios Pharmaceuticals, Inc. at 1 site in United States.

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 12 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 23 Dec 2025. 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 United States. 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?

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.

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?

SAD: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs) by Type, Severity, and Relationship to Study Drug (time frame: Up to Day 7). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 23 Dec 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in