RecruitingPhase 1NCT07377565

A First-in-Patient Study to Evaluate the Safety and Tolerability of HB-2121 as a Diagnostic for Celiac Disease


Sponsor

Nielsen Fernandez-Becker

Enrollment

20 participants

Start Date

Apr 1, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this clinical trial is to learn about the safety of a single dose of HB-2121 in adults with suspected celiac disease. It will also look at how the drug affects the small intestine. The main questions it aims to answer are: * What side effects do participants have after receiving HB-2121? * How does the drug interact with the small intestine in people with suspected celiac disease? Researchers will follow participants for 30 days after receiving HB-2121 to understand how the drug behaves in the body and how safe it is. Participants will: * Receive one oral dose of HB-2121 four hours before their standard-of-care esophagogastroduodenoscopy * Attend 4 in-person clinic visits for checkups, lab tests, and monitoring * Complete 2 remote visits that include safety lab assessments * Fill out a short daily questionnaire for 7 days about symptoms and health status


Eligibility

Min Age: 18 Years

Inclusion Criteria10

  • Age 18 to 75 years
  • Undergoing esophagogastroduodenoscopy (EGD) for suspected celiac disease
  • Body Mass Index (BMI) between 18 and 45 kg/m2
  • Creatinine <1.5 x Upper Limit of the Normal (ULN)
  • Total bilirubin ≤ 1.5 mg/dL x (ULN)
  • Aspartate aminotransferase (AST)/Serum glutamic oxaloacetic transaminase (SGOT) \& Alanine Aminotransferase (ALT)/Serum glutamic pyruvic transaminase (SGPT) ≤ 1.5 x ULN
  • Overall good health, as determined by medical history and a physical exam
  • No use of an investigational drug within 12 weeks
  • Able and willing to follow study procedures and provide written informed consent
  • If of childbearing potential, participants must agree to use highly effective birth control during the study period. The same applies to male participants with partners of childbearing potential

Exclusion Criteria9

  • Pregnant, breastfeeding, planning to become pregnant, or intending to donate eggs during the study period
  • History of cancer or malignancy
  • History of chemotherapy and/or pelvic radiation
  • History of congenital long QT syndrome or prolonged QTcF interval
  • Prisoners, institutionalized individuals, or individuals who are unable to consent for themselves
  • Known HIV infection, or positive test for hepatitis B or C, or other clinically significant chronic liver disease
  • Current use of immunosuppressant medications
  • Known allergy or sensitivity to any ingredients in the study drug
  • History of eosinophilic enteritis, Crohn's disease, or ulcerative colitis

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Interventions

DRUGHB-2121

HB-2121 taken once orally.


Locations(1)

Stanford Medicine Clinical and Translational Research Unit (CTRU)

Palo Alto, California, United States

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NCT07377565


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