Safety and Tolerability of NTR-101 in Patients With Acute Alcohol-Associated Hepatitis

Trial statusNot yet recruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-70
SponsorNterica Bio inc

About this trial

The goal of this clinical trial is to learn about the safety and tolerability of NTR-101 in adult participants suffering from acute alcohol-associated hepatitis (AH).

The drug is intended for use in the treatment of AH where the presence of specific strains of E. faecalis play a contributing role.

The main questions it aims to answer are:

Are multiple doses of NTR-101 in participants with acute AH safe and well tolerated? What medical problems do participants have when taking NTR-101? Researchers will administer the drug and monitor participants in an inpatient center.

Participants will:

Be administered multiple ascending dose frequencies of NTR-101 every day for 7 days.

Stay in the clinic for 9 days (7 days of treatment) and present to clinic once every week for checkups and tests for 35 days.

Keep a diary of their symptoms until the checkups and tests are completed.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnostic definition of acute alcohol-associated hepatitis based on well established standard disease markers

Able to provide written informed consent (either from patient or patient's legally authorized representative)

Male and female patients aged ≥18 years and ≤ 70 years of age

BMI ≥ 20 to ≤ 40 kg/m2

Disqualifiers

Participants considered at high risk for alcohol withdrawal according to the clinical institute withdrawal assessment (CIWA-Ar) protocol

Participants taking systemic corticosteroids for a specified duration

Platelet count below specified ranges

INR and Serum creatinine levels above specified ranges

Trial design

Design model

Sequential

Treatments tested in this trial

  • bacteriophage preparation

    Drug

    NTR-101 will be given orally to participants once daily for 7 days

  • Bacteriophage preparation

    Drug

    NTR-101 will be given orally to participants once daily for 7 days

  • bacteriophage preparation

    Drug

    NTR-101 will be given orally to participants twice daily for 7 days

  • bacteriophage preparation

    Drug

    NTR-101 will be given orally to participants three times daily for 7 days

Treatment groups

12 Participants
are divided into 4 treatment groups
Group A: Cohort 1Active comparator 1 intervention
Group B: Cohort 2Active comparator 1 intervention
Group C: Cohort 3Active comparator 1 intervention
Group D: Cohort 4Active comparator 1 intervention

Trial outcomes

Primary outcomes

1

Frequency of adverse events

The number of adverse events (AEs) will be recorded.

Time frame
AEs will be recorded daily for 7 days, then weekly on days 14, 21, 28 and 35
2

Changes in liver function will be evaluated

ALT (alanine transaminase) and AST (aspartate aminotransferase) enzymes will be evaluated

Time frame
Assessments will be recorded daily for 7 days, then weekly on days 14, 21, 28 and 35

Secondary outcomes

1

Preliminary assessment of NTR-101 efficacy and viability

Assessment of relative abundance of target pathogen and NTR-101 viability after oral administration

Time frame
Stool samples will be collected daily for 7 days, then weekly on days 14, 21, 28 and 35 to evaluate the presence of the target pathogen and NTR-101 viability

Other outcomes

1

Evaluation of the effect of NTR-101 on various disease severity markers

changes from baseline in disease severity markers like Serum bilirubin, Serum sodium, Serum creatinine

Time frame
Samples for disease severity markers be collected daily for 7 days, then weekly on days 14, 21, 28 and 35
2

Susceptibility of recovered target bacteria to NTR-101 post-treatment

Stool samples will be collected for bacteria culture and assess for susceptibility to NTR-101

Time frame
Samples will be collected daily for 7 days, then weekly on days 14, 21, 28 and 35

Sponsors and contacts

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Nterica Bio inc

Lead sponsor

Southern California Research Center

Collaborator

This trial is not recruiting at the moment. You can still explore other options: