A Dose Ranging Study Evaluating Efficacy and Safety of NI-03 (Tactic)
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ClinicalTrials.gov Identifier: NCT02693093 |
Recruitment Status :
Completed
First Posted : February 26, 2016
Last Update Posted : December 16, 2022
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Condition or disease | Intervention/treatment | Phase |
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Chronic Pancreatitis | Drug: NI-03 Drug: Placebo | Phase 1 Phase 2 |
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.
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 264 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Triple (Participant, Investigator, Outcomes Assessor) |
Primary Purpose: | Treatment |
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 |
Actual Study Start Date : | February 24, 2016 |
Actual Primary Completion Date : | September 30, 2021 |
Actual Study Completion Date : | December 30, 2021 |

Arm | Intervention/treatment |
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Placebo Comparator: placebo
TID Day for 28 Days
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Drug: Placebo |
Experimental: 100 mg NI-03
TID Day for 28 Days
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Drug: NI-03 |
Experimental: 200 mg NI-03
TID Day for 28 Days
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Drug: NI-03 |
Experimental: 300 mg NI-03
TID Day for 28 Days
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Drug: NI-03 |
- 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 ]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.
- Phase 1 - Safety and Tolerability - Treatment Emergent Adverse Events (TEAE) via CTCAE v4.0 [ Time Frame: through 7 days post-dose ]Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
- Phase 1 - Safety and Tolerability - Laboratory test results [ Time Frame: through 7 days post-dose ]Laboratory test results will be graded and summarized based on CTCAE v4.03. and by shifts in results before and after dosing
- Phase 2 - Efficacy Analysis - average daily worst pain intensity score [ Time Frame: 4 Weeks ]
- Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA -area under the curve (AUC) [ Time Frame: pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose. ]
- Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA - Maximum concentration (Cmax) [ Time Frame: pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose. ]
- Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA - time to maximum plasma concentration (tmax) [ Time Frame: pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose. ]
- Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA - apparent clearance (CL/F) [ Time Frame: pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose. ]
- Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA - plasma terminal half-life (t1/2) [ Time Frame: pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose. ]
- Phase 1 - To determine the pharmacokinetic profile for FOY251 and GBA - apparent volume of distribution (Vz/F) [ Time Frame: pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose. ]
- Phase 2 - Efficacy Analysis - Change from baseline in least pain score [ Time Frame: change from baseline to Week 4 ]
- Phase 2 - Efficacy Analysis - Change from baseline in average pain score [ Time Frame: 4 Weeks ]
- Phase 2 - Efficacy Analysis - Change from baseline in current pain score [ Time Frame: 4 Weeks ]
- Phase 2 - Efficacy Analysis - Change from baseline in average morphine-equivalent daily opioid daily dose [ Time Frame: 4 Weeks ]
- Phase 2 - Efficacy Analysis - Change from baseline in quality of life [ Time Frame: change from baseline to Week 4 ]assessed using the pain interference aspects of the Brief Pain Inventory (BPI)
- Phase 2 - Safety and Tolerability - Treatment Emergent Adverse Events (TEAE) via CTCAE v4.0 [ Time Frame: Through day 57 (End of Study Visit) ]Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
- Phase 2 - Safety and tolerability - Laboratory Test Results [ Time Frame: Through day 57 (End of Study Visit) ]Laboratory test results will be graded and summarized based on CTCAE v4.03. and by shifts in results before and after dosing
- Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA -area under the curve (AUC) [ Time Frame: Days 1 and 29, and at 0.25, 0.5, 1, 2 and 4 hours post-dose ]
- Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA - Maximum concentration (Cmax) [ Time Frame: pre-dose and at 0.25, 0.5, 1, 2, 4 and 8 hours post-dose. ]
- Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA - time to maximum plasma concentration (tmax) [ Time Frame: Days 1 and 29, and at 0.25, 0.5, 1, 2 and 4 hours post-dose ]
- Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA - plasma terminal half-life (t1/2) [ Time Frame: Days 1 and 29, and at 0.25, 0.5, 1, 2 and 4 hours post-dose ]
- Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA - apparent clearance (CL/F) [ Time Frame: Days 1 and 29, and at 0.25, 0.5, 1, 2 and 4 hours post-dose ]
- Phase 2 - To determine the pharmacokinetic profile for FOY251 and GBA - apparent volume of distribution (Vz/F) [ Time Frame: Days 1 and 29, and at 0.25, 0.5, 1, 2 and 4 hours post-dose ]

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Ages Eligible for Study: | 18 Years to 85 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
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.
Exclusion Criteria:
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,
- 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

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02693093

Principal Investigator: | Phiip Hart, MD | OSU |
Responsible Party: | Kangen Pharmaceuticals, Inc |
ClinicalTrials.gov Identifier: | NCT02693093 |
Other Study ID Numbers: |
NI03-001 |
First Posted: | February 26, 2016 Key Record Dates |
Last Update Posted: | December 16, 2022 |
Last Verified: | December 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Pancreatitis Pancreatitis, Chronic Pancreatic Diseases Digestive System Diseases |
Chronic Disease Disease Attributes Pathologic Processes |