Phase 2 Study to Assess the Safety and Efficacy of ANG003

Part of paid clinical trials in Long Beach, California.

Sponsor
Anagram Therapeutics, Inc.
Study ID
NCT07450547
Phase
PHASE2
Status
Recruiting

Conditions

  • Cystic Fibrosis (CF)
  • Exocrine Pancreatic Insufficiency (EPI)

Eligibility Criteria

Sex
ALL
Age
12 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • ANG003 Dose A — DRUG
    160,000 u\* lipase, 105,000 u\* protease, and 11,600 u\* amylase per dose (\*units are comparable to United States Pharmacopeiea \[USP\])
  • ANG003 Dose B — DRUG
    240,000 u\* lipase, 105,000 u\* protease, and 11,600 u\* amylase per dose (\*units are comparable to United States Pharmacopeiea \[USP\])
  • Creon — DRUG
    The commercially available pPERT Creon will be the active comparator in the study. Subjects will be instructed to take Creon according to the package insert and PI direction.

Study Details

In this study, ANG003, a pancreatic enzyme replacement therapy (PERT; commonly called "enzymes"), is being investigated as a potential treatment for exocrine pancreatic insufficiency (EPI). People with EPI due to Cystic Fibrosis (CF) may be eligible to participate in this study. The primary objective of this study is to evaluate the safety of ANG003 and see if it works as well compared to Creon, an approved PERT.

Key Dates

Start date
Apr 24, 2026
Status verified
Jun 2026
Primary completion
Jul 31, 2027
Completion
Jul 31, 2027

Study Design

Enrollment
113 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: ANG003 Dose A
    All subjects will be acclimated to Creon for 14-days and then will undergo a baseline CFA analysis. If baseline CFA is \>/= 80%, the subject may be randomized to ANG003 Dose A for a 21-day acclimation and subsequent CFA analysis.
  • Experimental: ANG003 Dose B
    All subjects will be acclimated to Creon for 14-days and then will undergo a baseline CFA analysis. If baseline CFA is \>/= 80%, the subject may be randomized to ANG003 Dose B for a 21-day acclimation and subsequent CFA analysis.
  • Active Comparator: Creon
    All subjects will be acclimated to Creon for 14-days and then will undergo a baseline CFA analysis. If baseline CFA is \>/= 80%, the subject may be randomized to Creon for an additional 21-days and subsequent CFA analysis.
  • No Intervention: Off Enzyme
    All subjects will be acclimated to Creon for 14-days and then will undergo a baseline CFA analysis. If baseline CFA is \>/= 80%, the subject may be randomized to the off enzyme arm. Subjects will receive Creon for an additional 21-day and the subsequent CFA analysis will be off enzyme. Total time off enzyme will be 4-7 days.
  • Other: 60% to <80% CFA ANG003 Dose B
    All subjects will be acclimated to Creon for 14-days and then will undergo a baseline CFA analysis. Participants with a Period A CFA result of 60% to \<80% will be assigned to ANG003 Dose B.

Primary Outcome Measure

Adverse events (AEs); Treatment-emergent AEs; Serious AEs; Discontinuation due to AEs; Clinical laboratory values [ Time Frame: From Visit 1 to Visit 5, anticipated average 80 days ]

Central Contacts

Locations (26)

FacilityCityStateZIPSite coordinators
Long Beach Memorial Medical CenterLong BeachCalifornia90806
Angelica Rodriguez
562-706-1245
Center for Cystic Fibrosis at Keck Medical Center of USCLos AngelesCalifornia90033
Lynn Fukushima
323-442-8522
National Jewish HealthDenverColorado80206
Alix Wilson
303-270-2517
University of FloridaGainesvilleFlorida32610
Alexa Smith
352-273-8380
Central Florida Pulmonary GroupOrlandoFlorida32803
Desiree Serr
407-303-7192
The Cystic Fibrosis InstituteGlenviewIllinois60025
Steven R Boas, MD
847-998-3434
University of IowaIowa CityIowa52242
Mary Teresi
319-384-7546
University of Kansas Medical CenterKansas CityKansas66160
Lawrence Scott
913-588-4020
University of KentuckyLexingtonKentucky40506
Chase Whitaker
859-218-4810
MaineHealth Pediatric Specialty CarePortlandMaine04102
Rebecca Edwards
207-662-6712
Boston Children's HospitaBostonMassachusetts02115
Robert Fowler
617-355-1834
Massachusetts General HospitalBostonMassachusetts02114
Margot Hardcastle
617-726-3719
University of Michigan, Michigan MedicineAnn ArborMichigan48109
Dawn Kruse
734-615-3266
Wayne State University Harper University HospitalDetroitMichigan48201
Debra Driscoll
313-745-2221
Rutgers - Robert Wood Johnson Medical SchoolNew BrunswickNew Jersey08903
Sheila Redding
732-235-7840
New York Medical College at Westchester Medical CenterValhallaNew York10595
Zachary Messer
914-594-2352
Children's Hospital Medical Center of AkronAkronOhio44308
Michelle Parrish
330-543-3089
Rainbow Babies and Children's Hospital/University Hospitals Cleveland Medical CenterClevelandOhio44106
Primary RC & Participant Contact General Contact
216-844-3911
Nationwide Children's Hospital, ColumbusColumbusOhio43205
Diana Gilmore
614-722-4752
Toledo Children's HospitalToledoOhio43606
Kelly Hoot
419-291-4630
Hershey Medical Center Pennsylvania State UniversityHersheyPennsylvania17033
Diane Kitch
717-531-5646
University of Pittsburgh Medical CenterPittsburghPennsylvania15224
Adrienne DeRicco
412-692-8069
University of Texas Southwestern / Children's HealthDallasTexas75207
Keianna Brown
214-456-5489
Adult Cystic Fibrosis Center at the University of UtahSalt Lake CityUtah84112
Kristyn Packer
801-520-5106
University of WisconsinMadisonWisconsin53792
Melanie Nelson
608-265-4617
Froedtert & Medical College of WisconsinMilwaukeeWisconsin53226
Erin Hubertz
414-955-7019

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