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NCT05742984

Investigate Linaprazan Glurate/Linaprazan in Healthy Subjects

Completed Phase 1 Results posted Last updated 7 May 2025
What this trial tests

Phase 1 trial testing linaprazan glurate 25 mg QD in GERD in 75 participants. Completed in 13 April 2023.

Timeline
26 January 2023
Primary endpoint
24 March 2023
13 April 2023

Quick facts

Lead sponsorCinclus Pharma Holding AB
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment75
Start date26 January 2023
Primary completion24 March 2023
Estimated completion13 April 2023
Sites1 location across Slovenia

Drugs / interventions tested

Conditions studied

Sponsor

Cinclus Pharma Holding AB — full company profile →

Who can join

Adults 18 to 65, any sex, with GERD. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

AUC0-24h Linaprazan (QD) Primary · Day 1 and Day 14

Linaprazan area under the plasma concentration curve, from 0 to 24h post dose on Day 1 and Day 14. QD groups only.

AUC0-24h Day 1
GroupValue95% CI
25 mg Linaprazan Glurate QD5057± 1650.6
50 mg Linaprazan Glurate QD8924± 2281.0
75 mg Linaprazan Glurate QD13900± 4339.5
AUC0-24h Day 14
GroupValue95% CI
25 mg Linaprazan Glurate QD4640± 1657.4
50 mg Linaprazan Glurate QD8626± 3571.9
75 mg Linaprazan Glurate QD11697± 4053.3
AUC0-12, 12-24h Linaprazan (BID) Primary · Day 1 and Day 14

Linaprazan area under the plasma concentration curve, from 0 to 12h and 12-24h post dose on Day 1 and Day 14. BID groups only.

AUC0-12h Day 1
GroupValue95% CI
25 mg Linaprazan Glurate BID4081± 1351.9
50 mg Linaprazan Glurate BID8084± 1400.5
75 mg Linaprazan Glurate BID11814± 3181.8
AUC12-24h Day 1
GroupValue95% CI
25 mg Linaprazan Glurate BID3947± 939.8
50 mg Linaprazan Glurate BID7107± 1917.8
75 mg Linaprazan Glurate BID9532± 2118.1
AUC0-12h Day 14
GroupValue95% CI
25 mg Linaprazan Glurate BID4896± 1367.3
50 mg Linaprazan Glurate BID7518± 1627.0
75 mg Linaprazan Glurate BID11757± 3058.3
AUC12-24h Day 14
GroupValue95% CI
25 mg Linaprazan Glurate BID4002± 1142.8
50 mg Linaprazan Glurate BID6334± 2061.6
75 mg Linaprazan Glurate BID9609± 2087.5
Cmax Linaprazan (QD) Primary · Day 1 and day 14

Linaprazan maximum plasma concentration 0-24h post dose for QD groups, at day 1 and day 14.

Cmax day 1
GroupValue95% CI
25 mg Linaprazan Glurate QD527.5± 184.929
50 mg Linaprazan Glurate QD1066.23± 209.973
75 mg Linaprazan Glurate QD1594.42± 585.525
Cmax day 14
GroupValue95% CI
25 mg Linaprazan Glurate QD404.75± 174.068
50 mg Linaprazan Glurate QD1002.00± 538.574
75 mg Linaprazan Glurate QD1044.92± 478.102
Cmax Linaprazan (BID) Primary · Day 1 and day 14

Linaprazan maximum plasma concentration 0-12h, and 12-24h post dose for BID groups, at day 1 and day 14.

Cmax 0-12h day 1
GroupValue95% CI
25 mg Linaprazan Glurate BID658.42± 212.101
50 mg Linaprazan Glurate BID1380.18± 303.283
75 mg Linaprazan Glurate BID1942.00± 667.280
Cmax 12-24h day 1
GroupValue95% CI
25 mg Linaprazan Glurate BID520.92± 126.378
50 mg Linaprazan Glurate BID997.09± 363.660
75 mg Linaprazan Glurate BID1283.90± 435.399
Cmax 0-12h day 14
GroupValue95% CI
25 mg Linaprazan Glurate BID782.92± 263.988
50 mg Linaprazan Glurate BID1148.64± 415.251
75 mg Linaprazan Glurate BID1740.60± 468.197
Cmax 12-24h day 14
GroupValue95% CI
25 mg Linaprazan Glurate BID520.83± 144.568
50 mg Linaprazan Glurate BID842.36± 270.396
75 mg Linaprazan Glurate BID1285.50± 443.703
AUC0-24h Linaprazan Glurate (QD) Primary · Day 1 and day 14

Linaprazan glurate area under the plasma concentration curve, from 0-24h post dose on Day 1 and Day 14. QD groups only.

AUC0-24h Day 1
GroupValue95% CI
25 mg Linaprazan Glurate QD42± 18.9
50 mg Linaprazan Glurate QD99± 68.0
75 mg Linaprazan Glurate QD166± 85.5
AUC0-24h Day 14
GroupValue95% CI
25 mg Linaprazan Glurate QD27± 18.6
50 mg Linaprazan Glurate QD107± 97.9
75 mg Linaprazan Glurate QD149± 201.1
AUC0-12h, 12-24h Linaprazan Glurate (BID) Primary · Day 1 and Day 14

Linaprazan glurate area under the plasma concentration curve, from 0 to 12h and 12-24h post dose on Day 1 and Day 14. BID groups only.

AUC0-12h Day 1
GroupValue95% CI
25 mg Linaprazan Glurate BID40± 15.5
50 mg Linaprazan Glurate BID117± 65.3
75 mg Linaprazan Glurate BID179± 87.4
AUC 12-24h Day 1
GroupValue95% CI
25 mg Linaprazan Glurate BID30± 14.6
50 mg Linaprazan Glurate BID74± 40.7
75 mg Linaprazan Glurate BID78± 24.7
AUC0-12h Day 14
GroupValue95% CI
25 mg Linaprazan Glurate BID39± 23.2
50 mg Linaprazan Glurate BID69± 37.0
75 mg Linaprazan Glurate BID156± 140.6
AUC 12-24h Day 14
GroupValue95% CI
25 mg Linaprazan Glurate BID28± 10.2
50 mg Linaprazan Glurate BID68± 38.1
75 mg Linaprazan Glurate BID114± 91.2
Cmax Linaprazan Glurate (QD) Primary · Day 1 and day 14

Linaprazan glurate maximum plasma concentration 0-24h post dose for QD groups, at day 1 and day 14.

Cmax Day 1
GroupValue95% CI
25 mg Linaprazan Glurate QD27.54± 21.284
50 mg Linaprazan Glurate QD62.24± 53.653
75 mg Linaprazan Glurate QD100.46± 64.576
Cmax Day 14
GroupValue95% CI
25 mg Linaprazan Glurate QD18.43± 18.775
50 mg Linaprazan Glurate QD126.31± 166.828
75 mg Linaprazan Glurate QD107.07± 202.899
Cmax Linaprazan Glurate (BID) Primary · Day 1 and day 14

Linaprazan glurate maximum plasma concentration 0-12h and 12-24h post dose for BID groups, at day 1 and day 14.

Cmax0-12h Day 1
GroupValue95% CI
25 mg Linaprazan Glurate BID32.52± 19.704
50 mg Linaprazan Glurate BID101.26± 49.177
75 mg Linaprazan Glurate BID148.19± 80.799
Cmax 12-24h Day 1
GroupValue95% CI
25 mg Linaprazan Glurate BID14.69± 10.290
50 mg Linaprazan Glurate BID46.60± 40.041
75 mg Linaprazan Glurate BID40.41± 32.422
Cmax0-12h Day 14
GroupValue95% CI
25 mg Linaprazan Glurate BID47.59± 46.275
50 mg Linaprazan Glurate BID61.09± 43.234
75 mg Linaprazan Glurate BID151.73± 145.527
Cmax 12-24h Day 14
GroupValue95% CI
25 mg Linaprazan Glurate BID22.29± 13.414
50 mg Linaprazan Glurate BID41.51± 38.110
75 mg Linaprazan Glurate BID94.42± 140.218
Percentage of Time Gastric pH >4 Over a 24-hour Monitoring Period (Holding Time Ratio, HTR) Primary · Day 1 and day 14

Percentage of time gastric pH \>4 at Days 1 and 14 over a 24-hour monitoring period following linaprazan glurate administration. Intragastric pH was measured every second with an intragastric probe. The measurements were compressed into 10-minute median intervalls before calculating the % of time with intragastric \>pH 4 (HTR). The HTR is presented with descriptive statistics, by dosing group.

HTR (%) pH >4 day 1
GroupValue95% CI
25 mg Linaprazan Glurate QD48± 23.23
50 mg Linaprazan Glurate QD64.6± 13.33
75 mg Linaprazan Glurate QD68.1± 23.48
25 mg Linaprazan Glurate BID76.0± 13.52
50 mg Linaprazan Glurate BID87.4± 8.62
75 mg Linaprazan Glurate BID94.5± 4.18
HTR (%) pH >4 day 14
GroupValue95% CI
25 mg Linaprazan Glurate QD48.5± 30.62
50 mg Linaprazan Glurate QD63.9± 20.09
75 mg Linaprazan Glurate QD87.2± 11.44
25 mg Linaprazan Glurate BID76.9± 20.13
50 mg Linaprazan Glurate BID95.7± 5.55
75 mg Linaprazan Glurate BID99.0± 1.54

Adverse events — posted to ClinicalTrials.gov

Time frame: (S)AE collection was performed on all dosed subjects, in the timeframe between first dose and until safety follow-up 7 +/-2 days after last dose, totalling ca 23-30 days of safety data collection. There was an exception made in the collection timeframe for the SAE, which occurred approximately 2 hours prior to first dose, i.e. outside the actual AE collection time frame as defined by the protocol, but since the event was deemed study procedure related it was reported as an SAE nevertheless.. Reporting threshold: 1%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

25 mg Linaprazan Glurate QD
Serious: 0/12 (0%)
Deaths: 0/12
50 mg Linaprazan Glurate QD
Serious: 0/13 (0%)
Deaths: 0/13
75 mg Linaprazan Glurate QD
Serious: 0/13 (0%)
Deaths: 0/13
25 mg Linaprazan Glurate BID
Serious: 0/12 (0%)
Deaths: 0/12
50 mg Linaprazan Glurate BID
Serious: 0/11 (0%)
Deaths: 0/11
75 mg Linaprazan Glurate BID
Serious: 1/12 (8%)
Deaths: 0/12

Serious adverse events (1 terms)

ReactionSystem25 mg Linaprazan Glurate QD50 mg Linaprazan Glurate QD75 mg Linaprazan Glurate QD25 mg Linaprazan Glurate BID50 mg Linaprazan Glurate BID75 mg Linaprazan Glurate BID
Commotio cerebriNervous system disorders
Other adverse events (31 terms — click to expand)

ReactionSystem25 mg Linaprazan Glurate QD50 mg Linaprazan Glurate QD75 mg Linaprazan Glurate QD25 mg Linaprazan Glurate BID50 mg Linaprazan Glurate BID75 mg Linaprazan Glurate BID
HeadacheNervous system disorders
SyncopeNervous system disorders
DizzinessNervous system disorders
SeizureNervous system disorders
fatigueGeneral disorders
PyrexiaGeneral disorders
MalaiseGeneral disorders
CystitisInfections and infestations
nasopharyngitisInfections and infestations
Gastrointestinal infectionInfections and infestations
Herpes SimplexInfections and infestations
Urinary Tract infectionsInfections and infestations
DysmenorrhoeaReproductive system and breast disorders
menstrual disorderReproductive system and breast disorders
oropharyngeal painRespiratory, thoracic and mediastinal disorders
Sinonasal obstructionRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Back PainMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
HaematuriaRenal and urinary disorders
LeukocyturiaRenal and urinary disorders
Post streptoccocal glumerulonephritisRenal and urinary disorders
proteinuriaRenal and urinary disorders
concussionInjury, poisoning and procedural complications
Facial Bones fractureInjury, poisoning and procedural complications
alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
PruritusSkin and subcutaneous tissue disorders
arterial punctureSurgical and medical procedures
PhlebitisVascular disorders

Most-reported serious reactions: Commotio cerebri.

Data from ClinicalTrials.gov NCT05742984 adverse events section.

Sponsor's own description

This is a Phase I, single-center, open label parallel-group, randomized study designed to evaluate the pharmacokinetics (PK), pharmacodynamics (PD, by continuous intragastric pH measurment), safety and tolerability of single and repeated oral doses of linaprazan glurate in 3 different dose levels given once- (QD) or twice daily (BID), for 14 days, with an additional single dose after 2, 4 or 6 days of drug holiday. The population will include healthy male and female subjects. The subjects will be followed up to 28 days post IMP dosing.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Other recruiting trials for GERD

Currently open trials in the same condition.

Other Cinclus Pharma Holding AB trials

Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing