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Alicaforsen

Phase 3

Pouchitis | RNA therapy | Gastrointestinal |Atlantic International Corp.|Trials Updated: Feb 25, 2020

Alicaforsen development status

Highest phase Phase 3
Registered trials 6 across 2 sponsors since Oct 2002

Alicaforsen target and mechanism

Molecular targetICAM1
Target classAntisense Inhibitor
ModalityRNA therapy

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment153

FDA Designations

No designations recorded

Alicaforsen clinical trials

Alicaforsen · 2 trials · 2 indications

Phase 3 1Phase 1 1
NCT02525523Efficacy of Alicaforsen in Pouchitis Patients Who Have Failed to Respond to at Least One Course of AntibioticsPouchitis
COMPLETED138 Analytics
PHASE3COMPLETED
Efficacy of Alicaforsen in Pouchitis Patients Who Have Failed to Respond to at Least One Course of Antibiotics
PouchitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Proportion of Patients With Endoscopic Remission
Week 10

The group of patients with an improvement in their endoscopic score between screening and week 10 as shown by an reduced modified MAYO score. Remission is defined as absence of friability and ulceration, represented by a score of ≤1.

Proportion of Patients With a Reduction in Relative Stool Frequency
Week 10

Group of patients with a lowering of stool frequency from baseline to week 10, where the subject's stool frequency is represented by a MAYO subscore of ≤1 at week 10.

Pharmacokinetics
24 hours

Area under the curve recovery of alicaforsen in plasma

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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AlicaforsenEXPERIMENTALAlicaforsen enema, 240mg once daily for 6 weeks
PlaceboPLACEBO_COMPARATORPlacebo enema, once daily for 6 weeks
Alicaforsen tabletsEXPERIMENTALRegimen A - Alicaforsen tablets with food

Interventions

NameTypeDescription
AlicaforsenDRUG -
PlaceboDRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites41

Inclusion Criteria: 1. Written informed consent; 2. Male or female subjects, 18 years of age who have undergone an IPAA for UC 3. History of pouchitis 4. Overall PDAI score \> 7 5. Must have Chronic Antibiotic Refractory Pouchitis Exclusion Criteria: 1. Lack of effective contraception 2. Women wh...

Countries:United StatesBelgiumCanadaFranceIrelandIsraelItalyNetherlandsSwitzerlandUnited Kingdom
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Frequently asked questions about Alicaforsen

What is Alicaforsen used for?

Alicaforsen is an investigational RNA therapy being developed for inflammatory bowel disease (IBD) and pouchitis. It is designed to treat pouchitis patients who have not responded to at least one course of antibiotics, as studied in a completed Phase 3 trial. It is not approved for any indication.

What does Alicaforsen target?

Alicaforsen targets ICAM1, also known as intercellular adhesion molecule 1. It is an antisense inhibitor that reduces the production of ICAM1, a protein involved in inflammatory cell adhesion and signaling. This mechanism is intended to dampen inflammation in gastrointestinal conditions such as IBD and pouchitis.

Who is developing Alicaforsen?

Alicaforsen is being developed by Atlantic International Corp., which trades under the ticker ATLN. The company is advancing the drug as an RNA therapy for gastrointestinal indications, including IBD and pouchitis.

What phase is Alicaforsen in?

Alicaforsen is in Phase 1 development. A Phase 1 food effect study in healthy volunteers has been completed, and a Phase 3 trial in pouchitis patients has also been completed. The drug remains investigational and has not been approved by the FDA or any regulatory agency.

What clinical trials is Alicaforsen in?

Alicaforsen has been studied in two completed trials: NCT03473626, a Phase 1 food effect study in 15 healthy male volunteers in the United Kingdom, and NCT02525523, a Phase 3 trial in 138 pouchitis patients across multiple countries. No active trials are currently listed.