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NCO-48

Phase 1

Chronic Hepatitis B | Small molecule | Infectious Disease |Ligand Pharmaceuticals Incorporated|Last Updated: Jan 4, 2023

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment21

FDA Designations

No designations recorded

Clinical trial landscape

NCO-48 · 2 trials · 2 indications

Phase 1 2
NCT04629976Activity of NCO-48 Fumarate in Treatment-Naive Adults With Chronic Hepatitis BChronic Hepatitis B
COMPLETED21 Analytics
NCT04309526Safety, Tolerability and Pharmacokinetics of NCO-48 Fumarate in Healthy SubjectsHepatitis B
COMPLETED48 Analytics
PHASE1COMPLETED
Activity of NCO-48 Fumarate in Treatment-Naive Adults With Chronic Hepatitis B
Chronic Hepatitis BUnlock trial analytics
PHASE1COMPLETED
Safety, Tolerability and Pharmacokinetics of NCO-48 Fumarate in Healthy Subjects
Hepatitis BUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in hepatitis B virus (HBV) DNA
Up to Week 4

Time-weighted average change from baseline through Week 4 in plasma HBV DNA (log10 IU/mL) for NCO-48 Fumarate 4 and 20-mg.

Severity of all Adverse Events graded according to the Common Terminology Criteria for Adverse Events (CTCAE)
30 days

An adverse event is defined as any untoward medical occurrence in a clinic investigation subject administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. The severity of all adverse events will be graded according to the CTCAE version 4.0 from dosing until 30 days post dose.

Secondary Endpoints

Change in HBV DNA for tenofovir alafenamide (TAF)
Up to Week 4
Incidence of Treatment-Emergent Adverse Events
Up to week 4
NCO-48 Fumarate Area Under the Concentration -Time Curve (AUC)
Up to week 4
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NCO-48 Fumarate 4 mgEXPERIMENTALEligible subjects will be randomized 1:1:1 to receive either open-label NCO-48 Fumarate 4 mg or 20 mg, or open-label TAF 25 mg for 28 days.
NCO-48 Fumarate 20 mgEXPERIMENTALEligible subjects will be randomized 1:1:1 to receive either open-label NCO-48 Fumarate 4 mg or 20 mg, or open-label TAF 25 mg for 28 days.
Tenofovir alafenamide 25 mgACTIVE_COMPARATOREligible subjects will be randomized 1:1:1 to receive either open-label NCO-48 Fumarate 4 mg or 20 mg, or open-label TAF 25 mg for 28 days.
NCO-48 FumarateEXPERIMENTALNCO-48 Fumarate
PlaceboPLACEBO_COMPARATORPlacebo Comparator

Interventions

NameTypeDescription
NCO-48 Fumarate 4 mgDRUG2 x 2mg NCO-48 Fumarate over 28 days of therapy
NCO-48 Fumarate 20 mgDRUG2 x 10 mg NCO-48 Fumarate over 28 days of therapy
Tenofovir Alafenamide 25 mgDRUG25 mg over 28 days of therapy
NCO-48 FumarateDRUGNCO-48 Fumarate
PlaceboDRUGPlacebo
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Adult male and female subjects between 18 and 65 years of age * Female subjects of non-childbearing potential must be surgically sterile or postmenopausal at the Screening Visit * Female subjects of childbearing potential who are sexually active with a non-sterile male partner...

Countries:United States
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Frequently asked questions about NCO-48

What is NCO-48 used for?

NCO-48 is an investigational small molecule being developed for the treatment of Hepatitis B and Chronic Hepatitis B. It is currently in Phase 1 clinical development and has not been approved by the FDA.

Who makes NCO-48?

NCO-48 is being developed by Ligand Pharmaceuticals Incorporated, a biopharmaceutical company traded on the NASDAQ under the ticker symbol LGND.

What phase is NCO-48 in?

NCO-48 is in Phase 1 clinical development. It has completed two Phase 1 trials, one in healthy subjects and one in treatment-naive adults with chronic Hepatitis B. It is not yet FDA approved.

What clinical trials is NCO-48 in?

NCO-48 has been studied in two completed Phase 1 trials: NCT04309526, a safety, tolerability and pharmacokinetics study in healthy subjects, and NCT04629976, an activity study in treatment-naive adults with chronic Hepatitis B.

Is NCO-48 the same as NCO-48 Fumarate?

Yes, NCO-48 is also known as NCO-48 Fumarate. Clinical trials have evaluated the fumarate salt form of the drug, and both names refer to the same investigational compound.