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NCO-48

Phase 1

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

NCO-48 target and mechanism

ModalitySmall molecule

Also known as NCO-48 Fumarate

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials2
Total Enrollment69

FDA Designations

No designations recorded

NCO-48 clinical trials

NCO-48 · 2 trials · 2 indications

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

Study Endpoints

Primary Endpoints

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.

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.

Secondary Endpoints

NCO-48 Fumarate Area Under the Concentration-Time Curve (AUC)
7 days
NCO-48 Fumarate Maximum Plasma Concentration (Cmax)
7 days
TFV Area under the Concentration-Time Curve (AUC)
7 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NCO-48 FumarateEXPERIMENTALNCO-48 Fumarate
PlaceboPLACEBO_COMPARATORPlacebo Comparator
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.

Interventions

NameTypeDescription
NCO-48 FumarateDRUGNCO-48 Fumarate
PlaceboDRUGPlacebo
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
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Eligibility Criteria

Age Range21 Years to 65 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: 1. Healthy male or female subjects 21 to 65 years of age, inclusive. 2. Female subjects of non-childbearing potential must be surgically sterile or postmenopausal, defined as spontaneous amenorrhea for at least 2 years with follicle-stimulating hormone (FSH) in the post-menopaus...

Countries:United States
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Frequently asked questions about NCO-48

What is NCO-48?

NCO-48 is an investigational small molecule developed by Ligand Pharmaceuticals Incorporated for chronic hepatitis B and hepatitis B. It has been studied in Phase 1 clinical trials in the United States. NCO-48 is not approved and remains in clinical development.

What is NCO-48 used for in chronic hepatitis B?

NCO-48 is being developed for the treatment of chronic hepatitis B and hepatitis B. It is an investigational therapy and has not been approved for any indication. Clinical testing has been limited to Phase 1 studies evaluating its activity, safety, tolerability, and pharmacokinetics.

Who makes NCO-48?

NCO-48 is developed by Ligand Pharmaceuticals Incorporated, which trades under the ticker LGND. The company is the sponsor of the clinical program studying NCO-48 in hepatitis B and chronic hepatitis B.

What phase is NCO-48 in?

NCO-48 is in Phase 1 clinical development. Two Phase 1 trials have been completed: one in treatment-naive adults with chronic hepatitis B and one in healthy subjects. NCO-48 is investigational and has not been approved by the FDA.

What clinical trials is NCO-48 in?

NCO-48 has been studied in two completed Phase 1 trials. NCT04629976 evaluated NCO-48 fumarate in treatment-naive adults with chronic hepatitis B, enrolling 21 participants. NCT04309526 assessed safety, tolerability, and pharmacokinetics in 48 healthy subjects. Both trials were conducted in the United States.

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

Yes, NCO-48 Fumarate and NCO-48 Fumarate 4 mg are alternative names for NCO-48. The fumarate salt form is the version studied in clinical trials, including NCT04629976 and NCT04309526.