Study in Healthy Participants and Participants With Moderate Atopic Dermatitis & Optionally, Moderate Psoriasis, and/or Mild Asthma

Study Overview
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Brief Summary
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This Phase 1 study will investigate the safety and tolerability of EDP1867 in healthy volunteers, participants with atopic dermatitis, and, optionally, in participants with psoriasis and/or asthma.

Detailed Description
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This is a phase 1a/1b, first in human, participant and investigator-blind sponsor-unblinded randomized placebo-controlled multiple dose study of EDP1867 in healthy volunteers and participants with moderate atopic dermatitis and, optionally, moderate psoriasis, and/or mild asthma. This study has been designed to investigate the clinical safety and tolerability of EDP1867 in healthy volunteers, participants with atopic dermatitis, and, optionally, in participants with psoriasis and/or asthma.

Official Title
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A Ph1a/1b, First in Human, Participant and Investigator-blind Sponsor-unblinded Randomized Placebo-controlled Multiple Dose Study of EDP1867 in Healthy Volunteers & Participants With Moderate Atopic Dermatitis & Optionally, Moderate Psoriasis, and/or Mild Asthma

Conditions
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Atopic Dermatitis, Psoriasis, Asthma

Intervention / Treatment
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* Drug: EDP1867
* Drug: Placebo


Participation Criteria
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Eligibility Criteria
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Key Inclusion Criteria: Age ≥ 18 years to 65 years. Participant has a body mass index of ≥ 18 kg/m2 to ≤ 35 kg/m2. Participants who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, and ECG monitoring at Screening and at Baseline. Additional Inclusion Criteria for Participants with Moderate Atopic Dermatitis Participant has moderate atopic dermatitis with a minimum of 5% and a maximum of 40% BSA involvement, and an IGA score of 2 or 3. Participant has had a confirmed diagnosis of atopic dermatitis for at least 6 months. All participants must be using an emollient and should continue to use this once daily (or more, as needed) for at least 14 days prior to randomisation, and must continue this treatment once daily (or more, as needed) throughout the study. Additional Inclusion Criteria for Participants with Moderate Psoriasis Participant has moderate plaque psoriasis with plaque covering BSA of ≥3% and ≤10% and meets both of the following additional criteria: PASI score of ≥6 and ≤15, and PGA score of 2 or 3. Participant has a confirmed diagnosis of plaque psoriasis for at least 6 months. Additional Inclusion Criteria for Participants with Mild Asthma Participant has a diagnosis of stable asthma for at least six months FeNO of ≥40ppb. FEV1 ≥70% of predicted normal. Key Exclusion Criteria: Participant has received live attenuated vaccination within 6 weeks prior to Screening or intends to have such a vaccination during the course of the study (non-live vaccines are permitted). Participant requires treatment with an anti-inflammatory drug during the study period. Participant has an active infection (e.g. sepsis, pneumonia, abscess) or has had an infection requiring antibiotic treatment within 6 weeks prior to study intervention administration. Participant has renal or liver impairment Participant has active neoplastic disease or history of neoplastic disease within 5 years of Screening Participant has undergone major surgery within 4 weeks prior to Screening. Any known cardiac abnormality Participant has a known history of human immunodeficiency virus (HIV) Known, active hepatitis A, hepatitis B (HBV), or hepatitis C (HCV) infection Participant with any type of GI tract disease Participants with a history of any serious psychiatric condition; or on therapy for any psychiatric condition The participant has taken any over-the-counter (OTC) or prescription medication, within 14 days prior to baseline (Day -1); or anticipates an inability to abstain from these products for the duration of the study period The participant has a significant history of drug abuse or regular use of illicit drugs or a history of alcohol abuse within 1 year prior to Screening or has tested positive for drugs of abuse or alcohol at Screening or at baseline. The participant has had an acute, clinically significant illness within 30 days prior to the first dose of study intervention. Additional Exclusion Criteria for Participants with Atopic Dermatitis Participant is receiving systemic immunosuppressive or non-biologic atopic dermatitis therapy or has received such therapy within 4 weeks prior to Screening. Participant has received treatment with biologic agents within 12 months prior to first dose. Participant continues to use topical medications, other than emollients, that could affect atopic dermatitis 2 weeks prior to the start of dosing. Participant intends to continue to use sunbeds and/or increase their sun exposure significantly from their normal lifestyle Additional Exclusion Criteria for Participants with Psoriasis Psoriasis restricted to scalp, palm, and/or soles only. Non-plaque type of psoriasis Participant is receiving systemic immunosuppressive or nonbiologic psoriasis therapy or has received such therapy within 4 weeks prior to Screening Participant has received treatment with biologic agents within 12 months prior to first dose. Participant continues to use topical medications that could affect psoriasis within 2 weeks prior to the start of dosing Participant intends to continue to use sunbeds and/or increase their sun exposure significantly from their normal lifestyle Additional Exclusion Criteria for Participants with Asthma History of life-threatening asthma, or a visit to the emergency department for asthma in the 6 months prior to screening, or exacerbation requiring oral corticosteroids within the previous 3 months. Smoker or nicotine user within the 3 months prior to screening; or a previous smoker with a greater than 10 pack year history. Other significant non-reversible pulmonary disease Use of the following medicines within the specified time-frame prior to screening: Long-acting inhaled β2-agonists: 8 weeks. Note: short-acting inhaled β2-agonists are permitted as required. Anti-IgE therapy: 6 months Inhaled corticosteroids: 8 weeks Oral or Injected corticosteroids: 8 weeks Intranasal or topical steroids: 4 weeks Leukotriene antagonists: 2 weeks Long-acting muscarinic antagonist: 8 weeks Xanthines (excluding caffeine), anticholinergics, cromoglycates: 1 week.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Cohort 1<br>12 healthy volunteers; 8 on EDP1867, 4 on placebo. Dose = upto 7.5 x 10^11 cells, capsules, once daily, 14 days total | Drug: EDP1867<br>* EDP1867 is an orally administered, pharmaceutical preparation of a single strain of bacteria<br>Drug: Placebo<br>* Placebo oral capsule<br>|
| Experimental: Cohort 2<br>12 healthy volunteers; 8 on EDP1867, 4 on placebo. Dose = upto 1.5 x 10^12 cells, capsules, once daily, 14 days total | Drug: EDP1867<br>* EDP1867 is an orally administered, pharmaceutical preparation of a single strain of bacteria<br>Drug: Placebo<br>* Placebo oral capsule<br>|
| Experimental: Cohort 3<br>24 subjects with moderate atopic dermatitis; 16 on EDP1867, 8 on placebo. Dose = 7.5 x 10^11 cells, capsules, once daily, 56 days | Drug: EDP1867<br>* EDP1867 is an orally administered, pharmaceutical preparation of a single strain of bacteria<br>Drug: Placebo<br>* Placebo oral capsule<br>|
| Experimental: Cohort 4<br>24 subjects with moderate psoriasis; 16 on EDP1867, 8 on placebo. Dose = 7.5 x 10^11 cells, capsules, once daily, 56 days | Drug: EDP1867<br>* EDP1867 is an orally administered, pharmaceutical preparation of a single strain of bacteria<br>Drug: Placebo<br>* Placebo oral capsule<br>|
| Experimental: Cohort 5<br>24 subjects with mild asthma; 16 on EDP1867, 8 on placebo. Dose = 7.5 x 10^11 cells, capsules, once daily, 56 days | Drug: EDP1867<br>* EDP1867 is an orally administered, pharmaceutical preparation of a single strain of bacteria<br>Drug: Placebo<br>* Placebo oral capsule<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Safety and tolerability measured through Adverse Events (AEs) | Number of participants with AEs by seriousness and relationship to treatment | Day 1 to Day 70 | 
| Safety and tolerability measured through lab measurements | Number of participants with clinically significant change from baseline (Day 0) in laboratory values | Day 1 to Day 70 | 
| Safety and tolerability measured through ECG | Number of participants with clinically relevant changes from baseline (Day 0) ECG parameters | Day 1 to Day 70 | 
| Safety and tolerability measured through physical examination | Physical examination will include, at a minimum, assessments of the cardiovascular, respiratory, oral cavity, GI and neurological systems. Height and weight will also be measured and recorded. Number of participants with clinically relevant changes from baseline (Day 0) physical examination parameters | Day 1 to Day 70 | 
| Safety and tolerability measured through vital signs | Blood pressure, pulse rate, respiratory rate, oxygen saturations and temperature will be assessed. Number of participants with clinically relevant changes in vital signs from baseline (Day 0) | Day 1 to Day 70 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in EASI score | The clinical improvement in subjects with atopic dermatitis will be measured using the change from baseline in EASI (Eczema Area and Severity Index) score | Day 1 to Day 70 | 
| Percentage change in EASI score | The clinical improvement in subjects with atopic dermatitis will be measured using the percentage change from baseline in EASI (Eczema Area and Severity Index) score | Day 1 to Day 70 | 
| Change in SCORAD score | The clinical improvement in subjects with atopic dermatitis will be measured using the change from baseline in SCORAD (SCORing Atopic Dermatitis) score | Day 1 to Day 70 | 
| Percentage change in SCORAD score | The clinical improvement in subjects with atopic dermatitis will be measured using the percentage change from baseline in SCORAD (SCORing Atopic Dermatitis) score | Day 1 to Day 70 | 
| Change in BSA | The clinical improvement in subjects with atopic dermatitis will be measured using the change from baseline in BSA (Body Surface Area) | Day 1 to Day 70 | 
| Percentage change in BSA | The clinical improvement in subjects with atopic dermatitis will be measured using the percentage change from baseline in BSA (Body Surface Area) | Day 1 to Day 70 | 
| Change in IGA x BSA | The clinical improvement in subjects with atopic dermatitis will be measured using the change from baseline in IGA x BSA [IGA = Investigator's Global Assessment, BSA = Body Surface Area] | Day 1 to Day 70 | 
| Percentage change in IGA x BSA | The clinical improvement in subjects with atopic dermatitis will be measured using the percentage change from baseline in IGA x BSA [IGA = Investigator's Global Assessment, BSA = Body Surface Area] | Day 1 to Day 70 | 
| Change in DLQI score | The clinical improvement in subjects with atopic dermatitis will be measured using the change from baseline in DLQI (Dermatology Life Quality Index) score | Day 1 to Day 70 | 
| Change in POEM score | The clinical improvement in subjects with atopic dermatitis will be measured using the change from baseline in POEM (Patient-Oriented Eczema Measure) score | Day 1 to Day 70 | 
| Change in Pruritis NRS average itch score | The clinical improvement in subjects with atopic dermatitis will be measured using the change from baseline in Pruritis NRS (Numerical Rating Scale) average itch score | Day 1 to Day 70 | 
| Change in Pruritis NRS worst itch score | The clinical improvement in subjects with atopic dermatitis will be measured using the change from baseline in Pruritis NRS (Numerical Rating Scale) worst itch score | Day 1 to Day 70 | 
| Achievement of EASI-50 | The clinical improvement in subjects with atopic dermatitis will be measured using achievement of EASI-50 at day 70 | Day 1 to Day 70 | 
| Achievement of EASI-75 | The clinical improvement in subjects with atopic dermatitis will be measured using achievement of EASI-75 at day 70 | Day 1 to Day 70 | 
| Achievement of IGA 0 or 1 | The clinical improvement in subjects with atopic dermatitis will be measured using achievement of IGA 0 or 1 at day 70 | Day 1 to Day 70 | 
| Change in PASI score | The clinical improvement in subjects with psoriasis will be measured using change from baseline in PASI score (Psoriasis Area and Severity Index Score) | Day 1 to Day 70 | 
| Percentage change in PASI score | The clinical improvement in subjects with psoriasis will be measured using percentage change from baseline in PASI score (Psoriasis Area and Severity Index Score) | Day 1 to Day 70 | 
| Change in LSS | The clinical improvement in subjects with psoriasis will be measured using change from baseline in LSS (Lesion Severity Score) | Day 1 to Day 70 | 
| Change in BSA | The clinical improvement in subjects with psoriasis will be measured using change from baseline in BSA (Body Surface Area) | Day 1 to Day 70 | 
| Percentage change in BSA | The clinical improvement in subjects with psoriasis will be measured using percentage change from baseline in BSA (Body Surface Area) | Day 1 to Day 70 | 
| Change in PGA x BSA | The clinical improvement in subjects with psoriasis will be measured using change from baseline in PGA x BSA [PGA= Physician's Global Assessment; BSA = Body Surface Area) | Day 1 to Day 70 | 
| Percentage change in PGA x BSA | The clinical improvement in subjects with psoriasis will be measured using percentage change from baseline in PGA x BSA [PGA= Physician's Global Assessment; BSA = Body Surface Area) | Day 1 to Day 70 | 
| Change in DLQI | The clinical improvement in subjects with psoriasis will be measured using change from baseline in DLQI (Dermatology Life Quality Index) score | Day 1 to Day 70 | 
| Achievement of PASI-50 | The clinical improvement in subjects with psoriasis will be measured using achievement of PASI-50 at Day 70 | Day 1 to Day 70 | 
| Achievement of PASI-75 | The clinical improvement in subjects with psoriasis will be measured using achievement of PASI-75 at Day 70 | Day 1 to Day 70 | 
| Achievement of PGA of 0 or 1 | The clinical improvement in subjects with psoriasis will be measured using achievement of PGA of 0 or 1 at Day 70 | Day 1 to Day 70 | 
| Change in FeNO | The clinical improvement in subjects with asthma will be measured using change from baseline in FeNO (Fractional exhaled Nitric Oxide) | Day 1 to Day 70 | 
| Percentage change in FeNO | The clinical improvement in subjects with asthma will be measured using percentage change from baseline in FeNO | Day 1 to Day 70 | 
| Change in FEV1 | The clinical improvement in subjects with asthma will be measured using change from baseline in FEV1 (Forced Expiratory Volume) | Day 1 to Day 70 | 
| Percentage change in FEV1 | The clinical improvement in subjects with asthma will be measured using percentage change from baseline in FEV1 (Forced Expiratory Volume) | Day 1 to Day 70 | 
| Change in FVC | The clinical improvement in subjects with asthma will be measured using change from baseline in FVC (Forced Vital Capacity) | Day 1 to Day 70 | 
| Percentage change in FVC | The clinical improvement in subjects with asthma will be measured using percentage change from baseline in FVC (Forced Vital Capacity) | Day 1 to Day 70 | 
| Change in FEV1/FVC ratio | The clinical improvement in subjects with asthma will be measured using change from baseline in FEV1/FVC ratio | Day 1 to Day 70 | 
| Percentage change in FEV1/FVC ratio | The clinical improvement in subjects with asthma will be measured using percentage change from baseline in FEV1/FVC ratio | Day 1 to Day 70 | 
| Change in PEF | The clinical improvement in subjects with asthma will be measured using change from baseline in PEF (Peak Expiratory Flow) | Day 1 to Day 70 | 
| Percentage change in PEF | The clinical improvement in subjects with asthma will be measured using percentage change from baseline in PEF (Peak Expiratory Flow) | Day 1 to Day 70 | 
| Change in number of exacerbations | The clinical improvement in subjects with asthma will be measured using change from baseline in number of exacerbations across the treatment period | Day 1 to Day 56 | 
| Occurrence of any exacerbation | The clinical improvement in subjects with asthma will be measured using the occurrence of any exacerbation during the treatment period | Day 1 to Day 56 | 
| Number of puffs of SABA medication | The clinical improvement in subjects with asthma will be measured using the number of puffs of SABA medication used in the 7 days prior to Day 28 and Day 56 | Day 1 to Day 56 | 
| Use of any SABA medication | The clinical improvement in subjects with asthma will be measured using the occurrence of use of any SABA medication during the treatment period | Day 1 to Day 56 |