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A Study to Assess the Efficacy, Safety and Tolerability of IRL201104 in Adults With Active Eosinophilic Esophagitis

A Phase 2a, Double-blind, Placebo-Controlled, Multi-Center Study to Assess the Efficacy, Safety, and Tolerability of IRL201104 in Adult Participants With Active Eosinophilic Esophagitis (EoE)

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05084963
Enrollment
36
Registered
2021-10-20
Start date
2021-10-29
Completion date
2022-10-24
Last updated
2025-05-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Eosinophilic Esophagitis

Keywords

EoE

Brief summary

The purpose of this study is to asses the efficacy, safety and tolerability of repeat doses of IRL201104 in Adult Participants with Active Eosinophilic Esophagitis (EoE)

Interventions

lyophilised powder for reconstitution for IV dosing

DRUGPlacebo

Matching placebo for IRL201104

Sponsors

Revolo Biotherapeutics
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

1. Age 18 to 75 years old, inclusive, at the time of signing the informed consent form. 2. Documented diagnosis of EoE by endoscopy prior to screening. Note: Must include a demonstration of intraepithelial eosinophilic infiltration (peak cell count ≥ 15 eos/hpf \[400×\]) from esophageal biopsy specimens from endoscopy. 3. History (by participant report) of on average at least 2 episodes of dysphagia (with intake of solids off anti-inflammatory therapy) per week in the 4 weeks prior to screening, and on average at least 2 episodes of documented dysphagia per week during any 2 consecutive weeks (qualifying period) between screening and baseline; dysphagia is defined as trouble swallowing solid food, or having solid food stick, by participant report; and completed the DSQ on ≥ 70% of days during the qualifying period prior to baseline (Visit 1). 4. Must remain on a stabilized diet for at least 6 weeks prior to screening and during the course of the study; stable diet is defined as no initiation of single or multiple elimination diets or reintroduction of previously eliminated food groups. 5. Must be willing and able to continue any dietary therapy and/or medical regimens (including gastric acid suppression) in effect at the screening visit. There should be no change to these regimens during the study participation. 6. Willing and able to comply with all clinic visits and study-related procedures. 7. Able to understand and complete study-related questionnaires. 8. Provide signed informed consent. 9. Esophagogastroduodenoscopy (EGD) with photographs performed at screening (qualifying EGD), with a demonstration of intraepithelial eosinophilic infiltration (peak cell count ≥15 eos/hpf) in at least 2 of the 3 biopsied esophageal regions (proximal, mid, or distal).

Exclusion criteria

1. Prior participation in an IRL201104 clinical study. 2. Has any current disease of the gastrointestinal tract (aside from EoE) that may impact, in the investigator's opinion, the patient's EoE disease status. This includes, but not limited to: eosinophilic gastritis, eosinophilic enteritis, eosinophilic duodenitis, eosinophilic colitis, or proctitis; inflammatory bowel disease; or celiac disease. 3. Has other causes of esophageal eosinophilia or the following diseases: hypereosinophilic syndromes, Churg-Strauss vasculitis (eosinophilic granulomatosis with polyangiitis), or peripheral blood absolute eosinophil count of \> 1500 eosinophils/μL. 4. Has presence of oral or esophageal mucosal infection of any type. 5. Has any condition affecting the esophageal mucosa or altering esophageal motility other than EoE. 6. History of achalasia, active Helicobacter pylori infection, Crohn's disease, ulcerative colitis, celiac disease, and prior esophageal surgery (with the exception of a surgical repair of an EoE complication). 7. Any esophageal stricture unable to be passed with a standard, diagnostic, adult (9 to 10 mm) upper endoscope or any critical esophageal stricture that requires dilation at screening; or dilation within 2 months prior to screening. 8. On a pure liquid diet or any mouth or dental condition that prevents normal eating. 9. Has initiated, discontinued, or changed dosage regimen of PPIs within the 4 weeks prior to the qualifying EGD, between the qualifying EGD and baseline visit (Visit 1), or anticipates changes in the use of PPI during the study. PPI must remain constant throughout the study. 10. History of bleeding disorders or esophageal varices. 11. Use of anticoagulants within 2 weeks prior to screening. Participants should not stop these agents solely to become eligible for entry into this study. 12. Treatment with an investigational drug within 2 months or within 5 half-lives (if known), whichever is longer, prior to screening. 13. Use of systemic corticosteroids within 3 months or swallowed topical corticosteroids within 6 weeks prior to screening. 14. Treatment with oral immunotherapy (OIT) within 6 months prior to screening. 15. Allergen immunotherapy (sublingual immunotherapy \[SLIT\] and/or subcutaneous immunotherapy \[SCIT\]), unless on a stable dose for at least 1 year prior to screening. 16. The following treatments within 3 months before the screening visit, or any condition that, in the opinion of the investigator, is likely to require such treatment(s) during the study: Systemic immunosuppressive/immunomodulating drugs (eg, omalizumab, cyclosporine, mycophenolate-mofetil, interferon \[IFN\]γ, Janus kinase inhibitors, azathioprine, methotrexate, and other biologics that are ongoing \[eg, dupilumab, benralizumab, mepolizumab, or vedolizumab\]). 17. Diagnosed with active parasitic infection; or suspected parasitic infection, unless clinical and (if necessary) laboratory assessments have ruled out active infection before randomization. 18. Chronic or acute infection requiring treatment with systemic antibiotics, antivirals, or antifungals within 1 month prior to screening. 19. Use of oral antibiotics/anti-infectives within 2 weeks prior to screening. 20. Known or suspected immunosuppression, including history of invasive opportunistic infections (eg, tuberculosis, non-tuberculous mycobacterial infections, histoplasmosis, listeriosis, coccidioidomycosis, pneumocystosis, aspergillosis) despite infection resolution, or otherwise recurrent infections of abnormal frequency, or prolonged infections suggesting an immunocompromised status, as judged by the investigator. 21. Known history of human immunodeficiency virus (HIV) infection. 22. Positive or indeterminate hepatitis B surface antigen (HBsAg) or hepatitis C antibody at screening. 23. Moderate or severe renal impairment (eGFR \<60 mL/min/1.73 m2) or end stage renal disease. 24. Elevated transaminases (alanine aminotransferase \[ALT\] and/or aspartate aminotransferase \[AST\]) \> 3 times the upper limit of normal (ULN) at screening. 25. History of malignancy within 5 years prior to screening, except completely treated in situ carcinoma of the cervix and completely treated and resolved nonmetastatic squamous or basal cell carcinoma of the skin. 26. Any other medical or psychological condition including relevant laboratory abnormalities at screening that, in the opinion of the investigator, suggest a new and/or insufficiently understood disease, may present an unreasonable risk to the participant as a result of his/her participation in this clinical study, may make the participant's participation unreliable, or may interfere with study assessments. The specific justification for participants excluded under this criterion will be noted in study documents (eg, chart notes, electronic case report form). These may include participant-reported alcohol or drug abuse and severe concomitant illness(es). 27. Planned or anticipated use of any prohibited medications and procedures (as described in the

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in the Peak Esophageal Intraepithelial Eosinophil Count at Week 4 (Mean)4 weeksThe change from baseline in histologic eosinophil count in each treatment group will be summarized as the mean and Standard Deviation (SD)

Secondary

MeasureTime frameDescription
Percent of Participants Achieving Peak Esophageal Intraepithelial Eosinophil Count of < 15 Eos/Hpf (Week 4)4 weeksPercent of participants with a histologic eosinophil count of \< 15 eos/hpf will be summarized for each treatment group
Percent Change in Peak Esophageal Intraepithelial Eosinophil Count (Eos/Hpf)4 weeksThe percent change from baseline in peak intraepithelial eosinophil count in each treatment group will be summarized as the mean and SD
Treatment Emergent Adverse Events (TEAE)8 weeksNumber of participants who had a TEAE
Safety Laboratory Data: Biochemistry8 weeksNumber of participants with treatment emergent clinically significant abnormal lab value.
Safety Laboratory Data: Coagulation8 weeksNumber of participants with treatment emergent clinically significant abnormal lab value
Absolute Change in Dysphagia Symptom Questionnaire (DSQ) Score From Baseline.4 weeksThe DSQ is used to measure the frequency and intensity of dysphagia. The DSQ scores can range from 0 to 84, with a lower score indicating less frequent or less severe dysphagia. The change from baseline in DSQ score in each treatment group will be summarized as the median, minimum, and maximum
Safety Laboratory Data: Urinalysis Panel8 weeksNumber of participants with treatment emergent clinically significant abnormal value (Color, Glucose, Red blood cells, Clarity, Blood, Hyaline and other casts, pH, Bilirubin, Bacteria, Specific gravity, Leukocyte esterase, Epithelial cells, Ketones, Nitrite, Crystals, Protein, White blood cells, Yeast).
12-Lead ECG8 weeksNumber of participants with treatment emergent clinically significant abnormal value (Ventricular Rate, PR Interval, RR Interval, QRS Duration, QT Interval, QTcF Interval).
Physical Exam8 weeksNumber of participants with treatment emergent clinically significant abnormal value \[Body Systems: head, eyes, ears, nose and throat (HEENT); cardiovascular, respiratory, gastrointestinal, dermatological, musculoskeletal, nervous systems, lymph nodes and general appearance\].
Vital Signs8 weeksNumber of participants with treatment emergent clinically significant abnormal value (systolic and diastolic blood pressure, heart rate, respiratory rate, and temperature).
Safety Laboratory Data: Hematology Panel8 weeksNumber of participants with treatment emergent clinically significant abnormal value \[Hemoglobin, Hematocrit, red blood cells count, white blood cell count, red cell indices, platelet count and white blood cell differential (neutrophil, lymphocyte, monocyte, eosinophil, and basophil)\].

Countries

United States

Participant flow

Participants by arm

ArmCount
Arm 1: IRL201104 4 mg
IRL201104 IV on Days 0, 7, and 14 IRL201104: lyophilised powder for reconstitution for IV dosing
11
Arm 2: IRL201104 8 mg
IRL201104 IV on Days 0, 7, and 14 IRL201104: lyophilised powder for reconstitution for IV dosing
13
Arm 3: Placebo
Placebo IV on Days 0, 7, and 14 Placebo: Matching placebo for IRL201104
12
Total36

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyWithdrawal by Subject001

Baseline characteristics

CharacteristicArm 1: IRL201104 4 mgTotalArm 3: PlaceboArm 2: IRL201104 8 mg
Age, Continuous39 years38.5 years33 years42 years
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
11 Participants36 Participants12 Participants13 Participants
Region of Enrollment
United States
11 participants36 participants12 participants13 participants
Sex: Female, Male
Female
2 Participants10 Participants6 Participants2 Participants
Sex: Female, Male
Male
9 Participants26 Participants6 Participants11 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 110 / 130 / 12
other
Total, other adverse events
6 / 117 / 137 / 12
serious
Total, serious adverse events
0 / 110 / 130 / 12

Outcome results

Primary

Change From Baseline in the Peak Esophageal Intraepithelial Eosinophil Count at Week 4 (Mean)

The change from baseline in histologic eosinophil count in each treatment group will be summarized as the mean and Standard Deviation (SD)

Time frame: 4 weeks

Population: Full Analysis Set

ArmMeasureValue (MEAN)Dispersion
Arm 1: IRL201104 4 mgChange From Baseline in the Peak Esophageal Intraepithelial Eosinophil Count at Week 4 (Mean)-9.2 eosinophil count per high power fieldStandard Deviation 87.95
Arm 2: IRL201104 8 mgChange From Baseline in the Peak Esophageal Intraepithelial Eosinophil Count at Week 4 (Mean)-31.6 eosinophil count per high power fieldStandard Deviation 68.09
Arm 3: PlaceboChange From Baseline in the Peak Esophageal Intraepithelial Eosinophil Count at Week 4 (Mean)-7.8 eosinophil count per high power fieldStandard Deviation 104.02
Secondary

12-Lead ECG

Number of participants with treatment emergent clinically significant abnormal value (Ventricular Rate, PR Interval, RR Interval, QRS Duration, QT Interval, QTcF Interval).

Time frame: 8 weeks

Population: Safety Analysis Set

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Arm 1: IRL201104 4 mg12-Lead ECG0 Participants
Arm 2: IRL201104 8 mg12-Lead ECG0 Participants
Arm 3: Placebo12-Lead ECG0 Participants
Secondary

Absolute Change in Dysphagia Symptom Questionnaire (DSQ) Score From Baseline.

The DSQ is used to measure the frequency and intensity of dysphagia. The DSQ scores can range from 0 to 84, with a lower score indicating less frequent or less severe dysphagia. The change from baseline in DSQ score in each treatment group will be summarized as the median, minimum, and maximum

Time frame: 4 weeks

Population: Analysis performed on Full Analysis Set participants with non-missing DSQ data

ArmMeasureValue (MEDIAN)
Arm 1: IRL201104 4 mgAbsolute Change in Dysphagia Symptom Questionnaire (DSQ) Score From Baseline.-15.000 score on a scale
Arm 2: IRL201104 8 mgAbsolute Change in Dysphagia Symptom Questionnaire (DSQ) Score From Baseline.-6.937 score on a scale
Arm 3: PlaceboAbsolute Change in Dysphagia Symptom Questionnaire (DSQ) Score From Baseline.-3.909 score on a scale
Secondary

Percent Change in Peak Esophageal Intraepithelial Eosinophil Count (Eos/Hpf)

The percent change from baseline in peak intraepithelial eosinophil count in each treatment group will be summarized as the mean and SD

Time frame: 4 weeks

Population: Full Analysis Set

ArmMeasureValue (MEAN)Dispersion
Arm 1: IRL201104 4 mgPercent Change in Peak Esophageal Intraepithelial Eosinophil Count (Eos/Hpf)31.061 percent changeStandard Deviation 83.858
Arm 2: IRL201104 8 mgPercent Change in Peak Esophageal Intraepithelial Eosinophil Count (Eos/Hpf)-19.007 percent changeStandard Deviation 39.716
Arm 3: PlaceboPercent Change in Peak Esophageal Intraepithelial Eosinophil Count (Eos/Hpf)44.306 percent changeStandard Deviation 197.449
Secondary

Percent of Participants Achieving Peak Esophageal Intraepithelial Eosinophil Count of < 15 Eos/Hpf (Week 4)

Percent of participants with a histologic eosinophil count of \< 15 eos/hpf will be summarized for each treatment group

Time frame: 4 weeks

Population: Full Analysis Set

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Arm 1: IRL201104 4 mgPercent of Participants Achieving Peak Esophageal Intraepithelial Eosinophil Count of < 15 Eos/Hpf (Week 4)0 Participants
Arm 2: IRL201104 8 mgPercent of Participants Achieving Peak Esophageal Intraepithelial Eosinophil Count of < 15 Eos/Hpf (Week 4)1 Participants
Arm 3: PlaceboPercent of Participants Achieving Peak Esophageal Intraepithelial Eosinophil Count of < 15 Eos/Hpf (Week 4)1 Participants
Secondary

Physical Exam

Number of participants with treatment emergent clinically significant abnormal value \[Body Systems: head, eyes, ears, nose and throat (HEENT); cardiovascular, respiratory, gastrointestinal, dermatological, musculoskeletal, nervous systems, lymph nodes and general appearance\].

Time frame: 8 weeks

Population: Safety Analysis Set

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Arm 1: IRL201104 4 mgPhysical Exam0 Participants
Arm 2: IRL201104 8 mgPhysical Exam0 Participants
Arm 3: PlaceboPhysical Exam0 Participants
Secondary

Safety Laboratory Data: Biochemistry

Number of participants with treatment emergent clinically significant abnormal lab value.

Time frame: 8 weeks

Population: Safety Analysis Set

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryGlucose0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryTotal Protein0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryAlanine aminotransferase0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryTriglycerides0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryPotassium0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryAlbumin0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryLow-Density Lipoprotein0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryCreatinine0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryAlkaline phosphatase0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryHigh-Density Lipoprotein0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryTotal Cholesterol0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryAspartate aminotransferase0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryCalcium0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryCarbon dioxide0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryTotal Bilirubin0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryCreatine Kinase1 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryBlood Urea Nitrogen0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryIndirect Bilirubin0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryLactate dehydrogenase0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryChloride0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistrySodium0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: BiochemistryUric acid0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryCalcium0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryCarbon dioxide0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryCreatine Kinase0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryAlanine aminotransferase1 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryAspartate aminotransferase1 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryTotal Bilirubin1 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryIndirect Bilirubin0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistrySodium0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryTotal Protein0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryPotassium0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryCreatinine0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryTotal Cholesterol0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryHigh-Density Lipoprotein0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryLow-Density Lipoprotein0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryTriglycerides0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryGlucose0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryChloride0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryBlood Urea Nitrogen0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryAlkaline phosphatase0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryUric acid0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryAlbumin0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: BiochemistryLactate dehydrogenase0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistrySodium0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryUric acid0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryGlucose0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryIndirect Bilirubin0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryCarbon dioxide0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryChloride0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryTotal Bilirubin0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryLactate dehydrogenase0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryBlood Urea Nitrogen0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryAspartate aminotransferase0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryAlanine aminotransferase0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryAlbumin0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryTotal Cholesterol0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryCreatinine0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryAlkaline phosphatase0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryHigh-Density Lipoprotein0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryPotassium0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryCreatine Kinase0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryLow-Density Lipoprotein0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryTotal Protein0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryCalcium0 Participants
Arm 3: PlaceboSafety Laboratory Data: BiochemistryTriglycerides0 Participants
Secondary

Safety Laboratory Data: Coagulation

Number of participants with treatment emergent clinically significant abnormal lab value

Time frame: 8 weeks

Population: Safety Analysis Set

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Arm 1: IRL201104 4 mgSafety Laboratory Data: CoagulationActivated partial thromboplastin time0 Participants
Arm 1: IRL201104 4 mgSafety Laboratory Data: CoagulationProthrombin time0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: CoagulationActivated partial thromboplastin time1 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: CoagulationProthrombin time1 Participants
Arm 3: PlaceboSafety Laboratory Data: CoagulationActivated partial thromboplastin time0 Participants
Arm 3: PlaceboSafety Laboratory Data: CoagulationProthrombin time0 Participants
Secondary

Safety Laboratory Data: Hematology Panel

Number of participants with treatment emergent clinically significant abnormal value \[Hemoglobin, Hematocrit, red blood cells count, white blood cell count, red cell indices, platelet count and white blood cell differential (neutrophil, lymphocyte, monocyte, eosinophil, and basophil)\].

Time frame: 8 weeks

Population: Safety Analysis Set

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Arm 1: IRL201104 4 mgSafety Laboratory Data: Hematology Panel0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: Hematology Panel0 Participants
Arm 3: PlaceboSafety Laboratory Data: Hematology Panel0 Participants
Secondary

Safety Laboratory Data: Urinalysis Panel

Number of participants with treatment emergent clinically significant abnormal value (Color, Glucose, Red blood cells, Clarity, Blood, Hyaline and other casts, pH, Bilirubin, Bacteria, Specific gravity, Leukocyte esterase, Epithelial cells, Ketones, Nitrite, Crystals, Protein, White blood cells, Yeast).

Time frame: 8 weeks

Population: Safety Analysis Set

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Arm 1: IRL201104 4 mgSafety Laboratory Data: Urinalysis Panel0 Participants
Arm 2: IRL201104 8 mgSafety Laboratory Data: Urinalysis Panel0 Participants
Arm 3: PlaceboSafety Laboratory Data: Urinalysis Panel0 Participants
Secondary

Treatment Emergent Adverse Events (TEAE)

Number of participants who had a TEAE

Time frame: 8 weeks

Population: Safety Analysis Set

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Arm 1: IRL201104 4 mgTreatment Emergent Adverse Events (TEAE)6 Participants
Arm 2: IRL201104 8 mgTreatment Emergent Adverse Events (TEAE)7 Participants
Arm 3: PlaceboTreatment Emergent Adverse Events (TEAE)7 Participants
Secondary

Vital Signs

Number of participants with treatment emergent clinically significant abnormal value (systolic and diastolic blood pressure, heart rate, respiratory rate, and temperature).

Time frame: 8 weeks

Population: Safety Analysis Set

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Arm 1: IRL201104 4 mgVital Signs0 Participants
Arm 2: IRL201104 8 mgVital Signs0 Participants
Arm 3: PlaceboVital Signs0 Participants

Source: ClinicalTrials.gov · Data processed: Feb 8, 2026