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A First-in-Patient Study to Evaluate the Safety and Tolerability of HB-2121 as a Diagnostic for Celiac Disease

RecruitingPhase 1

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

* Age 18 to 75 years
* Undergoing esophagogastroduodenoscopy (EGD) for suspected celiac disease
* Body Mass Index (BMI) between 18 and 45 kg/m2
* Creatinine \< 1.5 x Upper Limit of the Normal (ULN)
* Total bilirubin ≤ 1.5 mg/dL x (ULN)
* Aspartate aminotransferase (AST)/Serum glutamic oxaloacetic transaminase (SGOT) \& Alanine Aminotransferase (ALT)/Serum glutamic pyruvic transaminase (SGPT) ≤ 1.5 x ULN
* Overall good health, as determined by medical history and a physical exam
* No use of an investigational drug within 12 weeks
* Able and willing to follow study procedures and provide written informed consent
* If of childbearing potential, participants must agree to use highly effective birth control during the study period. The same applies to male participants with partners of childbearing potential

Exclusion Criteria:

* Pregnant, breastfeeding, planning to become pregnant, or intending to donate eggs during the study period
* History of cancer or malignancy
* History of chemotherapy and/or pelvic radiation
* History of congenital long QT syndrome or prolonged QTcF interval
* Prisoners, institutionalized individuals, or individuals who are unable to consent for themselves
* Known HIV infection, or positive test for hepatitis B or C, or other clinically significant chronic liver disease
* Current use of immunosuppressant medications
* Known allergy or sensitivity to any ingredients in the study drug
* History of eosinophilic enteritis, Crohn's disease, or ulcerative colitis

About the study

The goal of this clinical trial is to learn about the safety of a single dose of HB-2121 in adults with suspected celiac disease. It will also look at how the drug affects the small intestine. The main questions it aims to answer are:

* What side effects do participants have after receiving HB-2121? * How does the drug interact with the small intestine in people with suspected celiac disease?

Researchers will follow participants for 30 days after receiving HB-2121 to understand how the drug behaves in the body and how safe it is.

Participants will:

* Receive one oral dose of HB-2121 four hours before their standard-of-care esophagogastroduodenoscopy * Attend 4 in-person clinic visits for checkups, lab tests, and monitoring * Complete 2 remote visits that include safety lab assessments * Fill out a short daily questionnaire for 7 days about symptoms and health status

What is being tested

Sponsor: Nielsen Fernandez-Becker · Participants: 20 · Started: Apr 29, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07377565

Locations in the U.S.

CaliforniaStanford University, Stanford

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.