Safety, tolerability, pharmacokinetics, and pharmacodynamics of single and multiple doses of ANB033 - Part 1c

ISRCTN ISRCTN90323813
DOI https://doi.org/10.1186/ISRCTN90323813
Integrated Research Application System (IRAS) 1013483
Protocol Number ANB033-101
Sponsor AnaptysBio, Inc.
Funder AnaptysBio, Inc.
Submission date
18/01/2026
Registration date
27/01/2026
Last edited
26/01/2026
Recruitment status
Not yet recruiting
Overall study status
Ongoing
Condition category
Digestive System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
AnaptysBio, Inc. is developing the study treatment ANB033 as a potential new treatment for autoimmune and inflammatory diseases such as eosinophilic esophagitis (EoE). Thesediseases appear to be the result of an overreaction of a person’s immune system which damages their own cells or organs.
ANB033 is an investigational monoclonal antibody, designed to reduce disease-causing immune cells and restore healthy immune balance. It is given by an injection under the skin. The purpose of this research study is to investigate ANB033 safety and tolerability when given to adult participants with symptomatic EoE and how this treatment is absorbed and processed by the human body.

Who can participate?
Part 1c of the study will enroll male and female participants ages 18 to 70 with a diagnosis of EoE.

What does the study involve?
Participants will be randomized to subcutaneous ANB033 or placebo in a 1:1 ratio, like flipping a coin.

What are the possible benefits and risks of participating?
Participation in this study may help develop important scientific knowledge that could contribute to the development of ANB033 as a potential new treatment for autoimmune and inflammatory diseases, potentially benefiting others in the future.

Where is the study run from?
This is a global study with clinical sites in Australia, Belgium, Canada, Finland, Germany, Italy, Netherlands, New Zealand, Norway, Spain, and the UK.

When is the study starting and how long is it expected to run for?
Part 1c is planned to start January 2026. The final participant’s last visit is projected to be in November 2027.

Who is funding the study?
AnaptysBio (USA)

Who is the main contact?
Mark Rigby, MD, PhD, clinicaltrialinfo@anaptysbio.com

Contact information

Dr Robert Anderson
Principal investigator

87 Ipswich Road, QLD
Woolloongabba
4102
Australia

Phone +61 0432491089
Email robertand@jmclinical.com
Dr Lewis Gryziewicz
Public

AnaptysBio, Inc.
10770 Wateridge Circle, Suite 210, CA
San Diego
92121
United States of America

Phone +1 (0)4042746330
Email clinicaltrialinfo@anaptysbio.com
Dr Mark Rigby
Scientific

AnaptysBio, Inc.
10770 Wateridge Circle, Suite 210, CA
San Diego
92121
United States of America

Phone +1 (0)4042746330
Email clinicaltrialinfo@anaptysbio.com

Study information

Primary study designInterventional
AllocationRandomized controlled trial
MaskingBlinded (masking used)
ControlPlacebo
AssignmentParallel
PurposeSafety
Scientific titleA phase 1, randomized, double-blind, placebo-controlled study of the safety, tolerability, pharmacokinetics, and pharmacodynamics of single and multiple doses of ANB033 in adult participants- part 1c
Study objectivesPart 1c of the study will comprise a multicenter, double-blind, randomized, placebo-controlled, parallel arm design that compares the safety and tolerability of multiple SC (subcutaneous) doses of ANB033 versus placebo in participants with with symptomatic Eosinophilic Esophagitis (EoE).
Ethics approval(s)

Approved 16/01/2026, Bellberry Human Research Ethics Committee (123 Glen Osmond Road, Eastwood, Adelaide, 5063, Australia; +61 (0)883613222; bellberry@bellberry.com.au), ref: 2024-11-1935-A-10

Health condition(s) or problem(s) studiedEosinophilic Esophagitis (EoE)
InterventionPart 1c of the study will comprise of a multicenter, double-blind, randomized, placebo-controlled, parallel arm design that compares the safety and tolerability of a single SC (subcutaneous) dose level of ANB033 or placebo in participants with symptomatic Eosinophilic Esophagitis (EoE). Part 1c will enroll participants every 2 weeks for 12 weeks for a total of 6 doses. Participants will be randomized to subcutaneous ANB033 or placebo in a 1:1 ratio.
Intervention typeDrug
PhasePhase I
Drug / device / biological / vaccine name(s)ANB033
Primary outcome measure(s)
  1. The safety of ANB033 in participants with symptomatic EoE measured using Incidence, type, and severity of all adverse events (AEs) at Days 1, 15, 29, 43, 57, 71, 85, 99, 127, 155, 183, 211, 239.
  2. The tolerability of ANB033 in participants with symptomatic EoE measured using Vital signs, ECGs, physical examinations, and clinical laboratory assessments at Days 1, 15, 29, 43, 57, 71, 85, 99, 127, 155, 183, 211, 239
Key secondary outcome measure(s)
  1. Pharmacokinetic (PK) parameters measured using a fully validated ligand-binding assay and noncompartmental analysis at Days 1, 15, 29, 43, 57, 71, 85, 99, 127, 155, 183,
  2. Incidence of confirmed positive anti-drug antibodies (ADAs) and titers measured using a fully validated ligand-binding assay at Days 1, 15, 29, 43, 57, 71, 99, 155, 239
Completion date22/11/2027

Eligibility

Participant type(s)
Age groupMixed
Lower age limit18 Years
Upper age limit70 Years
SexAll
Target sample size at registration50
Key inclusion criteria1. Male or female aged 18 to 70 years old
2. Willing and able to provide informed consent
3. Female participants must not be pregnant or lactating
4. Male participants must be willing to comply with protocol contraceptive requirements
5. Prior histologic documentation of EoE diagnosis
6. Absence of histologic response to at least 6 weeks of proton pump inhibitors (PPI) or documented intolerance to PPI.
7. Histologic evidence of EoE with peak eosinophil count ≥15/hpf, from 2 of 3 levels of the esophagus at the Screening endoscopy.
8. History of at least 4 episodes of dysphagia in the 2 weeks prior to Screening.
9. Willing to comply with necessary tests and protocol requirements
Key exclusion criteria1. Has signs, symptoms, or current diagnosis of concerning, severe, progressive, or uncontrolled
renal, cardiac, vascular, pulmonary, GI, endocrine, neurologic, hematologic, rheumatologic,
psychiatric, or metabolic disturbances.
2. Participant has a BMI of <16 or >35 kg/m² or total body weight <45 kg (99 lb) (Note: BMI =
weight (kg)/[height (m)]²).
3. Participant smokes cigarettes or has quit smoking within 3 months of screening.
4. History of clinically significant drug or alcohol abuse
5. Clinically significant, abnormal 12-lead ECG
6. Planned surgery within 4 weeks prior to the start of screening
7. History of drug allergy, suspected medical condition, including autoimmune or inflammatory
conditions, that currently requires or may require systemic immunomodulatory or immune
suppressive therapy.
8. Predisposed to develop an infection
9. Positive for hepatitis B, hepatitis C and HIV-1 or HIV-2 antibodies
10. Diagnosis of, suspected diagnosis of, or concerns of acquiring active TB or currently with
untreated latent TB.
Date of first enrolment28/02/2026
Date of final enrolment28/02/2027

Locations

Countries of recruitment

  • United Kingdom
  • England
  • Australia
  • Belgium
  • Canada
  • Germany
  • Italy
  • Netherlands
  • Norway
  • Spain
  • United States of America

Study participating centre

Royal Liverpool University Hospital
Prescot Street
Liverpool
L7 8XP
England

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
IPD sharing plan

Editorial Notes

26/01/2026: Trial's existence confirmed by Bellberry Human Research Ethics Committee.