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Celiac DiseasePhase 1/2NCT05574010

A Study of Safety, Tolerability, Pharmacodynamics, and Pharmacokinetics of KAN-101 in Celiac Disease (ACeD-it)

A Phase 1/2 study testing Cohort 1 in Part A, Cohort 2 in Part A and Group 2 in Part B and Part C in people with Celiac Disease, run by Kanyos Bio, Inc., a wholly-owned subsidiary of Anokion SA at 36 sites in 3 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study is to evaluate the Pharmacodynamic (PD), safety, tolerability, Pharmacokinetic (PK), and plasma biomarker response of KAN-101 in participants with Celiac Disease (CeD). Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Celiac Disease
What is being tested?
Cohort 1 in Part A, Cohort 2 in Part A and Group 2 in Part B and Part C
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
128 participants
Where
36 sitesin 3 countries
Study dates
15 Nov 2022to 19 May 2025
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Previous diagnosis of celiac disease based on histology and positive celiac serology
  • HLA-DQ2.5 genotype
  • Gluten-free diet for at least 12 months
  • Negative or weak positive for transglutaminase IgA and negative or weak positive for DGP-IgA/IgG during screening

Who cannot join

  • Refractory celiac disease
  • HLA-DQ8 genotype
  • Previous oral gluten challenge within 12 months
  • Selective IgA deficiency
  • Diagnosis of Type-1 diabetes
  • Active gastrointestinal diseases
  • History of dermatitis herpetiformis

Trial locations and contacts

36 sites in 3 countries.

36 sites in 3 countries

United States23 sites
  • Anaheim Clinical Trials, LLC

    Anaheim, California, 92801

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35233

  • Rush University Medical Center

    Chicago, Illinois, 60612

  • Aventiv Research, Inc. d/b/a Centricity Research

    Columbus, Ohio, 43213

  • Penn State Milton S. Hershey Medical Center

    Hershey, Pennsylvania, 17033

  • The University of Texas Health Science Center at Houston

    Houston, Texas, 77030

  • Indiana University Health University Hospital

    Indianapolis, Indiana, 46202

  • University of Iowa

    Iowa City, Iowa, 52242

  • Great Lakes Gastroenterology Research, LLC

    Mentor, Ohio, 44060

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37212

  • Celiac Disease Center at Columbia University

    New York, New York, 10032

  • Sneeze, Wheeze & Itch Associates, LLC

    Normal, Illinois, 61761

  • Advanced Research Institute

    Ogden, Utah, 84405

  • Quality Clinical Research

    Omaha, Nebraska, 68114

  • North Carolina Clinical Research

    Raleigh, North Carolina, 27607

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • Prism Research LLC dba Nucleus Network

    Saint Paul, Minnesota, 55114

  • Agile Clinical Research Trials

    Sandy Springs, Georgia, 30328

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • GCP Research

    St. Petersburg, Florida, 33705

  • Digestive Research of Central Texas

    Waco, Texas, 76712

  • Velocity Clinical Research, Salt Lake City

    West Jordan, Utah, 84088

  • Northshore Gastroenterology Research, LLC

    Westlake, Ohio, 44145

Other trials in United States

New Zealand7 sites
  • Optimal Clinical Trials

    Auckland, Auckland, 1023

  • P3 Research - Dunedin

    Dunedin, Otago, 9016

  • Waikato Hospital

    Hamilton, Hamilton, 3204

  • P3 Research - Palmerston North

    Paraparaumu, Wellington Region, 5032

  • PCRN Trials

    Takapuna, Auckland, 0622

  • P3 Research - Tauranga

    Tauranga, Bay of Plenty, 3110

  • P3 Research - Wellington

    Wellington, Wellington Region, 6021

Other trials in New Zealand

Australia6 sites
  • Royal Adelaide Hospital

    Adelaide, South Australia, 5000

  • Wesley Research Institute

    Auchenflower, Queensland, 4066

  • Box Hill Hospital

    Box Hill, Victoria, 3128

  • Campbelltown Hospital

    Campbelltown, New South Wales, 2560

  • St John of God Midland Public and Private Hospitals

    Midland, Western Australia, 6056

  • The Royal Melbourne Hospital

    Parkville, Victoria, 3050

Other trials in Australia

About this study

Official title: A Phase 1B Open-label/Phase 2 Double-blind Placebo- Controlled Study for Pharmacodynamic (PD) Activity, Pharmacokinetics (PK), Safety, and Tolerability of KAN-101 In Patients With Celiac Disease (CeD)

This study is to evaluate the Pharmacodynamic (PD), safety, tolerability, Pharmacokinetic (PK), and plasma biomarker response of KAN-101 in participants with Celiac Disease (CeD).

Read the detailed description

The study is a 3-part, multicenter Phase 1b/2 study of KAN-101 in participants with Celiac Disease (CeD) on a gluten free diet (GFD). The 3 parts include:

  • Part A - Open-label, multiple ascending dose
  • Part B - Double-blind, placebo-controlled, parallel design
  • Part C - Double-blind, placebo-controlled, parallel design

Part A is a Phase 1b, open-label, multiple ascending dose (MAD) study design to assess the safety, tolerability, and pharmacokinetics (PK) of KAN-101 in adult participants (18 to 70 years inclusive) with histology-confirmed CeD. Up to 12 participants who meet study inclusion/exclusion criteria will receive 1 of 2 dose levels of KAN-101. The overall study duration will be about 56 days, including up to 28 days of screening, 7 days of treatment and 21 days of follow up. There will be a gluten challenge test (GC) on Day 15.

Parts B and C are Phase 2, double-blind, placebo-controlled, parallel design study to characterize the biomarker response following GC, safety, tolerability, and PK of KAN-101 in adult participants with histology-confirmed CeD. Approximately 16 participants (4 participants per dose group) will be enrolled in Part B and 104 participants (26 participants per dose group) enrolled into Part C. Participants will be randomized 1:1:1:1 and stratified by participation in a biopsy substudy to 4 treatment groups: placebo and 3 treatment groups with KAN-101 doses based on information obtained from Part A.

Conditions
Celiac Disease
Being tested
Cohort 1 in Part A, Cohort 2 in Part A, Placebo: Group 1 in Part B and Part C, Group 2 in Part B and Part C, Group 3 in Part B and Part C
Keywords
celiac disease, HLA-DQ2.5, gluten free diet
Medical subject headings
Celiac Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Cohort 1 in Part ADrug

    Also called KAN-101

    Dose 1 KAN-101 Intravenous (IV) infusion

  • Cohort 2 in Part ADrug

    Also called KAN-101

    Dose 2 KAN-101 Intravenous (IV) infusion

  • Placebo: Group 1 in Part B and Part COther

    Also called Placebo

    Placebo Intravenous (IV) infusion

  • Group 2 in Part B and Part CDrug

    Also called KAN-101

    Dose 3 KAN-101 Intravenous (IV) infusion

  • Group 3 in Part B and Part CDrug

    Also called KAN-101

    Dose 4 KAN-101 Intravenous (IV) infusion

  • Group 4 in Part B and Part CDrug

    Also called KAN-101

    Dose 5 KAN-101 Intravenous (IV) infusion

Study groups in NCT05574010
Study groupRoleWhat they receive
Cohort 1 in Part AExperimentalAll eligible Part A participants will receive 3 intravenous (IV) infusions of KAN-101 Dose 1
Receives: Drug: Cohort 1 in Part A
Cohort 2 in Part AExperimentalAll eligible Part A participants will receive 3 intravenous (IV) infusions of KAN-101 Dose 2
Receives: Drug: Cohort 2 in Part A
Group 1 in Part B and Part CPlacebo comparatorAll eligible Part B and Part C participants will receive 3 intravenous (IV) infusions of placebo
Receives: Other: Placebo: Group 1 in Part B and Part C
Group 2 in Part B and Part CExperimentalAll eligible Part B and Part C participants will receive 3 intravenous (IV) infusions of KAN-101 Dose 3
Receives: Drug: Group 2 in Part B and Part C
Group 3 in Part B and Part CExperimentalAll eligible Part B and Part C participants will receive 3 intravenous (IV) infusions of KAN-101 Dose 4
Receives: Drug: Group 3 in Part B and Part C
Group 4 in Part B and Part CExperimentalAll eligible Part B and Part C participants will receive 3 intravenous (IV) infusions of KAN-101 Dose 5
Receives: Drug: Group 4 in Part B and Part C

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence and Severity of TEAEs as Assessed by Common Terminology Criteria for Adverse Events (CTCAE) in Part A

    An AE was defined as any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs included both serious and all non-serious adverse events. SAE was defined as any untoward medical occurrence that, at any dose resulted in any of the following outcomes: death; life-threatening; required inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect; or that was considered as an important medical event. According to NCI CTCAE version 5: Grade 1= mild AE; Grade 2= moderate AE; Grade 3=severe AE; Grade 4= life-threatening consequences and urgent intervention indicated; Grade 5= death related to AE.

    Measured: From screening until the safety follow-up visit on Day 28

  2. Change in Pre- and Post-Gluten Challenge (GC) IL-2 Response From Baseline to Day 15

    CeD increases the circulating level of IL-2. Plasma samples were collected to assess the magnitude of biomarker response of IL-2 at the baseline screening visit pre-GC and again post-GC on Day 15 after 3 doses of KAN-101, the IL-2 response to GC is the difference of IL-2 between pre-GC and post-GC.

    Measured: From Baseline screening to Day 15

  3. Change in IL-2 Response From Day 15 Pre-GC to Day 15 Post GC

    CeD increases the circulating level of IL-2. Plasma samples were collected to assess the magnitude of biomarker response of IL-2 at the baseline screening visit pre-GC and again post-GC on Day 15 after 3 doses of KAN-101, the IL-2 response to GC is the difference of IL-2 between pre-GC and post-GC.

    Measured: 0 (pre-GC) and 4 hours post-GC on Day 15

Secondary outcomes (12)
  1. KAN-101 Plasma Exposure in Part A: AUCinf

    PK sample collection at pre- dose and post dose timepoints in Part A.

    Measured: Pre-dose, end of infusion, 45 minutes, 1 hour, 1.5 hour, 2.5 hours, 4.5 hours and 7 hours after infusion start on Day 1 and Day 7

  2. KAN-101 Plasma Exposure in Part A: AUClast

    PK sample collection at pre- dose and post dose timepoints in Part A.

    Measured: Pre-dose, end of infusion, 45 minutes, 1 hour, 1.5 hour, 2.5 hours, 4.5 hours and 7 hours after infusion start on Day 1 and Day 7

  3. KAN-101 Plasma Exposure in Part A: Cmax

    PK sample collection at pre- dose and post dose timepoints in Part A.

    Measured: Pre-dose, end of infusion, 45 minutes, 1 hour, 1.5 hour, 2.5 hours, 4.5 hours and 7 hours after infusion start on Day 1 and Day 7

  4. KAN-101 Plasma Exposure in Part A: Tmax

    PK sample collection at pre- dose and post dose timepoints in Part A.

    Measured: Pre-dose, end of infusion, 45 minutes, 1 hour, 1.5 hour, 2.5 hours, 4.5 hours and 7 hours after infusion start on Day 1 and Day 7

  5. KAN-101 Plasma Exposure in Part A: t½

    PK sample collection at pre- dose and post dose timepoints in Part A.

    Measured: Pre-dose, end of infusion, 45 minutes, 1 hour, 1.5 hour, 2.5 hours, 4.5 hours and 7 hours after infusion start on Day 1 and Day 7

  6. KAN-101 Plasma Exposure in Part B and Part C: AUCinf

    PK sample collection at pre- dose and post dose timepoints in Part B and Part C.

    Measured: Pre-dose, end of infusion, 2.5 hours, and 4 hours after infusion start on Day 1 and Day 7

  7. KAN-101 Plasma Exposure in Part B and Part C: AUClast

    PK sample collection at pre- dose and post dose timepoints in Part B and Part C.

    Measured: Pre-dose, end of infusion, 2.5 hours, and 4 hours after infusion start on Day 1 and Day 7

  8. KAN-101 Plasma Exposure in Part B and Part C: Cmax

    PK sample collection at pre- dose and post dose timepoints in Part B and Part C.

    Measured: Pre-dose, end of infusion, 2.5 hours, and 4 hours after infusion start on Day 1 and Day 7

  9. KAN-101 Plasma Exposure in Part B and Part C: Tmax

    PK sample collection at pre- dose and post dose timepoints in Part B and Part C.

    Measured: Pre-dose, end of infusion, 2.5 hours, and 4 hours after infusion start on Day 1 and Day 7

  10. KAN-101 Plasma Exposure in Part B and Part C: t½

    PK sample collection at pre- dose and post dose timepoints in Part B and Part C.

    Measured: Pre-dose, end of infusion, 2.5 hours, and 4 hours after infusion start on Day 1 and Day 7

  11. Incidence and Severity of TEAE as Assessed by the CTCAE in Part B

    An AE was defined as any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs included both serious and all non-serious adverse events. SAE was defined as any untoward medical occurrence that, at any dose resulted in any of the following outcomes: death; life-threatening; required inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect; or that was considered as an important medical event. According to NCI CTCAE version 5: Grade 1= mild AE; Grade 2= moderate AE; Grade 3=severe AE; Grade 4= life-threatening consequences and urgent intervention indicated; Grade 5= death related to AE.

    Measured: From the time the participant provided informed consent through Week 52

  12. Incidence and Severity of TEAE as Assessed by the CTCAE in Part C

    An AE was defined as any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs included both serious and all non-serious adverse events. SAE was defined as any untoward medical occurrence that, at any dose resulted in any of the following outcomes: death; life-threatening; required inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect; or that was considered as an important medical event. According to NCI CTCAE version 5: Grade 1= mild AE; Grade 2= moderate AE; Grade 3=severe AE; Grade 4= life-threatening consequences and urgent intervention indicated; Grade 5= death related to AE.

    Measured: From the time the participant provided informed consent through Week 52

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Oct 2022
  2. Study start15 Nov 2022
  3. Primary completion29 Nov 2024
  4. Study completion19 May 2025

Why it stopped: Sponsor decision

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Part A: This part of the study is an open label with up to 6 participants in each dose cohort. There will be 2 dose cohorts. Part B and Part C: These parts of the study have a randomized, double- blinded, placebo-controlled, parallel study design.
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
128 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05574010
Sponsor's protocol ID
KAN-101-02
Status last verified
May 2025
First submitted
7 Oct 2022
Last updated
10 Mar 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Murray JA, Wassaf D, Dunn K, Arora S, Winkle P, Stacey H, Cooper S, Goldstein KE, Manchanda R, Kontos S, Grebe KM. Safety and tolerability of KAN-101, a liver-targeted immune tolerance therapy, in patients with coeliac disease (ACeD): a phase 1 trial. Lancet Gastroenterol Hepatol. 2023 Aug;8(8):735-747. doi: 10.1016/S2468-1253(23)00107-3. Epub 2023 Jun 14.

    PubMed 37329900
  • Muhammad A, Xiao Y, Ahmad YM, Tang R, Zhang Y, Yuan Q, Xiao X. Reprogramming Pathogenic Immune Memory through Inverse Vaccination in Autoimmune Kidney Disease. J Am Soc Nephrol. 2026 Aug 1;37(8):1809-1812. doi: 10.1681/ASN.0000001070. Epub 2026 Feb 27. No abstract available.

    PubMed 41758576

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Cohort 1 in Part A, Cohort 2 in Part A and Group 2 in Part B and Part C in people with Celiac Disease, run by Kanyos Bio, Inc., a wholly-owned subsidiary of Anokion SA at 36 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 10 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in United States, New Zealand, Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 10 Mar 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence and Severity of TEAEs as Assessed by Common Terminology Criteria for Adverse Events (CTCAE) in Part A (time frame: From screening until the safety follow-up visit on Day 28). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05574010, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Mar 2026.

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