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Healthy Volunteers and Diabetes ParticipantsPhase 1/2NCT07901595

Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of PAL-119 in Healthy Volunteers and Adult Participants With Type 1 or Type 2 Diabetes

A Phase 1/2 study testing PAL-119 in people with Healthy Volunteers and Diabetes Participants, run by Paulex Bio Inc..

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Official record
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Trial summary

This is a Phase 1/2 randomized study of oral doses of PAL-119 in healthy volunteers and participants with diabetes. Read more about this study

Who is it for?
Ages 18 to 70 yearsHealthy volunteers can take part
What is being tested?
PAL-119
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
147 participants
Where
No sites listed yet
Study dates
1 Nov 2026to 31 Jan 2028
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Phase 1 Parts 1, 2 and 3
  • Healthy volunteers age 18 to 55 years of age
  • Medically healthy with no clinically significant findings
  • BMI 18-35 kg/m²
  • eGFR ≥90
  • Able and willing to provide written informed consent
Show all 26Show fewer
  • Able to swallow an oral solid-dosage form of medication.
  • Willing and able to follow a low-tyramine diet and abstain from prohibited medications from 48 hours prior to first dose and for the duration of the study and for 14 days after the last dose
  • Contraception use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies
  • ability to consume high-fat meal (Part 3 only)
  • Phase 2 Part 4:
  • 18 to ≤70 years of age
  • Confirmed Type 2 diabetes diagnosis ≥6 months and ≤15 years prior to screening
  • BMI 25 to 40 kg/m² at Screening
  • Able and willing to provide written informed consent
  • Stable diabetes therapy for ≥12 weeks prior to screening visit
  • Willing and able to follow a low-tyramine diet and abstain from prohibited medications for the duration of the study and for 14 days after the last dose
  • Contraception use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies
  • Phase 2 Part 5
  • 18 to ≤70 years of age
  • Confirmed Type 1 diabetes diagnosis ≥6 months and ≤10 years prior to screening visit
  • Stable insulin regimen for ≥12 weeks prior to screening visit
  • Willingness to use continuous glucose monitoring (CGM) for continuous periods during the study
  • Able and willing to provide written informed consent
  • Contraception use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies
  • Willing and able to follow a low-tyramine diet and abstain from prohibited medications for the duration of the study and for 14 days after the last dose

Who cannot join

  • Phase 1 Parts 1, 2 and 3:
  • Any physical or psychological condition that prohibits study completion
  • Known cardiac disease
  • HIV, hepatitis B and/or hepatitis C positive
  • Active or history of malignancy
  • Blood donation within 30 days
Show all 24Show fewer
  • Phase 2 Part 4:
  • History of diabetic ketoacidosis or severe hypoglycemia (ADA Level 3) in the 6 months prior to Screening
  • Current use of insulin (except ≤20 units/day stable basal insulin for ≥12 weeks
  • Any physical or psychological condition that prohibits study completion
  • Known cardiac disease
  • HIV, hepatitis B and/or hepatitis C positive
  • Receipt of investigational products within 30 days
  • Phase 2 Part 5:
  • History of diabetic ketoacidosis or severe hypoglycemia (ADA Level 3) in the 6 months prior to Screening
  • Daily insulin requirement >1.0 units/kg/day
  • Any physical or psychological condition that prohibits study completion
  • Known cardiac disease
  • active autoimmune disease requiring immunosuppression
  • diabetic retinopathy
  • HIV, hepatitis B and/or hepatitis C positive
  • symptomatic neuropathy
  • nephrotic-range proteinuria
  • Receipt of investigational products within 30 days

About this study

Official title: A Phase 1/2a, First-in-human, Randomized, Blinded, Placebo-controlled, Dose Escalation Study to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Profile and the Effect of Food of Oral PAL-119 in Healthy Volunteers and in Adult Participants With Type 1 or Type 2 Diabetes

This is a Phase 1/2 randomized study of oral doses of PAL-119 in healthy volunteers and participants with diabetes.

Read the detailed description

This is a Phase 1/2a, first-in-human, multipart, randomized, study of oral doses of PAL-119 consisting of 2 phases, one in healthy volunteers and one in participants with diabetes.

Phase 1 in healthy volunteers consists of 3 parts:

  • Part 1 (SAD): A randomized, blinded, placebo-controlled, single ascending dose (SAD) with up to 6 cohorts
  • Part 2 (MAD): A randomized, blinded, placebo-controlled, multiple ascending dose (MAD) with up to 3 cohorts
  • Part 3 (Food Effect): A randomized, open-label, 2-sequence, 2-period crossover, single-dose study

Phase 2a in adult participants with diabetes

  • Part 4 (T2D): A randomized, double-blinded, placebo-controlled (DBPC), dose ranging, 3-arm study in participants with Type 2 diabetes
  • Part 5 (T1D): A randomized, DBPC, 2-arm study in participants with Type 1 diabetes
Being tested
PAL-119, Placebo
Keywords
Type 1 diabetes, Type 2 diabetes, diabetic ketoacidosis, hypoglycemia, healthy volunteers
Medical subject headings
Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Diabetic Ketoacidosis, Hypoglycemia

What participants receive

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

  • PAL-119Drug

    Small synthetic molecule

  • PlaceboDrug

    Placebo

Study groups in NCT07901595
Study groupRoleWhat they receive
Phase 1 Part 1: Active PAL-119 to be administered to healthy volunteers (SAD)ExperimentalHealthy participants will be randomized in a 3:1 ratio to active or placebo. Study intervention will be administered orally once. Randomization to each SAD cohort will be done in a staggered manner
Receives: Drug: PAL-119
Phase 1 Part 1: Placebo to be administered to healthy volunteers (SAD)Placebo comparatorHealthy participants will be randomized in a 3:1 ratio to active or placebo. Study intervention will be administered orally once. Randomization to each SAD cohort will be done in a staggered manner
Receives: Drug: Placebo
Phase 1 Part 2 Active PAL-119 to be administered to healthy volunteers (MAD)ExperimentalHealthy participants will be randomized in a 3:1 ratio to active PAL-119 or placebo. Participants will receive study intervention over 10 days. Dose regimen TBD
Receives: Drug: PAL-119
Phase 1 Part 2: Placebo to be administered to healthy volunteers (MAD)Placebo comparatorHealthy participants will be randomized in a 3:1 ratio to active PAL-119 or placebo. Participants will receive study intervention over 10 days. Dose regimen TBD
Receives: Drug: Placebo
Phase 1 Part 3 Active PAL-119 to be administered to healthy volunteersExperimentalHealthy participants will be randomized 1:1 to receive a single dose of active PAL-119 in either a fasted/fed sequence or a fed/fasted sequence.
Receives: Drug: PAL-119
Phase 2 part 4: Active PAL-119 to be administered to participants with Type 2 diabetesExperimentalParticipants with Type 2 Diabetes will be randomized to receive PAL-119 at a 3:3:2 ratio, with participants randomized to receive high dose PAL-119, low dose PAL-119 or placebo for 91 days. Dose regimen TBD. A follow-up safety visit will be conducted 4 weeks after last dose.
Receives: Drug: PAL-119
Phase 2 Part 4: Placebo administered to participants with Type 2 diabetesPlacebo comparatorParticipants with Type 2 Diabetes will be randomized to receive PAL-119 at a 3:3:2 ratio, with participants randomized to receive high dose PAL-119, low dose PAL-119 or placebo. Study interventions will be administered for 91 days. Dose regimen TBD. A follow-up safety visit will be conducted 4 weeks after last dose.
Receives: Drug: Placebo
Phase 2 Part 5: Active PAL-119 to be administered to participants with Type 1 diabetesExperimentalParticipants with Type 1 Diabetes will be randomized to receive PAL-119 at a 2:1 ratio. Study interventions will be administered for 91 days. Dose regimen TBD. A follow-up safety visit will be conducted 4 weeks after last dose.
Receives: Drug: PAL-119
Phase 2 part 5: Placebo to be administered to participants with Type 1 diabetesPlacebo comparatorParticipants with Type 1 Diabetes will be randomized to receive PAL-119 at a 2:1 ratio. Study interventions will be administered for 91 days. Dose regimen TBD. A follow-up safety visit will be conducted 4 weeks after last dose.
Receives: Drug: Placebo

What is being measured

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

  1. Phase 1 Part 1: Safety and tolerability of PAL-119 in healthy volunteers

    Incidence, nature, and severity of treatment-emergent adverse events (TEAEs)

    Measured: 8 days

  2. Phase 1 Part 2: Safety and tolerability of PAL-119 in healthy volunteers

    Incidence, nature, and severity of treatment-emergent adverse events (TEAEs)

    Measured: 17 days

  3. Phase 1 Part 3: Safety and tolerability of PAL-119 in healthy volunteers

    Incidence, nature, and severity of treatment-emergent adverse events (TEAEs)

    Measured: 8 days

  4. Phase 2 Part 4: Safety and tolerability of PAL-119 in adult participants with Type 2 diabetes

    Incidence, nature, and severity of treatment-emergent adverse events (TEAEs)

    Measured: 17 weeks

  5. Phase 2 Part 4: Incidence and severity of hypoglycemic episodes in adult participants with Type 2 diabetes

    hypoglycemic episodes (low blood sugar below 70 mg/dL) will be evaluated using continuous glucose monitors

    Measured: 17 weeks

  6. Phase 2 Part 5: Safety and tolerability of PAL-119 in adult participants with Type 1 diabetes

    Incidence, nature, and severity of treatment-emergent adverse events (TEAEs)

    Measured: 17 weeks

  7. Phase 2 Part 5: Incidence and severity of hypoglycemic episodes in adult participants with Type 1 diabetes

    hypoglycemic episodes (low blood sugar below 70 mg/dL) will be evaluated using continuous glucose monitors

    Measured: 17 weeks

  8. Phase 2 Part 5: Incidence and severity of diabetic ketoacidosis and episodes of hyperglycemia with ketonemia not meeting diagnostic criteria for diabetic ketoacidosis in adult participants with Type 1 diabetes

    Incidence of clinically diagnosed diabetic ketoacidosis during the defined time frame of study. Diabetic ketoacidosis (DKA) is a serious, life-threatening emergency that happens when your body lacks enough insulin to turn blood sugar into energy, forcing it to break down fat into toxic acids called ketones.

    Measured: 17 weeks

Secondary outcomes (24)
  1. Phase 1 Part 1: To characterize the PK profile of oral PAL-119 following single dose of PAL-119 in healthy volunteers-T 1/2

    T 1/2 represents the half-life of a drug, which is the time required for the concentration of a medication in the blood to decrease by exactly 50%

    Measured: 8 days

  2. Phase 1 Part 1: To characterize the PK profile of oral PAL-119 following single dose of PAL-119 in healthy volunteers-AUC

    The area under the curve (AUC) measures the total systemic exposure of a drug in the body over time.

    Measured: 8 days

  3. Phase 1 Part 1: To characterize the PK profile of oral PAL-119 following single dose of PAL-119 in healthy volunteers-Tmax

    Tmax is the time required for a drug to reach its maximum concentration in the blood or plasma after it is administered. It is a crucial measurement used by researchers and clinicians to evaluate how quickly the body absorbs a medication and when its therapeutic effects will begin

    Measured: 8 days

  4. Phase 1 Part 1: To characterize the PK profile of oral PAL-119 following single dose of PAL-119 in healthy volunteers-Cmax

    Cmax represents the maximum (or peak) concentration of a drug in the blood plasma after it has been administered and distributed, but before the next dose

    Measured: 8 days

  5. Phase 1 Part 2: To characterize the PK profile of oral PAL-119 following multiple doses of PAL-119 in healthy volunteers-T 1/2

    T 1/2 represents the half-life of a drug, which is the time required for the concentration of a medication in the blood to decrease by exactly 50%

    Measured: 17 days

  6. Phase 1 Part 2: To characterize the PK profile of oral PAL-119 following multiple doses of PAL-119 in healthy volunteers-AUC

    The area under the curve (AUC) measures the total systemic exposure of a drug in the body over time

    Measured: 17 days

  7. Phase 1 Part 2: To characterize the PK profile of oral PAL-119 following multiple doses of PAL-119 in healthy volunteers-Tmax

    Tmax is the time required for a drug to reach its maximum concentration in the blood or plasma after it is administered. It is a crucial measurement used by researchers and clinicians to evaluate how quickly the body absorbs a medication and when its therapeutic effects will begin

    Measured: 17 days

  8. Phase 1 Part 2: To characterize the PK profile of oral PAL-119 following multiple doses of PAL-119 in healthy volunteers-Cmax

    Cmax represents the maximum (or peak) concentration of a drug in the blood plasma after it has been administered and distributed, but before the next dose

    Measured: 17 days

  9. Phase 1 Part 3: To characterize the PK profile of oral PAL-119 following single dose administered under fed and fasted conditions in healthy volunteers: T 1/2

    T 1/2 represents the half-life of a drug, which is the time required for the concentration of a medication in the blood to decrease by exactly 50%

    Measured: 8 days

  10. Phase 1 Part 3: To characterize the PK profile of oral PAL-119 following single dose administered under fed and fasted conditions in healthy volunteers: AUC

    The area under the curve (AUC) measures the total systemic exposure of a drug in the body over time

    Measured: 8 days

  11. Phase 1 Part 3: To characterize the PK profile of oral PAL-119 following single dose administered under fed and fasted conditions in healthy volunteers: Tmax

    Tmax is the time required for a drug to reach its maximum concentration in the blood or plasma after it is administered. It is a crucial measurement used by researchers and clinicians to evaluate how quickly the body absorbs a medication and when its therapeutic effects will begin

    Measured: 8 days

  12. Phase 1 Part 3: To characterize the PK profile of oral PAL-119 following single dose administered under fed and fasted conditions in healthy volunteers: Cmax

    Cmax represents the maximum (or peak) concentration of a drug in the blood plasma after it has been administered and distributed, but before the next dose

    Measured: 8 days

  13. Phase 2 Part 4: Change from baseline in serum insulin in adult participants with Type 2 diabetes

    Mean change in serum insulin from baseline to end of study. The serum insulin measures the amount of insulin hormone in the blood after a period of fasting to evaluate how well the pancreas produces insulin

    Measured: 17 weeks

  14. Phase 2 Part 4: Change from baseline in plasma C-peptide in adult participants with Type 2 diabetes

    Mean change in plasma C-peptide levels from baseline to end of study. A plasma C-peptide test measures the level of a byproduct created when the pancreas makes insulin

    Measured: 17 weeks

  15. Phase 2 Part 4: Change from baseline in active GLP-1 in adult participants with Type 2 diabetes

    Mean change in active GLP-1 (the biologically active, intact forms of the hormone in plasma) from baseline to end of study

    Measured: 17 weeks

  16. Phase 2 Part 4: Change from baseline in total GLP-1 in adult participants with Type 2 diabetes

    Mean change in total GLP-1(the active and inactive forms of the peptide in serum) from baseline to end of study.

    Measured: 17 weeks

  17. Phase 2 Part 4: Change from baseline in Fasting Plasma Glucose in adult participants with Type 2 diabetes

    Mean change in fasting blood sugar (serum levels of glucose in mg/dL after 6-8 hours of fasting) from baseline to end of study

    Measured: 17 weeks

  18. Phase 2 Part 4: To characterize the PK profile of oral PAL-119 in participants with Type 2 diabetes-trough at steady state

    A steady-state trough level is the lowest concentration of a medication in a patient's bloodstream, measured right before the next scheduled dose, after the body has reached a stable balance where drug intake equals elimination

    Measured: 17 weeks

  19. Phase 2 Part 5: Change from baseline in serum insulin in adult participants with Type 1 diabetes

    Mean change in serum insulin from baseline to end of study. The serum insulin measures the amount of insulin hormone in your blood after a period of fasting to evaluate how well your pancreas produces insulin

    Measured: 17 weeks

  20. Phase 2 Part 5: Change from baseline in fasting plasma glucose in adult participants with Type 1 diabetes

    Mean change in fasting blood sugar ( serum levels of glucose in mg/dL after 6-8 hours of fasting) from baseline to end of study

    Measured: 17 weeks

  21. Phase 2 Part 5: Change from baseline in active GLP-1 in adult participants with Type 1 diabetes

    Mean change in active GLP-1 (the biologically active, intact forms of the hormone in plasma) from baseline to end of study

    Measured: 17 weeks

  22. Phase 2 Part 5: Change from baseline in total GLP-1 in adult participants with Type 1 diabetes

    Mean change in total GLP-1 (the active and inactive forms of the peptide in serum) from baseline to end of study

    Measured: 17 weeks

  23. Phase 2 Part 5: Change from baseline in plasma C-peptide in adult participants with Type 1 diabetes

    Mean change in plasma C-peptide levels from baseline to end of study. A plasma C-peptide test measures the level of a byproduct created when the pancreas makes insulin

    Measured: 17 weeks

  24. Phase 2 Part 5: To characterize the PK profile of oral PAL-119 in participants with Type 1 diabetes-trough at steady state

    A steady-state trough level is the lowest concentration of a medication in a patient's bloodstream, measured right before the next scheduled dose, after the body has reached a stable balance where drug intake equals elimination

    Measured: 17 weeks

Timeline

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

  1. First posted28 Oct 2026
  2. Study start1 Nov 2026 (estimated)
  3. Primary completion1 Nov 2027 (estimated)
  4. Study completion31 Jan 2028 (estimated)

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
Phase 1 Part 3 is open-label 2-sequence, 2-period crossover study.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
147 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07901595
Sponsor's protocol ID
PAL-119-001
Status last verified
Oct 2026
First submitted
22 Oct 2026
Last updated
28 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing PAL-119 in people with Healthy Volunteers and Diabetes Participants, run by Paulex Bio Inc..

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 26 inclusion and 24 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: opening soon, as of the sponsor's last update on 28 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

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?

This study is still under way. Results are not available in the source record yet.

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?

Phase 1 Part 1: Safety and tolerability of PAL-119 in healthy volunteers (time frame: 8 days). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 28 Oct 2026.

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