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RecruitingNCT07377565Updated Jul 28, 2026

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

A Phase 1 interventional study of HB-2121 in Celiac Disease, sponsored by Nielsen Fernandez-Becker. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-28.

Sponsored by Nielsen Fernandez-Becker · Phase 1, Interventional, and Diagnostic

From the registry’s dates

  • Started Apr 2026; still recruiting 5 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

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
02

Conditions studied

  • Celiac Disease

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Keywords

  • Celiac Disease
  • HB-2121
  • Gluten Intolerance
  • Esophagogastroduodenoscopy
03

In context

Celiac Disease

333 studies on the registry are indexed under Celiac Disease; 78 are open to participants now.

This study's planned enrollment of 20 is below the median of 50 across 203 interventional studies indexed under Celiac Disease.

Browse Celiac Disease studies →

Lead sponsor

Nielsen Fernandez-Becker is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

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
05

Study design

Phase
Phase 1
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    250 mg HB-2121 in Participants with Suspected Celiac Disease

    Participants in this arm will receive a one-time dose of 250 mg of HB-2121.

    Drug: HB-2121

Interventions

  • DrugHB-2121

    HB-2121 taken once orally.

06

What researchers measure

Primary outcomes

  1. Frequency and severity of adverse events during the study window

    Adverse events (AEs) will be recorded and assessed for severity using the Common Terminology Criteria for Adverse Events (CTCAE) v6.0.

    Time frame: From dosing through 30 days post-dose

Secondary outcomes

  1. Intensity of sulfo-Cy5 fluorescent marker normalized to the mean fluorescence intensity of DAPI-stained nuclei in a confocal fluorescent microscopic field of view.

    Endoscopic biopsy samples will be collected after dosing, and fresh frozen tissue sections will be stained with DAPI and analyzed using a confocal microscope to determine the fluorescence intensity of sulfo-Cy5 and DAPI.

    Time frame: At least 120 minutes after dosing

  2. Measurement of villous height to crypt depth ratio and intraepithelial lymphocyte count.

    Endoscopic biopsy samples will be collected after dosing, and the paraffin-embedded tissue sections will be stained with hematoxylin and eosin, as well as CD3, and analyzed using a microscope to determine villus height, crypt depth, and the number of CD3+ intraepithelial lymphocytes.

    Time frame: At least 120 minutes after dosing

Other outcomes

  1. Frequency and identity of HB-2121 positive cells in the blood of celiac patients

    Blood samples will be collected at the end of the overall endoscopic evaluation procedure, and peripheral blood mononuclear cells (PBMCs) will be analyzed using flow cytometry to determine the percentage of HB-2121+ cells among CD14+CD11c+ populations, with and without β7-integrin expression.

    Time frame: Pre-dose, 60 minutes after dosing, and 360 minutes after dosing

  2. Intensity of of HB-2121-labeled ECM-associated and cellular TG2 protein in duodenal biopsy samples.

    Endoscopic biopsy samples will be collected after dosing, and the paraffin-embedded tissue sections will be stained with Collagen 1, PDGFRα, αSMA, CD11c, as well as DAPI, and analyzed using the confocal microscope to determine HB-2121 colocalization with ECM proteins and cell populations.

    Time frame: At least 120 minutes after dosing

07

Study locations

1 of 1 sites recruiting
  • Stanford University
    Stanford, California 94305, United States
    Recruiting
08

References and documents

Study documents

  • Informed consent form · Jun 25, 2026

Documents are hosted by the registry — open the source record to download them.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07377565
Lead sponsor
Nielsen Fernandez-Becker
Collaborators
Stanford's Innovative Medicines Accelerator, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Responsible party
Nielsen Fernandez-Becker (Clinical Professor, Medicine - Gastroenterology & Hepatology, Stanford University) — Sponsor-investigator
First posted
Jan 30, 2026
Start date
Apr 29, 2026
Primary completion
Jun 1, 2027 (estimated)
Completion
Jun 1, 2027 (estimated)
Last update
Jul 28, 2026

Study contacts

Joaquin Tabera
Contact
jtabera7@stanford.edu
(650) 334-1308
Marissa Dobry
Contact
mdobry@stanford.edu
(313) 320-2240

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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