US-based biopharmaceutical company Palisade Bio has begun the multiple ascending dose (MAD) cohorts of its ongoing Phase Ia/b trial of PALI-2108 for treating ulcerative colitis (UC).

These cohorts were launched following the completion of all five of the trial’s planned single ascending dose (SAD) cohorts.

Initial data from the SAD cohorts, which assessed doses from 15mg to 450mg, suggest that the therapy is well-tolerated at all levels.

No treatment-related dose reductions, serious adverse events or laboratory abnormalities were reported, while the absence of electrocardiogram abnormalities or other serious safety concerns has given the therapy a ‘favourable’ safety profile.

Pharmacokinetic (PK) analysis of PALI-2108 demonstrated the drug’s extended-release and delayed-release characteristics, ensuring sustained, dose-dependent drug exposure with increased local concentrations in the colon, crucial for UC treatment.

Palisade Bio chief medical officer Dr Mitch Jones said: “We are excited to move from the SAD to the MAD portion of our Phase Ia/b study of PALI-2108, a significant milestone that brings us one-step closer to delivering an innovative, safe, and effective treatment option for UC patients.

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“The preliminary data from the SAD cohorts have reinforced our confidence in PALI-2108’s safety profile, and we remain on track to report topline data in the first half of 2025.”

The Phase Ia/b study’s primary goal is to assess the therapy’s tolerability, PK and safety in healthy volunteers, as well as its safety, tolerability, PK and pharmacodynamics (PD) in UC subjects.

Unlike other phosphodiesterase-4 inhibitors on the market, PALI-2108 is a new chemical entity and is being administered to humans for the first time.

To gain insights into the therapy’s effects, biomarkers such as serum high-sensitivity C-reactive protein and faecal calprotectin will be used.

Palisade Bio previously held a dose optimisation trial of LB1148, a broad-spectrum serine protease inhibitor designed to reduce intestinal damage.