Clinical Trials

Multiple completed clinical trials have evaluated Larazotide, focusing on its safety, tolerability, and therapeutic efficacy in patients with celiac disease, alongside assessing baseline pharmacokinetics in healthy volunteers. The clinical development program encompasses Phase 1 safety and pharmacokinetic assessments as well as Phase 2 dose-ranging efficacy trials. These studies were conducted by industry sponsors, including 9 Meters Biopharma Inc. and Teva Pharmaceuticals USA.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT01396213 Completed
Celiac Disease
9 Meters Biopharma Inc.|Teva Pharmaceuticals USA
2011-11-07 Phase 2
NCT00620451 Completed
Celiac Disease
9 Meters Biopharma Inc.
2008-02 Phase 2
NCT00362856 Completed
Celiac Disease
9 Meters Biopharma Inc.
2006-09-13 Phase 2
NCT00386490 Completed
Healthy
9 Meters Biopharma Inc.
2006-01-10 Phase 1
NCT00386165 Completed
Celiac Disease
9 Meters Biopharma Inc.
2005-11-29 Phase 1

(data from https://clinicaltrials.gov, updated on 2024-05-22)

Check the Larazotide product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Larazotide acts as a synthetic antagonist of zonulin, binding to zonulin-responsive cell surface receptors to inhibit downstream signal transduction pathways that drive tight junction disassembly. By preserving intestinal mucosal tight junction integrity and suppressing pathologically elevated paracellular permeability, this molecular inhibition prevents luminal antigen passage relevant to the management of celiac disease.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.