A Pharmacokinetic Study of Budesonide Delayed Release Tablet D23A (D23) in Healthy Chinese Participants Under Fasting Conditions

November 3, 2026 updated by: Triastek, lnc.

A Single-Center, Randomized, Open-Label, Three-Period, Three-Sequence Crossover, Comparative Pharmacokinetic Study of Budesonide Delayed Release Tablet D23A (D23) in Healthy Chinese Participants Under Fasting Conditions

The goal of this clinical trial is to evaluate the PK characteristics and relative bioavailability of single oral doses of Budesonide Delayed Release Tablet and Budesonide Delayed Release Capsules in healthy participants, and to compare the formulation similarity of Budesonide Delayed Release Tablet T1 and T2. The main questions it aims to answer are:

How do the pharmacokinetic (PK) characteristics and relative bioavailability of Budesonide Delayed Release Tablet T1 (strength: 4 mg) compare with those of Budesonide Delayed Release Capsules R (trade name: Nefecon, strength: 4 mg)? How do the PK characteristics and relative bioavailability of Budesonide Delayed Release Tablet T2 (strength: 16 mg) compare with those of Budesonide Delayed Release Capsules R (trade name: Nefecon, strength: 4 mg)? How similar are the formulations of Budesonide Delayed Release Tablet T1 (strength: 4 mg) and T2 (strength: 16 mg), and how do their relative bioavailabilities compare? Researchers will compare Budesonide Delayed Release Tablet T1 (strength: 4 mg) and T2 (strength: 16 mg) to Budesonide Delayed Release Capsules R (trade name: Nefecon, strength: 4 mg) to see if the tablets work to treat primary immunoglobulin A nephropathy (IgAN).

Participants will:

Take a single oral dose of Budesonide Delayed Release Tablet T1 (16 mg, given as 4 mg/tablet × 4 tablets), Tablet T2 (16 mg, given as 16 mg/tablet × 1 tablet), or Capsules R (16 mg, given as 4 mg/capsule × 4 capsules) as directed Visit the clinic regularly for checkups and tests Report any medical problems they experience while taking the study drug

Study Overview

Status

Active, not recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

18

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Jiangsu
      • Suzhou, Jiangsu, China, 215004
        • The Second Affiliated Hospital of Soochow University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

1 . Fully understand the purpose, nature, procedures of the study and possible adverse reactions, voluntarily participate in the study, and sign the informed consent form (ICF) before any study procedures begin; 2. Healthy male or female participants aged ≥18 years; 3. Male weight ≥ 50.0 kg, female weight ≥ 45.0 kg; body mass index (BMI) in the range of 18.5 to 24.9 kg/m2 (inclusive); 4. Participants voluntarily agree to use effective contraception during the study and for 3 months after the last dose, and have no plans to conceive or father a child, donate sperm, or donate eggs during that period; 5. Able to communicate well with the investigator and understand and comply with all requirements of this study.

Exclusion Criteria:

  1. Allergic diathesis, a clinical history of allergies to food, drugs, etc., or a known history of allergy to budesonide or to any excipient of either Budesonide Delayed Release Tablet or Budesonide Delayed Release Capsules;

  2. History of chronic or serious diseases of the cardiovascular, hepatic, renal, biliary, respiratory, hematologic and lymphatic, endocrine, immune, psychiatric, or neuromuscular systems within one year prior to screening until randomization;

  3. History of gastrointestinal diseases (including current) from one year prior to screening until randomization, including chronic or active upper gastrointestinal diseases such as esophageal disorder, gastritis, duodenitis, gastrointestinal ulceration, or active gastrointestinal hemorrhage or gastrointestinal surgery;

  4. Have had or currently have infectious diseases within 1 month prior to screening, including fungal/bacterial/viral/parasitic infections, ocular herpes simplex, varicella, measles, etc.;

  5. Have a history of or currently have eye disorders (such as glaucoma, cataracts), or have a family history of glaucoma;

  6. Have clinically significant abnormal results in vital signs, physical examination, clinical laboratory tests (hematology, urinalysis, clinical chemistry, 4-item coagulation test, 4-item infectious disease test) and ECG at screening, as judged by the investigator;

  7. Have had acute diseases within 2 weeks prior to screening until randomization (including acute appendicitis, acute gastroenteritis, acute cerebral infarction, cerebral hemorrhage, angina pectoris, upper gastrointestinal hemorrhage, etc.);

  8. Have the following ECG findings at screening: prolonged QTcF interval (QTcF>450 ms for males, >470 ms for females);

  9. Have used any drugs (including any prescription drugs, over-the-counter drugs, Chinese herbal preparations) or health supplements from 2 weeks prior to screening until randomization;

  10. Have undergone major surgery (excluding diagnostic surgery) from 6 months prior to screening until randomization, or have undergone surgery that, in the investigator's judgment, would affect the absorption, distribution, metabolism, or excretion of the drug, or are planning to undergo surgery during the study;

  11. Have an average weekly alcohol use of more than 14 units (1 unit = 360 mL of 5% alcohol beer or 45 mL of 40% alcohol spirits or 150 mL of 12% alcohol wine) from 3 months prior to screening until randomization, or are unable to abstain from alcohol during the study, or have an alcohol breath test result greater than 0.0 mg/100 mL;

  12. Have consumed tea, coffee, or beverages containing caffeine or alcohol from 48 hours before the first dose until randomization, or are unable to stop consuming them during the study;

  13. Have consumed foods or beverages that affect drug metabolism, such as chocolate, dragon fruit, mango, carambola, guava, pomelo, orange, grapefruit or grapefruit products, from 48 hours before the first dose until randomization, or are unable to stop consuming them during the study;

  14. Have received any vaccine from 4 weeks prior to screening until randomization, or plan to receive any vaccine during the study (by inquiry);

  15. Have participated in any drug or device clinical study from 3 months prior to screening until randomization (participation is defined as receiving the investigational drug or device, and the end time is defined as the date of discharge from the last clinical study);

  16. Have a history of blood donation from 3 months prior to screening until randomization, or have a total blood loss of 400 mL or more from blood donation or other reasons within 6 months (excluding menstrual blood loss for females), or plan to donate blood within 6 months after the last blood collection;

  17. Have an average daily smoking of more than 5 cigarettes from 3 months prior to screening until randomization, or are unable to stop using any tobacco products during the study;

  18. Have a history of drug addiction or drug abuse (including non-medical use of various narcotic drugs and psychotropic drugs);

  19. Have a positive result for any item in the urine drug screen (including: morphine, methamphetamine (ice), ketamine (K powder), ecstasy (MDMA), marijuana (tetrahydrocannabinolic acid), etc.);

  20. Have difficulty with venipuncture or poor vascular conditions, or cannot tolerate venipuncture/indwelling needle, or have a history of fainting from needles or blood;

  21. Have special dietary requirements, or are unable to accept the standardized diet during the study;

  22. Have dysphagia;

  23. Be unsuitable for enrollment or other situations where the participant is unable to participate for personal reasons as judged by the investigator.

    Female participants who meet the following conditions, in addition to the above requirements, should also be excluded:

  24. Have used oral contraception from 30 days prior to screening until randomization;

  25. Have used long-acting estrogen or progesterone injections (including progesterone-releasing intrauterine devices) or implants from 6 months prior to screening until randomization;

  26. Have had unprotected sexual intercourse with a partner from 14 days prior to screening until randomization;

  27. Have a positive pregnancy test;

  28. Are women who are pregnant or lactating.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Crossover Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: T1-T2-R group

Test drug T1

Reference drug

Test drug T2

Experimental: R-T1-T2 group

Test drug T1

Reference drug

Test drug T2

Experimental: T2-R-T1 group

Test drug T1

Reference drug

Test drug T2

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Cmax
Time Frame: up to 48 hours post-dose

Primary PK parameters

up to 48 hours post-dose
AUC4-t
Time Frame: up to 48 hours post-dose

Primary PK parameters

up to 48 hours post-dose
AUC0-t
Time Frame: up to 48 hours post-dose

Primary PK parameters

up to 48 hours post-dose
AUC0-∞
Time Frame: up to 48 hours post-dose

Primary PK parameters

up to 48 hours post-dose
Tmax
Time Frame: up to 48 hours post-dose

Secondary PK parameters

up to 48 hours post-dose
Tlag
Time Frame: up to 48 hours post-dose

Secondary PK parameters

up to 48 hours post-dose
AUC0-4
Time Frame: up to 4 hours post-dose

Secondary PK parameters

up to 4 hours post-dose
t1/2
Time Frame: up to 48 hours post-dose

Secondary PK parameters

up to 48 hours post-dose
λz
Time Frame: up to 48 hours post-dose

Secondary PK parameters

up to 48 hours post-dose
AUC %Extrap
Time Frame: up to 48 hours post-dose

Secondary PK parameters

up to 48 hours post-dose
CL/F
Time Frame: up to 48 hours post-dose

Secondary PK parameters

up to 48 hours post-dose
VZ/F
Time Frame: up to 48 hours post-dose

Secondary PK parameters

up to 48 hours post-dose

Secondary Outcome Measures

Outcome Measure
Time Frame
Incidence of adverse events (AEs)
Time Frame: Through study completion, an average of 13 days
Through study completion, an average of 13 days

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 3, 2026

Primary Completion (Estimated)

January 1, 2027

Study Completion (Estimated)

January 1, 2027

Study Registration Dates

First Submitted

November 3, 2026

First Submitted That Met QC Criteria

November 3, 2026

First Posted (Actual)

November 9, 2026

Study Record Updates

Last Update Posted (Actual)

November 9, 2026

Last Update Submitted That Met QC Criteria

November 3, 2026

Last Verified

November 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 2026-CP-D23A-01

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

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