A Phase 1a/b Clinical Trial To Determine the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, Immunogenicity, and Efficacy of BB-TL1A-VIAL-HLE in Healthy Adult Volunteers and in Patients With Moderate-To-Severe Ulcerative Colitis
The goal of this clinical trial is to learn if BB-TL1A-VIAL-HLE is safe in healthy adults and is safe and effective in treating adults with moderate-to-severe ulcerative colitis. The main questions it aims to answer are: Is the intervention safe in healthy adults and in adults with moderate-to-severe ulcerative colitis? Is the intervention effective in treating adults with moderate-to-severe ulcerative colitis? Researchers will compare the Phase 1b arm to a historical treatment arm to estimate the drug's effect size and see if the study drug is at least as effective as a relevant benchmark. Participants will: * Attend the clinical research site several times over the course of \ 1 year * Have blood and urine samples taken * Undergo physical examinations * Receive one injection of the study drug
• Written informed consent to participate in the study and the ability to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures is provided.
• Aged 18 to 55 years old (inclusive).
• A weight of ≥50 kg and a body mass index between 18 and 32 kg/m2 (inclusive).
• Considered healthy by the investigator, based on a detailed medical history, full physical examination, clinical laboratory tests, 12-lead ECG, and vital signs.
• Women of childbearing potential (WOCBP) may be considered if the participant is following the contraception guidance below in 5a. The participant will be questioned at each visit where there is a potential pregnancy. Similarly, male participants must follow the contraception guidance below in 5b.
• a. Female participants meet this criterion if they are: i. Postmenopausal for at least 1 year before the first dose of study drug, including a serum FSH level of \>40 mIU/mL to be reported to confirm menopause.
• OR ii. Surgically sterile (documented hysterectomy \[by self-disclosure\] or bilateral oophorectomy ≥90 days prior to enrollment).
• OR iii. Abstinent from heterosexual intercourse as per usual lifestyle (self-reported).
• OR iv. Using effective contraceptive methods for at least 6 weeks prior to enrollment and agree to continue effective contraceptive methods throughout study participation and up to 81 weeks (t1/2 x 5) after the last dose of the study drug.
• b. Male participants meet this criterion if they agree to: i. Practice effective barrier contraception from the time of enrollment throughout study participation and up to 81 weeks (t1/2 x 5) after the last dose of the study drug.
• OR ii. Be abstinent from heterosexual intercourse as per usual lifestyle (self-reported).
• AND iii. Refrain from donating sperm during study participation and up to 81 weeks (t1/2 x 5) after the last dose of the study drug.
• Non-smoker. If participant is a social smoker (up to 10 cigarettes per week), participant is willing to abstain during confinement.
• Written informed consent to participate in the study and the ability to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures is provided.
• Age ≥ 18 years.
• A weight ≥ 50 kg and a body mass index (BMI) between 18 and 32 kg/m2 (inclusive).
• Women of childbearing potential (WOCBP) and men must follow the contraception guidance as per the original protocol, ensuring no potential for pregnancy.
• A confirmed diagnosis of UC for ≥ 3 months.
• Moderate-to-severe UC, as defined by:
∙ Aggregate UC severity score ≥ 4
‣ Endoscopic severity score ≥ 2
‣ Blood in stool score ≥ 1
• Active disease beyond the rectum, with \> 15 cm of active disease from the anal verge (confirmed by endoscopy).
• Documented inadequate response, loss of response, or intolerance to ≥ 1 prior therapy from any of the following classes, confirmed by medical record OR investigator attestation OR patient-reported history (Investigator must confirm in the eCRF):
∙ Systemic corticosteroids
‣ Immunosuppressants
‣ Anti-TNF agents
‣ Anti-integrin inhibitors
‣ Anti-IL-12/23 inhibitors
‣ JAK inhibitors
‣ S1PR modulators
• If concomitantly taking 5-aminosalicylates, the participant must be on a stable dose for at least 4 weeks before baseline efficacy assessments.\*
⁃ If concomitantly taking low-dose corticosteroids (≤ 20 mg/day), the participant must be on a stable dose for at least 2 weeks before baseline efficacy assessments.\*
⁃ If concomitantly taking thiopurines, the participant must be on a stable dose for at least 8 weeks before baseline efficacy assessments.\* \*Baseline efficacy assessments include 7-Day Symptom Collection and Endoscopy.