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A Phase 1b Study of STMC-103H in Multi-Sensitized Allergic Subjects Who Are Otherwise Healthy

Primary Purpose

Atopic Immunoglobulin E-Mediated Allergic Disorder

Status
Unknown status
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
STMC-103H
Placebo
Sponsored by
Siolta Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Immunoglobulin E-Mediated Allergic Disorder

Eligibility Criteria

2 Years - 40 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Voluntary informed consent from subject or legally acceptable representative and/or child assent from the subject (as applicable).
  • For part 1, subjects of 18 years to 40 years of age at the timing of the signature on the informed consent.
  • For part 2, subjects of 12 years to 17 years of age at the timing of the signature on the informed consent.
  • For part 3, subjects of 2 years to 11 years of age at the timing of the signature on the informed consent.
  • Good health and free of significant diseases or clinically significant abnormal findings on physical exam and laboratory evaluations.
  • No history or presence of gastrointestinal, hepatic, or renal disease/disorder.
  • History of allergic disease confirmed by 2 or more episodes in past 5 years.
  • Positive skin prick test to two or more common allergens.
  • Subjects who are of childbearing potential must agree to remain abstinent from heterosexual activity or agree to use (or have their partner use) acceptable contraception to prevent pregnancy within projected duration of the trial.

Exclusion Criteria:

  • Presence or history of any significant acute or chronic medical illness, except for allergic disease.
  • BMI > 32 kg/m2 at the time of signing consent.
  • Current or persistent moderate to sever asthma that requires use of control medication (Step 3 or above, according to Asthma Step Program).
  • Presence of rhinitis secondary to causes other than allergy.
  • History of anaphylaxis.
  • Any known allergies to two or more of the following three antibiotics: Augmentin, tetracycline, or bacitracin.
  • Inability to be venipunctured and/or tolerate venous access (Parts 1 and 2 only).
  • Consistent consumption of probiotics ≥ 2 days / week over multiple weeks within the 3 months prior to the study Baseline Visit.
  • Regular use of any of the following medications:

    • Intranasal or systemic corticosteroids (in 1 month prior to screening or during study)
    • Leukotriene modifiers (in 1 month prior to screening or during study)
    • Intranasal cromolyn (in 2 weeks prior to screening or during study)
    • Intranasal or systemic decongestants (in 3 days prior to screening or during study)
    • Cetirizine, fexofenadine, loratadine, desloratadine, hydroxyzine (in 10 days prior to screening or during study)
    • Intranasal antihistamines (in 3 days prior to screening or during study)
    • Other systemic antihistamines (in 3 days prior to screening or during study)
  • Allergies to excipients in the Investigational Product formulation.
  • Allergy to soy in any form.
  • Presently consuming alcohol more than 2 glasses per day or has history of alcohol dependence or alcohol abuse during the past one year prior to screening.
  • Presently a smoker or ex-smoker with history of smoking (subject must abstain from smoking throughout the study).
  • History or presence of significant recreational or illicit drug abuse in past 1 year.
  • Participation in another clinical study within 30 days prior to screening.
  • Use of any probiotic or prebiotic in the past 3 months prior to screening.

Sites / Locations

  • Bensch Clinical Research LLCRecruiting
  • Orange County Research CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

STMC-103H

Placebo

Arm Description

Oral administration of STMC-103H twice daily, randomized 3:1 (STMC-103H:Placebo) in three age-descending groups: Part 1: 20 subjects 18-40 years of age Part 2: 20 subjects, 12-17 years of age Part 3: 20 subjects, 2-11 years of age

Oral administration of placebo twice daily, randomized 3:1 (STMC-103H:Placebo) in three age-descending groups: Part 1: 20 subjects 18-40 years of age Part 2: 20 subjects, 12-17 years of age Part 3: 20 subjects, 2-11 years of age

Outcomes

Primary Outcome Measures

Number of patients with treatment-related adverse events (AEs) assessed as mild, moderate and severe, from baseline to day 29.
All adverse events (AEs) recorded during the study through the date of randomization up to 28 days after the last dose of study drug will analyzed. Treatment-emergent AEs (TEAEs), defined as any AE that starts or increases in severity after the first dose of STMC-103H or placebo, will be summarized. The total number of reported AEs will also be summarized.
Incidence of abnormal laboratory test results from baseline to day 29
The change in laboratory results from baseline to day 29 in multi-sensitized (to two or more allergens) subjects who are otherwise healthy and who have completed BID dosing of STMC-103H or placebo for 28 days
Change in blood pressure from baseline to day 57
Observed values of blood pressure obtained at screening and study Days 1, 8, 15, 22, 29, 43, and 57) and corresponding changes from baseline (Day 1) will be listed and summarized by descriptive statistics by study part and visit.
Change in respiration rate from baseline to day 57
Observed values of respiration rate obtained at screening and study Days 1, 8, 15, 22, 29, 43, and 57) and corresponding changes from baseline (Day 1) will be listed and summarized by descriptive statistics by study part and visit.
Change in heart rate from baseline to day 57
Observed values of heart rate obtained at screening and study Days 1, 8, 15, 22, 29, 43, and 57) and corresponding changes from baseline (Day 1) will be listed and summarized by descriptive statistics by study part and visit.

Secondary Outcome Measures

Full Information

First Posted
January 10, 2019
Last Updated
January 24, 2019
Sponsor
Siolta Therapeutics, Inc.
Collaborators
Integrium
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1. Study Identification

Unique Protocol Identification Number
NCT03819881
Brief Title
A Phase 1b Study of STMC-103H in Multi-Sensitized Allergic Subjects Who Are Otherwise Healthy
Official Title
A Phase 1b, Multi-centered, Randomized, Double-blind, Placebo-controlled, Parallel Group, Three Sequential Part Study of STMC-103H in Multi-Sensitized Allergic Subjects Who Are Otherwise Healthy
Study Type
Interventional

2. Study Status

Record Verification Date
January 2019
Overall Recruitment Status
Unknown status
Study Start Date
October 10, 2018 (Actual)
Primary Completion Date
November 2019 (Anticipated)
Study Completion Date
November 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Siolta Therapeutics, Inc.
Collaborators
Integrium

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of this study is to assess the safety and tolerability of STMC-103H compared to placebo in allergic subjects who are otherwise healthy.
Detailed Description
This is a first-in-human trial of this live biotherapeutic product. The primary objective is to assess safety and tolerability in allergic subjects who are otherwise healthy, with twice daily dosing in descending age groups.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Immunoglobulin E-Mediated Allergic Disorder

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Patients will be randomized into two arms in three sequential age-descending cohorts: Part 1: 18-40 years of age Part 2: 12-17 years of age Part 3: 2-11 years of age
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Double-blind
Allocation
Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
STMC-103H
Arm Type
Experimental
Arm Description
Oral administration of STMC-103H twice daily, randomized 3:1 (STMC-103H:Placebo) in three age-descending groups: Part 1: 20 subjects 18-40 years of age Part 2: 20 subjects, 12-17 years of age Part 3: 20 subjects, 2-11 years of age
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Oral administration of placebo twice daily, randomized 3:1 (STMC-103H:Placebo) in three age-descending groups: Part 1: 20 subjects 18-40 years of age Part 2: 20 subjects, 12-17 years of age Part 3: 20 subjects, 2-11 years of age
Intervention Type
Biological
Intervention Name(s)
STMC-103H
Intervention Description
Live bacterial product
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Inactive placebo substance
Primary Outcome Measure Information:
Title
Number of patients with treatment-related adverse events (AEs) assessed as mild, moderate and severe, from baseline to day 29.
Description
All adverse events (AEs) recorded during the study through the date of randomization up to 28 days after the last dose of study drug will analyzed. Treatment-emergent AEs (TEAEs), defined as any AE that starts or increases in severity after the first dose of STMC-103H or placebo, will be summarized. The total number of reported AEs will also be summarized.
Time Frame
From baseline to day 57
Title
Incidence of abnormal laboratory test results from baseline to day 29
Description
The change in laboratory results from baseline to day 29 in multi-sensitized (to two or more allergens) subjects who are otherwise healthy and who have completed BID dosing of STMC-103H or placebo for 28 days
Time Frame
From baseline to day 29
Title
Change in blood pressure from baseline to day 57
Description
Observed values of blood pressure obtained at screening and study Days 1, 8, 15, 22, 29, 43, and 57) and corresponding changes from baseline (Day 1) will be listed and summarized by descriptive statistics by study part and visit.
Time Frame
From baseline to day 57
Title
Change in respiration rate from baseline to day 57
Description
Observed values of respiration rate obtained at screening and study Days 1, 8, 15, 22, 29, 43, and 57) and corresponding changes from baseline (Day 1) will be listed and summarized by descriptive statistics by study part and visit.
Time Frame
From baseline to day 57
Title
Change in heart rate from baseline to day 57
Description
Observed values of heart rate obtained at screening and study Days 1, 8, 15, 22, 29, 43, and 57) and corresponding changes from baseline (Day 1) will be listed and summarized by descriptive statistics by study part and visit.
Time Frame
From baseline to day 57

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Voluntary informed consent from subject or legally acceptable representative and/or child assent from the subject (as applicable). For part 1, subjects of 18 years to 40 years of age at the timing of the signature on the informed consent. For part 2, subjects of 12 years to 17 years of age at the timing of the signature on the informed consent. For part 3, subjects of 2 years to 11 years of age at the timing of the signature on the informed consent. Good health and free of significant diseases or clinically significant abnormal findings on physical exam and laboratory evaluations. No history or presence of gastrointestinal, hepatic, or renal disease/disorder. History of allergic disease confirmed by 2 or more episodes in past 5 years. Positive skin prick test to two or more common allergens. Subjects who are of childbearing potential must agree to remain abstinent from heterosexual activity or agree to use (or have their partner use) acceptable contraception to prevent pregnancy within projected duration of the trial. Exclusion Criteria: Presence or history of any significant acute or chronic medical illness, except for allergic disease. BMI > 32 kg/m2 at the time of signing consent. Current or persistent moderate to sever asthma that requires use of control medication (Step 3 or above, according to Asthma Step Program). Presence of rhinitis secondary to causes other than allergy. History of anaphylaxis. Any known allergies to two or more of the following three antibiotics: Augmentin, tetracycline, or bacitracin. Inability to be venipunctured and/or tolerate venous access (Parts 1 and 2 only). Consistent consumption of probiotics ≥ 2 days / week over multiple weeks within the 3 months prior to the study Baseline Visit. Regular use of any of the following medications: Intranasal or systemic corticosteroids (in 1 month prior to screening or during study) Leukotriene modifiers (in 1 month prior to screening or during study) Intranasal cromolyn (in 2 weeks prior to screening or during study) Intranasal or systemic decongestants (in 3 days prior to screening or during study) Cetirizine, fexofenadine, loratadine, desloratadine, hydroxyzine (in 10 days prior to screening or during study) Intranasal antihistamines (in 3 days prior to screening or during study) Other systemic antihistamines (in 3 days prior to screening or during study) Allergies to excipients in the Investigational Product formulation. Allergy to soy in any form. Presently consuming alcohol more than 2 glasses per day or has history of alcohol dependence or alcohol abuse during the past one year prior to screening. Presently a smoker or ex-smoker with history of smoking (subject must abstain from smoking throughout the study). History or presence of significant recreational or illicit drug abuse in past 1 year. Participation in another clinical study within 30 days prior to screening. Use of any probiotic or prebiotic in the past 3 months prior to screening.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Elizabeth Chesnut
Phone
404-803-0358
Email
echesnut@sioltatherapeutics.com
First Name & Middle Initial & Last Name or Official Title & Degree
Nikole Kimes, PhD
Phone
843-480-2637
Email
nkimes@sioltatherapeutics.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joel Neutel, MD
Organizational Affiliation
Orange County Research Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Bensch Clinical Research LLC
City
Stockton
State/Province
California
ZIP/Postal Code
95207
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sandra Vallery
Phone
209-951-6741
Email
sandyval@aol.com
First Name & Middle Initial & Last Name & Degree
George W Bensch, MD
Facility Name
Orange County Research Center
City
Tustin
State/Province
California
ZIP/Postal Code
92780
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ashley Castro
Phone
714-263-7328
Email
ashley.castro@OCResearchCenter.com
First Name & Middle Initial & Last Name & Degree
Joel Neutel, MD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Phase 1b Study of STMC-103H in Multi-Sensitized Allergic Subjects Who Are Otherwise Healthy

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