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Safety and Efficacy of ALX-0600 in Subjects With Active Crohn's Disease

Primary Purpose

Crohn's Disease

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
ALX-0600
placebo
teduglutide 0.05
teduglutide 0.2 mg
Teduglutide 0.05 dose
teduglutide 0.1 mg dose
Sponsored by
Shire
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Crohn's Disease

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria Men and women, 18 years of age and older Signed and dated informed consent to participate before any study-related procedures are performed Diagnosis of Crohn's disease for at least 6 months that has been documented and confirmed A Crohn's Disease Activity Index (CDAI) score of 220 to 450 inclusive Female subjects who are not surgically sterile or postmenopausal must use medically acceptable methods of birth control during and for 30 days after the treatment period. HCT 30% or greater WBC 3.5 x 109/L or greater Platelets 100 x 109/L or greater Adequate renal function defined as: serum creatinine and BUN 1.5 x ULN or less Adequate hepatic function defined as: ALT/SPGT, AST/SGOT 2.0 x ULN or less; total bilirubin 1.25 x ULN or less, alkaline phosphatase 1.5 x ULN or less Female subjects of childbearing potential must have negative urine pregnancy test results prior to randomization A stool sample must be taken at screening and analyzed by a local laboratory for enteric pathogens, pathogenic ova and parasites, and Clostridium difficile toxin, and reported negative prior to randomization. C-reactive protein value must be 1.0 mg/dL or more, unless there are obvious manifestations of currently active Crohn's disease such as positive observations on endoscopy, other positive indications by laboratory test results, or the subject has had a previous intestinal resection for Crohn's disease. Exclusion Criteria Nutritionally compromised subjects requiring enteral or parenteral therapy to maintain weight Body weight less than 40 kg or more than 100 kg Bowel obstruction or any condition that may predispose to its development, intestinal perforation, or significant gastrointestinal hemorrhage Current ileostomy or colostomy or extensive external fistulization (more than 3 external fistulae which are expressible with gentle compression) Expected to require surgical therapy for Crohn's disease or Crohn's disease related complications within 12 weeks of screening. If an abscess is present, it should be drained at least 3 weeks before pre-screening History of ulcerative colitis within 6 months of screening visit Cushing's syndrome Known HIV infection, or symptoms or signs of HIV infection Acute systemic infection and/or intestinal infection requiring antibiotic therapy at time of screening or baseline Evidence of chronic hepatitis B or C viral infection Decompensated liver disease Clinically significant ECG abnormalities History of angina or cardiac arrhythmia requiring drug or device intervention or clinically significant congestive heart failure or other clinically significant cardiac disease History of myocardial infarction within 12 months of screening History of thromboembolic disease (e.g., phlebitis, pulmonary embolus) or known congenitally or acquired prothrombotic disorder (e.g., protein C deficiency) History of cancer (other than resected cutaneous basal or squamous cell carcinoma or in situ cervical cancer) or clinically significant lymphoproliferative disease with fewer than 5 years documented disease-free state Known substance abuse in the previous 2 years Nursing mothers or pregnant women Use of native GLP-2, growth hormone, or growth factors within 3 months of signing informed consent Use of any of the prior or concomitant medications described in section 5.4, except as specified Known hypersensitivity to any of the active or inactive constituents of ALX-0600

Sites / Locations

  • Advanced Clinical Therapeutics
  • Rocky Mountain Gastroenterology
  • Rx Trials
  • Clinical Trials Management of Boca Raton
  • Clinical Research of West Florida
  • Venture Research
  • Visions Clinical Research - Sarasota
  • Emory University School of Medicine
  • Pinnacle Trials
  • Saint Joseph's Health System
  • Northwestern University School of Medicine
  • University of Chicago
  • University of Louisville
  • Long Island Clinical Research Associates
  • Asher Kornbluth, MD, PC
  • Cleveland Clinic Foundation
  • Allegheny General Hospital-Allegheny Ctr for Digestive Diseases
  • Methodist Hospital/Baylor University
  • University of Utah
  • McGuire DVAMC
  • Dean Foundation Research Center
  • Vancouver General Hospital
  • Odyssey Research
  • Health Sciences Center
  • Queen Elizabeth II Health Sciences
  • Life Screening Centres

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Arm Label

Placebo

teduglutide 0.05

teduglutide 0.1

teduglutide

Arm Description

placebo solution injected subcutaneously daily into either thigh or abdomen.

teduglutide 0.05 mg/kg/d injected subcutaneously daily.

0.1 mg/kg/d teduglutide injected subcutaneously into thigh or abdomen

0.2 mg/kg/d teduglutide injected subcutaneously into thigh or abdomen

Outcomes

Primary Outcome Measures

The primary efficacy variable is the percentage of subjects who respond to treatment, defined as the percentage of subjects who are in remission (CDAI less than 150) or have a 100-point or greater reduction from baseline in CDAI score at dosing Week 8.

Secondary Outcome Measures

The various secondary efficacy variables are based on the CDAI, Inflammatory Bowel Disease Questionnaire (IBDQ), plasma citrulline and laboratory inflammatory markers.

Full Information

First Posted
November 11, 2003
Last Updated
May 24, 2021
Sponsor
Shire
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1. Study Identification

Unique Protocol Identification Number
NCT00072839
Brief Title
Safety and Efficacy of ALX-0600 in Subjects With Active Crohn's Disease
Official Title
A Pilot Study of the Safety and Efficacy of ALX-0600 in Subjects With Moderately Active Crohn's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
May 2021
Overall Recruitment Status
Completed
Study Start Date
November 12, 2003 (Actual)
Primary Completion Date
July 28, 2005 (Actual)
Study Completion Date
July 28, 2005 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shire

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the study is to determine whether an investigational compound, ALX-0600, is safe and effective in treating Crohn's Disease.
Detailed Description
The study is twelve weeks in duration and there are eight weeks of once-daily injections into your abdomen or thigh. There are a total of six visits.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Crohn's Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
100 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
placebo solution injected subcutaneously daily into either thigh or abdomen.
Arm Title
teduglutide 0.05
Arm Type
Experimental
Arm Description
teduglutide 0.05 mg/kg/d injected subcutaneously daily.
Arm Title
teduglutide 0.1
Arm Type
Experimental
Arm Description
0.1 mg/kg/d teduglutide injected subcutaneously into thigh or abdomen
Arm Title
teduglutide
Arm Type
Experimental
Arm Description
0.2 mg/kg/d teduglutide injected subcutaneously into thigh or abdomen
Intervention Type
Drug
Intervention Name(s)
ALX-0600
Other Intervention Name(s)
GATTEX
Intervention Description
teduglutide
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
placebo solution injected subcutaneously
Intervention Type
Drug
Intervention Name(s)
teduglutide 0.05
Other Intervention Name(s)
GATTEX
Intervention Description
0.05 mg/jg/d subcutaneous daily injection into thigh or abdomen
Intervention Type
Drug
Intervention Name(s)
teduglutide 0.2 mg
Other Intervention Name(s)
GATTEX
Intervention Description
0.2 mg/kg/d subcutaneously injected into thigh or abdomen
Intervention Type
Drug
Intervention Name(s)
Teduglutide 0.05 dose
Other Intervention Name(s)
GATTEX
Intervention Description
0.05 mg/kg/d subcutaneous daily injection into thigh or abdomen
Intervention Type
Drug
Intervention Name(s)
teduglutide 0.1 mg dose
Other Intervention Name(s)
GATTEX
Intervention Description
0.1 mg/kg/d daily subcutaneous injection into thigh or abdomen
Primary Outcome Measure Information:
Title
The primary efficacy variable is the percentage of subjects who respond to treatment, defined as the percentage of subjects who are in remission (CDAI less than 150) or have a 100-point or greater reduction from baseline in CDAI score at dosing Week 8.
Time Frame
8 weeks of treatment
Secondary Outcome Measure Information:
Title
The various secondary efficacy variables are based on the CDAI, Inflammatory Bowel Disease Questionnaire (IBDQ), plasma citrulline and laboratory inflammatory markers.
Time Frame
8 weeks of treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Men and women, 18 years of age and older Signed and dated informed consent to participate before any study-related procedures are performed Diagnosis of Crohn's disease for at least 6 months that has been documented and confirmed A Crohn's Disease Activity Index (CDAI) score of 220 to 450 inclusive Female subjects who are not surgically sterile or postmenopausal must use medically acceptable methods of birth control during and for 30 days after the treatment period. HCT 30% or greater WBC 3.5 x 109/L or greater Platelets 100 x 109/L or greater Adequate renal function defined as: serum creatinine and BUN 1.5 x ULN or less Adequate hepatic function defined as: ALT/SPGT, AST/SGOT 2.0 x ULN or less; total bilirubin 1.25 x ULN or less, alkaline phosphatase 1.5 x ULN or less Female subjects of childbearing potential must have negative urine pregnancy test results prior to randomization A stool sample must be taken at screening and analyzed by a local laboratory for enteric pathogens, pathogenic ova and parasites, and Clostridium difficile toxin, and reported negative prior to randomization. C-reactive protein value must be 1.0 mg/dL or more, unless there are obvious manifestations of currently active Crohn's disease such as positive observations on endoscopy, other positive indications by laboratory test results, or the subject has had a previous intestinal resection for Crohn's disease. Exclusion Criteria Nutritionally compromised subjects requiring enteral or parenteral therapy to maintain weight Body weight less than 40 kg or more than 100 kg Bowel obstruction or any condition that may predispose to its development, intestinal perforation, or significant gastrointestinal hemorrhage Current ileostomy or colostomy or extensive external fistulization (more than 3 external fistulae which are expressible with gentle compression) Expected to require surgical therapy for Crohn's disease or Crohn's disease related complications within 12 weeks of screening. If an abscess is present, it should be drained at least 3 weeks before pre-screening History of ulcerative colitis within 6 months of screening visit Cushing's syndrome Known HIV infection, or symptoms or signs of HIV infection Acute systemic infection and/or intestinal infection requiring antibiotic therapy at time of screening or baseline Evidence of chronic hepatitis B or C viral infection Decompensated liver disease Clinically significant ECG abnormalities History of angina or cardiac arrhythmia requiring drug or device intervention or clinically significant congestive heart failure or other clinically significant cardiac disease History of myocardial infarction within 12 months of screening History of thromboembolic disease (e.g., phlebitis, pulmonary embolus) or known congenitally or acquired prothrombotic disorder (e.g., protein C deficiency) History of cancer (other than resected cutaneous basal or squamous cell carcinoma or in situ cervical cancer) or clinically significant lymphoproliferative disease with fewer than 5 years documented disease-free state Known substance abuse in the previous 2 years Nursing mothers or pregnant women Use of native GLP-2, growth hormone, or growth factors within 3 months of signing informed consent Use of any of the prior or concomitant medications described in section 5.4, except as specified Known hypersensitivity to any of the active or inactive constituents of ALX-0600
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Study Director
Organizational Affiliation
Takeda
Official's Role
Study Director
Facility Information:
Facility Name
Advanced Clinical Therapeutics
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85712
Country
United States
Facility Name
Rocky Mountain Gastroenterology
City
Lakewood
State/Province
Colorado
ZIP/Postal Code
80401
Country
United States
Facility Name
Rx Trials
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20010
Country
United States
Facility Name
Clinical Trials Management of Boca Raton
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33486
Country
United States
Facility Name
Clinical Research of West Florida
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33765
Country
United States
Facility Name
Venture Research
City
North Miami Beach
State/Province
Florida
ZIP/Postal Code
33162
Country
United States
Facility Name
Visions Clinical Research - Sarasota
City
Sarasota
State/Province
Florida
ZIP/Postal Code
34239
Country
United States
Facility Name
Emory University School of Medicine
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
Pinnacle Trials
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30329
Country
United States
Facility Name
Saint Joseph's Health System
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30342-1764
Country
United States
Facility Name
Northwestern University School of Medicine
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60619
Country
United States
Facility Name
University of Chicago
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637
Country
United States
Facility Name
University of Louisville
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40202
Country
United States
Facility Name
Long Island Clinical Research Associates
City
Great Neck
State/Province
New York
ZIP/Postal Code
11021
Country
United States
Facility Name
Asher Kornbluth, MD, PC
City
New York
State/Province
New York
ZIP/Postal Code
10128
Country
United States
Facility Name
Cleveland Clinic Foundation
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
Allegheny General Hospital-Allegheny Ctr for Digestive Diseases
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15212
Country
United States
Facility Name
Methodist Hospital/Baylor University
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
University of Utah
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84132
Country
United States
Facility Name
McGuire DVAMC
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23249
Country
United States
Facility Name
Dean Foundation Research Center
City
Madison
State/Province
Wisconsin
ZIP/Postal Code
53715
Country
United States
Facility Name
Vancouver General Hospital
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 1L5
Country
Canada
Facility Name
Odyssey Research
City
Victoria
State/Province
British Columbia
ZIP/Postal Code
V8T 5G4
Country
Canada
Facility Name
Health Sciences Center
City
Winnipeg
State/Province
Manitoba
ZIP/Postal Code
R3A 1R9
Country
Canada
Facility Name
Queen Elizabeth II Health Sciences
City
Halifax
State/Province
Nova Scotia
ZIP/Postal Code
B3H 1V7
Country
Canada
Facility Name
Life Screening Centres
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5S 2A5
Country
Canada

12. IPD Sharing Statement

Citations:
PubMed Identifier
19821509
Citation
Buchman AL, Katz S, Fang JC, Bernstein CN, Abou-Assi SG; Teduglutide Study Group. Teduglutide, a novel mucosally active analog of glucagon-like peptide-2 (GLP-2) for the treatment of moderate to severe Crohn's disease. Inflamm Bowel Dis. 2010 Jun;16(6):962-73. doi: 10.1002/ibd.21117.
Results Reference
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Learn more about this trial

Safety and Efficacy of ALX-0600 in Subjects With Active Crohn's Disease

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