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Safety and Tolerability of FMT Capsules in Healthy Volunteers

Primary Purpose

Acute-graft-versus-host Disease

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
XBI-302
XBI-302 Placebo
Sponsored by
Shenzhen Xbiome Biotech Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute-graft-versus-host Disease

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Willing to participate and sign the ICF.
  2. Healthy adults 18-55 years of age, male and female.
  3. For women of childbearing age, negative serum pregnancy test at Screening and negative serum pregnancy test confirmed at the admission to the Phase 1 unit.
  4. Female participants must not be pregnant, lactating, or actively trying to become pregnant. Participants who are premenopausal and of childbearing potential must have two negative pregnancy tests (serum) and both female and male participants must use medically acceptable and effective contraceptive methods during the study period, including:

    1. Having a male partner who is sterile prior to the female participant's entry into the study and is the sole sexual partner for that female participant
    2. Use of double-barrier methods of contraception; condoms with the use of caps (with spermicide) and intra-uterine devices are acceptable
    3. True abstinence, when this is in line with the preferred and usual lifestyle of the participant (Note: period abstinence [e.g., calendar, ovulation, symptothermal, post-ovulation methods] and withdrawal are not acceptable methods of contraception)
  5. Clinical laboratory test values (hematology, blood chemistry, routine stool test, urinalysis, etc.) are in the normal ranges or although it was outside the normal limits, the researchers determined that the participant will still be eligible within the screening period.
  6. Participants have a body mass index (BMI) between 18 and 30 kilogram per meter square (kg/m2) inclusive, and a body weight of at least 45 kilograms (kg).

Exclusion Criteria:

  1. History of cardiovascular disease, immune system disease, malignant disease such as cancer, nervous system disease, hematological disease, endocrinological disease, and/or any other diseases that in the opinion of the investigator could impact assessments of safety or the gut microbiome.
  2. Significant past medical history of GI conditions including inflammatory bowel disease, irritable bowel syndrome, celiac disease, history of GI malignancy or polyposis, C. difficile infection in past year.
  3. GI symptoms that occur more than four times a month including acid reflux, nausea, vomiting, diarrhea, abdominal pain or cramps, abdominal distension, bloating, constipation.
  4. Used oral antibiotics within 4 weeks prior to the first FMT dosing.
  5. HIV infection and/or HBV/HCV infection.
  6. Active tuberculosis and undergoing treatment.
  7. History of mental illness, drug or alcohol abuse and/or any other behavioral issues that may impact study compliance.
  8. Lactating women or participants who plan to become pregnant or conceive within half a year.
  9. History of severe hypersensitivity (may cause difficulty in breathing).
  10. Alcohol breathalyzer test positive, urine drug screening test positive, and/or smoker.
  11. Participated in any other clinical trials within 3 months of first dose.
  12. Participants with history of bowel or gastrointestinal surgery.
  13. Participants who are immunosuppressed or immunocompromised, either by genetic, acquired or secondary to medication.
  14. Participants who are experiencing symptoms associated with COVID-19 (including but not limited to cough, fever, shortness of breath, nausea, diarrhea, anhedonia, anosmia, ageusia or severe fatigue).

Sites / Locations

  • Bejing Goboard Boren HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Cohort 1 XBI-302

Cohort 1 Placebo

Cohort 2 XBI-302

Cohort 2 Placebo

Cohort 3 XBI-302

Cohort 3 Placebo

Cohort 4 XBI-302

Cohort 4 Placebo

Arm Description

40 XBI-302 capsules in 1 day

40 placebo capsules in 1 day

80 XBI-302 capsules over 2 days

80 placebo capsules over 2 days

40 XBI-302 capsules per day, once a week for 4 weeks.

40 placebo capsules per day, once a week for 4 weeks.

80 XBI-302 capsules over 2 days, once a week for 4 weeks.

80 placebo capsules over 2 days, once a week for 4 weeks.

Outcomes

Primary Outcome Measures

The incidence and severity of all AEs and SAEs
The incidence and severity of all AEs and SAEs that are determined to be related to XBI-302 through Day 28.

Secondary Outcome Measures

The incidence of all AEs and SAEs
The incidence of all AEs and SAEs through Day 28 and Week 12.
Change in laboratory data of pre- and post-intervention as a measure of safety.
Compare changes laboratory data via hematology, blood chemistry, urinalysis, and routine stool testing before and after using FMT capsules.
Change in functions of all organ systems via standard complete physical examinations.
Change in functions of all organ systems via standard complete physical examinations.
Change in functions of heart, lungs, abdomen and other organ that involve the gastrointestinal tract and digestive system via targeted physical examinations.
Change in functions of heart, lungs, abdomen and other organ that involve the gastrointestinal tract and digestive system via targeted physical examinations.
Change in vital signs in ear temperature, pulse, respirations, and blood pressure as a measure of safety.
Change in vital signs in ear temperature, pulse, respirations, and blood pressure as a measure of safety.
The incidence of gastrointestinal AEs
Compare the incidence of gastrointestinal AEs on the dosing day(s) between treatment groups.
The level of difficulty of swallowing FMT capsules as a measure of tolerability.
Estimate degree of difficulty of swallowing FMT capsules via daily diary cards by selecting easy, ok, hard (must rest frequently to complete all capsules), or very hard (stuck to my throat all the time, took a long time to finish all capsules).
The subjective experience of the taste acceptance as a measure of tolerability.
Estimate degree of taste acceptance of FMT capsules via daily diary cards by selecting none, ok, a strange taste, or strong taste that makes me nauseous.
The gut microbiome profile
Compare the gut microbiome profile before and after the transplantation between treatment groups.
The gut microbiome profile
Compare the gut microbiome profile before and after the transplantation between donors and participants.
The colonization of microbiota from donor
Compare the effects of diet and lifestyle on the colonization of microbiota from donor before and after FMT.

Full Information

First Posted
April 12, 2022
Last Updated
May 4, 2022
Sponsor
Shenzhen Xbiome Biotech Co., Ltd.
Collaborators
Beijing Improve-Quality Tech.Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05352269
Brief Title
Safety and Tolerability of FMT Capsules in Healthy Volunteers
Official Title
Safety and Tolerability of Xbiome Gut Microbial Capsule XBI-302 in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Recruiting
Study Start Date
April 21, 2022 (Actual)
Primary Completion Date
August 2022 (Anticipated)
Study Completion Date
October 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shenzhen Xbiome Biotech Co., Ltd.
Collaborators
Beijing Improve-Quality Tech.Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
This is a two-part, randomized, double-blind, placebo-controlled, single center study to investigate the safety and tolerability of XBI-302 administered orally in healthy volunteers. The hypothesis of this study is that XBI-302 is safe and well tolerated with the proposed dosing regimens.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute-graft-versus-host Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
36 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1 XBI-302
Arm Type
Experimental
Arm Description
40 XBI-302 capsules in 1 day
Arm Title
Cohort 1 Placebo
Arm Type
Placebo Comparator
Arm Description
40 placebo capsules in 1 day
Arm Title
Cohort 2 XBI-302
Arm Type
Experimental
Arm Description
80 XBI-302 capsules over 2 days
Arm Title
Cohort 2 Placebo
Arm Type
Placebo Comparator
Arm Description
80 placebo capsules over 2 days
Arm Title
Cohort 3 XBI-302
Arm Type
Experimental
Arm Description
40 XBI-302 capsules per day, once a week for 4 weeks.
Arm Title
Cohort 3 Placebo
Arm Type
Placebo Comparator
Arm Description
40 placebo capsules per day, once a week for 4 weeks.
Arm Title
Cohort 4 XBI-302
Arm Type
Experimental
Arm Description
80 XBI-302 capsules over 2 days, once a week for 4 weeks.
Arm Title
Cohort 4 Placebo
Arm Type
Placebo Comparator
Arm Description
80 placebo capsules over 2 days, once a week for 4 weeks.
Intervention Type
Biological
Intervention Name(s)
XBI-302
Intervention Description
Fecal Microbiota Transplantation Capsules
Intervention Type
Biological
Intervention Name(s)
XBI-302 Placebo
Intervention Description
XBI-302 Placebo
Primary Outcome Measure Information:
Title
The incidence and severity of all AEs and SAEs
Description
The incidence and severity of all AEs and SAEs that are determined to be related to XBI-302 through Day 28.
Time Frame
Day 28
Secondary Outcome Measure Information:
Title
The incidence of all AEs and SAEs
Description
The incidence of all AEs and SAEs through Day 28 and Week 12.
Time Frame
Day 28 and Week 12
Title
Change in laboratory data of pre- and post-intervention as a measure of safety.
Description
Compare changes laboratory data via hematology, blood chemistry, urinalysis, and routine stool testing before and after using FMT capsules.
Time Frame
Baseline, Weeks 1, 2, 3, 4, and 12 (if applicable for the arm)
Title
Change in functions of all organ systems via standard complete physical examinations.
Description
Change in functions of all organ systems via standard complete physical examinations.
Time Frame
Baseline, Weeks 1, 2, 3, 4, and 12 (if applicable for the arm)
Title
Change in functions of heart, lungs, abdomen and other organ that involve the gastrointestinal tract and digestive system via targeted physical examinations.
Description
Change in functions of heart, lungs, abdomen and other organ that involve the gastrointestinal tract and digestive system via targeted physical examinations.
Time Frame
Baseline, Weeks 1, 2, 3, 4, and 12 (if applicable for the arm)
Title
Change in vital signs in ear temperature, pulse, respirations, and blood pressure as a measure of safety.
Description
Change in vital signs in ear temperature, pulse, respirations, and blood pressure as a measure of safety.
Time Frame
Baseline, Weeks 1, 2, 3, 4, and 12 (if applicable for the arm)
Title
The incidence of gastrointestinal AEs
Description
Compare the incidence of gastrointestinal AEs on the dosing day(s) between treatment groups.
Time Frame
Weeks 1, 2, 3, and 4 (if applicable for the arm)
Title
The level of difficulty of swallowing FMT capsules as a measure of tolerability.
Description
Estimate degree of difficulty of swallowing FMT capsules via daily diary cards by selecting easy, ok, hard (must rest frequently to complete all capsules), or very hard (stuck to my throat all the time, took a long time to finish all capsules).
Time Frame
Weeks 1, 2, 3, and 4 (if applicable for the arm)
Title
The subjective experience of the taste acceptance as a measure of tolerability.
Description
Estimate degree of taste acceptance of FMT capsules via daily diary cards by selecting none, ok, a strange taste, or strong taste that makes me nauseous.
Time Frame
Weeks 1, 2, 3, and 4 (if applicable for the arm)
Title
The gut microbiome profile
Description
Compare the gut microbiome profile before and after the transplantation between treatment groups.
Time Frame
Baseline, Weeks 1, 2, 3, 4, 6, 8, 10, and 12 (if applicable for the arm)
Title
The gut microbiome profile
Description
Compare the gut microbiome profile before and after the transplantation between donors and participants.
Time Frame
Baseline, Weeks 1, 2, 3, 4, 6, 8, 10, and 12 (if applicable for the arm)
Title
The colonization of microbiota from donor
Description
Compare the effects of diet and lifestyle on the colonization of microbiota from donor before and after FMT.
Time Frame
Baseline, Weeks 1, 2, 3, 4, 6, 8, 10, and 12 (if applicable for the arm)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Willing to participate and sign the ICF. Healthy adults 18-55 years of age, male and female. For women of childbearing age, negative serum pregnancy test at Screening and negative serum pregnancy test confirmed at the admission to the Phase 1 unit. Female participants must not be pregnant, lactating, or actively trying to become pregnant. Participants who are premenopausal and of childbearing potential must have two negative pregnancy tests (serum) and both female and male participants must use medically acceptable and effective contraceptive methods during the study period, including: Having a male partner who is sterile prior to the female participant's entry into the study and is the sole sexual partner for that female participant Use of double-barrier methods of contraception; condoms with the use of caps (with spermicide) and intra-uterine devices are acceptable True abstinence, when this is in line with the preferred and usual lifestyle of the participant (Note: period abstinence [e.g., calendar, ovulation, symptothermal, post-ovulation methods] and withdrawal are not acceptable methods of contraception) Clinical laboratory test values (hematology, blood chemistry, routine stool test, urinalysis, etc.) are in the normal ranges or although it was outside the normal limits, the researchers determined that the participant will still be eligible within the screening period. Participants have a body mass index (BMI) between 18 and 30 kilogram per meter square (kg/m2) inclusive, and a body weight of at least 45 kilograms (kg). Exclusion Criteria: History of cardiovascular disease, immune system disease, malignant disease such as cancer, nervous system disease, hematological disease, endocrinological disease, and/or any other diseases that in the opinion of the investigator could impact assessments of safety or the gut microbiome. Significant past medical history of GI conditions including inflammatory bowel disease, irritable bowel syndrome, celiac disease, history of GI malignancy or polyposis, C. difficile infection in past year. GI symptoms that occur more than four times a month including acid reflux, nausea, vomiting, diarrhea, abdominal pain or cramps, abdominal distension, bloating, constipation. Used oral antibiotics within 4 weeks prior to the first FMT dosing. HIV infection and/or HBV/HCV infection. Active tuberculosis and undergoing treatment. History of mental illness, drug or alcohol abuse and/or any other behavioral issues that may impact study compliance. Lactating women or participants who plan to become pregnant or conceive within half a year. History of severe hypersensitivity (may cause difficulty in breathing). Alcohol breathalyzer test positive, urine drug screening test positive, and/or smoker. Participated in any other clinical trials within 3 months of first dose. Participants with history of bowel or gastrointestinal surgery. Participants who are immunosuppressed or immunocompromised, either by genetic, acquired or secondary to medication. Participants who are experiencing symptoms associated with COVID-19 (including but not limited to cough, fever, shortness of breath, nausea, diarrhea, anhedonia, anosmia, ageusia or severe fatigue).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Xuemei Liu
Phone
010-83605200-855
Email
xuemei.liu@gohealtharo.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fang Hou, MD
Organizational Affiliation
Bejing Goboard Boren Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Bejing Goboard Boren Hospital
City
Beijing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xuemei Liu
Phone
010-83605200-855
Email
xuemei.liu@gohealtharo.com
First Name & Middle Initial & Last Name & Degree
Fang Hou, MD
First Name & Middle Initial & Last Name & Degree
Xiufang Kan
First Name & Middle Initial & Last Name & Degree
Xuemei Liu

12. IPD Sharing Statement

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Safety and Tolerability of FMT Capsules in Healthy Volunteers

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