short bowel syndrome and intestinal failure MedDRA version: 20.1 Level: PT Classification code 10049416 Term: Short-bowel syndrome System Organ Class: 10017947 - Gastrointestinal disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Signed informed consent for this trial prior to any trial specific assessment. 2. Male and female subjects with SBS-IF, receiving parenteral support (PS), secondary to surgical resection of the small intestine with either stoma or colon-in-continuity (CIC). 3. Subject must require PS at least 3 days per week and be considered stable. 4. No planned restorative surgery or major intestinal surgery (more than 10% intestinal resection or surgery that changes anatomy group i.e. stoma or CIC), in the trial period. 5. Age =18 years at Screening. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 112 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 52
Exclusion criteria
Exclusion criteria: 1.Pregnancy and/or lactation. 2.Major abdominal surgery in the last 6 months prior to screening visit. 3.History of cancer (including colon carcinoma) or clinically significant lymphoproliferative disease within =5 years, except for adequately treated basal cell skin cancer. 4.Active inflammatory bowel diseases (IBD) or underlying condition that requires new drug treatment or regimen changes in the previous 3 months. 5.Evidence of decompensated heart failure. 6.Evidence of severe renal or hepatic impairment. 7.Any treatment of greater than 2 weeks of growth factors such as growth hormone (GH), native GLP-2, GLP-1, short acting GLP-2 analogues (e.g., teduglutide) or GLP-1 analogues in the previous 3 months before randomization or treatment with longer acting experimental GLP-2 analogues should be discussed with the Investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the efficacy of weekly SC apraglutide in reducing parenteral support dependency;Secondary Objective: To evaluate selected parameters indicative of clinical efficacy • To evaluate the safety and tolerability of apraglutide compared with placebo • To assess the PK of apraglutide;Primary end point(s): Relative change from baseline in actual weekly PS volume at Week 24.;Timepoint(s) of evaluation of this end point: week 24 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): •Subjects who achieve a reduction of at least 1 day per week of PS from baseline at Weeks 24 / 48. •Relative change from baseline in actual weekly PS volume at Weeks 12 / 24 / 48. •SBS-IF patients reaching enteral autonomy at Weeks 24 / 48. •At least 20% reduction of PS volume from baseline at Weeks 20 / 24. •Calorie reduction from baseline in the PN at Weeks 24. •Change from baseline on QoL measures at Weeks 24 / 48. •Apraglutide PK parameters (baseline through Week 48). ;Timepoint(s) of evaluation of this end point: specified at point E.5.2 | — |
Countries
Argentina, Belgium, Czechia, Czech Republic, Denmark, France, Germany, Hungary, Israel, Italy, Japan, Korea, Republic of, Norway, Poland, Spain, Sweden, Taiwan, United Kingdom, United States
Contacts
VectivBio AG