Study to Assess Safety, Tolerability and Efficacy of Incremental Doses of MGB-BP-3 in Patients With CDAD
- Registration Number
- NCT03824795
- Lead Sponsor
- MGB Biopharma Limited
- Brief Summary
The objective of this Phase IIa study is to assess the safety, tolerability, and efficacy of incremental doses of MGB-BP-3 in patients with Clostridium difficile-associated diarrhea (CDAD).
- Detailed Description
This is an exploratory, Phase IIa, open-label study assessing the safety, tolerability, and efficacy of incremental doses of MGB-BP-3 with 3 sequential groups of 10 patients with CDAD. Patients will be administered an oral dose of MGB-BP-3 for 10 days (Day 1 to Day 10). At the end of the treatment period, patients will be followed for up to 8 weeks to assess the incidence of disease recurrence.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 34
- Age 18 years or older of any gender.
- Inpatients and/or outpatients who are able to attend all scheduled visits.
- Patients with the first episode or the first recurrence of mild or moderate CDAD.
- Confirmed diagnosis of mild or moderate CDAD as defined by the Infectious Diseases Society of America/Society for Healthcare Epidemiology of America guidelines.
Main
- Patients with severe complicated CDAD (including hypotension or shock, ileus, megacolon, pseudomembranous colitis).
- A white blood cell count higher than 15,000 cells/mL.
- A serum creatinine level greater than or equal to 1.5 times ULN.
- Elevated liver enzymes alanine aminotransferase and aspartate aminotransferase greater than ULN.
- Inflammatory bowel disease (ulcerative colitis or Crohn's disease), microscopic colitis, or irritable bowel syndrome with chronic diarrhea.
- Any other non-C difficile diarrhea.
- Received treatment with a fecal transplant within 7 days and/or is anticipated to receive a fecal transplant during the study.
- Major gastrointestinal surgery (ie, significant bowel resection) within 3 months of enrollment (does not include appendectomy or cholecystectomy).
- Received laxatives within the previous 48 hours.
- Pregnant or lactating women.
- Prior (within 180 days of Screening) or current use of anti-toxin antibodies.
- Have received a vaccine against C difficile.
- Any condition for which, in the opinion of the investigator, the treatment may pose a health risk to the patient.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Arm && Interventions
Group Intervention Description Group 2: 250mg b.i.d. for 10 days MGB-BP-3 Patients will be administered an oral dose of 250mg b.i.d. MGB-BP-3 for 10 days (Day 1 to Day 10). Group 1: 125mg b.i.d. for 10 days MGB-BP-3 Patients will be administered an oral dose of 125mg b.i.d. MGB-BP-3 for 10 days (Day 1 to Day 10). Group 3: 500mg b.i.d. for 10 days MGB-BP-3 Patients will be administered an oral dose of 500mg b.i.d. MGB-BP-3 for 10 days (Day 1 to Day 10).
- Primary Outcome Measures
Name Time Method Initial cure rate at 12 days post initiation of therapy. 12 days Initial clinical cure is defined as resolution of diarrhea (\<3 bowel movements with unformed stools within 24 hours \[Type 5, 6, or 7 bowel movement on the Bristol Stool Chart\] for patients for 2 consecutive days), maintained for the subsequent duration of therapy (1 day of exacerbation and then return to the resolved state is acceptable), with no further requirement for CDAD therapy, assessed by EOT and sustained for 2 days after the end of the 10-day initial treatment course.
Number of participants with treatment-related adverse events assessed by the Investigator, as per CTCAE v.5.0. 40 days Incidence of treatment emergent adverse events (Safety and Tolerability of up to 3 incremental doses of MGB-BP-3 in patients with CDAD).
- Secondary Outcome Measures
Name Time Method Time to peak plasma concentration (Tmax). 10 days Days 1, 5 and 10.
CDAD Recurrence Up to 8 weeks Recurrence of CDAD within 4 weeks (8 weeks optional) post end of treatment.
Peak plasma concentration (Cmax). 10 days Days 1, 5 and 10.
Trial Locations
- Locations (9)
Foothills Medical Centre
🇨🇦Calgary, Alberta, Canada
Ochsner Clinic Foundation Infectious Disease Research
🇺🇸New Orleans, Louisiana, United States
Anne Arundel Medical Centre
🇺🇸Annapolis, Maryland, United States
Florida International Medical Research
🇺🇸Miami, Florida, United States
Omega Research Maitland LLC
🇺🇸Orlando, Florida, United States
Snake River Research PLLC
🇺🇸Idaho Falls, Idaho, United States
Mercury Street Medical Group PLLC
🇺🇸Butte, Montana, United States
Biopharma Informatic LLC
🇺🇸Houston, Texas, United States
Verity Research Inc.
🇺🇸Fairfax, Virginia, United States