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Study of Teduglutide Effectiveness in Parenteral Nutrition (PN)-Dependent Short Bowel Syndrome (SBS) Subjects

Phase 3
Completed
Conditions
Short Bowel Syndrome
Interventions
Drug: placebo
Registration Number
NCT00798967
Lead Sponsor
Shire
Brief Summary

Teduglutide is an investigative medicine being evaluated as a possible treatment for people with parenteral nutrition (PN) dependent Short Bowel Syndrome (SBS). Teduglutide is similar to a protein the body makes. When people have SBS, their bodies do not make enough of the protein and they have trouble getting nutrients and fluids from the food they eat and drink. This study was designed to provide evidence of efficacy, safety, and tolerability of teduglutide 0.05 mg/kg daily in SBS subjects.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
86
Inclusion Criteria
  • Signed and dated informed consent prior to any study-related procedures are performed
  • Men and women 18 years of age or older at the time of informed consent signing
  • Intestinal failure resulting in Short Bowel Syndrome
  • At least 12 months of continuous PN dependency
  • 12 weeks of clinical remission of Crohn's disease (CD) prior to dosing
  • PN required at least 3 times weekly
  • A stable PN volume for four weeks prior to dosing
Exclusion Criteria
  • History of cancer or clinically significant lymphoproliferative disease with fewer than 5 years documented disease-free state
  • Participation in clinical study within 30 days for drug or 90 days for antibody
  • Use of native GLP-2 or human growth hormone (HGH) within 6 months of screening
  • Use of iv glutamine within 30 days prior to screening
  • Use of teduglutide
  • CD patients who have been treated with biological therapy within 6 months of screening
  • IBD patients who require chronic systemic immunosuppressant therapy
  • More than 4 SBS- or PN-related hospitalizations within 12 months of screening
  • Unplanned hospitalization within one month of screening
  • Pregnant or lactating women
  • Body weight > 88kg
  • Body mass index (BMI) < 15 kg/m2
  • Severe hepatic impairment or disturbed renal function
  • Female subjects who are not surgically sterile or postmenopausal or who are not using medically acceptable methods of birth control during and for 30 days after the treatment period
  • Not capable of understanding or not willing to adhere to the study visit schedules and other protocol requirements
  • Any condition or circumstance that is the investigator's opinion would put the subject at any undue risk, prevent completion of the study, or interfere with the analysis of the study results
  • Significant active, uncontrolled, untreated systemic diseases

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboplaceboMatching subcutaneous dose of placebo to teduglutide
Teduglutideteduglutide0.05 mg/kg/day sc dose of teduglutide
Primary Outcome Measures
NameTimeMethod
ResponderWeeks 20 and 24

Comparison of subjects treated with teduglutide to placebo who achieve a 20 to 100% reduction from baseline in weekly parenteral nutrition/intravenous fluid (PN/I.V.) volume at weeks 20 and 24.

Secondary Outcome Measures
NameTimeMethod
Absolute Change in PN/I.V. Volume From Baseline to Last Time PointWeek 0 to last visit when data was collected.

Absolute change in the volume of PN/I.V. from baseline (Week 0) to the visit when the last data point was collected (week 4 through week 24, or earlier if the subject discontinued early).

Trial Locations

Locations (35)

University of Pennslyvania

🇺🇸

Philadelphia, Pennsylvania, United States

Scripps Clinic & Research Foundation

🇺🇸

La Jolla, California, United States

Hôpital de l'Archet Pôle Digestif

🇫🇷

Nice Cedex 3, France

Hamilton Health Sciences Centre

🇨🇦

Hamilton, Ontario, Canada

Washington Hospital Center

🇺🇸

Washington, District of Columbia, United States

Hospital Universitario de Bellvitge

🇪🇸

Barcelona, Spain

Mayo Clinic Jacksonville

🇺🇸

Jacksonville, Florida, United States

Emory University School of Medicine

🇺🇸

Atlanta, Georgia, United States

Kansas University Medical Center

🇺🇸

Kansas City, Kansas, United States

Mount Sinai Medical Center

🇺🇸

New York, New York, United States

Cleveland Clinic Foundation

🇺🇸

Cleveland, Ohio, United States

University Of Pittsburgh Medical Center

🇺🇸

Pittsburgh, Pennsylvania, United States

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

Critical Care Research, Royal Alexandra Hospital

🇨🇦

Edmonton, Alberta, Canada

University Health Network - Toronto General Hospital

🇨🇦

Toronto, Ontario, Canada

Polyclinic Family and Specialty Medicine Facility

🇨🇦

North York, Ontario, Canada

Rigshospitalet - Abdominalcentret, Hepatologisk Kilinik A

🇩🇰

København, Denmark

Hôpital Beaujon

🇫🇷

Clichy, France

Med. Klinik m.S. Hepatologie und Gastroenterologie

🇩🇪

Berlin, BE, Germany

Israelitisches Krankenhaus

🇩🇪

Hamburg, HH, Germany

Policlinico Sant'Orsola - Malpighi centro insufficienza intestinale

🇮🇹

Bologna, Italy

Universitaetsklinikum Tuebingen

🇩🇪

Tuebingen, BW, Germany

Azienda Ospedaliera Universitaria S. Giovanni Battista - Le Molinette

🇮🇹

Torino, TO, Italy

Azienda Universitaria Policlinico Federico II

🇮🇹

Napoli, Italy

Universitair Medisch Centrum St. Radboud

🇳🇱

Nijmegen, Netherlands

Wojewodzki Szpital Specjalistyczny im. M. Pirogowa, Pracownia Leczenia Zywieniowego

🇵🇱

Lodz, Poland

Samodzielny Publiczny Szpital Kliniczny nr 4, Klinika Chirurgii Ogolnej i Transplantacyjnej

🇵🇱

Lublin, Poland

St. Mark's Hospital Northwick Park

🇬🇧

Harrow, Gt Lon, United Kingdom

Hospital Universitario 12 de Octubre

🇪🇸

Madrid, Spain

Green Area, Main Hospital Salford Royal Hospitals NHS Foundation Trust

🇬🇧

Manchester, Gt Man, United Kingdom

University College Hospital

🇬🇧

London, Gt Lon, United Kingdom

Hôpital Croix Rousse Unité de Nutrition Clinique Intensive

🇫🇷

Lyon, France

Wojewodzki Szpital Specjalistyczny,

🇵🇱

Olsztyn, Poland

Samodzielny Publiczny Szpital Kliniczny im. prof W. Orlowskiego CMKP, Oddzial Kliniczny Zywienia i Chirurgii

🇵🇱

Warsaw, Poland

Rhode Island Hospital

🇺🇸

Providence, Rhode Island, United States

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