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The Clostridioides Difficile Trial of REC-3964

Phase 2
Terminated
Conditions
Recurrent Clostridioides Difficile Infection
Interventions
Registration Number
NCT06536465
Lead Sponsor
Recursion Pharmaceuticals Inc.
Brief Summary

This is a multi-center, open-label study to investigate the safety, tolerability, pharmacokinetics (PK) and efficacy of RE-3964 (doses of either 250 mg or 500 mg PO every 12 hours) for the reduction of Clostridioides difficile infection (CDI).

Detailed Description

The study was terminated due to business decision and there were no safety concerns.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
3
Inclusion Criteria
  • Be 18 years of age or older with Clostridioides difficile infection (CDI) diarrhea associated with a positive stool test for C. difficile toxin[s] prior to the preceding curative treatment.
  • The CDI episode, severe or otherwise, must have resolved after receiving vancomycin with a standard duration of treatment. The participant must be randomized within 2 days of completing the preceding curative treatment.
  • Have high risk for rCDI (a recurrent CDI episode within the last 6 months, age ≥65 years, immunocompromised state, or severe CDI with resolution prior to enrollment into the study).

Key

Exclusion Criteria
  • Have an active, symptomatic, chronic diarrheal illness from other causes, such as ulcerative colitis or Crohn's disease.
  • Diarrhea that requires on-study treatment with agents that would confound the interpretation of the study results.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
REC-3964 High-doseREC-3964Participants will receive 500 mg REC-3964 q12h REC-3964 250 mg capsules
REC-3964 Low-doseREC-3964Participants will receive 250 mg REC-3964 q12h REC-3964 250 mg capsules
Primary Outcome Measures
NameTimeMethod
Number of Participants with Survival Without Recurrence or Requirement for Additional CDI Treatment8 weeks
Number of Participants with Related TEAEsUp to 8 weeks
Number of Participants with TEAEs Leading to Study Drug DiscontinuationUp to 8 weeks
Number of Participants with Treatment-emergent Adverse Events (TEAEs)Up to 8 weeks
Number of Participants with Serious TEAEsUp to 8 weeks
Secondary Outcome Measures
NameTimeMethod
Rate of Recurrent Clostridioides Difficile Infection (rCDI)8 weeks
Number of Unformed [Types 5-7 on the Bristol Stool Scale] Bowel Movements Per DayUp to 8 weeks
Time to Maximum Plasma Concentration (Tmax) of REC-3964Pre-dose, 1 hour, 3 hours, and 6 hours post morning dose on the Day 1 and Day 15
Number of Participants with rCDI Associated Hospital AdmissionsUp to 8 weeks
Maximum Observed Plasma Concentration (Cmax) of REC-3964Pre-dose, 1 hour, 3 hours, and 6 hours post morning dose on Day 1 and Day 15
Trough Plasma Concentration (Ctrough) of REC-3964Pre-dose on Day 15
Time to RecurrenceUp to 8 weeks
Number of Participants with Severe rCDIUp to 8 weeks

Trial Locations

Locations (2)

GANJ - Toms River - Ocean Family Gastroenterology

🇺🇸

Toms River, New Jersey, United States

Southern Star Research Institute, LLC

🇺🇸

San Antonio, Texas, United States

GANJ - Toms River - Ocean Family Gastroenterology
🇺🇸Toms River, New Jersey, United States

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