Crohn's DiseasePhase 2NCT00072839
Safety and Efficacy of ALX-0600 in Subjects With Active Crohn's Disease
A Phase 2 study testing ALX-0600, teduglutide 0.05 and teduglutide 0.2 mg in people with Crohn's Disease, run by Shire at 26 sites in 2 countries.
Trial summary
The purpose of the study is to determine whether an investigational compound, ALX-0600, is safe and effective in treating Crohn's Disease. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Crohn's Disease
- What is being tested?
- ALX-0600, teduglutide 0.05 and teduglutide 0.2 mg
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 100 participants
- Where
- 26 sitesin 2 countries
- Study dates
- 12 Nov 2003to 28 Jul 2005
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Men and women, 18 years of age and older
- Signed and dated informed consent to participate before any study-related procedures are performed
- Diagnosis of Crohn's disease for at least 6 months that has been documented and confirmed
- A Crohn's Disease Activity Index (CDAI) score of 220 to 450 inclusive
- Female subjects who are not surgically sterile or postmenopausal must use medically acceptable methods of birth control during and for 30 days after the treatment period.
- HCT 30% or greater
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- WBC 3.5 x 109/L or greater
- Platelets 100 x 109/L or greater
- Adequate renal function defined as: serum creatinine and BUN 1.5 x ULN or less
- Adequate hepatic function defined as: ALT/SPGT, AST/SGOT 2.0 x ULN or less; total bilirubin 1.25 x ULN or less, alkaline phosphatase 1.5 x ULN or less
- Female subjects of childbearing potential must have negative urine pregnancy test results prior to randomization
- A stool sample must be taken at screening and analyzed by a local laboratory for enteric pathogens, pathogenic ova and parasites, and Clostridium difficile toxin, and reported negative prior to randomization.
- C-reactive protein value must be 1.0 mg/dL or more, unless there are obvious manifestations of currently active Crohn's disease such as positive observations on endoscopy, other positive indications by laboratory test results, or the subject has had a previous intestinal resection for Crohn's disease.
Who cannot join
- Nutritionally compromised subjects requiring enteral or parenteral therapy to maintain weight
- Body weight less than 40 kg or more than 100 kg
- Bowel obstruction or any condition that may predispose to its development, intestinal perforation, or significant gastrointestinal hemorrhage
- Current ileostomy or colostomy or extensive external fistulization (more than 3 external fistulae which are expressible with gentle compression)
- Expected to require surgical therapy for Crohn's disease or Crohn's disease related complications within 12 weeks of screening. If an abscess is present, it should be drained at least 3 weeks before pre-screening
- History of ulcerative colitis within 6 months of screening visit
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- Cushing's syndrome
- Known HIV infection, or symptoms or signs of HIV infection
- Acute systemic infection and/or intestinal infection requiring antibiotic therapy at time of screening or baseline
- Evidence of chronic hepatitis B or C viral infection
- Decompensated liver disease
- Clinically significant ECG abnormalities
- History of angina or cardiac arrhythmia requiring drug or device intervention or clinically significant congestive heart failure or other clinically significant cardiac disease
- History of myocardial infarction within 12 months of screening
- History of thromboembolic disease (e.g., phlebitis, pulmonary embolus) or known congenitally or acquired prothrombotic disorder (e.g., protein C deficiency)
- History of cancer (other than resected cutaneous basal or squamous cell carcinoma or in situ cervical cancer) or clinically significant lymphoproliferative disease with fewer than 5 years documented disease-free state
- Known substance abuse in the previous 2 years
- Nursing mothers or pregnant women
- Use of native GLP-2, growth hormone, or growth factors within 3 months of signing informed consent
- Use of any of the prior or concomitant medications described in section 5.4, except as specified
- Known hypersensitivity to any of the active or inactive constituents of ALX-0600
Trial locations and contacts
26 sites in 2 countries.
26 sites in 2 countries
United States21 sites
Emory University School of Medicine
Atlanta, Georgia, 30322
Pinnacle Trials
Atlanta, Georgia, 30329
Saint Joseph's Health System
Atlanta, Georgia, 30342-1764
Clinical Trials Management of Boca Raton
Boca Raton, Florida, 33486
Northwestern University School of Medicine
Chicago, Illinois, 60619
University of Chicago
Chicago, Illinois, 60637
Clinical Research of West Florida
Clearwater, Florida, 33765
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Long Island Clinical Research Associates
Great Neck, New York, 11021
Methodist Hospital/Baylor University
Houston, Texas, 77030
Rocky Mountain Gastroenterology
Lakewood, Colorado, 80401
University of Louisville
Louisville, Kentucky, 40202
Dean Foundation Research Center
Madison, Wisconsin, 53715
Asher Kornbluth, MD, PC
New York, New York, 10128
Venture Research
North Miami Beach, Florida, 33162
Allegheny General Hospital-Allegheny Ctr for Digestive Diseases
Pittsburgh, Pennsylvania, 15212
McGuire DVAMC
Richmond, Virginia, 23249
University of Utah
Salt Lake City, Utah, 84132
Visions Clinical Research - Sarasota
Sarasota, Florida, 34239
Advanced Clinical Therapeutics
Tucson, Arizona, 85712
Rx Trials
Washington D.C., District of Columbia, 20010
Canada5 sites
Queen Elizabeth II Health Sciences
Halifax, Nova Scotia, B3H 1V7
Life Screening Centres
Toronto, Ontario, M5S 2A5
Vancouver General Hospital
Vancouver, British Columbia, V5Z 1L5
Odyssey Research
Victoria, British Columbia, V8T 5G4
Health Sciences Center
Winnipeg, Manitoba, R3A 1R9
About this study
Official title: A Pilot Study of the Safety and Efficacy of ALX-0600 in Subjects With Moderately Active Crohn's Disease
The purpose of the study is to determine whether an investigational compound, ALX-0600, is safe and effective in treating Crohn's Disease.
Read the detailed description
The study is twelve weeks in duration and there are eight weeks of once-daily injections into your abdomen or thigh. There are a total of six visits.
- Conditions
- Crohn's Disease
- Being tested
- ALX-0600, placebo, teduglutide 0.05, teduglutide 0.2 mg, Teduglutide 0.05 dose
- Medical subject headings
- Crohn Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ALX-0600Drug
Also called GATTEX
teduglutide
placeboDrug
placebo solution injected subcutaneously
teduglutide 0.05Drug
Also called GATTEX
0.05 mg/jg/d subcutaneous daily injection into thigh or abdomen
teduglutide 0.2 mgDrug
Also called GATTEX
0.2 mg/kg/d subcutaneously injected into thigh or abdomen
Teduglutide 0.05 doseDrug
Also called GATTEX
0.05 mg/kg/d subcutaneous daily injection into thigh or abdomen
teduglutide 0.1 mg doseDrug
Also called GATTEX
0.1 mg/kg/d daily subcutaneous injection into thigh or abdomen
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | placebo solution injected subcutaneously daily into either thigh or abdomen. Receives: Drug: placebo |
| teduglutide 0.05 | Experimental | teduglutide 0.05 mg/kg/d injected subcutaneously daily. Receives: Drug: Teduglutide 0.05 dose |
| teduglutide 0.1 | Experimental | 0.1 mg/kg/d teduglutide injected subcutaneously into thigh or abdomen Receives: Drug: teduglutide 0.1 mg dose |
| teduglutide | Experimental | 0.2 mg/kg/d teduglutide injected subcutaneously into thigh or abdomen Receives: Drug: ALX-0600; Drug: teduglutide 0.05; Drug: teduglutide 0.2 mg |
What is being measured
The primary outcome is the main question the study is designed to answer.
The primary efficacy variable is the percentage of subjects who respond to treatment, defined as the percentage of subjects who are in remission (CDAI less than 150) or have a 100-point or greater reduction from baseline in CDAI score at dosing Week 8.
Measured: 8 weeks of treatment
Secondary outcomes (1)
The various secondary efficacy variables are based on the CDAI, Inflammatory Bowel Disease Questionnaire (IBDQ), plasma citrulline and laboratory inflammatory markers.
Measured: 8 weeks of treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Nov 2003 (estimated)
- Study start12 Nov 2003
- Primary completion28 Jul 2005
- Study completion28 Jul 2005
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Crohn's DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 100 participants (actual)
Sponsor and investigators
- Lead sponsor
- Shire
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00072839
- Sponsor's protocol ID
- CL0600-008
- Status last verified
- May 2021
- First submitted
- 11 Nov 2003
- Last updated
- 25 May 2021
- Results posted
- No
- Data monitoring committee
- No
Publications
Buchman AL, Katz S, Fang JC, Bernstein CN, Abou-Assi SG; Teduglutide Study Group. Teduglutide, a novel mucosally active analog of glucagon-like peptide-2 (GLP-2) for the treatment of moderate to severe Crohn's disease. Inflamm Bowel Dis. 2010 Jun;16(6):962-73. doi: 10.1002/ibd.21117.
PubMed 19821509
Study at a glance
From the registry record, last updated by the sponsor on 25 May 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Pilot Study of the Safety and Efficacy of ALX-0600 in Subjects With Moderately Active Crohn's Disease
- ClinicalTrials.gov ID
- NCT00072839
- Acronym / sponsor ID
- CL0600-008
- Conditions
- Crohn's Disease
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 100 participants (actual)
- Lead sponsor
- ShireIndustry (pharma, biotech, devices)
- Study start
- 12 Nov 2003 (actual)
- Primary completion
- 28 Jul 2005 (actual)
- Study completion
- 28 Jul 2005 (actual)
- First posted
- 13 Nov 2003 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to determine whether an investigational compound, ALX-0600, is safe and effective in treating Crohn's Disease.
Detailed description
The study is twelve weeks in duration and there are eight weeks of once-daily injections into your abdomen or thigh. There are a total of six visits.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: placeboplacebo solution injected subcutaneously daily into either thigh or abdomen. |
| teduglutide 0.05 | Experimental | Drug: Teduglutide 0.05 doseteduglutide 0.05 mg/kg/d injected subcutaneously daily. |
| teduglutide 0.1 | Experimental | Drug: teduglutide 0.1 mg dose0.1 mg/kg/d teduglutide injected subcutaneously into thigh or abdomen |
| teduglutide | Experimental | Drug: ALX-0600, Drug: teduglutide 0.05, Drug: teduglutide 0.2 mg0.2 mg/kg/d teduglutide injected subcutaneously into thigh or abdomen |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- Men and women, 18 years of age and older
- Signed and dated informed consent to participate before any study-related procedures are performed
- Diagnosis of Crohn's disease for at least 6 months that has been documented and confirmed
- A Crohn's Disease Activity Index (CDAI) score of 220 to 450 inclusive
- Female subjects who are not surgically sterile or postmenopausal must use medically acceptable methods of birth control during and for 30 days after the treatment period.
Key exclusion criteria (21 listed)
- Nutritionally compromised subjects requiring enteral or parenteral therapy to maintain weight
- Body weight less than 40 kg or more than 100 kg
- Bowel obstruction or any condition that may predispose to its development, intestinal perforation, or significant gastrointestinal hemorrhage
- Current ileostomy or colostomy or extensive external fistulization (more than 3 external fistulae which are expressible with gentle compression)
- Expected to require surgical therapy for Crohn's disease or Crohn's disease related complications within 12 weeks of screening. If an abscess is present, it should be drained at least 3 weeks before pre-screening
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ALX-0600Also: GATTEXteduglutide | Drug | teduglutide |
| placeboplacebo solution injected subcutaneously | Drug | Placebo |
| teduglutide 0.05Also: GATTEX0.05 mg/jg/d subcutaneous daily injection into thigh or abdomen | Drug | teduglutide |
| teduglutide 0.2 mgAlso: GATTEX0.2 mg/kg/d subcutaneously injected into thigh or abdomen | Drug | teduglutide |
| Teduglutide 0.05 doseAlso: GATTEX0.05 mg/kg/d subcutaneous daily injection into thigh or abdomen | Drug | teduglutide 0.05 |
| teduglutide 0.1 mg doseAlso: GATTEX0.1 mg/kg/d daily subcutaneous injection into thigh or abdomen | Drug | teduglutide 0.1 |
Primary outcome
The primary efficacy variable is the percentage of subjects who respond to treatment, defined as the percentage of subjects who are in remission (CDAI less than 150) or have a 100-point or greater reduction from baseline in CDAI score at dosing Week 8.
Time frame: 8 weeks of treatment
1 secondary outcome
The various secondary efficacy variables are based on the CDAI, Inflammatory Bowel Disease Questionnaire (IBDQ), plasma citrulline and laboratory inflammatory markers.
Time frame: 8 weeks of treatment
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 May 2021.
- Background: PubMed 19821509Buchman AL, Katz S, Fang JC, Bernstein CN, Abou-Assi SG; Teduglutide Study Group. Teduglutide, a novel mucosally active analog of glucagon-like peptide-2 (GLP-2) for the treatment of moderate to severe Crohn's disease. Inflamm Bowel Dis. 2010 Jun;16(6):962-73. doi: 10.1002/ibd.21117.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Study Director study director
Takeda
26 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing ALX-0600, teduglutide 0.05 and teduglutide 0.2 mg in people with Crohn's Disease, run by Shire at 26 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 13 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 May 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 26 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The primary efficacy variable is the percentage of subjects who respond to treatment, defined as the percentage of subjects who are in remission (CDAI less than 150) or have a 100-point or greater reduction from baseline in CDAI score at dosing Week 8. (time frame: 8 weeks of treatment). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00072839, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 May 2021.