Clostridium Difficile InfectionPhase 2NCT01259726
Safety and Efficacy Study of VP20621 for Prevention of Recurrent Clostridium Difficile Infection
A Phase 2 study testing VP20621 in people with Clostridium Difficile Infection, run by Shire at 59 sites in 6 countries.
Trial summary
The objectives of this study are: (1) to evaluate the safety and tolerability of VP 20621 dosed orally for up to 14 days in adults previously treated for CDI; (2) to characterize the frequency and duration of stool colonization with the VP 20621 strain of C. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Clostridium Difficile Infection
- What is being tested?
- VP20621
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 173 participants
- Where
- 59 sitesin 6 countries
- Study dates
- 27 Jun 2011to 11 Jun 2013
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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
- Adult subjects, 18 years of age and over, who understand the risks and benefits of participation and have provided written informed consent for the study.
- Subjects who are experiencing a first event or first recurrence of clostridium difficile (CDI) within the last 28 days and have been successfully treated with an antibiotic for CDI.
- Subjects who are medically stable.
- Subjects who are willing and able to comply with the study procedures and visit schedules outlined.
- If female be post-menopausal, surgically sterile or agree to follow an acceptable method of birth control.
Who cannot join
- Subjects who have had more than 2 episodes of CDI within the last 6 months.
- Subjects who have been diagnosed with Inflammatory Bowel Disease,active Irritable Bowel Syndrome, celiac disease, active gastroparesis, toxic megacolon.
- GI surgery within 6 weeks before the day of randomization
- Have known immunodeficiency disorder, such as HIV Infection
- Pregnant or breast feeding females.
- Concurrent acute life-threatening diseases.
- Inability to tolerate oral liquids.
- Have an absolute neutrophil count < 1000/mm3 at screening
Trial locations and contacts
59 sites in 6 countries.
59 sites in 6 countries
United States42 sites
Study site
Akron, Ohio
Study site
Albany, New York
Study site
Anderson, Indiana
Study site
Aurora, Colorado
Study site
Bay Pines, Florida
Study site
Butte, Montana
Study site
Chevy Chase, Maryland
Study site
Chicago, Illinois
Study site
Cleveland, Ohio
Study site
Detroit, Michigan
Study site
Grosse Pointe Woods, Michigan
Study site
Hartford, Connecticut
Study site
Honolulu, Hawaii
Study site
Houston, Texas
Study site
Jacksonville, Florida
Study site
Lafayette, Indiana
Study site
Lancaster, Pennsylvania
Study site
Lexington, Kentucky
Study site
Lima, Ohio
Study site
Maywood, Illinois
Study site
Memphis, Tennessee
Study site
Modesto, California
Study site
New Orleans, Louisiana
Study site
New York, New York
Study site
North Massapequa, New York
Study site
Novi, Michigan
Study site
Omaha, Nebraska
Study site
Palm Desert, California
Study site
Rochester, Minnesota
Study site
Royal Oak, Michigan
Study site
Sacramento, California
Study site
Salt Lake City, Utah
Study site
Sault Ste. Marie, Michigan
Study site
St Louis, Missouri
Study site
Syracuse, New York
Study site
Tacoma, Washington
Study site
Temple, Texas
Study site
The Bronx, New York
Study site
Toledo, Ohio
Study site
West Reading, Pennsylvania
Study site
Winchester, Virginia
Study site
Winston-Salem, North Carolina
Canada5 sites
Study site
Calgary, Alberta
Study site
Chicoutimi, Quebec
Study site
Hamilton, Ontario
Study site
Montreal, Quebec
Study site
Trois-Rivières, Quebec
Belgium4 sites
Study site
Aalst
Study site
Brussels
Study site
Leuven
Study site
Liège
Germany4 sites
Study site
Cologne
Study site
Hanover
Study site
Leipzig
Study site
Wilhelmshaven
Spain3 sites
Study site
Barcelona, Catalonia
Study site
Majadahonda, Communidad de Madrid
Study site
Seville, Andalusia
About this study
Official title: A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Study to Assess the Safety and Efficacy of VP 20621 for Prevention of Recurrence of Clostridium Difficile Infection (CDI) in Adults Previously Treated for CDI
The objectives of this study are: (1) to evaluate the safety and tolerability of VP 20621 dosed orally for up to 14 days in adults previously treated for CDI; (2) to characterize the frequency and duration of stool colonization with the VP 20621 strain of C. difficile; (3) to evaluate the efficacy of VP 20621 for prevention of recurrence of CDI; and (4)to select a dose regimen of VP 20621 to be used in future studies.
- Conditions
- Clostridium Difficile Infection
- Being tested
- VP20621, Placebo
- Keywords
- Diarrhea, Clostridium difficile, Clostridium infections, Signs and Symptoms Digestive, Bacterial Infections, Pharmacologic Actions
- Medical subject headings
- Clostridium Infections, Diarrhea, Signs and Symptoms, Digestive, Bacterial Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VP20621Biological
VP20621 as oral liquid once daily for 7 days followed by placebo as oral liquid once daily for seven days
VP20621Biological
VP20621 as oral liquid once daily for 7 days followed by placebo as oral liquid once daily for 7 days
PlaceboOther
10 mL placebo once daily for 14 days
VP20621Biological
VP20621 as oral liquid once daily for 14 days
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Not described Receives: Other: Placebo |
| VP20621 Low Dose and Placebo | Experimental | Not described Receives: Biological: VP20621; Other: Placebo |
| VP20621 High Dose and Placebo | Experimental | Not described Receives: Biological: VP20621; Other: Placebo |
| VP20621 High Dose | Experimental | Not described Receives: Biological: VP20621 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
An adverse event (AE) is any untoward, undesired, unplanned clinical event in the form of signs, symptoms, disease, or laboratory or physiological observations occurring in a study participant, regardless of causal relationship. TEAEs were defined as all AEs that start during the study drug treatment period (and up to 7 days after the last dose of the study drug) and were not seen at baseline, or were seen at baseline but increased in frequency and/or severity during the study drug treatment period (and up to 7 days after the last dose of study drug). SAE was any AE that results in any of the following outcomes: death, a life-threatening event, inpatient hospitalization or prolongation of an existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, a congenital anomaly/birth defect, other medically important events based upon appropriate medical judgement.
Measured: Baseline up to 7 days after the last dose of study drug (up to Week 3)
Number of Participants With Positive Clostridium Difficile Stool Cultures Demonstrating Non-Toxigenic Clostridium Difficile-Strain M3
Measured: After study drug administration period (14 days) through Week 6
Secondary outcomes (4)
Number of Participants With Clostridium Difficile Infection (CDI) Recurrence
CDI recurrence was defined as at least 1 event characterized by ALL of the following: >=3 unformed (loose or watery) stools within 24 hours (data derived from Diarrhea case report form (CRF) page which was to be completed for any clinical event of diarrhea or loose/watery stool occurring between Day 1 and Week 6); a positive C. difficile stool assay, or pseudomembranes on endoscopy/surgery; and no other likely cause of the diarrhea in the opinion of the investigator.
Measured: Baseline (Day 1) up to Week 6
Number of Participants With Use of Antibacterial Treatment for CDI
Any antibacterial medication used after Day 1 for which the investigator selected the indication "antibacterial for C. difficile infection".
Measured: Baseline (Day 1) up to Week 6
Number of Participants With Clinical Events of Diarrhea or Loose/Watery Stools
Data were derived from all AEs starting on or after Day 1 for which a Diarrhea CRF page was completed.
Measured: Baseline (Day 1) up to Week 6
Time to First CDI Recurrence
CDI recurrence was defined as at least 1 event characterized by ALL of the following: >=3 unformed (loose or watery) stools within 24 hours (data derived from Diarrhea CRF page which was to be completed for any clinical event of diarrhea or loose/watery stool occurring between Day 1 and Week 6); a positive C. difficile stool assay, or pseudomembranes on endoscopy/surgery; and no other likely cause of the diarrhea in the opinion of the investigator. Time of onset is from date of randomization to date of first CDI recurrence. Time to first CDI recurrence was assessed using Kaplan-Meier curve. Due to small number of subjects (<50%) with CDI recurrence, median time to event was not evaluable.
Measured: Baseline (Day 1) up to Week 6
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Dec 2010 (estimated)
- Study start27 Jun 2011
- Primary completion11 Jun 2013
- Study completion11 Jun 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Clostridium Difficile InfectionStudies 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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 173 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
- NCT01259726
- Sponsor's protocol ID
- VP20621-200
- Other IDs
- 2010-020484-20
- Status last verified
- May 2021
- First submitted
- 9 Dec 2010
- Last updated
- 10 Jun 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Gerding DN, Meyer T, Lee C, Cohen SH, Murthy UK, Poirier A, Van Schooneveld TC, Pardi DS, Ramos A, Barron MA, Chen H, Villano S. Administration of spores of nontoxigenic Clostridium difficile strain M3 for prevention of recurrent C. difficile infection: a randomized clinical trial. JAMA. 2015 May 5;313(17):1719-27. doi: 10.1001/jama.2015.3725.
PubMed 25942722
Study at a glance
From the registry record, last updated by the sponsor on 10 Jun 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Study to Assess the Safety and Efficacy of VP 20621 for Prevention of Recurrence of Clostridium Difficile Infection (CDI) in Adults Previously Treated for CDI
- ClinicalTrials.gov ID
- NCT01259726
- Acronym / sponsor ID
- VP20621-200
- Conditions
- Clostridium Difficile Infection
- Keywords
- Diarrhea, Clostridium difficile, Clostridium infections, Signs and Symptoms Digestive, Bacterial Infections, Pharmacologic Actions
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 173 participants (actual)
- Lead sponsor
- ShireIndustry (pharma, biotech, devices)
- Study start
- 27 Jun 2011 (actual)
- Primary completion
- 11 Jun 2013 (actual)
- Study completion
- 11 Jun 2013 (actual)
- First posted
- 14 Dec 2010 (estimated)
- Results
- Posted 12 Feb 2015
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objectives of this study are: (1) to evaluate the safety and tolerability of VP 20621 dosed orally for up to 14 days in adults previously treated for CDI; (2) to characterize the frequency and duration of stool colonization with the VP 20621 strain of C. difficile; (3) to evaluate the efficacy of VP 20621 for prevention of recurrence of CDI; and (4)to select a dose regimen of VP 20621 to be used in future studies.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Other: Placebo |
| VP20621 Low Dose and Placebo | Experimental | Biological: VP20621, Other: Placebo |
| VP20621 High Dose and Placebo | Experimental | Biological: VP20621, Other: Placebo |
| VP20621 High Dose | Experimental | Biological: VP20621 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Adult subjects, 18 years of age and over, who understand the risks and benefits of participation and have provided written informed consent for the study.
- Subjects who are experiencing a first event or first recurrence of clostridium difficile (CDI) within the last 28 days and have been successfully treated with an antibiotic for CDI.
- Subjects who are medically stable.
- Subjects who are willing and able to comply with the study procedures and visit schedules outlined.
- If female be post-menopausal, surgically sterile or agree to follow an acceptable method of birth control.
Key exclusion criteria (8 listed)
- Subjects who have had more than 2 episodes of CDI within the last 6 months.
- Subjects who have been diagnosed with Inflammatory Bowel Disease,active Irritable Bowel Syndrome, celiac disease, active gastroparesis, toxic megacolon.
- GI surgery within 6 weeks before the day of randomization
- Have known immunodeficiency disorder, such as HIV Infection
- Pregnant or breast feeding females.
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 |
|---|---|---|
| VP20621VP20621 as oral liquid once daily for 7 days followed by placebo as oral liquid once daily for seven days | Biological | VP20621 Low Dose and Placebo |
| VP20621VP20621 as oral liquid once daily for 7 days followed by placebo as oral liquid once daily for 7 days | Biological | VP20621 High Dose and Placebo |
| Placebo10 mL placebo once daily for 14 days | Other | Placebo, VP20621 High Dose and Placebo, VP20621 Low Dose and Placebo |
| VP20621VP20621 as oral liquid once daily for 14 days | Biological | VP20621 High Dose |
Primary outcome
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time frame: Baseline up to 7 days after the last dose of study drug (up to Week 3)
An adverse event (AE) is any untoward, undesired, unplanned clinical event in the form of signs, symptoms, disease, or laboratory or physiological observations occurring in a study participant, regardless of causal relationship. TEAEs were defined as all AEs that start during the study drug treatment period (and up to 7 days after the last dose of the study drug) and were not seen at baseline, or were seen at baseline but increased in frequency and/or severity during the study drug treatment period (and up to 7 days after the last dose of study drug). SAE was any AE that results in any of the following outcomes: death, a life-threatening event, inpatient hospitalization or prolongation of an existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, a congenital anomaly/birth defect, other medically important events based upon appropriate medical judgement.
Number of Participants With Positive Clostridium Difficile Stool Cultures Demonstrating Non-Toxigenic Clostridium Difficile-Strain M3
Time frame: After study drug administration period (14 days) through Week 6
4 secondary outcomes
Number of Participants With Clostridium Difficile Infection (CDI) Recurrence
Time frame: Baseline (Day 1) up to Week 6
Number of Participants With Use of Antibacterial Treatment for CDI
Time frame: Baseline (Day 1) up to Week 6
Number of Participants With Clinical Events of Diarrhea or Loose/Watery Stools
Time frame: Baseline (Day 1) up to Week 6
Time to First CDI Recurrence
Time frame: Baseline (Day 1) up to Week 6
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Jun 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 25942722Gerding DN, Meyer T, Lee C, Cohen SH, Murthy UK, Poirier A, Van Schooneveld TC, Pardi DS, Ramos A, Barron MA, Chen H, Villano S. Administration of spores of nontoxigenic Clostridium difficile strain M3 for prevention of recurrent C. difficile infection: a randomized clinical trial. JAMA. 2015 May 5;313(17):1719-27. doi: 10.1001/jama.2015.3725.
Related trials for Clostridium Difficile Infection
Not yet recruitingObservational study
Epidemiology of Clostridioides Difficile Infection (CDI) in Long-term Care Facilities, Assessment of Professional Practices Related to CDI Risk Prevention, and Strategies for Improving Care.
Clostridioides Difficile Infection
Active, not recruitingPhase 2
Autologous Fecal Microbiota Transplantation (Auto-FMT) for Prophylaxis of Clostridium Difficile Infection in Recipients of Allogeneic Hematopoietic Stem Cell Transplantation
Allogeneic Hematopoietic Stem Cell
Active, not recruitingObservational study
C. Difficile Toxin Levels in Stool From Healthy Individuals Following Standard of Care Antibiotic Treatment for CDI.
Clostridioides Difficile Infection Recurrence
RecruitingPhase 3
VE303 for Prevention of Recurrent Clostridioides Difficile Infection
Clostridium Difficile, Clostridium Difficile Infections
RecruitingEarly Phase 1
Prevention of Recurrence of Clostridioides Difficile Colitis With Ursodeoxycholic Acid (UCDA) as a Supplement to Standard Therapy
Clostridioides Difficile Infection
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
59 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing VP20621 in people with Clostridium Difficile Infection, run by Shire at 59 sites in 6 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 5 inclusion and 8 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 10 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 59 sites in United States, Canada, Belgium, Germany, Spain and 1 more country. 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?
Yes. Results are posted in the registry (first posted 12 Feb 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) (time frame: Baseline up to 7 days after the last dose of study drug (up to Week 3)). The study lists 2 primary outcomes in all. 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 NCT01259726, 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 10 Jun 2021.