Celiac DiseasePhase 2NCT01917630
Evaluation of the Efficacy and Safety of ALV003 in Symptomatic in Celiac Disease Patients
A Phase 2 study testing ALV003 in people with Celiac Disease, run by Alvine Pharmaceuticals Inc. at 88 sites in 6 countries.
Trial summary
To determine the effects of 12 weeks administration of different dose levels of ALV003 on the mucosal lining of the small intestine and symptoms in celiac disease patients. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Celiac Disease
- What is being tested?
- ALV003
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 500 participants
- Where
- 88 sitesin 6 countries
- Study dates
- Aug 2013to Jun 2015
- 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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Ages 18 to 80 years
- Physician diagnosed celiac disease
- Adherence to a gluten-free diet
- Experiencing symptoms of celiac disease over a 1-month period
- Willing to take study medication for 12 weeks
- Willing to comply with all study procedures
- Sign informed consent
Who cannot join
- Active inflammatory bowel disease
- Active dermatitis herpetiformis
- Use of certain specific medications prior to entry
- History of alcohol or illicit drug abuse in previous 6 months
- Pregnant or lactating
- Received any experimental drug within 30 days of enrollment
- Uncontrolled chronic disease or condition
Trial locations and contacts
88 sites in 6 countries.
88 sites in 6 countries
United States79 sites
Study site
Alexandria, Virginia, 22304
Study site
Asheville, North Carolina, 28801
Study site
Atlanta, Georgia, 30328
Study site
Aurora, Colorado, 80045
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Baltimore, Maryland, 21229
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Bellevue, Washington, 98004
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Boston, Massachusetts, 02215
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Boynton Beach, Florida, 33426
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Bridgeport, Connecticut, 06606
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Chattanooga, Tennessee, 37421
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Chesterfield, Michigan, 48047
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Chevy Chase, Maryland, 20815
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Chicago, Illinois, 60612
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Chicago, Illinois, 60637
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Cincinnati, Ohio, 45219
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Cleveland, Ohio, 44122
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Dayton, Ohio, 45415
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Decatur, Alabama, 35601
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Des Moines, Iowa, 50266
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Evanston, Illinois, 60201
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Great Neck, New York, 11023
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Hermitage, Tennessee, 37076
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Hollywood, Florida, 33021
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Houston, Texas, 77094
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Huntsville, Alabama, 35801
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Huntsville, Alabama, 35802
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Idaho Falls, Idaho, 83404
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Irving, Texas, 75063
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Jackson, Mississippi, 39202
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Jacksonville, Florida, 32224
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Jacksonville, Florida, 32256
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Kansas City, Missouri, 64131
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Largo, Florida, 33777
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Los Angeles, California, 90025
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Los Angeles, California, 90027
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Madison, Wisconsin, 53705
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Malvern, Pennsylvania, 19355
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Marlton, New Jersey, 08053
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Mentor, Ohio, 44060
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Meridian, Idaho, 83642
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Mexico, Missouri, 65265
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Miami, Florida, 33137
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Miami, Florida, 33165
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Milwaukee, Wisconsin, 53215
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Modesto, California, 95355
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Mt. Pleasant, South Carolina, 29464
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Naples, Florida, 34102
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New York, New York, 10032
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Newport Beach, California, 92660
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Oak Lawn, Illinois, 60453
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Oceanside, California, 92056
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Oklahoma City, Oklahoma, 73103
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Orange, California, 92868
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Orlando, Florida, 32806
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Palo Alto, California, 94301
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Philadelphia, Pennsylvania, 19107
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Pittsburgh, Pennsylvania, 15243
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Portland, Oregon, 97225
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Poughkeepsie, New York, 12601
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Poway, California, 92064
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Rochester, Minnesota, 55905
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Rochester, New York, 14618
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Roseville, California, 95661
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Salisbury, North Carolina, 28144
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San Diego, California, 92114
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San Jose, California, 95117
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San Marcos, California, 92069
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Scottsdale, Arizona, 85259
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Scottsdale, Arizona, 85260
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Seattle, Washington, 98104
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Southlake, Texas, 76092
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Topeka, Kansas, 66606
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Tucson, Arizona, 85712
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Tulsa, Oklahoma, 74104
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Virginia Beach, Virginia, 23454
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Warwick, Rhode Island, 02886
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West Jordan, Utah, 84088
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Winston-Salem, North Carolina, 27103
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Wyoming, Michigan, 49519
Canada5 sites
Study site
Edmonton, Alberta, T6G 2X8
Study site
Hamilton, Ontario, L8S 4K1
Study site
Ottawa, Ontario, K2H 7B3
Study site
Toronto, Ontario, M9C 4Z5
Study site
Vancouver, British Columbia, V6Z 2K5
About this study
Official title: A Phase 2b, Randomized, Double-Blind, Placebo-Controlled Dose-Ranging Study of the Efficacy and Safety of ALV003 Treatment in Symptomatic Celiac Disease Patients Maintained on a Gluten-Free Diet
To determine the effects of 12 weeks administration of different dose levels of ALV003 on the mucosal lining of the small intestine and symptoms in celiac disease patients.
- Conditions
- Celiac Disease
- Being tested
- ALV003, placebo
- Keywords
- Celiac disease, Gluten-free diet, Coeliac disease, Celiac sprue
- Medical subject headings
- Celiac Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ALV003Drug
ALV003 is an orally administered mixture of two enzymes (cysteine endoprotease B-isoform 2 and prolyl endopeptidase)
placeboDrug
| Study group | Role | What they receive |
|---|---|---|
| ALV003 | Experimental | Not described Receives: Drug: ALV003 |
| Placebo | Placebo comparator | Not described Receives: Drug: placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Efficacy: Intestinal mucosal morphometry
Change in villus height to crypt depth (Vh:Cd) ratio between baseline and week 12
Measured: 12 weeks
Secondary outcomes (2)
Efficacy: Intestinal intraepithelial lymphocyte density
Change in intestinal intraepithelial lymphocytes between baseline and week 12 (CD3+ cells/100 epithelial cells)
Measured: 12 weeks
Safety: safety and tolerability of ALV003
Incidence of adverse events between baseline and week 12
Measured: 12 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Aug 2013 (estimated)
- Study startAug 2013
- Primary completionApr 2015 (estimated)
- Study completionJun 2015 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Celiac 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 500 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Alvine Pharmaceuticals Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Daniel Adelman, MD, Study director, Alvine Pharmaceuticals Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01917630
- Sponsor's protocol ID
- ALV003-1221
- Status last verified
- Dec 2014
- First submitted
- 2 Aug 2013
- Last updated
- 17 Dec 2014
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Syage JA, Murray JA, Green PHR, Khosla C. Latiglutenase Improves Symptoms in Seropositive Celiac Disease Patients While on a Gluten-Free Diet. Dig Dis Sci. 2017 Sep;62(9):2428-2432. doi: 10.1007/s10620-017-4687-7. Epub 2017 Jul 28.
PubMed 28755266Murray JA, Kelly CP, Green PHR, Marcantonio A, Wu TT, Maki M, Adelman DC; CeliAction Study Group of Investigators. No Difference Between Latiglutenase and Placebo in Reducing Villous Atrophy or Improving Symptoms in Patients With Symptomatic Celiac Disease. Gastroenterology. 2017 Mar;152(4):787-798.e2. doi: 10.1053/j.gastro.2016.11.004. Epub 2016 Nov 15.
PubMed 27864127
Study at a glance
From the registry record, last updated by the sponsor on 17 Dec 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2b, Randomized, Double-Blind, Placebo-Controlled Dose-Ranging Study of the Efficacy and Safety of ALV003 Treatment in Symptomatic Celiac Disease Patients Maintained on a Gluten-Free Diet
- ClinicalTrials.gov ID
- NCT01917630
- Acronym / sponsor ID
- ALV003-1221
- Conditions
- Celiac Disease
- Keywords
- Celiac disease, Gluten-free diet, Coeliac disease, Celiac sprue
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 500 participants (estimated)
- Lead sponsor
- Alvine Pharmaceuticals Inc.Industry (pharma, biotech, devices)
- Study start
- Aug 2013
- Primary completion
- Apr 2015 (estimated)
- Study completion
- Jun 2015 (estimated)
- First posted
- 7 Aug 2013 (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.
To determine the effects of 12 weeks administration of different dose levels of ALV003 on the mucosal lining of the small intestine and symptoms in celiac disease patients.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| ALV003 | Experimental | Drug: ALV003 |
| Placebo | Placebo comparator | Drug: placebo |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Ages 18 to 80 years
- Physician diagnosed celiac disease
- Adherence to a gluten-free diet
- Experiencing symptoms of celiac disease over a 1-month period
- Willing to take study medication for 12 weeks
Key exclusion criteria (7 listed)
- Active inflammatory bowel disease
- Active dermatitis herpetiformis
- Use of certain specific medications prior to entry
- History of alcohol or illicit drug abuse in previous 6 months
- Pregnant or lactating
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 |
|---|---|---|
| ALV003ALV003 is an orally administered mixture of two enzymes (cysteine endoprotease B-isoform 2 and prolyl endopeptidase) | Drug | ALV003 |
| placebo | Drug | Placebo |
Primary outcome
Efficacy: Intestinal mucosal morphometry
Time frame: 12 weeks
Change in villus height to crypt depth (Vh:Cd) ratio between baseline and week 12
2 secondary outcomes
Efficacy: Intestinal intraepithelial lymphocyte density
Time frame: 12 weeks
Safety: safety and tolerability of ALV003
Time frame: 12 weeks
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Dec 2014.
- Derived from this study: PubMed 28755266Syage JA, Murray JA, Green PHR, Khosla C. Latiglutenase Improves Symptoms in Seropositive Celiac Disease Patients While on a Gluten-Free Diet. Dig Dis Sci. 2017 Sep;62(9):2428-2432. doi: 10.1007/s10620-017-4687-7. Epub 2017 Jul 28.
- Derived from this study: PubMed 27864127Murray JA, Kelly CP, Green PHR, Marcantonio A, Wu TT, Maki M, Adelman DC; CeliAction Study Group of Investigators. No Difference Between Latiglutenase and Placebo in Reducing Villous Atrophy or Improving Symptoms in Patients With Symptomatic Celiac Disease. Gastroenterology. 2017 Mar;152(4):787-798.e2. doi: 10.1053/j.gastro.2016.11.004. Epub 2016 Nov 15.
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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.
Daniel Adelman, MD study director
Alvine Pharmaceuticals Inc.
88 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 ALV003 in people with Celiac Disease, run by Alvine Pharmaceuticals Inc. at 88 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 7 inclusion and 7 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: status not confirmed, as of the sponsor's last update on 17 Dec 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 88 sites in United States, Canada, Finland, Ireland, Norway 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?
Results are not available in the source record.
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?
Efficacy: Intestinal mucosal morphometry (time frame: 12 weeks). 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 NCT01917630, which also lists 2 linked publications.
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 17 Dec 2014.