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Celiac DiseasePhase 2NCT03738475

Study of the Safety, Pharmacodynamics, Efficacy, and PK of TIMP-GLIA in Subjects With Celiac Disease

A Phase 2 study testing TIMP-GLIA in people with Celiac Disease, run by Takeda at 8 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Subjects enrolled in this study will be evaluated for immune responses and histological changes in the small bowel following 2 doses of TIMP-GLIA or placebo and a 14-day oral gluten challenge. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Celiac Disease
What is being tested?
TIMP-GLIA
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
34 participants
Where
8 sitesUnited States
Study dates
11 Nov 2018to 22 Jul 2019
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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or nonpregnant female, ages 18 to 70 years inclusive, at Screening Visit.
  • Biopsy-confirmed CD (intestinal histology showing villous atrophy).
  • Positive for human leukocyte antigen (HLA)-DQ2 or HLA-DQ2/DQ8 - results will be obtained at Screening if unknown or results are not available.
  • Self-reported to be on a GFD for at least 6 months prior to Screening and agree to continue GFD throughout study, with the exception of the oral gluten challenge.
  • Normal or negative celiac serology, at screening, defined as:
  • Measurable total serum immunoglobulin A (IgA) AND
Show all 9Show fewer
  • Negative or weak positive tissue transglutaminase (tTG) IgA titer OR
  • If IgA deficient, defined by a serum IgA level of < 3 mg/dL, negative or weak positive DGP- IgG titer.
  • 6. Vh:Cd ≥ 1.5 on screening biopsy.

Who cannot join

  • Positive for only HLA-DQ8.
  • History of clinically confirmed immunoglobulin E (IgE)-mediated reaction and/or anaphylaxis to wheat (i.e., "wheat allergy"), barley or rye.
  • Uncontrolled CD and/or active signs/symptoms of CD, in the opinion of the investigator.
  • Untreated or active gastrointestinal disease such as peptic ulcer disease, esophagitis (Los Angeles Classification ≥ Grade C), irritable bowel syndrome, inflammatory bowel disease, or microscopic colitis.
  • Immunocompromised individuals, including those receiving immunosuppressive doses of corticosteroids (more than 20 mg of prednisone given daily or on alternative days for 2 weeks or more within 6 months prior Dose 1, any dose of corticosteroids within 30 days of Day 1, or high dose inhaled corticosteroids [> 960 µg/day of beclomethasone dipropionate or equivalent]) or other immunosuppressive agents.
  • Presence or history of celiac-associated thyroid disease or Type 1 diabetes, regardless of current treatment.

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

United States8 sites
  • Rapid Medical Research

    Beachwood, Ohio, 44122

  • Beth Isreal Deaconess Medical Center

    Boston, Massachusetts, 02215

  • Indianapolis Gastroenterology Research Foundation

    Indianapolis, Indiana, 46237

  • Jacksonville Center for Clinical Research

    Jacksonville, Florida, 32216

  • Advanced Clinical Research

    Meridian, Idaho, 83642

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • Prism Clinical Research

    Saint Paul, Minnesota, 55114

  • Advanced Clinical Research

    West Jordan, Utah, 84088

Other trials in United States

About this study

Official title: A Randomized, Double-blind, Placebo-controlled Study of the Safety, Pharmacodynamics, Efficacy, and Pharmacokinetics of TIMP-GLIA in Subjects With Well-controlled Celiac Disease Undergoing Oral Gluten Challenge

Subjects enrolled in this study will be evaluated for immune responses and histological changes in the small bowel following 2 doses of TIMP-GLIA or placebo and a 14-day oral gluten challenge.

Read the detailed description

This study is a randomized, double-blind, placebo-controlled clinical trial to assess the safety, pharmacodynamics, efficacy, and PK, of TIMP-GLIA in subjects with well-controlled celiac disease (CD) following an oral gluten challenge. Subjects aged 18 to 70 years inclusive, with documented history of biopsy-proven confirmed CD, and on a gluten-free diet (GFD) for a minimum of 6 months, will be screened. Subjects who meet all inclusion and no exclusion criteria, and provide written informed consent, will be randomized within 45 days after Screening to receive 2 intravenous (IV) infusions of TIMP-GLIA, 8 mg/kg up to a maximum of 650 mg or placebo (normal saline) in a 1:1 ratio. Treatment with drug or placebo will be followed by 14 days gluten challenge.

Conditions
Celiac Disease
Being tested
TIMP-GLIA, Placebo
Medical subject headings
Celiac Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TIMP-GLIADrug

    Also called TAK-101

    8 mg/kg up to a maximum of 650 mg administered intravenously on days 1 and 8.

  • PlaceboDrug

    Also called 0.9% sodium chloride (normal saline)

    Administered intravenously on days 1 and 8.

Study groups in NCT03738475
Study groupRoleWhat they receive
TIMP-GLIAExperimental8 mg/kg up to a maximum of 650 mg administered intravenously on days 1 and 8.
Receives: Drug: TIMP-GLIA
PlaceboPlacebo comparatorNormal saline administered intravenously on days 1 and 8.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Interferon-Gamma Spot Forming Units (IFN-gamma SFUs) in a Gliadin-specific Enzyme-linked Immunospot (ELISpot) at Day 20

    The spots formed by interferon-gamma-secreting T-cells were counted with an automated ELISPOT analyzer. The average spot-forming units (SFU) per antigen was calculated. A response was considered positive when the average SFU in wells with a given peptide was at least twice that of the average SFU in the no-peptide control wells. Baseline (Day 15/Day 1) was defined as Day 15 (or Day 1 if enough blood was not available on Day 15). Peripheral blood mononuclear cell is PBMC.

    Measured: Baseline (Day 15/Day 1), Day 20

Secondary outcomes (16)
  1. Change From Baseline in Gliadin-specific T Cell Proliferation by Enzyme-linked Immunosorbent Assay (ELISA) at Day 20

    Gliadin-specific T cell proliferation was determined by ELISA test. Baseline (Day 15/Day 1) was defined as Day 15 (or Day 1 if enough blood was not available on Day 15).

    Measured: Baseline (Day 15/Day 1), Day 20

  2. Change From Baseline in Gliadin-specific T Cell Cytokine Secretion by ELISA at Day 20

    Gliadin-specific T Cell cytokine secretion was determined by ELISA test. Gliadin-specific cytokine included interferon gamma (IFN-γ), interleukin (IL) 1-beta (1-β), IL-10, IL-12, IL-13, IL-2, IL-4, IL-6, IL-8, tumor necrosis factor alpha (TNF-α). Baseline (Day 15/Day 1) was defined as Day 15 (or Day 1 if enough blood was not available on Day 15). A negative change from baseline value was reported when the observed sample response was less than the observed background response.

    Measured: Baseline (Day 15/Day 1), Day 20

  3. Change From Baseline in Gut-Homing CD4, CD8 and Gamma Delta T-cells by Mass Cytometry (CyTOF) at Day 20

    Change from baseline value for Gut-Homing cells like CD4, CD8 and Gamma Delta T-cells were reported. Baseline (Day 15/Day 1) was defined as Day 15 (or Day 1 if enough blood was not available on Day 15). Phenotype (unique cell population) for CD8 cell is EM CD8 > aE+b7hi > aE+b7hiCD38+, for CD4 is EM Th > a4+b7hi > a4+b7hiCD38+ and for Gamma Delta T-cells is TCRgd T cells > aE+b7hi > aE+b7hiCD38+ in this outcome measure.

    Measured: Baseline (Day 15/Day 1), Day 20

  4. Change From Baseline in Ratio of Villus Height to Crypt Depth (Vh:Cd) at Day 29

    Attenuation of the effects of gluten exposure was assessed by measuring the change from baseline in villous height (Vh) to crypt depth (Cd) ratio after 29 days of gluten challenge. Villi were the small finger like projections that line the small intestine and promote nutrient absorption and are often shortened in participants with CD. Crypts are grooves between the villi that are often elongated in participants with CD. A decreased Vh:Cd ratio indicates worsening disease. Baseline was defined as the last sample collected prior to the first dose of study medication (Screening Period) on Day 1.

    Measured: Baseline (Screening), Day 29

  5. Percentage of Participants With Greater Than or Equal to (>=) 0.4 Decrease in Vh:Cd at Day 29

    Villi were the small finger like projections that line the small intestine and promote nutrient absorption and are often shortened in participants with CD. Crypts are grooves between the villi that are often elongated in participants with CD. A decreased Vh:Cd ratio indicates worsening disease.

    Measured: Day 29

  6. Change From Baseline in Number of Intestinal Intraepithelial Lymphocytes (IELs) at Day 29

    IELs were white blood cells interspersed between epithelial cells of the small and large intestine where they function to preserve the integrity of the mucosal barrier by protecting the epithelium against pathogen or immune-induced pathology. Increased intraepithelial lymphocytes was associated with celiac disease. Baseline was defined as the last sample collected prior to the first dose of study medication (Screening Period) on Day 1.

    Measured: Baseline (Screening), Day 29

  7. Number of Participants Based on Celiac Symptom Index-Modified (CSI-M) Questionnaire Results by Treatment

    The CSI were clinically oriented, easily administered, questionnaires with 16 items. The modified CSI (6-items) was derived from a subset of questions from the CSI questionnaire, including the diarrhea, nausea, rumbling in stomach, stomach felt bloated, diarrhea and low energy level abdominal pain domains (a total of 6 questions), which were each assessed on a scale of 1 to 5- none of the time, a little of the time, some of the time, most of the time and all of the time respectively. Higher CSI scores correlate with more severe CD symptoms. It is to be used to assess symptoms before, during, and after the oral gluten challenge. Here D refers to Day.

    Measured: Days 15, 20, 29 and 35

  8. Plasma Concentrations of TIMP-GLIA

    Measured: Day 8: 0 hours (pre-infusion), end of infusion, and at 2 hours post-infusion

  9. Number of Participants Who Experience at Least 1 Treatment-emergent Adverse Event (TEAE) and Serious Adverse Event (SAE)

    Measured: From the first dose of study drug up to Day 35

  10. Number of Participants With Clinically Significant Change From Baseline in Vital Signs

    Measured: From the first dose of study drug up to Day 35

  11. Number of Participants With Clinically Significant Change From Baseline in Hematology or Serum Chemistry Laboratory Values

    Measured: From the first dose of study drug up to Day 35

  12. Change From Baseline in Deamidated Gliadin Peptide Immunoglobulin G (DGP-IgG) Antibodies at Days 8, 15, 20, 29, and 35

    Baseline was defined as the last sample collected prior to the first dose of study medication (Screening Period) on Day 1.

    Measured: Baseline (Screening), Days 8, 15, 20, 29, and 35

  13. Change From Baseline in Serum Complement Levels of C3a and SC5B-9 at Days 2, 8, 9, and 15

    Baseline was defined as the pre-dose value on Day 1.

    Measured: Baseline (Day 1), Days 2, 8, 9, and 15

  14. Change From Baseline in Serum Complement Levels of C5a at Days 2, 8, 9, and 15

    Baseline was defined as the pre-dose value on Day 1.

    Measured: Baseline (Day 1) , Days 2, 8, 9, and 15

  15. Change From Baseline in Serum Complement Levels of C1q Binding at Days 15, 20, 29, and 35

    Baseline was defined as the pre-dose value on Day 1.

    Measured: Baseline (Day 1), Days 15, 20, 29, and 35

  16. Change From Baseline in Serum Cytokines (IFN-γ, IL 1-β, IL-2, IL-4, IL-6, IL-8 , IL-10, IL-12p70, and TNF-Alpha) at Days 2, 8, 9, and 15

    Baseline was defined as Day 1 pre-dose. A negative change from baseline value was reported when the observed sample response was less than the observed background response.

    Measured: Baseline (Day 1), Days 2, 8, 9, and 15

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Nov 2018
  2. Study start11 Nov 2018
  3. Primary completion24 Jun 2019
  4. Study completion22 Jul 2019

Resources

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
Model description
Randomized double-blind placebo-controlled
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
34 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03738475
Sponsor's protocol ID
TGLIA-5.002
Status last verified
Jul 2020
First submitted
9 Nov 2018
Last updated
12 Aug 2020
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Takeda makes patient-level, de-identified data sets and associated documents available for all interventional studies after applicable marketing approvals and commercial availability have been received (or program is completely terminated), an opportunity for the primary publication of the research and final report development has been allowed, and other criteria have been met as set forth in Takeda's Data Sharing Policy (see www.TakedaClinicalTrials.com for details). To obtain access, researchers must submit a legitimate academic research proposal for adjudication by an independent review panel, who will review the scientific merit of the research and the requestor's qualifications and conflict of interest that can result in potential bias. Once approved, qualified researchers who sign a data sharing agreement are provided access to these data in a secure research environment.

Publications

  • Kelly CP, Murray JA, Leffler DA, Getts DR, Bledsoe AC, Smithson G, First MR, Morris A, Boyne M, Elhofy A, Wu TT, Podojil JR, Miller SD; TAK-101 Study Group. TAK-101 Nanoparticles Induce Gluten-Specific Tolerance in Celiac Disease: A Randomized, Double-Blind, Placebo-Controlled Study. Gastroenterology. 2021 Jul;161(1):66-80.e8. doi: 10.1053/j.gastro.2021.03.014. Epub 2021 Mar 17.

    PubMed 33722583

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing TIMP-GLIA in people with Celiac Disease, run by Takeda at 8 sites in United States.

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 9 inclusion and 6 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 12 Aug 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in United States. 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 Aug 2020). 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?

Change From Baseline in Interferon-Gamma Spot Forming Units (IFN-gamma SFUs) in a Gliadin-specific Enzyme-linked Immunospot (ELISpot) at Day 20 (time frame: Baseline (Day 15/Day 1), Day 20). 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 NCT03738475, 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 12 Aug 2020.

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