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Urea Cycle DisordersNCT03797131

Clinical Food Study to Evaluate the Effect of KB195 on Gut Nitrogen Metabolism in Patients With Urea Cycle Disorders

A study testing KB195 (a novel mixture of oligosaccharides) in people with Urea Cycle Disorders, run by Kaleido Biosciences at 1 site in Switzerland.

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

This clinical food study aims to explore the effect of KB195, a novel mixture of oligosaccharides, on the metabolism of nitrogen by the microbiome in patients with urea cycle disorders (UCDs). This will be done using a stable isotope to assess nitrogen metabolism in the blood, urine, and stool. Read more about this study

Who is it for?
Ages 14 years and older
Conditions the study is for
Urea Cycle Disorders
What is being tested?
KB195 (a novel mixture of oligosaccharides)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
4 participants
Where
1 siteSwitzerland
Study dates
6 Jan 2019to 1 Sep 2019
Phase
Interventional
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 14 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Confirmed UCD patient at any age ≥ 14 years
  • Parental/legal guardian permission or patient's written informed consent or assent, as applicable
  • Be willing and able to comply with study requirements

Who cannot join

  • Any medical condition unrelated to the sequelae of UCD
  • Patient has N-acetylglutamate synthase (NAGS) deficiency
  • Recent hospitalization or risk for metabolic decompensation
  • Liver transplantation
  • Systemic antibiotics, probiotics or prebiotics that do not align with study guidances
  • Change in dose or frequency of any drug or other compound to modulate GI motility
Show all 9Show fewer
  • Contraindications or known allergy/sensitivity to the use of the study products
  • Use of an investigational drug, product or device within 30 days prior to Screening Visit, or current enrolment in another investigational drug, product, or device study
  • Considered to be at risk for noncompliance or unlikely for any reason to be able to comply with the study procedures

Trial locations and contacts

1 site in 1 country.

Switzerland1 site
  • University Children's Hospital Zurich

    Zurich, CH-8032

Other trials in Switzerland

About this study

Official title: An Open Label Pilot Study to Evaluate the Effect of KB195, a Novel Prebiotic Gluco-Oligosaccharide Mixture, in the Diet of Patients With Urea Cycle Disorders on Gut Nitrogen Metabolism

This clinical food study aims to explore the effect of KB195, a novel mixture of oligosaccharides, on the metabolism of nitrogen by the microbiome in patients with urea cycle disorders (UCDs). This will be done using a stable isotope to assess nitrogen metabolism in the blood, urine, and stool. The study will also assess the safety and tolerability of KB195 in patients with UCDs.

Being tested
KB195 (a novel mixture of oligosaccharides)
Keywords
KB195, Urea Cycle Disorders, UCD, microbiome, Kaleido, ammonia
Medical subject headings
Urea Cycle Disorders, Inborn

What participants receive

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

  • KB195 (a novel mixture of oligosaccharides)Other

    KB195 (a novel mixture of oligosaccharides) for oral intake for 21 days.

Study groups in NCT03797131
Study groupRoleWhat they receive
KB195 ArmExperimentalNot described
Receives: Other: KB195 (a novel mixture of oligosaccharides)

What is being measured

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

  1. Change in labelled (15N-nitrogen) and total nitrogen excretion in urine

    Evaluate the effect of KB195 on nitrogen metabolism in the gut of patients with UCD by analyzing the change in labelled (15N-nitrogen) and total nitrogen excretion in urine

    Measured: Baseline to Day 25

  2. Change in labelled (15N-urea) and total urea excretion in urine

    Evaluate the effect of KB195 on nitrogen metabolism in the gut of patients with UCD by analyzing the change in labelled (15N-urea) and total urea excretion in urine

    Measured: Baseline to Day 25

  3. Change in labelled (15N-ammonia) and total ammonia excretion in urine

    Evaluate the effect of KB195 on nitrogen metabolism in the gut of patients with UCD by analyzing the change in labelled (15N-ammonia) and total ammonia excretion in urine

    Measured: Baseline to Day 25

Secondary outcomes (2)
  1. Change in Gastrointestinal Tolerability Questionnaire (GITQ) through the collection of daily patient questionnaires

    Evaluate the effect of KB195 on self-report questionnaires including the Gastrointestinal Tolerability Questionnaire, an assessment of the frequency and severity of GI symptoms, e.g., gas, abdominal pain, calculated on a scale from 0 (None/Not applicable) to a maximum score of 60 (Severe/Much more than usual) for all questions

    Measured: Baseline to Day 32

  2. Change in Bristol Stool Scale (BSS) through the collection of daily patient questionnaires

    Evaluate the effect of KB195 on self-report questionnaires including the Bristol Stool Scale, an assessment of stool consistency on a scale from 1 (separate hard lumps, like nuts, hard to pass) through 7 (watery, no solid pieces, entirely liquid).

    Measured: Baseline to Day 32

Timeline

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

  1. First posted9 Jan 2019
  2. Study start6 Jan 2019
  3. Primary completion1 Sep 2019
  4. Study completion1 Sep 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 N/A
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
4 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03797131
Sponsor's protocol ID
K013-118
Status last verified
Jan 2020
First submitted
7 Dec 2018
Last updated
10 Jan 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing KB195 (a novel mixture of oligosaccharides) in people with Urea Cycle Disorders, run by Kaleido Biosciences at 1 site in Switzerland.

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

Where is the study taking place?

The record lists 1 site in Switzerland. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

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?

Change in labelled (15N-nitrogen) and total nitrogen excretion in urine (time frame: Baseline to Day 25). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 Jan 2020.

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