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Short Bowel SyndromePhase 2STARSnutritionNCT04964986

Metabolic Balance Study of Apraglutide in Patients With Short Bowel Syndrome, Intestinal Failure (SBS-IF) and Colon-in-Continuity (CIC)

A Phase 2 study testing Apraglutide in people with Short Bowel Syndrome, run by VectivBio AG at 2 sites in 2 countries.

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

The primary objective of the trial is to evaluate the safety of apraglutide in adult subjects with SBS-IF and CIC. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Short Bowel Syndrome
What is being tested?
Apraglutide
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
2 sitesin 2 countries
Study dates
14 Jun 2021to 6 Jun 2023
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

  • Signed informed consent for this trial prior to any trial specific assessment.
  • Male and female subjects with SBS-IF and CIC, receiving parenteral support (PS), secondary to surgical resection of the small intestine with < 200 cm from duodenojejunal flexure.
  • Subject must require parenteral support (PS) at least 2 days per week and be considered stable.
  • No restorative surgery intended to change PS requirements in the trial period.
  • Age ≥ 18 years at screening.

Who cannot join

  • Pregnancy or lactation.
  • Body mass index equal or higher than 30 kg/m^2 at the time of screening.
  • Major abdominal surgery in the last 6 months prior to screening.

Trial locations and contacts

2 sites in 2 countries.

2 sites in 2 countries

Belgium1 site
  • UZ Leuven

    Leuven, 3000

Other trials in Belgium

France1 site
  • Beaujon Hospital

    Clichy, 92110

Other trials in France

About this study

Official title: A Multicenter, Open-label, Metabolic Balance Study to Evaluate the Effects of Apraglutide on Intestinal Absorption in Adult Subjects With Short Bowel Syndrome, Intestinal Failure (SBS-IF), and Colon-in-Continuity (CIC)

The primary objective of the trial is to evaluate the safety of apraglutide in adult subjects with SBS-IF and CIC.

Read the detailed description

This is an international, multicenter trial to evaluate the safety of apraglutide in adult participants with SBS-IF and CIC. The active pharmaceutical ingredient is apraglutide, an investigational glucagon-like peptide-2 (GLP-2) analogue. The trial consists of an evaluation period of 52 weeks.

Being tested
Apraglutide
Keywords
Intestinal Failure, SBS, SBS-IF, CIC, Colon-in-Continuity
Medical subject headings
Short Bowel Syndrome, Intestinal Failure

What participants receive

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

  • ApraglutideDrug

    Also called TA799

    Apraglutide is a synthetic peptide analogue of GLP-2 under development for treatment of SBS-IF, which acts as a full agonist at the GLP-2 receptor with in vitro potency and selectivity comparable with native GLP-2.

Study groups in NCT04964986
Study groupRoleWhat they receive
ApraglutideExperimentalAll participants received apraglutide administered subcutaneously (SC) once weekly for 52 weeks.
Receives: Drug: Apraglutide

What is being measured

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

  1. Number of Participants Who Experienced a Treatment-Emergent Adverse Event (TEAE)

    A TEAE was any unfavorable and unintended sign, symptom, or disease temporally associated with apraglutide, whether or not related, that occurred or worsened after the dose of apraglutide. A serious TEAE was defined as any TEAE that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or was an important medical event. Clinically significant changes from baseline in clinical chemistry, hematology, hemostasis, anti-drug antibodies (ADAs), and urine analysis were reported as adverse events.

    Adverse events of special interest (AESI) included injection site reaction, gastrointestinal obstruction, gallbladder, biliary, and pancreatic disease, fluid overload, colorectal polyps, malignancies.

    Measured: Day 1 up to approximately 55 weeks

  2. Absolute Change in Absorption of Energy Over Metabolic Balance (MB) Periods From Baseline at Week 48

    Applicable to Protocol V3.0 implemented in France (classed as secondary endpoint in Protocol V4.0 [implemented in Belgium]).

    The absorption was defined as dietary intake minus output from fecal excretion over a 72-hour MB period at a given analysis time point. Since dietary intake and fecal excretion were measured daily, i.e., up to three measurements may contribute to absorption calculations, the average over all available daily absorption measurements over the 72-hour period were used for analysis.

    Measured: Baseline and Week 48

Secondary outcomes (18)
  1. Relative Change From Baseline in Actual Weekly Parenteral Support (PS) Volume at Weeks 4, 24, and 52

    The sum of daily PS volume (including extra fluids) from weekly PS diary data recorded for the corresponding analysis timepoint was used for analysis.

    Measured: Baseline, Week 4, Week 24, and Week 52

  2. Absolute Change From Baseline in Actual Weekly PS Volume at Weeks 24 and 52

    The sum of daily PS volume (including extra fluids) from weekly PS diary data recorded for the corresponding analysis timepoint was used for analysis.

    Measured: Baseline, Week 24 and Week 52

  3. Number of Participants Who Achieved a Reduction of at Least 1 Day Per Week of PS From Baseline at Weeks 24 and 52

    Participants were considered to have a reduction of at least one day per week of PS from Baseline (incl. extra fluids) if the number of days with PS from weekly PS diary data recorded for the corresponding analysis timepoint was smaller compared to the number of days with PS from weekly PS diary data for Baseline.

    Measured: Baseline, Week 24 and Week 52

  4. Number of Participants Considered Clinical Responders at Weeks 24 and 52

    Clinical response was defined as a 20% reduction of PS volume from Baseline. The sum of daily PS volume (including extra fluids) from weekly PS diary data recorded for the corresponding analysis timepoint was used for analysis.

    Measured: Baseline, Week 24 and 52

  5. Number of Participants Who Achieved Enteral Autonomy at Weeks 24 and 52

    Enteral autonomy was defined as a participant not receiving PS for hydration or parenteral nutrition (PN) for calories. Participants may have still receive minimal fluid to maintain patency of the central line or for specific elemental/micro-nutrient needs (e.g., <100 mL fluid for administration of magnesium).

    Measured: Weeks 24 and 52

  6. Absolute Change in Total Energy in PN From Baseline at Weeks 24 and 52

    PN was defined as PS that includes protein, carbohydrate, fat, vitamins, and/or trace elements.

    Measured: Baseline, Week 24 and Week 52

  7. Relative Change in Absorption of Energy Over MB Periods From Baseline at Week 48

    The absorption was defined as dietary intake minus output from fecal excretion over a 72-hour MB period at a given analysis time point. Since dietary intake and fecal excretion were measured daily, i.e., up to three measurements may contribute to absorption calculations, the average over all available daily absorption measurements over the 72-hour period were used for analysis.

    Measured: Baseline and Week 48

  8. Absolute Change in Absorption of Macronutrients Over MB Periods From Baseline at Weeks 4 and 48

    The absorption was defined as dietary intake minus output from fecal excretion over a 72-hour MB period at a given analysis time point. Since dietary intake and fecal excretion were measured daily, i.e., up to three measurements may contribute to absorption calculations, the average over all available daily absorption measurements over the 72-hour period were used for analysis.

    Measured: Baseline, Week 4 and Week 48

  9. Absolute Change in Urine Volume Over MB Periods From Baseline at Week 4 and Week 48

    Based on average daily urine volume data derived as per balance period calculations.

    Measured: Baseline, Week 4 and Week 48

  10. Absolute Change in Absorption of Energy Over MB Periods From Baseline at Week 4

    The absorption was defined as dietary intake minus output from fecal excretion over a 72-hour MB period at a given analysis time point. Since dietary intake and fecal excretion were measured daily, i.e., up to three measurements may contribute to absorption calculations, the average over all available daily absorption measurements over the 72-hour period were used for analysis.

    Measured: Baseline and Week 4

  11. Absolute Change in Urinary Electrolytes Over MB Periods From Baseline at Week 4 and Week 48

    Since urinary electrolytes data were measured over the 72-hour MB period, the average of all available results were used for analyses for each MB parameter at a given analysis time point.

    Measured: Baseline, Week 4 and Week 48

  12. Change From Baseline in Pittsburgh Sleep Quality Inventory (PSQI) Total Score at Week 24 and Week 52

    The PSQI is a patient-reported questionnaire used to measure the quality and patterns of sleep, over the past month. The PSQI has seven components: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleep medication, and daytime dysfunction over the last month. Minimum Score = 0 (better); Maximum Score = 21 (worse). A negative change from baseline represents an reduction in symptoms.

    Measured: Baseline, Week 24 and Week 52

  13. Change From Baseline in Patient Global Impression of Change (PGIC) at Week 24 and Week 52

    PGIC v2.0 is a single-item questionnaire using a 5-point verbal rating scale, to assess overall change in the participants status after taking the study drug. Response options range from 2= very much better to -2= very much worse.

    Measured: Baseline, Week 24 and Week 52

  14. Secondary: Patient Global Impression of Treatment Satisfaction (PGI-TS) at Week 24 and Week 52

    This form is a single-item questionnaire assessing the participant's satisfaction with the trial medication over the preceding 7 days. Response options range from -2 to 2, very dissatisfied to very satisfied.

    Measured: Week 24 and Week 52

  15. Change From Baseline in Patient Global Impression of Satisfaction With Parenteral Support (PGI-SPS) at Week 24 and Week 52

    This is a single-item questionnaire assessing the participant's satisfaction with PS over the preceding 7 days. Response options range from -2 to 2, very dissatisfied to very satisfied. A reduction from baseline represents a decrease in satisfaction.

    Measured: Baseline, Week 24 and Week 52

  16. Change From Baseline in Patient Global Impression of Parenteral Support Impact (PGI-PSI) at Week 24 and Week 52

    This is a three-item questionnaire assessing the impact of PS on the participant's sleep, daily activities, and quality of life (QoL) over the past 7 days. All questions have response options ranging from 0 to 4, not at all to extremely. A reduction from baseline represents a decrease in symptoms.

    Measured: Baseline, Week 24 and Week 52

  17. Trough Apraglutide Plasma Concentration (Ctrough)

    Measured: Pre-dose on Weeks 2, 4, 12, 24, 32, 40, 48, and 52

  18. Mean Plasma Citrulline Level

    Measured: Baseline and Weeks 2, 4, 12, 24, 32, 40, 48, and 52

Timeline

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

  1. First posted16 Jul 2021
  2. Study start14 Jun 2021
  3. Primary completion6 Jun 2023
  4. Study completion6 Jun 2023

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
10 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04964986
Sponsor's protocol ID
TA799-013
Other IDs
2020-005129-99
Acronym
STARSnutrition
Status last verified
Jun 2025
First submitted
27 May 2021
Last updated
18 Jun 2025
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Ekhlas D, Verbiest A, Stas M, De Meyere L, Vandermeulen G, Toth J, Geboers K, Timmermans L, Verspecht C, Wauters L, Vermeersch P, Jeppesen PB, Verbeke K, Joly F, Derrien M, Raes J, Vanuytsel T. Early ecological changes in intestinal microbiota with the long-acting GLP-2 analog apraglutide in short bowel syndrome. Clin Nutr ESPEN. 2026 Jun;73:103138. doi: 10.1016/j.clnesp.2026.103138. Epub 2026 Mar 26.

    PubMed 41903849
  • Verbiest A, Hvistendahl MK, Bolognani F, Li C, Youssef NN, Huh S, Menys A, Bhatnagar G, Vanslembrouck R, Peeters R, Sartoris R, Vermeersch P, Wauters L, Verbeke K, Jeppesen PB, Joly F, Vanuytsel T. Efficacy and safety of apraglutide in short bowel syndrome with intestinal failure and colon-in-continuity: A multicenter, open-label, metabolic balance study. Clin Nutr. 2024 Dec;43(12):158-166. doi: 10.1016/j.clnu.2024.10.011. Epub 2024 Oct 16.

    PubMed 39461299

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Apraglutide in people with Short Bowel Syndrome, run by VectivBio AG at 2 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 5 inclusion and 3 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 18 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Belgium, France. 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.

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 18 Jun 2025). 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 Who Experienced a Treatment-Emergent Adverse Event (TEAE) (time frame: Day 1 up to approximately 55 weeks). 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 NCT04964986, 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 18 Jun 2025.

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