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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT05415410
Other study ID # TA799-101
Secondary ID
Status Active, not recruiting
Phase Phase 2
First received
Last updated
Start date May 25, 2022
Est. completion date August 30, 2025

Study information

Verified date January 2024
Source VectivBio AG
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The aim of this trial is to assess safety and efficacy of apraglutide in subjects with steroid refractory gastrointestinal acute graft versus host disease (aGVHD).


Description:

This is an international, multicenter, randomized proof-of-concept trial to evaluate safety, tolerability, efficacy, durability of response, and clinical outcomes of apraglutide administration to subjects with steroid-refractory (SR) aGVHD of the lower GI tract being treated with systemic steroids (SS) and ruxolitinib (RUX).


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 31
Est. completion date August 30, 2025
Est. primary completion date August 30, 2025
Accepts healthy volunteers No
Gender All
Age group 12 Years and older
Eligibility Inclusion Criteria: - Able to give informed consent and agree to follow the details of participation as outlined in the protocol - Male or female subjects aged 12 years or above at the time of consent and who weigh a minimum of 40 kg. Only subjects aged 18 years and above will be included in Germany. - Clinically confirmed steroid refractory lower GI-aGVHD (MAGIC stage 1-4) prior to randomization - Have undergone alloSCT from any donor source, any conditioning regimen - Treated with SS plus RUX (RUX starts concomitantly to apraglutide or a maximum of 72 hours before apraglutide initiation) - Women of childbearing potential (WOCBP): highly effective method of contraception and refrain from donating eggs during the trial and for 4 weeks after the End of Trial (EOT) visit - Male subjects with partner WOCBP: contraception and abstention from sperm donation during the trial and for 2 weeks after the EOT visit Exclusion Criteria: - Treatment with any systemic GVHD therapy other than SS and RUX including methotrexate and mycophenolate mofetil at the time of randomization / Day 0 - Concomitant treatment with Janus kinase inhibitor other than RUX at the time of randomization - Failed alloSCT due to relapse of underlying malignant disease - Presence of SR GI-aGVHD occurring after donor lymphocyte infusion for pre-emptive treatment of malignancy recurrence - Any use of enteral glutamine or GLP analogs or known ADA, within 6 months prior to randomization / Day 0 - Significant organ system failures (respiratory renal hepatic and cardiac) - Presence of relapsed primary malignancy or treatment for relapse after alloHSCT - Presence or history of GI tumors (including the hepatobiliary system and pancreas) within the last five years before randomization - Presence of colonic polyps not removed - Active clinically uncontrolled infection or active tuberculosis - Known chronic GVHD - Known active GI inflammation not related to GI-aGVHD - Major abdominal surgery in the last 6-months prior to randomization or history of clinically significant intestinal adhesions - Abnormal liver function tests

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Apraglutide
Apraglutide is a new, synthetic glucagon-like peptide 2 (GLP-2) receptor agonist which acts as a gut targeted regenerative approach that is intestinotrophic with a mode of action that improves absorption and enhances gut barrier function.

Locations

Country Name City State
Germany Universitaetsklinikum Duesseldorf Düsseldorf
Germany Universitätsklinikum Freiburg Freiburg
Germany Martin Luther Universität Halle-Wittenberg Halle
Germany Universitätsklinikum Hamburg-Eppendorf Hamburg
Germany Universitätsklinikum Köln (AoeR) Köln
Germany Universitätsmedizin der Johannes Gutenberg - Universität Mainz Mainz
Portugal Instituto Portugues de Oncologia do Porto Francisco Gentil Porto
Spain Hospital Universitario Virgen del Rocio Sevilla
United States South Austin Medical Center Austin Texas
United States Massachusetts General Hospital Boston Massachusetts
United States The Ohio State University Columbus Ohio
United States University of Iowa Iowa City Iowa
United States Stanford Cancer Center Stanford California

Sponsors (1)

Lead Sponsor Collaborator
VectivBio AG

Countries where clinical trial is conducted

United States,  Germany,  Portugal,  Spain, 

Outcome

Type Measure Description Time frame Safety issue
Primary Adverse events (AE) System organ class, frequency and severity From baseline to week 104
Primary Occurrence of clinically relevant changes in vital signs Systolic and diastolic blood pressure in mmHg From baseline to week 104
Primary Occurrence of clinically relevant changes in vital signs Heart rate in Beats per Minute (BPM) From baseline to week 104
Primary Occurrence of clinically relevant changes in electrocardiogram ECG QT Interval From baseline to week 104
Primary Occurrence of clinically relevant changes in electrocardiogram ECG PR interval From baseline to week 104
Primary Occurrence of clinically relevant changes in electrocardiogram ECG QRS interval From baseline to week 104
Primary Occurrence of clinically relevant changes in electrocardiogram ECG rhythm From baseline to week 104
Primary Occurrence and titer anti-drug antibodies (ADA) Number of subjects with anti-drug antibodies and their respective titers at specific time points. From baseline to week 104
Secondary Lower gastrointestinal-aGVHD response Gastrointestinal-aGVHD response will be measured as a change of MAGIC stage for lower GI.
Unit: Number of stools/day
At Days 14, 28, 56, 91, 119, 147, and 182
Secondary Overall response Overall response will be measured as a change of MAGIC stage in any of the 4 organ systems.
Measurement: MAGIC stage from 0 to 4
At days 14, 28, 56, 91, 119, 147, and 182
Secondary Graft failure post-first dose of apraglutide Incidence of graft failure Baseline to 2 years
Secondary Failure free survival post-first dose of apraglutide The time from the date of randomization to the date of hematologic disease relapse/progression, non-relapse mortality, or addition of new systemic aGVHD treatment.
Unit: days
Baseline to 2 years
Secondary Overall survival post-first dose of apraglutide Baseline to 2 years
Secondary Malignancy relapse/progression post-first dose of apraglutide The time from date of randomization to hematologic disease relapse/progression. Unit:days Baseline to 2 years
Secondary Lower Gastrointestinal-GVHD relapse following complete GI response Incidence of lower Gastrointestinal-aGVHD relapse following complete GI-response. Number of relapses Relapse is defined as GI flare: any increase in signs or symptoms of lower GI-aGVHD that is sustained for >24 h after an initial response (complete response or initial response) and requires re-escalation of immunosuppressive therapy. Baseline to 2 years
Secondary Absorption rate constant (ka) of apraglutide through population PK data analysis Day 7 to day 56
Secondary Apparent clearance (CL/F) of apraglutide through population PK data analysis Day 7 to day 56
Secondary Apparent volume of distribution (Vz/F) of apraglutide through population PK data analysis Day 7 to day 56
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