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Clinical Trial Details — Status: Available

Administrative data

NCT number NCT04768907
Other study ID # MPOHEAP
Secondary ID
Status Available
Phase
First received
Last updated

Study information

Verified date July 2023
Source MaaT Pharma
Contact Emilie Plantamura, PharmD, PhD
Phone +33(0)663590186
Email eplantamura@maat-pharma.com
Is FDA regulated No
Health authority
Study type Expanded Access

Clinical Trial Summary

MaaT013 is still in clinical development phase and is not approved yet for marketing in any region. During the development program, MaaT Pharma has undertaken initial development with closely related product candidates, leading to the Phase II HERACLES study in which MaaT013 preliminary safety and efficacy were assessed in the context of steroid-resistant, gastrointestinal aGraft versus Host Disease (SR-GI-aGvHD). In addition, a pivotal Phase III study (ARES trial) is planned. In the absence of medical options in patients with gastrointestinal acute GvHD refractory to multiple lines of treatment, this early access program has been implemented.


Description:

Acute Graft-versus-Host Disease (aGvHD) is a serious and life-threatening disease that arises as a complication of allogeneic hematopoietic stem cell transplantation (allo-HSCT). At the onset of aGvHD, skin is the most frequently affected region (80% of patients) while GI tract or liver are involved in about 50% of patients (Martin 1990). aGvHD symptoms for the lower GI tract include watery diarrhea (≥500 mL), severe abdominal pain or bloody diarrhea (Ferrara 2009). While the incidence of severe GI-aGvHD has slightly decreased during the past decade, treatment remains unsuccessful in most cases (Gooley 2010, Castilla Llorente 2014), with a 2-months overall survival (OS) rate of 22% in steroid non-responsive or steroid refractory (SR) patients, non-responders to ruxolitinib (Jagasia 2020). MaaT013 (pooled allogeneic fecal microbiota) is a live biotherapeutic product being developed by MaaT Pharma (Lyon, France) for the treatment of steroid-resistant, gastrointestinal aGvHD (SR-GI-aGvHD) adult patients with refractory, not eligible or who have failed second-line systemic therapy. MaaT013 is still in clinical development phase and is not approved yet for marketing in any region. During the development program, MaaT Pharma has undertaken initial development with closely related product candidates, leading to the Phase II HERACLES study in which MaaT013 preliminary safety and efficacy were assessed in the context of SR-GI-aGvHD. In addition, a pivotal Phase III study (ARES trial) is planned


Recruitment information / eligibility

Status Available
Enrollment 0
Est. completion date
Est. primary completion date
Accepts healthy volunteers
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Age > or = 18 - Grade III-IV gastro intestinal acute graft versus host disease with or without involvement of other organs: - patients resistant to corticosteroid (CS) and resistant to one or multiple lines of treatments - patients who cannot tolerate CS tapering, i.e., begin of CS at 2.0 mg/kg/d, demonstrate response, but show disease progress before a 50% decrease from the initial starting dose of CS is achieved. - acute GVHD with overlap syndrome Exclusion Criteria: - Active uncontrolled infection - Relapsed/persistent malignancy requiring rapid immune suppression withdrawal - Current or past veno-occlusive disease or other uncontrolled complication - Absolute neutrophil count <500/µL for 3 consecutive days. Use of growth factor supplementation is allowed - Absolute platelet count < 10 000/µL. Use of platelet infusion is allowed - Current or past evidence of toxic megacolon, bowel obstruction or gastrointestinal perforation - Known allergy or intolerance to trehalose or maltodextrin - Pregnancy - Breastfeeding

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
MaaT013


Locations

Country Name City State
France Chu Amiens Picardie Site Sud Amiens
France Chu Angers Angers
France Chu Morvan Brest
France Chu de Caen Caen
France Chu Grenoble Grenoble
France Chu de Lille Lille
France MaaT Pharma Lyon
France Institut Paoli Calmettes Marseille
France Chu Montpellier - Hopital Saint Eloi Montpellier
France Chu de Nice - L'Archet 1 Nice
France Aphp - Hopital Sant Antoine Paris
France Hopital Haut Leveque Pessac
France Chu Lyon Sud Pierre-Bénite
France Chu La Miletrie Poitiers
France Chu de Rennes - Hopital Pontchaillou Rennes
France Chu Rouen Rouen
France Crlcc Henri Becquerel Rouen
France Institut de Cancerologie de Strabsourg Strasbourg
France Iuct - Oncopole Toulouse
France Institut Gustave Roussy Villejuif

Sponsors (1)

Lead Sponsor Collaborator
MaaT Pharma

Country where clinical trial is conducted

France, 

See also
  Status Clinical Trial Phase
Recruiting NCT05017688 - Prospective Interventional Study Exploring the Microbiota Recolonization in SR-GvHD Patients Receiving MaaT013 N/A
Not yet recruiting NCT04289103 - Evaluation of EFficacy and SaFEty of Leukotac (Inolimomab) in Pediatric Patients With SR-aGvHD Phase 3
Not yet recruiting NCT06343792 - Safety, PK, PD, Dosing, and Efficacy of RLS-0071for the Treatment of Hospitalized Patients With Steroid-Refractory Acute Graft-versus-Host Disease Phase 2
Recruiting NCT04769895 - MaaT013 as Salvage Therapy in Ruxolitinib Refractory GI-aGVHD Patients Phase 3
Completed NCT04926194 - Decidual Stromal Cells to Treat Graft-vs-Host Disease After Stem Cell Transplant for Myelodysplastic Syndrome/Myeloproliferative Neoplasm Phase 2
Terminated NCT04070781 - Itacitinib and Tocilizumab for Steroid Refractory Acute Graft Versus Host Disease Phase 1
Completed NCT05663827 - Ruxolitinib as add-on Therapy in Steroid-refractory Graft-vs-host Disease Phase 3
Terminated NCT01485055 - Infliximab and Basiliximab for Treatment of Steroid Refractory Acute Graft Versus Host Disease Phase 2
Completed NCT05052385 - ECP Combination Study