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Short Bowel SyndromePhase 3NCT02340819

Study to Evaluate the Safety, Efficacy and Pharmacokinetics of Teduglutide in Japanese Subjects With PN-dependent Short Bowel Syndrome (SBS)

A Phase 3 study testing Teduglutide in people with Short Bowel Syndrome, run by Shire at 5 sites in Japan.

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 purpose of this study is to evaluate the safety and efficacy of an investigational treatment (teduglutide) in Japanese patients with PN-dependent SBS. This study will also look at how teduglutide moves through the body (pharmacokinetics). Read more about this study

Who is it for?
Ages 16 years and older
Conditions the study is for
Short Bowel Syndrome
What is being tested?
Teduglutide
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
11 participants
Where
5 sitesJapan
Study dates
18 Dec 2014to 5 Nov 2018
Phase
Phase 3
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 16 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

This study has 3 stages, consisting of an optimization/stabilization period (Stage 1), a 24-week treatment period in which all patients will receive teduglutide (Stage 2), and a long-term extension (Stage 3).

During the long-term extension (Stage 3), patients will continue to receive teduglutide for up to an additional 24 months or until teduglutide is commercially available, whichever comes earlier.

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

Japan5 sites
  • Hospital of Hyogo College of Medicine

    Hyōgo, Nishinomiya, 663-8501

  • Osaka University Hospital, Department of Gastroenterological Surgery

    Osaka, Suita, 565-0871

  • Osaka University Hospital, Department of Pediatric Surgery

    Osaka, Suita, 565-0871

  • Tohoku University Hospital

    Sendai, Aoba-ku, 980-8574

  • Yokohama Municipal Citizen's Hospital

    Yokohama, Hodogaya-ku, 240-8555

Other trials in Japan

About this study

Official title: A 4-Stage, Open-label, Multicenter Study Including Long-term Extension to Evaluate the Safety, Efficacy and Pharmacokinetics of Teduglutide in Japanese Subjects With PN-dependent Short Bowel Syndrome

The purpose of this study is to evaluate the safety and efficacy of an investigational treatment (teduglutide) in Japanese patients with PN-dependent SBS. This study will also look at how teduglutide moves through the body (pharmacokinetics).

Being tested
Teduglutide
Medical subject headings
Short Bowel Syndrome

What participants receive

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

  • TeduglutideDrug

    0.05 mg/kg/day administered by subcutaneous injection over a 24-week period.

Study groups in NCT02340819
Study groupRoleWhat they receive
Arm 1Experimental0.05 mg/kg/day administered by subcutaneous injection over a 24-week period.
Receives: Drug: Teduglutide

What is being measured

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

  1. Stage 2: Absolute Change From Baseline in Weekly Parenteral Support (PS) Volume at Week 24

    Absolute change from baseline in weekly PS volume at Week 24 was reported.

    Measured: Baseline (stage 2), Week 24

  2. Stage 2: Percent Change From Baseline in Weekly Parenteral Support (PS) Volume at Week 24

    Percent change from baseline in weekly PS volume at Week 24 was reported.

    Measured: Baseline (stage 2), Week 24

  3. Stage 2: Percentage of Participants Who Demonstrate Response to Teduglutide at End of Stage 2

    Response was defined as the achievement of at least a 20% reduction from baseline (Visit 2) in weekly PS volume at Week 20 and again at Week 24.

    Measured: End of Stage 2 (up to Week 24)

  4. Stage 2: Absolute Change From Baseline in Number of Days Per Week of Parenteral Support (PS) Usage at Week 24

    Absolute change from baseline in number of days per Week of PS usage at Week 24 was reported.

    Measured: Baseline (stage 2), Week 24

  5. Stage 2: Absolute Change From Baseline in Plasma Citrulline Levels at Week 24

    Plasma citrulline was measured as an assessment of enterocyte mass. Absolute change from baseline in plasma citrulline levels at Week 24 was reported.

    Measured: Baseline (stage 2), Week 24

  6. Stage 2: Percent Change From Baseline in Plasma Citrulline Levels at Week 24

    Plasma citrulline was measured as an assessment of enterocyte mass. Percent change from baseline in plasma citrulline at Week 24 was reported.

    Measured: Baseline (stage 2), Week 24

  7. Stage 2: Number of Participants Who Achieved Enteral Autonomy at Week 24

    Enteral autonomy was defined as no prescribed PS and no use of PS recorded in the participant diary at the end of stage 2. Number of participants who achieved enteral autonomy at Week 24 was reported.

    Measured: Week 24

  8. Stage 3: Absolute Change From Baseline in Weekly Parenteral Support (PS) Volume at Extension Month 24

    Absolute change from baseline in weekly PS volume at extension Month 24 was reported. Extension month 24 = 30 months of teduglutide treatment.

    Measured: Baseline (stage 3), Extension Month 24

  9. Stage 3: Percent Change From Baseline in Weekly Parenteral Support (PS) Volume at Extension Month 24

    Percent change from baseline in weekly PS volume at extension Month 24 was reported. Extension month 24 = 30 months of teduglutide treatment.

    Measured: Baseline (stage 3), Extension Month 24

  10. Stage 3: Absolute Change From Baseline in Number of Days Per Week of Parenteral Support (PS) Usage at Extension Month 24

    Absolute change from baseline in number of days per Week of PS usage at extension Month 24 was reported. Extension month 24 = 30 months of teduglutide treatment.

    Measured: Baseline (stage 3), Extension Month 24

  11. Stage 3: Absolute Change From Baseline in Plasma Citrulline Levels at Extension Month 24

    Plasma citrulline was measured as an assessment of enterocyte mass. Absolute change from baseline in plasma citrulline levels at extension Month 24 was reported. Extension month 24 = 30 months of teduglutide treatment.

    Measured: Baseline (stage 3), Extension Month 24

  12. Stage 3: Percent Change From Baseline in Plasma Citrulline Levels at Extension Month 24

    Plasma citrulline was measured as an assessment of enterocyte mass. Percent change from baseline in plasma citrulline at extension Month 24 was reported. Extension month 24 = 30 months of teduglutide treatment.

    Measured: Baseline (stage 3), Extension Month 24

  13. Stage 4: Absolute Change From Baseline in Weekly Parenteral Support (PS) Volume at End of Treatment

    Absolute change from baseline in weekly PS volume at end of treatment was reported.

    Measured: Baseline (stage 4), End of Treatment (up to 47 months)

  14. Stage 4: Percent Change From Baseline in Weekly Parenteral Support (PS) Volume at End of Treatment

    Percent change from baseline in weekly PS volume at end of treatment was reported.

    Measured: Baseline (stage 4), End of Treatment (up to 47 months)

  15. Stage 4: Absolute Change From Baseline in Number of Days Per Week of Parenteral Support (PS) Usage at End of Treatment

    Absolute change from baseline in number of days per week of PS usage at end of treatment was reported.

    Measured: Baseline (stage 4), End of Treatment (up to 47 months)

  16. Stage 4: Absolute Change From Baseline in Plasma Citrulline Levels at End of Treatment

    Plasma citrulline was measured as an assessment of enterocyte mass. Absolute change from baseline in plasma citrulline levels at end of treatment was reported.

    Measured: Baseline (stage 4), End of Treatment (up to 47 months)

  17. Stage 4: Percent Change From Baseline in Plasma Citrulline Levels at End of Treatment

    Plasma citrulline was measured as an assessment of enterocyte mass. Percent change in plasma citrulline from baseline at end of treatment was reported.

    Measured: Baseline (stage 4), End of Treatment (up to 47 months)

Secondary outcomes (7)
  1. Area Under the Concentration-Time Curve From Time Zero to Infinity (AUC0-Inf) of Teduglutide in Plasma

    Area under the concentration-time curve from time zero to infinity of teduglutide in plasma were evaluated.

    Measured: Pre-dose, 15, 30, 60 minutes, 2, 3, 4, 6, 8, 10 and 12 hours post-dose

  2. Area Under the Concentration-Time Curve From Time Zero to the Last Time Point (AUC0-t) of Teduglutide in Plasma

    Area under the concentration-time curve from time zero to the last time point of teduglutide in plasma were evaluated.

    Measured: Pre-dose, 15, 30, 60 minutes, 2, 3, 4, 6, 8, 10 and 12 hours post-dose

  3. Maximum Concentration (Cmax) of Teduglutide in Plasma

    Maximum concentration of teduglutide in plasma were evaluated.

    Measured: Pre-dose, 15, 30, 60 minutes, 2, 3, 4, 6, 8, 10 and 12 hours post-dose

  4. Time to Reach Maximum Observed Drug Concentration (Tmax) of Teduglutide in Plasma

    Time to reach maximum observed drug concentration of teduglutide in plasma was evaluated.

    Measured: Pre-dose, 15, 30, 60 minutes, 2, 3, 4, 6, 8, 10 and 12 hours post-dose

  5. Terminal Half-Life (t1/2) of Teduglutide in Plasma

    Terminal half-life of teduglutide in plasma were evaluated.

    Measured: Pre-dose, 15, 30, 60 minutes, 2, 3, 4, 6, 8, 10 and 12 hours post-dose

  6. Apparent Clearance (CL/F) of Teduglutide in Plasma

    Apparent clearance of teduglutide in plasma were evaluated.

    Measured: Pre-dose, 15, 30, 60 minutes, 2, 3, 4, 6, 8, 10 and 12 hours post-dose

  7. Apparent Volume of Distribution (Vz/F) of Teduglutide in Plasma

    Apparent volume of distribution of teduglutide in plasma were evaluated.

    Measured: Pre-dose, 15, 30, 60 minutes, 2, 3, 4, 6, 8, 10 and 12 hours post-dose

Timeline

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

  1. First posted19 Jan 2015 (estimated)
  2. Study start18 Dec 2014
  3. Primary completion5 Nov 2018
  4. Study completion5 Nov 2018

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 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
11 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02340819
Sponsor's protocol ID
TED-C14-004
Status last verified
May 2021
First submitted
13 Nov 2014
Last updated
9 Jun 2021
Data monitoring committee
No
Individual data sharing
No: De-identified individual participant data from this particular study will not be shared as there is a reasonable likelihood that individual patients could be re-identified (due to the limited number of study participants/study sites, …)

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Teduglutide in people with Short Bowel Syndrome, run by Shire at 5 sites in Japan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

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 9 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Japan. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 20 Nov 2019). 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?

Stage 2: Absolute Change From Baseline in Weekly Parenteral Support (PS) Volume at Week 24 (time frame: Baseline (stage 2), Week 24). The study lists 17 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 9 Jun 2021.

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