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OpenTrials
Completed

NCT Number: NCT04524221

PTG-100 for Patients With Celiac Disease

The goal of this study is to learn whether or not the drug PTG-100 can reduce or prevent inflammatory injury to the small intestine that occurs when people with celiac disease eat food products containing gluten.

This is a clinical research study to determine the safety and efficacy of PTG-100 in preventing gluten-induced inflammatory injury to the small intestine in patients with celiac disease. 30 patients will receive either placebo (fake drug) or PTG-100 (real drug) in capsule form twice daily for 42 days. They will also receive a gluten challenge twice daily in the form of a cookie or equivalent. An upper gastrointestinal endoscopy and exam including small bowel mucosa biopsy will be performed at the start of the treatment period and again at the end. Blood samples will be routinely taken to evaluate safety and the drug's mechanism of action throughout the study, and symptoms will be recorded using the celiac symptoms index (CSI) survey.

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Key information

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Stanford University

Redwood City, California, 94063, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosis of celiac disease

Exclusion criteria

  • Active GI disease or history of clinically significant diseases
  • Diagnosis of Crohn's disease or ulcerative colitis.

Treatment and study plan

PTG-100

Drug

PTG-100, 600mg taken twice daily in capsule form for 42 days

Placebo

Drug

Placebo taken twice daily in capsule form for 42 days

Primary outcomes

  1. Percentage change in villous height-to crypt ratio

    Time frame: 42 days

    Percentage change from baseline to Week 6 in villous height-to crypt depth (Vh:Cd) ratio

Secondary outcomes

  1. Change in celiac disease antibodies

    Time frame: 42 days

    Changes in anti-tTG antibodies from baseline

  2. Changes in celiac disease antibodies

    Time frame: 42 days

    Changes in anti-DGP antibodies from baseline

  3. CD3- positive intraepithelial lymphocyte density

    Time frame: 42 days

    CD3- positive intraepithelial lymphocyte density

  4. Celiac symptom index (CSI)

    Time frame: 42 days

    Changes in validated celiac symptom index (CSI)

  5. Characterization of immune modulators underlying mechanism of action in celiac disease.

    Time frame: 42 days

    Identification of immune cell populations targeted by PTG-100 to better understand mechanism of action in celiac disease in both blood and tissue temporally following exposure to drug.

Sponsors and collaborators

Lead sponsor

Nielsen Fernandez-Becker

Other

Collaborators

  • Protagonist Therapeutics, Inc.

Registry information

Official study title

A Phase 1b Study of PTG-100 in Patients With Celiac Disease

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Aug 24, 2020
Registry last updated
May 23, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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