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Completed

NCT Number: NCT03824795

Study to Assess Safety, Tolerability and Efficacy of Incremental Doses of MGB-BP-3 in Patients With CDAD

The objective of this Phase IIa study is to assess the safety, tolerability, and efficacy of incremental doses of MGB-BP-3 in patients with Clostridium difficile-associated diarrhea (CDAD).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Foothills Medical Centre, Calgary, Alberta, Canada

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About this study

This is an exploratory, Phase IIa, open-label study assessing the safety, tolerability, and efficacy of incremental doses of MGB-BP-3 with 3 sequential groups of 10 patients with CDAD. Patients will be administered an oral dose of MGB-BP-3 for 10 days (Day 1 to Day 10). At the end of the treatment period, patients will be followed for up to 8 weeks to assess the incidence of disease recurrence.

Who can participate

Healthy volunteers accepted: No

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

Main Inclusion Criteria:

  • Age 18 years or older of any gender.
  • Inpatients and/or outpatients who are able to attend all scheduled visits.
  • Patients with the first episode or the first recurrence of mild or moderate CDAD.
  • Confirmed diagnosis of mild or moderate CDAD as defined by the Infectious Diseases Society of America/Society for Healthcare Epidemiology of America guidelines.

Main Exclusion Criteria:

  • Patients with severe complicated CDAD (including hypotension or shock, ileus, megacolon, pseudomembranous colitis).
  • A white blood cell count higher than 15,000 cells/mL.
  • A serum creatinine level greater than or equal to 1.5 times ULN.
  • Elevated liver enzymes alanine aminotransferase and aspartate aminotransferase greater than ULN.
  • Inflammatory bowel disease (ulcerative colitis or Crohn's disease), microscopic colitis, or irritable bowel syndrome with chronic diarrhea.
  • Any other non-C difficile diarrhea.
  • Received treatment with a fecal transplant within 7 days and/or is anticipated to receive a fecal transplant during the study.
  • Major gastrointestinal surgery (ie, significant bowel resection) within 3 months of enrollment (does not include appendectomy or cholecystectomy).
  • Received laxatives within the previous 48 hours.
  • Pregnant or lactating women.
  • Prior (within 180 days of Screening) or current use of anti-toxin antibodies.
  • Have received a vaccine against C difficile.
  • Any condition for which, in the opinion of the investigator, the treatment may pose a health risk to the patient.

Treatment and study plan

MGB-BP-3

Drug

MGB-BP-3

Other names: No other names - not applicable

Primary outcomes

  1. Number of participants with treatment-related adverse events assessed by the Investigator, as per CTCAE v.5.0.

    Time frame: 40 days

    Incidence of treatment emergent adverse events (Safety and Tolerability of up to 3 incremental doses of MGB-BP-3 in patients with CDAD).

  2. Initial cure rate at 12 days post initiation of therapy.

    Time frame: 12 days

    Initial clinical cure is defined as resolution of diarrhea (<3 bowel movements with unformed stools within 24 hours [Type 5, 6, or 7 bowel movement on the Bristol Stool Chart] for patients for 2 consecutive days), maintained for the subsequent duration of therapy (1 day of exacerbation and then return to the resolved state is acceptable), with no further requirement for CDAD therapy, assessed by EOT and sustained for 2 days after the end of the 10-day initial treatment course.

Secondary outcomes

  1. CDAD Recurrence

    Time frame: Up to 8 weeks

    Recurrence of CDAD within 4 weeks (8 weeks optional) post end of treatment.

  2. Peak plasma concentration (Cmax).

    Time frame: 10 days

    Days 1, 5 and 10.

  3. Time to peak plasma concentration (Tmax).

    Time frame: 10 days

    Days 1, 5 and 10.

Sponsors and collaborators

Lead sponsor

MGB Biopharma Limited

Industry

Collaborators

  • Syneos Health

Registry information

Official study title

An Exploratory, Open Labelled, Phase IIa Study to Assess Safety, Tolerability and Efficacy of Incremental Doses of MGB-BP-3 in Patients With Clostridium Difficile-associated Diarrhea (CDAD)

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Jan 31, 2019
Registry last updated
Apr 15, 2020

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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