Efficacy and Safety of Trichuris Suis Ova (TSO) as Compared to Placebo

NCT ID: NCT01576471

Last Updated: 2017-06-29

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-07-31

Study Completion Date

2014-10-31

Brief Summary

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This is a randomized, double-blind, placebo-controlled, multicenter, and proof of concept study with a parallel group design to evaluate the safety and efficacy of oral Trichuris Suis Ova (TSO) suspension, as compared to placebo, in patients with moderately to severely active Crohn's disease. This study will also have an optional open-label extension for patients completing the double-blind phase of the study.

Detailed Description

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Conditions

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Crohn's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Placebo: dose every 2 weeks X 10 weeks (up to 6 total doses)

TSO 7500

Group Type EXPERIMENTAL

Trichuris suis ova (TSO)

Intervention Type BIOLOGICAL

TSO 7500: 7500 embryonated, viable TSO every 2 weeks X 10 weeks (up to 6 total doses)

Interventions

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Trichuris suis ova (TSO)

TSO 7500: 7500 embryonated, viable TSO every 2 weeks X 10 weeks (up to 6 total doses)

Intervention Type BIOLOGICAL

Placebo

Placebo: dose every 2 weeks X 10 weeks (up to 6 total doses)

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Patient is male or female, 18 to 65 years old.
2. Patient with established diagnosis of Crohn's disease (CD) for at least 3 months confirmed by endoscopic and histological, or endoscopic and radiological criteria.
3. Patient with localization of CD either in terminal ileum (L1), in colon (L2) or ileocolitis (L3), all without upper gastrointestinal involvement (- L4) according to the Montreal classification (2005).
4. Patient with active, symptomatic CD manifested by CDAI ≥ 220 and ≤ 450 at Baseline.
5. Patient with active intestinal inflammation as visualized by endoscopy within 8 weeks prior to Baseline.
6. Patient is not using concomitant medication for treatment of underlying Crohn's disease with the following exceptions: concomitant medications may include: 1) Oral or rectal sulfasalazine, mesalazine (5-ASA), or mesalazine derivative, if receiving it for \>6 weeks and if receiving the same dose for at least 4 weeks; 2) Oral prednisone up to 15 mg/day, or budesonide if receiving it for \>4 weeks and if receiving the same dose for at least 4 weeks; and 3) Azathioprine (up to 2.5 mg/kg daily) or 6-mercaptopurine (up to 2 mg/kg daily) if receiving it for \>3 months and if receiving the same dose for at least 8 weeks prior to Baseline.
7. Hemoglobin of at least 10 g/dl, normal white blood cell and platelet count \> lower limit of normal at screening.
8. For females of childbearing potential, negative serum pregnancy test prior to enrollment, not breastfeeding for study duration, and willingness to use accepted forms of reliable birth control for study duration \[including bilateral tubal ligation, use of oral contraceptives, double barrier methods (diaphragm with spermicidal gel or condoms with contraceptive foam), Depo-Provera®, hormonal implants, and total abstinence\]. Pregnancy tests are not required (indicate "N/A") for males or females not of childbearing potential (post-menopausal with last menstrual period \>1 year ago or total hysterectomy).
9. Patient has the ability to provide informed consent.

Exclusion Criteria

1. Patient with known Crohn's lesions in the upper GI-tract (esophagus, stomach, duodenum, jejunum) with present symptoms.
2. Patient with ulcerative colitis, indeterminate colitis, or ulcerative proctitis.
3. Bowel surgery in past 6 months prior to Screening.
4. Resection of more than 50 cm of the ileum.
5. Current ileostomy or colostomy.
6. Ongoing or active septic complications, is hospitalized or exhibiting signs of toxicity (sepsis), has symptomatic strictures, or impending obstruction or anticipating a need for blood transfusion for gastrointestinal bleeding or in whom surgical intervention may be imminent.
7. Patient with gastrointestinal abscess or perforation.
8. Patient with fistulae having a new onset within 2 months of Screening with moderate to severe local inflammation.
9. Patient with history of colorectal cancer or colorectal dysplasia. Patients with completely resected sporadic adenomas may be enrolled.
10. Patient requiring parenteral or tube feeding.
11. Patient with current evidence of infectious colitis, e.g., Clostridium difficile, Amoebiasis, Giardia lamblia or stools positive for other enteric pathogens, ova or parasites at Screening.
12. Female patient who is pregnant or breastfeeding or wishing to become pregnant during study participation or unwilling to use birth control.
13. Patient with serum creatinine ≥ 2.0 mg/dL; blood urea nitrogen \>40 mg/dL; alkaline phosphatase \> 250 U/L; aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \> 100 U/L; or total bilirubin \>1.5 mg/dL.
14. Patient with hepatitis B virus, hepatitis C virus, liver cirrhosis or portal hypertension, or is known to be human immunodeficiency virus (HIV) positive.
15. Patient with primary sclerosing cholangitis.
16. Patient with malignancy within the past 5 years, with the exception of completely excised squamous or basal cell skin cancers, and cervical carcinoma in situ.
17. Patient received cyclosporine, an anti-TNFα or other immunomodulatory agents other than azathioprine/6-mercaptopurine within 12 weeks prior to Screening.
18. Patient is a primary non-responder an anti-TNFα.
19. Patient is refractory to azathioprine/6-mercaptopurine.
20. Patient received methotrexate within 6 weeks prior to Screening.
21. Patient received metronidazole within 2 weeks prior to Screening.
22. Patient received non-steroidal anti-inflammatory drugs (NSAIDS) within 2 weeks before Baseline visit for more than 3 consecutive days, except acetylsalicylic acid ≤ 350 mg/d which is allowed.
23. Patient received antibiotic, antifungal or antiparasitic medication in the last 2 weeks prior to Screening and/or would potentially require this during the study treatment period.
24. Patient with history of drug or alcohol abuse within 6 months prior to Screening.
25. Patient with evidence of poor compliance with medical advice and instruction including diet or medication.
26. Patient is unable or unwilling to swallow study medication suspension.
27. Patient with a significant medical condition which puts the patient at risk for study participation and/or for any reason is considered by the Investigator to be an unsuitable patient to receive CNDO-201 TSO or is potentially put at risk by study procedures.
28. Patient who has participated in another clinical trial within 30 days of Screening for this trial and/or any experimental treatment for this population.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Coronado Biosciences, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nova Silver

Role: STUDY_DIRECTOR

Coronado Biosciences

Locations

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Visions Clinical Research - Tucson

Tucson, Arizona, United States

Site Status

Lynn Institue of the Ozarks

Little Rock, Arkansas, United States

Site Status

Preferred Research Partners

Little Rock, Arkansas, United States

Site Status

Anaheim Clinical Trials

Anaheim, California, United States

Site Status

Rokay Kamyar, MD Inc

La Mesa, California, United States

Site Status

Medvin Clinical Research

La Mirada, California, United States

Site Status

Lakewood Primary Care Medical Group, Inc

Lakewood, California, United States

Site Status

Alliance Research

Long Beach, California, United States

Site Status

Collaborative Neuroscience Network, Inc.

Long Beach, California, United States

Site Status

Alliance Clinical Research, LLC

Oceanside, California, United States

Site Status

Digestive Care Associates

San Carlos, California, United States

Site Status

San Diego Clinical Trials

San Diego, California, United States

Site Status

Gastroenterology of the Rockies

Lafayette, Colorado, United States

Site Status

Clinical Research of West Florida

Clearwater, Florida, United States

Site Status

Sanitas Research

Coral Gables, Florida, United States

Site Status

Avail Clinical Research, LLC

DeLand, Florida, United States

Site Status

Florida Medical Research Institute

Gainesville, Florida, United States

Site Status

The Center for Gastrointestinal Disorders

Hollywood, Florida, United States

Site Status

Borland-Groover Clinic

Jacksonville, Florida, United States

Site Status

Gastroenterology Associates of Osceola

Kissimmee, Florida, United States

Site Status

Sunrise Medical Research

Lauderdale Lakes, Florida, United States

Site Status

Paramount Public Health & Research Management Services

Miami, Florida, United States

Site Status

Community Research Foundation, Inc

Miami, Florida, United States

Site Status

Gastroenterology Group of Naples

Naples, Florida, United States

Site Status

Clinical Research of West Florida, Inc.

Tampa, Florida, United States

Site Status

Shafran Gastroenterology Center

Winter Park, Florida, United States

Site Status

Atlanta Gastroenterology Specialists, PC

Suwanee, Georgia, United States

Site Status

Selah Medical Center

Boise, Idaho, United States

Site Status

Northwest Gastroenterologists

Arlington Heights, Illinois, United States

Site Status

Suburban Clinical Research

Bolingbrook, Illinois, United States

Site Status

Suburban Clinical Research

Burr Ridge, Illinois, United States

Site Status

The University of Chicago Hospital

Chicago, Illinois, United States

Site Status

Medisphere Medical Research Center, LLC

Evansville, Indiana, United States

Site Status

University of Iowa Hospitals and Clinics

Iowa City, Iowa, United States

Site Status

Cotton O'Neil Digestive Healthcare

Topeka, Kansas, United States

Site Status

University of Louisville

Louisville, Kentucky, United States

Site Status

Tufts Medical Center

Boston, Massachusetts, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

University of Michigan Health Services

Ann Arbor, Michigan, United States

Site Status

Clinical Research Institute of Michigan, LLC

Chesterfield, Michigan, United States

Site Status

Beyer Research

Kalamazoo, Michigan, United States

Site Status

Midwest Center for Clinical Research

Lee's Summit, Missouri, United States

Site Status

Center for Digestive and Liver Disease

Mexico, Missouri, United States

Site Status

Billings Clinic Research Center

Billings, Montana, United States

Site Status

Quality Clinical Research, Inc.

Omaha, Nebraska, United States

Site Status

Reno Clinical Trials

Sparks, Nevada, United States

Site Status

South Jersey Medical Associates, P.A.

Blackwood, New Jersey, United States

Site Status

Holy Name Medical Center

Teaneck, New Jersey, United States

Site Status

Albany Medical Center

Albany, New York, United States

Site Status

Digestive Health Physicians

Cheektowaga, New York, United States

Site Status

Long Island Clinical Research Associates, LLP

Great Neck, New York, United States

Site Status

Metropolitan Research Associates

New York, New York, United States

Site Status

University of North Carolina

Chapel Hill, North Carolina, United States

Site Status

Clinical Trials of America, Inc.

Winston-Salem, North Carolina, United States

Site Status

Consultants for Clinical Research, Inc

Cincinnati, Ohio, United States

Site Status

The Ohio State University-Inflammatory Bowel Disease Ctr

Columbus, Ohio, United States

Site Status

Great Lakes Gastroenterology

Mentor, Ohio, United States

Site Status

Gastroenterology United of Tulsa

Tulsa, Oklahoma, United States

Site Status

Northwest Gastroenterology Clinic, LLD

Portland, Oregon, United States

Site Status

James J. Boylan Gastroenterology and Liver Diseases

Bethlehem, Pennsylvania, United States

Site Status

Shirish A. Amin, MD, PC

Indiana, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Donald Guthrie Foundation for Education & Research

Sayre, Pennsylvania, United States

Site Status

Cherry Tree Medical

Uniontown, Pennsylvania, United States

Site Status

Omega Medical Research

Warwick, Rhode Island, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Austin Gastroenterology PA/Professional Quality Research, Inc

Austin, Texas, United States

Site Status

Lovelace Scientific Resources, Inc.

Austin, Texas, United States

Site Status

Diagnostic Clinic of Houston

Houston, Texas, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Gastroenterology Associates of Northern Virginia

Fairfax, Virginia, United States

Site Status

Virginia Commonwealth University Medical Center

Richmond, Virginia, United States

Site Status

Wenatchee Valley Medical Center

Wenatchee, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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CNDO 201-003

Identifier Type: -

Identifier Source: org_study_id

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