A Pharmacokinetic, Safety, and Pharmacodynamic Study of Teduglutide in Pediatric Subjects With Short Bowel Syndrome

NCT ID: NCT01952080

Last Updated: 2021-06-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-11-14

Study Completion Date

2015-01-09

Brief Summary

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This will be an open label, 4-cohort study. Non-randomized subjects will receive teduglutide in each of the 3 active cohorts. An attempt will be made to enroll additional subjects into an observational cohort who will receive standard of care. Three doses of teduglutide are to be investigated for 12 weeks. All subjects will be screened prior to the start of treatment (SOT) to establish baseline characteristics including safety, eligibility and nutritional support parameters.

Detailed Description

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Conditions

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Short Bowel Syndrome

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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teduglutide

Open label teduglutide, subcutaneously injected.

Group Type EXPERIMENTAL

teduglutide

Intervention Type DRUG

Open label intervention. Each subject will be assigned to receive 0.0125, 0.025, or 0.05 mg/kg/day for the duration of the study

Standard of Care

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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teduglutide

Open label intervention. Each subject will be assigned to receive 0.0125, 0.025, or 0.05 mg/kg/day for the duration of the study

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Current history of SBS as a result of major intestinal resection, (eg, due to necrotizing enterocolitis, midgut volvulus, intestinal atresia, or gastroschisis) for at least 12 months prior to screening
* Short bowel syndrome that requires parenteral nutrition/intravenous (PN/IV) support
* Stable PN/IV support for at least 3 months prior to enrollment based upon the opinion of the investigator

Exclusion Criteria

* Serial transverse enteroplasty or any other bowel lengthening procedure performed within the past 3 months
* Unstable absorption due to cystic fibrosis, untreated Hirschsprung's disease or known DNA abnormalities (ie, Familial Adenomatous Polyposis, Fanconi syndrome)
* Evidence of obstruction on upper gastrointestinal (GI) series done within 6 months prior to screening
* Major gastrointestinal surgical intervention within 3 months prior to screening (insertion of feeding tube or endoscopic procedure is allowed)
Minimum Eligible Age

1 Year

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shire

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Takeda

Locations

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Children“s Hospital of Alabama

Birmingham, Alabama, United States

Site Status

Arkansas Children's Hospital

Little Rock, Arkansas, United States

Site Status

Children's Hospital Los Angeles

Los Angeles, California, United States

Site Status

Mattel Children's Hospital UCLA, Department of Pediatric Gastroenterology

Los Angeles, California, United States

Site Status

Arnold Palmer Hospital for Children

Orlando, Florida, United States

Site Status

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, United States

Site Status

Riley Hospital for Children at IU Health

Indianapolis, Indiana, United States

Site Status

Boston Children's Hospital

Boston, Massachusetts, United States

Site Status

Mott Children's Hospital, University of Michigan

Ann Arbor, Michigan, United States

Site Status

Childrens Mercy Hospitals & Clinics Pediatric Gastroenterology

Kansas City, Missouri, United States

Site Status

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States

Site Status

University of Tennessee Health Science Center Le Bonheur Pediatric Specialists

Memphis, Tennessee, United States

Site Status

Monroe Carell, Jr. Children's Hospital at Vanderbilt

Nashville, Tennessee, United States

Site Status

Texas Children's Hospital, Baylor College of Medicine

Houston, Texas, United States

Site Status

Seattle Childrens Hospital Gastroenterology and Hepatology

Seattle, Washington, United States

Site Status

University of Wisconsin School of Medicine and Public Health Surgery

Madison, Wisconsin, United States

Site Status

Great Ormond Street Hospital for Children

London, , United Kingdom

Site Status

Countries

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United States United Kingdom

References

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Fifi A, Raphael BP, Terreri B, Uddin S, Kaufman SS. Effects of Teduglutide on Diarrhea in Pediatric Patients with Short Bowel Syndrome-Associated Intestinal Failure. J Pediatr Gastroenterol Nutr. 2023 Nov 1;77(5):666-671. doi: 10.1097/MPG.0000000000003922. Epub 2023 Aug 22.

Reference Type DERIVED
PMID: 37889619 (View on PubMed)

Carter BA, Cohran VC, Cole CR, Corkins MR, Dimmitt RA, Duggan C, Hill S, Horslen S, Lim JD, Mercer DF, Merritt RJ, Nichol PF, Sigurdsson L, Teitelbaum DH, Thompson J, Vanderpool C, Vaughan JF, Li B, Youssef NN, Venick RS, Kocoshis SA. Outcomes from a 12-Week, Open-Label, Multicenter Clinical Trial of Teduglutide in Pediatric Short Bowel Syndrome. J Pediatr. 2017 Feb;181:102-111.e5. doi: 10.1016/j.jpeds.2016.10.027. Epub 2016 Nov 15.

Reference Type DERIVED
PMID: 27855998 (View on PubMed)

Other Identifiers

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TED-C13-003

Identifier Type: -

Identifier Source: org_study_id

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