SER-109 Versus Placebo to Prevent Recurrent Clostridium Difficile Infection (RCDI)

NCT ID: NCT02437487

Last Updated: 2018-07-26

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

89 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-31

Study Completion Date

2016-10-31

Brief Summary

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The study will involve administering the study drug as a single dose of study drug or placebo. This study is designed to demonstrate the superiority of the experimental drug versus placebo in adult patients with recurrent CDI.

Detailed Description

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ECOSPOR is a Phase 2, multicenter, randomized, double blind, placebo controlled clinical study with 2 treatment arms (SER-109 or placebo). Patients who have diarrhea and a positive C. difficile test result on a stool sample, and who have responded to standard of care antibiotic treatment will receive study drug on Day 1.

Those patients who experience a recurrence of CDI up to 8 weeks after SER 109 or placebo treatment will be offered an opportunity to enroll in an open label SER 109 extension study (Study SERES 005).

Conditions

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Clostridium Difficile

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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SER-109

SER 109 (1 × 108 SporQs)

Group Type EXPERIMENTAL

SER-109

Intervention Type DRUG

SER 109 is a rationally designed ecology of bacterial spores enriched from stool donations obtained from healthy, screened donors.

Placebo

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo will be identical to the investigator product but will not contain product spores or non-spore solids. Placebo will consist of 92% glycerol and 8% normal saline.

Interventions

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SER-109

SER 109 is a rationally designed ecology of bacterial spores enriched from stool donations obtained from healthy, screened donors.

Intervention Type DRUG

Placebo

Placebo will be identical to the investigator product but will not contain product spores or non-spore solids. Placebo will consist of 92% glycerol and 8% normal saline.

Intervention Type DRUG

Other Intervention Names

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Purified Eubacterial Spores, Encapsulated

Eligibility Criteria

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Inclusion Criteria

1. Signed informed consent, indicating that the patient understands the purpose of and procedures required for the study. Patients who are unable to provide informed consent will not be included in the study.
2. Male or female patients ≥ 18 years.
3. ≥ 3 episodes of CDI within the previous 9 months, inclusive of the current episode with documentation of ≥ 2 episodes.

Exclusion Criteria

1. Female patients who are pregnant, breastfeeding, lactating, or planning to become pregnant during the study.
2. Known or suspected toxic megacolon and/or known small bowel ileus.
3. Active irritable bowel syndrome with diarrhea within the previous 12 months.
4. Major gastrointestinal surgery (eg, significant bowel resection or diversion) within 3 months before enrollment (this does not include appendectomy or cholecystectomy) or any history of total colectomy or bariatric surgery.
5. History of inflammatory bowel disease (ulcerative colitis, Crohn's disease, microscopic colitis) with diarrhea believed to be caused by active inflammatory bowel disease in the past 24 months.
6. Admitted to or expected to be admitted to an acute care facility or intensive care unit for medical reasons (not just boarding). Patients discharged from an acute care facility before Day 1 or residing in nursing homes or rehabilitation facilities may be enrolled.
7. Concurrent intensive induction chemotherapy, radiotherapy, or biologic treatment for active malignancy (patients on maintenance chemotherapy may only be enrolled after consultation with medical monitor).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Syneos Health

OTHER

Sponsor Role collaborator

Seres Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michele Trucksis, Phd, MD

Role: STUDY_DIRECTOR

Seres Therapeutics

Locations

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North County Gastroenterology

Oceanside, California, United States

Site Status

University Of California Davis

Sacramento, California, United States

Site Status

Ventura Clinical Trials

Ventura, California, United States

Site Status

ZASA Clinical Research

Atlantis, Florida, United States

Site Status

Omega Research Consultants LLC

DeBary, Florida, United States

Site Status

Borland-Groover Clinic

Jacksonville, Florida, United States

Site Status

Gastroenterology Group of Naples

Naples, Florida, United States

Site Status

Advanced Medical Research Center

Port Orange, Florida, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

Idaho Falls Infection Diseases

Idaho Falls, Idaho, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

Anne Arundel Health System Research Institute

Annapolis, Maryland, United States

Site Status

Johns Hopkins Bayview Medical

Baltimore, Maryland, United States

Site Status

Metropolitan Gastroenterolgy Group Pc

Chevy Chase, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Beth Israel Deaconess Med Cntr

Boston, Massachusetts, United States

Site Status

William Beaumont Hospital

Royal Oak, Michigan, United States

Site Status

Mayo Clinic

Chatfield, Minnesota, United States

Site Status

Sundance Clinical Research

St Louis, Missouri, United States

Site Status

Mercury Street Medical Group

Butte, Montana, United States

Site Status

Englewood Hospital and Medical Center

Englewood Cliffs, New Jersey, United States

Site Status

Mount Sinai Hospital

New York, New York, United States

Site Status

University of Rochester Medical Center

Rochester, New York, United States

Site Status

University of Cincinnati College of Medicine

Cincinnati, Ohio, United States

Site Status

Remington-Davis, Inc.

Columbus, Ohio, United States

Site Status

Regional Infectious Diseases-Infusion Center Inc

Lima, Ohio, United States

Site Status

Drexel University/Hahnemann University Hospital

Philadelphia, Pennsylvania, United States

Site Status

Brown Alpert Medical School

Providence, Rhode Island, United States

Site Status

University of Texas School of Public Health

Houston, Texas, United States

Site Status

Medical Associates of Central Virginia

Lynchburg, Virginia, United States

Site Status

Countries

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United States

References

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McGovern BH, Ford CB, Henn MR, Pardi DS, Khanna S, Hohmann EL, O'Brien EJ, Desjardins CA, Bernardo P, Wortman JR, Lombardo MJ, Litcofsky KD, Winkler JA, McChalicher CWJ, Li SS, Tomlinson AD, Nandakumar M, Cook DN, Pomerantz RJ, Aunins JG, Trucksis M. SER-109, an Investigational Microbiome Drug to Reduce Recurrence After Clostridioides difficile Infection: Lessons Learned From a Phase 2 Trial. Clin Infect Dis. 2021 Jun 15;72(12):2132-2140. doi: 10.1093/cid/ciaa387.

Reference Type DERIVED
PMID: 32255488 (View on PubMed)

Other Identifiers

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SERES-004

Identifier Type: -

Identifier Source: org_study_id

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