A Trial of CP101 for the Prevention of Recurrent CDI (PRISM4)

NCT ID: NCT05153499

Last Updated: 2023-11-13

Study Results

Results available

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

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-15

Study Completion Date

2023-02-24

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This is a Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial of the Efficacy, Safety, and Tolerability of a Single Oral Administration of CP101 for the Prevention of Recurrent Clostridioides difficile Infection (PRISM4). This Phase 3 trial will be conducted in 2 parts: a randomized, double-blind, placebo-controlled trial arm and an optional open-label treatment arm. After completing standard-of-care (SOC) CDI antibiotics for their most recent CDI recurrence, patients who meet all eligibility requirements will be randomized in a 2:1 ratio to receive either CP101 or placebo. Patients will be evaluated for CDI recurrence and safety follow-up through Week 8, the primary endpoint, as well as through Week 24. Patients who qualify may enroll into the optional open label arm if they experience CDI recurrence through week 8.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Recurrent C. Difficile Infection

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

CP101

Group Type ACTIVE_COMPARATOR

CP101

Intervention Type BIOLOGICAL

CP101 is an investigational microbiome therapeutic designed to deliver a complete and functional microbiome to durably repair intestinal dysbiosis, which is being evaluated for the prevention of recurrent Clostridioides difficile infection (CDI).

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

CP101

CP101 is an investigational microbiome therapeutic designed to deliver a complete and functional microbiome to durably repair intestinal dysbiosis, which is being evaluated for the prevention of recurrent Clostridioides difficile infection (CDI).

Intervention Type BIOLOGICAL

Placebo

Placebo

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Ability to provide written informed consent
* Men or women over 18 years of age or older
* Current diagnosis of a recurrence of non-severe, non-complicated CDI
* Subject has a clinical response to standard-of-care CDI antibiotics for the most recent CDI episode
* History of recurrent CDI defined as:

* ≥ 3 episodes of CDI, with 2 episodes occurring within the previous 6 months (inclusive of the current episode); OR
* Patients with a history of 2 episodes of CDI occurring within the previous 6 months (inclusive of the current episode) may be eligible if 65 years of age or older.
* For the Qualifying CDI episode, the following criteria must be satisfied:

* History of diarrhea (\> 3 unformed stools per day) for 2 or more consecutive days that is clinically consistent with CDI. AND
* Documented positive stool test by local laboratory for toxigenic C. difficile (toxin enzyme immunoassay \[EIA\] or polymerase chain reaction \[PCR\]-based testing) for the current CDI episode and within 45 days prior to Randomization. AND
* Received a course of SOC CDI antibiotics for the most recent CDI episode (for 10 to 21 days, with exact duration, antibiotic type, and dose at the discretion of the Investigator). AND
* Demonstrated an adequate clinical response, defined as ≤ 3 unformed stools in 24 hours for 2 or more consecutive days during SOC CDI antibiotics prior to Randomization.

Exclusion Criteria

* Known stool sample testing positive for enteric pathogen(s) (e.g., Salmonella, Shigella, diarrhoeagenic E. coli, Campylobacter, Giardia) within 28 days prior to Screening
* Pregnant, breast-feeding, or planning to become pregnant during the trial
* Historical or current diagnosis of inflammatory bowel disease
* Recent diagnosis (\<6 months prior to screening) of diarrhea-predominant irritable bowel syndrome (post-infection or non-related to an enteric infection)
* Initiation of any systemic cancer treatment (e.g., chemotherapy, radiotherapy, biologic, immunotherapy, others) for active malignancy
* Major intra-abdominal surgery (e.g., bowel resection)
* Known primary or secondary immunodeficiency
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Finch Research and Development LLC.

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Mayo Clinic

Phoenix, Arizona, United States

Site Status

Facey Medical Foundation

Mission Hills, California, United States

Site Status

Kaiser Permanente Division of Research

Oakland, California, United States

Site Status

UCSF

San Francisco, California, United States

Site Status

Stanford Healthcare

Stanford, California, United States

Site Status

University of Colorado School of Medicine

Aurora, Colorado, United States

Site Status

Bridgeport Hospital

Bridgeport, Connecticut, United States

Site Status

Medical Research Center of Connecticut LLC

Hamden, Connecticut, United States

Site Status

Hartford Hospital

Hartford, Connecticut, United States

Site Status

Christiana Care Health System

Newark, Delaware, United States

Site Status

George Washington University School of Medicine and Health

Washington D.C., District of Columbia, United States

Site Status

University of Florida Health

Gainesville, Florida, United States

Site Status

Mayo Clinic Jacksonville

Jacksonville, Florida, United States

Site Status

ENCORE Borland-Groover Clinical Research

Jacksonville, Florida, United States

Site Status

San Marcus Research Clinic Inc

Miami, Florida, United States

Site Status

Sylvester Comprehensive Cancer Center

Miami, Florida, United States

Site Status

Reliant Medical Research

Miami, Florida, United States

Site Status

Gastroenterology Group of Naples

Naples, Florida, United States

Site Status

Theia Clinical Research, LLC

St. Petersburg, Florida, United States

Site Status

Guardian Angel Research

Tampa, Florida, United States

Site Status

St Joseph's Comprehensive Research Institute

Tampa, Florida, United States

Site Status

Emory University Hospital Midtown

Atlanta, Georgia, United States

Site Status

Snake River Research, PLLC

Idaho Falls, Idaho, United States

Site Status

Metro Infectious Disease Consultants

Burr Ridge, Illinois, United States

Site Status

NorthShore University HealthSystem

Evanston, Illinois, United States

Site Status

Loyola University Medical Center

Maywood, Illinois, United States

Site Status

Iowa Clinic

Des Moines, Iowa, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

Chevy Chase Clinical Research

Chevy Chase, Maryland, United States

Site Status

Brigham and Womens Hospital

Boston, Massachusetts, United States

Site Status

William Beaumont Hospital

Farmington Hills, Michigan, United States

Site Status

Henry Ford Health System

Novi, Michigan, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

MedPharmics LLC

Gulfport, Mississippi, United States

Site Status

St. Charles Clinical Research, LLC

Weldon Spring, Missouri, United States

Site Status

Mercury Street Medical Group

Butte, Montana, United States

Site Status

North Shore University Hospital-(Manhasset)

Manhasset, New York, United States

Site Status

NYU Langone Medical Center

New York, New York, United States

Site Status

Mount Sinai Hospital

New York, New York, United States

Site Status

Weill Cornell Medicine

New York, New York, United States

Site Status

Digiovanna Institute For Medical Education and Research

North Massapequa, New York, United States

Site Status

Central New York Research Corporation

Syracuse, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Brody School of Medicine at ECU

Greenville, North Carolina, United States

Site Status

Pinehurst Medical Clinic Inc

Pinehurst, North Carolina, United States

Site Status

Wake Forest Baptist Medical Center

Winston-Salem, North Carolina, United States

Site Status

Gastro Health LLC

Cincinnati, Ohio, United States

Site Status

TruCare Internal Medicine & Infectious Diseases

DuBois, Pennsylvania, United States

Site Status

Regional GI

Lancaster, Pennsylvania, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Guthrie Clinic

Sayre, Pennsylvania, United States

Site Status

Women's Medicine Collaborative

Providence, Rhode Island, United States

Site Status

Lowcountry Infectious Diseases PA

Charleston, South Carolina, United States

Site Status

Main Street Physicians Care

Loris, South Carolina, United States

Site Status

Digestive Health Associates of Texas, PA

Carrollton, Texas, United States

Site Status

Kelsey Seybold Clinic

Houston, Texas, United States

Site Status

1960 Family Practice P.A.

Houston, Texas, United States

Site Status

Southern Star Research Institute LLC

San Antonio, Texas, United States

Site Status

University of Utah

Salt Lake City, Utah, United States

Site Status

Infectious Diseases Associates of Central Virginia

Lynchburg, Virginia, United States

Site Status

University of Calgary - Calgary Health Region

Calgary, Alberta, Canada

Site Status

CARe Clinic

Red Deer, Alberta, Canada

Site Status

Yazdan Medical Corporation

Vancouver, British Columbia, Canada

Site Status

Vancouver Island Health Authority

Victoria, British Columbia, Canada

Site Status

Dalhousie University

Halifax, Nova Scotia, Canada

Site Status

Saint Joseph's Health Care London

London, Ontario, Canada

Site Status

University Health Network

Toronto, Ontario, Canada

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Canada

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Study Protocol

View Document

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

FIN-CDI-301

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.