Trial Outcomes & Findings for Velusetrag for the Treatment of Chronic Intestinal Pseudo-Obstruction (CIPO). (NCT NCT05724069)

NCT ID: NCT05724069

Last Updated: 2025-08-03

Results Overview

Mean change in weekly global gastrointestinal symptoms average index score (WGGSAIS) from pretreatment (PRE) to the end of each treatment period (EOT). The weekly global gastrointestinal symptoms average index score is obtained by averaging the scores for each of the 4 symptoms, abdominal pain, bloating, nausea and vomiting, assessed using a subject's e-diary. Each symptom was rated using a recall period of 7 days and a Likert scale with the following categories: 0=none, 1=mild, 2=moderate, 3=severe, 4=very severe according to its influence on usual activity. The WGGSAIS thus ranges between 0 and 4 with lower scores representing better health.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

17 participants

Primary outcome timeframe

4 weeks. The change is derived as the end of treatment period minus the pre-treatment value of the period, for each period.

Results posted on

2025-08-03

Participant Flow

Participant milestones

Participant milestones
Measure
Sequence A
Eligible subjects will be treated for 4 periods with either velusetrag (2 periods) or placebo (2 periods), with a wash-out period of 2 weeks between treatment periods. The progression order of the treatment periods varies in each sequence. Velusetrag: Subjects will be randomly allocated in a blinded fashion to 1 out of the 4 treatment sequences (each sequence include 4 periods, 2 periods with velusetrag and 2 periods with placebo). There will be a wash-out period between each treatment period. Placebo: Subjects will be randomly allocated in a blinded fashion to 1 out of the 4 treatment sequences (each sequence include 4 periods, 2 periods with velusetrag and 2 periods with placebo). There will be a wash-out period between each treatment period.
Sequence B
Eligible subjects will be treated for 4 periods with either velusetrag (2 periods) or placebo (2 periods), with a wash-out period of 2 weeks between treatment periods. The progression order of the treatment periods varies in each sequence. Velusetrag: Subjects will be randomly allocated in a blinded fashion to 1 out of the 4 treatment sequences (each sequence include 4 periods, 2 periods with velusetrag and 2 periods with placebo). There will be a wash-out period between each treatment period. Placebo: Subjects will be randomly allocated in a blinded fashion to 1 out of the 4 treatment sequences (each sequence include 4 periods, 2 periods with velusetrag and 2 periods with placebo). There will be a wash-out period between each treatment period.
Sequence C
Eligible subjects will be treated for 4 periods with either velusetrag (2 periods) or placebo (2 periods), with a wash-out period of 2 weeks between treatment periods. The progression order of the treatment periods varies in each sequence. Velusetrag: Subjects will be randomly allocated in a blinded fashion to 1 out of the 4 treatment sequences (each sequence include 4 periods, 2 periods with velusetrag and 2 periods with placebo). There will be a wash-out period between each treatment period. Placebo: Subjects will be randomly allocated in a blinded fashion to 1 out of the 4 treatment sequences (each sequence include 4 periods, 2 periods with velusetrag and 2 periods with placebo). There will be a wash-out period between each treatment period.
Sequence D
Eligible subjects will be treated for 4 periods with either velusetrag (2 periods) or placebo (2 periods), with a wash-out period of 2 weeks between treatment periods. The progression order of the treatment periods varies in each sequence. Velusetrag: Subjects will be randomly allocated in a blinded fashion to 1 out of the 4 treatment sequences (each sequence include 4 periods, 2 periods with velusetrag and 2 periods with placebo). There will be a wash-out period between each treatment period. Placebo: Subjects will be randomly allocated in a blinded fashion to 1 out of the 4 treatment sequences (each sequence include 4 periods, 2 periods with velusetrag and 2 periods with placebo). There will be a wash-out period between each treatment period.
Overall Study
STARTED
5
4
4
4
Overall Study
COMPLETED
5
4
4
3
Overall Study
NOT COMPLETED
0
0
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Velusetrag for the Treatment of Chronic Intestinal Pseudo-Obstruction (CIPO).

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall
n=17 Participants
demographic characteristics are summarized descriptively overall
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
12 Participants
n=5 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
Age, Continuous
57.5 years
STANDARD_DEVIATION 10.47 • n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
Italy
11 participants
n=5 Participants
Region of Enrollment
Spain
6 participants
n=5 Participants

PRIMARY outcome

Timeframe: 4 weeks. The change is derived as the end of treatment period minus the pre-treatment value of the period, for each period.

Population: Modified Full Analysis Set 1 (mFAS1): the set of subjects responder/naïve to 5-HT4 agonist randomized and treated who reported data on the primary endpoint at least once during a velusetrag treatment period and at least once during a placebo treatment period. Arms were not mutually exclusive.

Mean change in weekly global gastrointestinal symptoms average index score (WGGSAIS) from pretreatment (PRE) to the end of each treatment period (EOT). The weekly global gastrointestinal symptoms average index score is obtained by averaging the scores for each of the 4 symptoms, abdominal pain, bloating, nausea and vomiting, assessed using a subject's e-diary. Each symptom was rated using a recall period of 7 days and a Likert scale with the following categories: 0=none, 1=mild, 2=moderate, 3=severe, 4=very severe according to its influence on usual activity. The WGGSAIS thus ranges between 0 and 4 with lower scores representing better health.

Outcome measures

Outcome measures
Measure
Modified Full Analysis Set 1 Velusetrag
n=15 Participants
The velusetrag arm includes all subjects who took velusetrag during the 4 periods/4 sequences crossover, multiple (n=1) trial.
Modified Full Analysis Set 1 Placebo
n=15 Participants
The Placebo arm includes all subjects who took placebo during the 4 periods/4 sequences cross-over, multiple (n=1) trial.
Mean Change in Weekly Global Gastrointestinal Symptoms Average Index Score (WGGSAIS).
-0.424 score
Standard Deviation 0.6926
-0.185 score
Standard Deviation 0.6876

Adverse Events

Velusetrag 15 mg Once a Day

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Placebo Once a Day

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Velusetrag 15 mg Once a Day
n=17 participants at risk
Placebo Once a Day
n=17 participants at risk
Vascular disorders
hypertension
5.9%
1/17 • Number of events 1 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
General disorders
Influenza like illness
11.8%
2/17 • Number of events 3 • 6 months
11.8%
2/17 • Number of events 2 • 6 months
General disorders
Pyrexia
5.9%
1/17 • Number of events 1 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
General disorders
Fatigue
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
General disorders
Injection site pruritus
5.9%
1/17 • Number of events 1 • 6 months
0.00%
0/17 • 6 months
Reproductive system and breast disorders
Pelvic pain
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
Respiratory, thoracic and mediastinal disorders
Catarrh
5.9%
1/17 • Number of events 1 • 6 months
0.00%
0/17 • 6 months
Respiratory, thoracic and mediastinal disorders
Oropharyngeal Pain
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
Psychiatric disorders
Anxiety
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
Injury, poisoning and procedural complications
Sunburn
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 2 • 6 months
Cardiac disorders
Palpitations
5.9%
1/17 • Number of events 2 • 6 months
0.00%
0/17 • 6 months
Cardiac disorders
Sinus Bradycardia
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 2 • 6 months
Nervous system disorders
Headache
17.6%
3/17 • Number of events 4 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
Blood and lymphatic system disorders
Anemia Vitamin B12 deficiency
5.9%
1/17 • Number of events 1 • 6 months
0.00%
0/17 • 6 months
Ear and labyrinth disorders
Ear pain
5.9%
1/17 • Number of events 1 • 6 months
0.00%
0/17 • 6 months
Eye disorders
Eye irritation
5.9%
1/17 • Number of events 1 • 6 months
0.00%
0/17 • 6 months
Eye disorders
Eye pruritus
5.9%
1/17 • Number of events 2 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
Eye disorders
Eye swelling
5.9%
1/17 • Number of events 2 • 6 months
5.9%
1/17 • Number of events 5 • 6 months
Eye disorders
Ocular hyperaemia
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 4 • 6 months
Gastrointestinal disorders
Constipation
5.9%
1/17 • Number of events 1 • 6 months
5.9%
1/17 • Number of events 2 • 6 months
Gastrointestinal disorders
Diarrhoea
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
Gastrointestinal disorders
Intestinal Pseudo-obstruction
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
Gastrointestinal disorders
Toothache
5.9%
1/17 • Number of events 1 • 6 months
0.00%
0/17 • 6 months
Skin and subcutaneous tissue disorders
skin depigmentation
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
Skin and subcutaneous tissue disorders
Urticaria
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
Renal and urinary disorders
Dysuria
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
Renal and urinary disorders
Urinary incontinence
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
Renal and urinary disorders
Urinary Retention
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
Musculoskeletal and connective tissue disorders
Pain in extremity
5.9%
1/17 • Number of events 1 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
Musculoskeletal and connective tissue disorders
Athralgia
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
Musculoskeletal and connective tissue disorders
Back pain
5.9%
1/17 • Number of events 1 • 6 months
0.00%
0/17 • 6 months
Musculoskeletal and connective tissue disorders
bone pain
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
Musculoskeletal and connective tissue disorders
Muscle contracturer
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
Musculoskeletal and connective tissue disorders
Myalgia
5.9%
1/17 • Number of events 1 • 6 months
5.9%
1/17 • Number of events 1 • 6 months
Infections and infestations
Urinary Tract Infection
11.8%
2/17 • Number of events 2 • 6 months
0.00%
0/17 • 6 months
Infections and infestations
COVID-19
5.9%
1/17 • Number of events 1 • 6 months
0.00%
0/17 • 6 months
Infections and infestations
Cystitis
5.9%
1/17 • Number of events 1 • 6 months
0.00%
0/17 • 6 months
Infections and infestations
Influenza
0.00%
0/17 • 6 months
5.9%
1/17 • Number of events 1 • 6 months

Additional Information

Sara Manzoni

Alfasigma

Phone: 3473778218

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60