CLF065 for Chronic Pouchitis

NCT ID: NCT07226050

Last Updated: 2025-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-11-30

Study Completion Date

2027-06-30

Brief Summary

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This clinical trial is to evaluate investigational compound CLF065 as a treatment for adult patients with chronic pouchitis. The goals are to establish the safety, feasibility and efficacy of weekly dosing of long acting CLF065 versus placebo.

Detailed Description

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CLF065 is a long acting Glucagon-like peptide-2 (GLP-2). Participants will receive CLF065 or a placebo as a subcutaneous injection (just under the skin) once a week for the first 13 weeks of a 24-week total study period. Some weeks the subcutaneous injection will be given at the study site and some weeks it will be self-administered. Participants will be asked to complete a daily bowel diary card in addition to questionnaires about living with chronic pouchitis.

Conditions

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Pouchitis

Keywords

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chronic pouchitis

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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CLF065

CLF065 subcutaneous weekly

Group Type EXPERIMENTAL

CLF065

Intervention Type DRUG

will receive investigational product every week for 13 weeks as a sub-cutaneous injection

Placebo

Matching placebo subcutaneous weekly

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

CLF065 matching placebo

Interventions

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CLF065

will receive investigational product every week for 13 weeks as a sub-cutaneous injection

Intervention Type DRUG

Placebo

CLF065 matching placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Adult subjects aged 18-80 years, inclusive.
2. In the opinion of the investigator, the subject is capable of understanding and complying with protocol requirements.
3. The subject or, when applicable, the subject's legally acceptable representative signs and dates a written, informed consent form and any required privacy authorization prior to the initiation of any study procedures.
4. Diagnosis of pouchitis that is recurrent, defined by mPDAI score of \> 5 assessed as the average from 3 days immediately prior to Baseline endoscopy, and a minimum endoscopic subscore of 2 (outside the staple or suture line) with either:

\> 3 episodes of pouchitis within 1 year of Screening visit, each treated with antibiotic or other prescription therapy for at least 2 weeks OR Requiring maintenance antibiotic therapy taken continuously for \>4 weeks immediately prior to the Baseline endoscopic visit
5. The patient has a history of proctocolectomy and construction of an IPAA for ulcerative colitis at least one year before the Screening Visit.
6. The patient agrees to stop antibiotic therapy on Day 1 of the study.
7. Patient agrees to taper any corticosteroid or budesonide starting by Week 4 of the study per guidelines below.
8. A male subject who is nonsterilized and sexually activity with a female partner of childbearing potential agrees to use a barrier method of contraception (e.g., condom with spermicide) from signing informed consent throughout the duration of the study.
9. Women of childbearing potential must not have a positive serum pregnancy test at the Screening Visit and must have a negative urine pregnancy test at the baseline visit prior to study drug dosing. Note: subjects with borderline serum pregnancy test at Screening must have an absence of clinical suspicion of pregnancy or other pathological cause of a borderline result and a serum pregnancy test ≥ 3 days later to document continued lack of a positive result.
10. If female, the patient must be either postmenopausal, OR permanently surgically sterile or for women of childbearing potential practicing at least one protocol specified method of birth control, that is effective from baseline visit through at least 30 days after the last dose of study drug.
11. Patient is judged to be in good health as determined by the principal investigator based upon the results of medical history, laboratory profile, physical examination

Exclusion Criteria

1. Inability to give informed consent.
2. The patient has received any investigational product or approved biologic or biosimilar agent within 60 days of 5 half-lives of randomization (whichever is longer)
3. No prior exposure to CLF065
4. Chronic pouchitis specific:

1. The patient has received 6-MP, Azathioprine or methotrexate within 4 weeks of the Screening Visit
2. Crohn's disease with disease proximal to the pouch inlet
3. Irritable pouch syndrome
4. Predominate or isolated cuffitis
5. Mechanical complications of the pouch
6. Diverting stoma
7. Planned surgical intervention of the pouch
5. History of malignancy including melanoma (with the exception of localized skin cancers, carcinoma in situ of the cervix and localized prostate cancer) within 2 years of study enrollment
6. Pregnant or breast feeding.
7. Lack of effective contraception in women of childbearing potential.
8. Ongoing treatment with NSAID (nonsteroidal anti-inflammatory drug).
9. Anastomotic or anal canal stricture which precludes endoscopic evaluation.
10. The patient has evidence of pelvic sepsis and pelvic penetrating fistulizing disease on clinical exam.
11. Known diagnosis of primary sclerosing cholangitis.
12. Fecal transplantation within 12 weeks prior to study enrollment.
13. History of clinically significant medical conditions or any other reason that in the opinion of the investigator would interfere with the subject's participation in this study or would make the subject an unsuitable candidate to receive study drug or would put the subject at risk by participating in the study.
14. The patient has any of the following laboratory abnormalities during the Screening Period:

1. Hemoglobin level \<8 g/dL
2. White blood cell (WBC) count \<3 x 109/L
3. Platelet count \<100 x 109/L or \>1200 x 109/L
4. Serum creatinine \>2 x ULN
5. Alanine aminotransferase (ALT) or aspartate aminiotransferase (AST) \>3x ULN
6. Alkaline phosphatase \>3 x ULN
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Calibr, a division of Scripps Research

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Central Contacts

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Amy Camblos

Role: CONTACT

Phone: 540 421 7096

Email: [email protected]

Amy Lightner, M.D

Role: CONTACT

Email: [email protected]

Other Identifiers

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CBR-CLF065-4001

Identifier Type: -

Identifier Source: org_study_id