Safety and Efficacy of Oral Administration of Anti-CD3 Monoclonal Antibody (mAb)in Patients With the Metabolic Syndrome
Safety and Efficacy of Oral Administration of Anti-CD3 Monoclonal Antibody in Patients With the Metabolic Syndrome PHASE IIa A Single-blinded Placebo-controlled Clinical Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Jerusalem, Israel
- Hadassah University Hospital, Liver Unit
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subjects who have completed the informed consent process culminating with written informed consent by the subject.
- Men and women age 18 to 75 years (inclusive)
- Patients with biopsy proven NASH within the last 3 years
- Altered glucose metabolism, including diabetes (non treated, or treated with up to 2 drugs (not including insulin) without any change in medication for at least 2 months prior to enrollment), impaired fasting glucose or impaired glucose tolerance.
- HBA1C between 5.5 and 14%.
Exclusion Criteria:
- Subjects who have undergone surgery within the last 3 months.
- Subjects who have had a prior gastrointestinal surgery.
- Subjects with a clinically significant infectious, immune mediated or malignant disease
- Subjects who are receiving an elemental diet or parenteral nutrition.
- Subjects who have been treated with any type of immune modulatory drug including steroids or NSAID within the last 4 weeks
- Subjects who have received either methotrexate or cyclosporine or anti TNF-β (infliximab, Remicade), anti-integrin (namixilab) or who have participated in any other clinical trial within the last 3 months.
- Subjects with a history of coagulopathy.
- Women with childbearing potential unless surgically sterile or using adequate contraception (either IUD, oral or Depo-provera contraceptive, or barrier plus spermicide); pregnant or breastfeeding mothers.
- Subjects, who will be unavailable for the duration of the trial, are unlikely to be compliant with the protocol, or who are felt to be unsuitable by the investigator for any other reason.
- Subjects who are HIV-positive.
- Subjects who are HBV-positive
- Subjects who are HCV-positive.
- Subjects with active CMV
- Subjects with anemia (Hb <10.5 gm/dl).
- Subjects with thrombocytopenia (platelets <100K/µl).
- Subjects with lymphopenia (absolute lymphocyte count <0.7).
- Subjects with IgG anti-cardiolipin antibody >16 IU.
- Prior exposure to anti-CD3 MAb.
- Known sensitivity to any ingredients in the study drug
- Any know autoimmune disease except for the studied disorders.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
PLACEBO_COMPARATOR: Placebo
|
Oral anti-CD3 MAb will be administered at a dosage level of 0.2 or 1.0 or 5.0 mg per day for 30 days.
Up of 9 patients will be treated at each dosage level, and up to additional 9 patients will receive placebo.
Other Names:
|
|
ACTIVE_COMPARATOR: OKT3 - 0.2
|
Oral anti-CD3 MAb will be administered at a dosage level of 0.2 or 1.0 or 5.0 mg per day for 30 days.
Up of 9 patients will be treated at each dosage level, and up to additional 9 patients will receive placebo.
Other Names:
|
|
ACTIVE_COMPARATOR: OKT3 - 1
|
Oral anti-CD3 MAb will be administered at a dosage level of 0.2 or 1.0 or 5.0 mg per day for 30 days.
Up of 9 patients will be treated at each dosage level, and up to additional 9 patients will receive placebo.
Other Names:
|
|
ACTIVE_COMPARATOR: OKT3 - 5
|
Oral anti-CD3 MAb will be administered at a dosage level of 0.2 or 1.0 or 5.0 mg per day for 30 days.
Up of 9 patients will be treated at each dosage level, and up to additional 9 patients will receive placebo.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
This clinical study is designed to evaluate the safety and the immune-modulatory effects of oral administration of the study drug anti-CD3 MAb to subjects with the metabolic syndrome.
Time Frame: 60 days
|
60 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
This clinical study also will include evaluations for markers of efficacy, as described below.
Time Frame: 60 days
|
60 days
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Glucose Metabolism Disorders
- Metabolic Diseases
- Liver Diseases
- Insulin Resistance
- Hyperinsulinism
- Fatty Liver
- Metabolic Syndrome
- Non-alcoholic Fatty Liver Disease
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Gastrointestinal Agents
- Anti-Ulcer Agents
- Proton Pump Inhibitors
- Omeprazole
Other Study ID Numbers
Other Study ID Numbers
- OKT3-NASH-HMO-CTIL
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