VITORA: Clinical Study to Evaluate the Effect of KB109 on the Gut Microbiome in Subjects Whose Gastrointestinal Tracts Are Colonized With Multiple Drug-resistant Organisms (VITORA)
A Randomized, Open-Label, Prospective, Parallel Group, 2-Part Clinical Food Study to Assess the Safety, Tolerability, and Effect of KB109 on the Gut Microbiome in Subjects Whose Gastrointesinal Tracts Are Colonized With Multiple Drug-resistant Organisms
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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California
-
Torrance, California, United States, 90509
- Harbor UCLA Medical Center
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Georgia
-
Atlanta, Georgia, United States, 30322
- Emory University
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Augusta, Georgia, United States, 301912
- Augusta Universtiy
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Michigan
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Southfield, Michigan, United States, 48075
- Newland Immunology Center of Excellence; Providence Hospital
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New York
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Stony Brook, New York, United States, 11794
- Stony Brook University
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North Carolina
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Charlotte, North Carolina, United States, 28207
- Atrium Health's Carolinas Medical Center
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15213
- University of Pittsburgh Medical Center
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Texas
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Houston, Texas, United States, 77030
- The University of Texas Health Science Center at Houston
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Be male or female, ≥18 years of age
- Positive stool culture for at least one of these three organisms: VRE, ESBLE or CRE
- Be willing and able to give informed consent
- If taking probiotic or prebiotic dietary supplements, usage must be consistent within 7 days prior to the run-in phase and willing to remain consistent throughout the study
- If subject is female: subject is surgically sterile or post-menopausal (12 months with no menses without an alternate medical cause); or if subject is a female of childbearing potential, must have a negative urine pregnancy test at Screening, must not be lactating, and must agree to abstain from sexual activity or agree to use one highly effective method of contraception for the duration of the study
Exclusion Criteria:
- Planned escalation of immunosuppression
- Neutropenia (≤500 absolute neutrophil count per μL)
- Allogenic stem cell transplant recipients with ongoing gastrointestinal disease
- Rapidly progressive or terminal illness
- Hemodynamic instability, or any other significant systemic, unstable or untreated disease
- Currently receiving or anticipated to require systemic (oral or IV anti-infective) or gut-directed antibacterial therapy
- Recent history of the following conditions requiring medical attention: known or suspected gastrointestinal (GI) infection (e.g., viral or bacterial gastroenteritis) or inflammatory bowel disease
- Major intra-abdominal surgery related to the bowel within the 3 months prior to Run-In
- Receiving total parenteral nutrition
- Contraindications, sensitivity, or known allergy to the use of the study product or its components
- Individuals who, in the opinion of the Investigator, are considered to be poor attendees or unlikely for any reason to be able to comply with the study procedures (e.g., planned procedures)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: Observational Control
The observational control arm is an observational control group.
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No intervention
|
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Other: KB109
KB109 is a novel glycan.
|
KB109 is a novel glycan
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of product-related treatment-emergent adverse events (TEAEs)
Time Frame: Day -7 through Day 42
|
Day -7 through Day 42
|
|
|
Incidence of serious adverse events (SAEs)
Time Frame: Day -7 through Day 42
|
Day -7 through Day 42
|
|
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Change in Bristol Stool Scale (BSS) through the collection of daily patient questionnaires.
Time Frame: Day -7 through Day 42]
|
Evaluate the effect of KB109 on self-report questionnaires including the Bristol Stool Scale, an assessment of stool consistency on a scale from 1 (separate hard lumps, like nuts, hard to pass) through 7 (watery, no solid pieces, entirely liquid)
|
Day -7 through Day 42]
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
1. Proportion of subjects with a reduction from baseline on Day 28 in the relative abundance of taxa of interest (Enterobacteriaceae, Enterococcus, and C. difficile, individually) as measured by metagenomic sequencing.
Time Frame: Day -1 to Day 28
|
Day -1 to Day 28
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Mark Wingertzahn, PhD, Kaleido Boisciences
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Keywords
- Microbiome
- Antibiotic resistance
- Kaleido
- KB109
- Glycan
- Vancomycin-resistant Enterococcus (VRE)
- Drug resistant
- Microbiome Metabolic Therapy (MMT)
- Oligosaccharide
- Carbapenem-Resistant Enterobacteriaceae (CRE)
- Extended-Spectrum Beta Lactamase-Producing Enterobacteriaceae (ESBLE)
- Multi Drug Resistant Organism (MDRO)
- VITORA
Other Study ID Numbers
Other Study ID Numbers
- K017-119
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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