- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07704047
A Clinical Study of FT1 in Patients With Short Bowel Syndrome
A Randomized, Double-blind, Crossover, Placebo-controlled Phase IIa Clinical Study Evaluating the Efficacy and Safety of Recombinant Acylated Glucagon Like Peptide-2 Analog (FT1) for Injection in Patients With Short Bowel Syndrome
The goal of this clinical trial is to learn if FT1 is safe and works to treat short bowel syndrome (SBS) in adults. It will also learn about the PK/PD profile of FT1.
Researchers will compare FT1 to a placebo (a look-alike substance that contains no drug) to see if FT1 is safe and effective in patients with SBS.
Participants will
- Receive multiple injections of FT1 or placebo according to weight.
- Visit the clinic for assessment.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
In this placebo-controlled, double-blind, randomized, crossover phase 2 trial, 8 adult SBS patients are treated with once-weekly FT1 or placebo (1:1) for 5 weeks, followed by a washout period of at least 6 weeks, and then the alternate treatment for a further 5 weeks.
Efficacy is evaluated through a 72 hour metabolic balance study conducted at baseline and at the end of each treatment cycle.
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
- Navn: Jing Sun
- Telefonnummer: +86-13983367811
- E-mail: sunj@pegbiocq.com
Studiesteder
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Jiangsu
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Nanjing, Jiangsu, Kina, 210002
- Rekruttering
- General Hospital of Eastern Theater Command
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Ledende efterforsker:
- Xinying Wang
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Kontakt:
- Xinying Wang
- Telefonnummer: 86-13983367811
- E-mail: sunj@pegbiocq.com
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Age ≥ 18 years, male or female.
- SBS secondary to surgical resection of the small intestine, screened for at least 12 months after pre intestinal resection surgery;
- Stable weight before screening; For patients requiring parenteral support (PS), PS volume remained stable (with changes in volume or energy content<25%) within 14 days prior to randomization;
- Willing to undergo colonoscopy and remove polyps assessed by researchers to be at risk of cancer;
- During the trial period, there were no plans to perform any major abdominal surgeries (such as intestinal resection exceeding 10% or surgeries that alter intestinal anatomy, such as stoma surgery);
- During the baseline metabolic balance study, the average daily fecal wet rearrangement amount was ≥ 800g;
Exclusion Criteria:
- Having undergone major abdominal surgery (such as intestinal resection exceeding 10%) within the past 6 months prior to screening;
- History of clinically significant intestinal adhesions and/or chronic abdominal pain;
- History of persistent radiation enteritis, celiac disease, refractory diarrhea, etc;
- Patients with malignant tumors within the past 5 years (excluding fully treated cervical carcinoma in situ, basal cell or squamous cell carcinoma of the skin, local prostate cancer after radical surgery, and ductal carcinoma in situ of the breast after radical surgery);
- History of gallstones in the past 3 years, except for those who have undergone cholecystectomy for gallstones; Acute cholecystitis or biliary obstruction related diseases that have not been treated within the previous month or during the screening period;
- IBD patients with active inflammatory bowel disease (IBD), or requiring increased or altered immunosuppressive therapy in the past 3 months, or receiving biologic therapy in the past 6 months;
- Occurrence of central venous catheter-related bloodstream infections within 2 months prior to and during the screening period;
- Patients diagnosed with decompensated heart failure (NYHA grade III or above) and/or unstable angina and/or myocardial infarction from 6 months prior to screening until the first administration of the study drug;
- Screening for individuals with rectal bleeding within the first 3 months;
- Individuals with absorption instability caused by cystic fibrosis, untreated megacolon disease, or known DNA abnormalities (such as familial adenomatous polyposis, Fanconi syndrome);
- Serious active, uncontrolled, untreated, acute onset systemic diseases (such as cardiovascular, respiratory, renal, infectious, endocrine, liver or central nervous system, etc.);
- Pregnant or breastfeeding women.
- The investigator believes the subject is unsuitable for participating in this clinical study.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Crossover opgave
- Maskning: Firedobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: FT1
FT1 will be administered subcutaneously once a week for 5 weeks during each treatment cycle.
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FT1 treatment, once weekly for 5 weeks
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Placebo komparator: FT1 Placebo
FT1 Placebo will be administered subcutaneously once a week for 5 weeks during each treatment cycle.
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Placebo, once weekly for 5 weeks
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Treatment-related Adverse Events
Tidsramme: From the first administration to study completion, appropriately 5 months.
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To evaluate the adverse events as characterized by type, frequency, severity as graded by the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) version 6.0, timing, seriousness, and relationship to study therapy after administration.
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From the first administration to study completion, appropriately 5 months.
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Changes in fecal wet weight from baseline to the end of treatment
Tidsramme: At the end of the second cycle (each cycle is 5 weeks, with a washout period of at least 6 weeks between two cycles)
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The difference in changes in fecal wet weight in the 72-hour metabolic balance study after treatment compared to baseline
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At the end of the second cycle (each cycle is 5 weeks, with a washout period of at least 6 weeks between two cycles)
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Changes in urine volume from baseline to the end of treatment
Tidsramme: At the end of the second cycle (each cycle is 5 weeks, with a washout period of at least 6 weeks between two cycles)
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The difference in changes in urine volume in the 72-hour metabolic balance study after treatment compared to baseline
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At the end of the second cycle (each cycle is 5 weeks, with a washout period of at least 6 weeks between two cycles)
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The Area Under the Curve from dosing to the time of the last measured concentration (AUC0-t)
Tidsramme: Up to 8 days, from Day 29 (the last dose administration) to Day 36 (7 days after the last dose) in each treatment cycle (each cycle is 5 weeks)
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Pharmacokinetic parameter
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Up to 8 days, from Day 29 (the last dose administration) to Day 36 (7 days after the last dose) in each treatment cycle (each cycle is 5 weeks)
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Maximum plasma concentration (Cmax)
Tidsramme: Up to 8 days, from Day 29 (the last dose administration) to Day 36 (7 days after the last dose) in each treatment cycle (each cycle is 5 weeks)
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Pharmacokinetic parameter
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Up to 8 days, from Day 29 (the last dose administration) to Day 36 (7 days after the last dose) in each treatment cycle (each cycle is 5 weeks)
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Changes in L-citrulline levels in plasma
Tidsramme: From Day 1 of the first cycle to the end of the second cycle (each cycle is 5 weeks, with a washout period of at least 6 weeks between two cycles)
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Pharmacodynamic parameter
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From Day 1 of the first cycle to the end of the second cycle (each cycle is 5 weeks, with a washout period of at least 6 weeks between two cycles)
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Samarbejdspartnere og efterforskere
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- FT1-A201
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