A Phase 2a Study to Evaluate the Safety, Tolerability, Pharmacodynamics and Efficacy of AG011 in Ulcerative Colitis

Last updated: September 9, 2009
Sponsor: ActoGeniX N.V.
Overall Status: Completed

Phase

1/2

Condition

Inflammatory Bowel Disease

Crohn's Disease

Treatment

N/A

Clinical Study ID

NCT00729872
AG011-MDUC-201
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study is to verify the safety and tolerability of AG011 (genetically modified L. lactis that has been engineered to secrete human Interleukin-10), and to determine whether AG011 can successfully treat the symptoms of moderately active Ulcerative Colitis (UC).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Male or non-pregnant, non-lactating females, 18 years of age or older. Females ofchild bearing potential must have negative serum or urine pregnancy tests at thescreening visit and throughout the study, and must use a hormonal (oral, implantableor injectable) or barrier method of birth control throughout the study. Females unableto bear children must have documentation of such in the case report form (i.e. tuballigation, hysterectomy, or post menopausal [defined as a minimum of one year since thelast menstrual period]).

  • Documented diagnosis of UC with a minimum disease extent of 15 cm from the anal verge.

  • Presence of friability on endoscopy, with minimum of Grade 2 (modified Baron score)changes at approximately 15 cm or more from the anal verge.

  • Minimum Mayo Clinic Disease Activity Score of 5, with a score of at least 1 on boththe stool frequency and rectal bleeding components.

  • Receiving 5-ASA treatment for at least two months and a stable dose of oral 5 ASA forat least two weeks prior to randomization. Concurrent treatment with prednisone, orequivalent glucocorticoid ≤ 20 mg/day is acceptable as follows: minimum dosing of 4weeks prior to screening AND stable dose for 2 weeks prior to screening AND expectedto remain on a constant dose during the trial. Use of 5-ASA compounds is not requiredfor those subjects who have failed treatment with 5-ASA compounds, or are allergic orintolerant.

  • Hepatic function (AST, ALT, total bilirubin, alkaline phosphatase, LDH) ≤ 2 times theupper limit of the normal range.

  • Adequate renal function, as evidenced by serum creatinine ≤ 1.5 times the upper limitof the normal range.

  • Hemoglobin ≥ 10 g/dL.

  • ANC ≥ 1.5 x 10E9/L (1,500 mm3).

  • Lymphocyte count ≥ 0.1 x 10E3/μL.

  • Platelet count ≥ 100 x 10E9/L (100,000/mm3).

  • Ability of subject to participate fully in all aspects of this clinical trial.

  • Written informed consent must be obtained and documented.

Exclusion

Exclusion Criteria:

  • Exhibiting severe ulcerative colitis as defined by the following criteria: ≥ 6 bloodystools daily with one or more of the following: oral temperature > 37.8 °C or > 100.0 °F, pulse > 90/min, hemoglobin < 10 g/dL.

  • Crohn's disease.

  • History of colectomy or partial colectomy.

  • Clostridium (C.) difficile positive at screening visit or treated for C. difficilewithin the 4 weeks prior to randomization

  • Treatment with antibiotics or probiotics at screening

  • Treatment with cyclosporine, methotrexate, azathioprine, 6-MP, infliximab, adalimumabor other immunosuppressants/biologics within 4 weeks prior to randomization

  • Use of rectal steroids or 5-ASA enemas within 2 weeks prior to randomization.

  • Clinically significant active infection.

  • Known chronic liver disease.

  • Serious underlying disease other than UC in the opinion of the investigator.

  • Alcohol or illicit drug consumption, which in the opinion of the investigator, mayinterfere with the subject's ability to comply with the study procedures

  • Active psychiatric problems, which in the opinion of the investigator, may interferewith the subject's ability to comply with the study procedures.

  • History of malignancy other than basal or squamous cell cancer of the skin that hasbeen removed, or carcinoma in situ of the cervix that has been adequately treated.

  • History of dysplasia in colonic biopsies.

  • Receiving any investigational therapy or any approved therapy for investigational usewithin 30 days or 5 half-lives prior to randomization (whichever is longer).

  • Pregnant or lactating women.

  • Prior enrollment in the current study and had received study treatment.

Study Design

Total Participants: 60
Study Start date:
July 01, 2008
Estimated Completion Date:
September 30, 2009

Study Description

The purpose of this study is to verify the safety and tolerability of AG011 and to determine whether AG011 can successfully treat the symptoms of Ulcerative Colitis (UC). Three different dosages will be used in reference to a placebo.

AG011 is an experimental medication. It has been developed as potential treatment for moderately active UC.

AG011 is the clinical formulation of a genetically modified L. lactis that has been engineered to secrete human Interleukin-10 (hIL-10). By delivering hIL-10 locally at inflamed tissue in the intestine, it is believed that, compared to hIL-10 given by injection, the effectiveness may be increased, with fewer adverse effects.

Study medication will be provided in capsule and enema (topical rectal application) forms by ActoGeniX NV.

Subjects will be entered sequentially into one of three dose groups, starting from the lowest dose group. Within each of the first two dose groups, 15 subjects will be entered. Within the highest dose group, 30 subjects will be entered. Within each dose group, subjects will be randomly assigned in a 2:1 ratio to receive either AG011 or placebo for 28 days.

Timely monitoring of safety data is planned for the study, such that subject enrollment can continue without interruption for the purpose of data collection between dose groups. Safety and tolerability will be closely monitored by the Clinical Safety Specialist (CSS) assigned to the study. The CSS will review adverse events and laboratory safety data and report any safety concerns to the Sponsor and a Data Safety Monitoring Committee (DSMC).

At least 8 subjects must have safely completed study treatment for 28 days at a specific dose level, prior to escalation to the next dose group. The DSMC will convene to assess safety data when 8 subjects have completed study treatment for 28 days at the specific dose level. The role of the DSMC for the study will be complete when all subjects in the study have completed study treatment.

For those patients randomized within the active group, UC symptoms could improve. As a result of the information gathered by this study, the knowledge and understanding of UC could improve.

Connect with a study center

  • Imelda Bonheiden

    Bonheiden, B-2820
    Belgium

    Site Not Available

  • UCL St. Luc

    Brussels,
    Belgium

    Site Not Available

  • UZ Antwerpen

    Edegem, B-2650
    Belgium

    Site Not Available

  • UZ Gent

    Ghent, B-9000
    Belgium

    Site Not Available

  • AZ Groeninge Campus St.-Niklaas

    Kortrijk,
    Belgium

    Site Not Available

  • UZ Leuven

    Leuven, B-3000
    Belgium

    Site Not Available

  • GI Research Institute

    Vancouver, British Columbia V6Z 2K5
    Canada

    Site Not Available

  • The office of Dr. Donald Daly

    Victoria, British Columbia
    Canada

    Site Not Available

  • Hotel Dieu Hospital

    Kingston, Ontario
    Canada

    Site Not Available

  • LHSC - South Street Campus

    London, Ontario N6A 4G5
    Canada

    Site Not Available

  • LHSC - University Campus

    London, Ontario N6A 5A5
    Canada

    Site Not Available

  • Ottawa Hospital General Campus

    Ottawa, Ontario
    Canada

    Site Not Available

  • Mount Sinai Hospital

    Toronto, Ontario
    Canada

    Site Not Available

  • Hôpital St-Sacrement

    Quebec, G1S 4L8
    Canada

    Site Not Available

  • Leiden University Medical Center

    Leiden, 2333 ZA
    Netherlands

    Site Not Available

  • Lund University Hospital

    Lund, SE-221 85
    Sweden

    Site Not Available

  • Orebro University Hospital

    Orebro, SE-701 85
    Sweden

    Site Not Available

  • Sophiahemmet

    Stockholm, SE- 114 86
    Sweden

    Site Not Available

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