Efficacy and Safety of Trichuris Suis Ova (TSO) as Compared to Placebo

Last updated: May 30, 2017
Sponsor: Coronado Biosciences, Inc.
Overall Status: Completed

Phase

2

Condition

Colic

Inflammatory Bowel Disease

Ulcerative Colitis

Treatment

N/A

Clinical Study ID

NCT01576471
CNDO 201-003
  • Ages 18-65
  • All Genders

Study Summary

This is a randomized, double-blind, placebo-controlled, multicenter, and proof of concept study with a parallel group design to evaluate the safety and efficacy of oral Trichuris Suis Ova (TSO) suspension, as compared to placebo, in patients with moderately to severely active Crohn's disease. This study will also have an optional open-label extension for patients completing the double-blind phase of the study.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Patient is male or female, 18 to 65 years old.

  2. Patient with established diagnosis of Crohn's disease (CD) for at least 3 monthsconfirmed by endoscopic and histological, or endoscopic and radiological criteria.

  3. Patient with localization of CD either in terminal ileum (L1), in colon (L2) orileocolitis (L3), all without upper gastrointestinal involvement (- L4) according tothe Montreal classification (2005).

  4. Patient with active, symptomatic CD manifested by CDAI ≥ 220 and ≤ 450 at Baseline.

  5. Patient with active intestinal inflammation as visualized by endoscopy within 8 weeksprior to Baseline.

  6. Patient is not using concomitant medication for treatment of underlying Crohn'sdisease with the following exceptions: concomitant medications may include: 1) Oral orrectal sulfasalazine, mesalazine (5-ASA), or mesalazine derivative, if receiving itfor >6 weeks and if receiving the same dose for at least 4 weeks; 2) Oral prednisoneup to 15 mg/day, or budesonide if receiving it for >4 weeks and if receiving the samedose for at least 4 weeks; and 3) Azathioprine (up to 2.5 mg/kg daily) or 6-mercaptopurine (up to 2 mg/kg daily) if receiving it for >3 months and if receivingthe same dose for at least 8 weeks prior to Baseline.

  7. Hemoglobin of at least 10 g/dl, normal white blood cell and platelet count > lowerlimit of normal at screening.

  8. For females of childbearing potential, negative serum pregnancy test prior toenrollment, not breastfeeding for study duration, and willingness to use acceptedforms of reliable birth control for study duration [including bilateral tuballigation, use of oral contraceptives, double barrier methods (diaphragm withspermicidal gel or condoms with contraceptive foam), Depo-Provera®, hormonal implants,and total abstinence]. Pregnancy tests are not required (indicate "N/A") for males orfemales not of childbearing potential (post-menopausal with last menstrual period >1year ago or total hysterectomy).

  9. Patient has the ability to provide informed consent.

Exclusion

Exclusion Criteria:

  1. Patient with known Crohn's lesions in the upper GI-tract (esophagus, stomach,duodenum, jejunum) with present symptoms.

  2. Patient with ulcerative colitis, indeterminate colitis, or ulcerative proctitis.

  3. Bowel surgery in past 6 months prior to Screening.

  4. Resection of more than 50 cm of the ileum.

  5. Current ileostomy or colostomy.

  6. Ongoing or active septic complications, is hospitalized or exhibiting signs oftoxicity (sepsis), has symptomatic strictures, or impending obstruction oranticipating a need for blood transfusion for gastrointestinal bleeding or in whomsurgical intervention may be imminent.

  7. Patient with gastrointestinal abscess or perforation.

  8. Patient with fistulae having a new onset within 2 months of Screening with moderate tosevere local inflammation.

  9. Patient with history of colorectal cancer or colorectal dysplasia. Patients withcompletely resected sporadic adenomas may be enrolled.

  10. Patient requiring parenteral or tube feeding.

  11. Patient with current evidence of infectious colitis, e.g., Clostridium difficile,Amoebiasis, Giardia lamblia or stools positive for other enteric pathogens, ova orparasites at Screening.

  12. Female patient who is pregnant or breastfeeding or wishing to become pregnant duringstudy participation or unwilling to use birth control.

  13. Patient with serum creatinine ≥ 2.0 mg/dL; blood urea nitrogen >40 mg/dL; alkalinephosphatase > 250 U/L; aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 100 U/L; or total bilirubin >1.5 mg/dL.

  14. Patient with hepatitis B virus, hepatitis C virus, liver cirrhosis or portalhypertension, or is known to be human immunodeficiency virus (HIV) positive.

  15. Patient with primary sclerosing cholangitis.

  16. Patient with malignancy within the past 5 years, with the exception of completelyexcised squamous or basal cell skin cancers, and cervical carcinoma in situ.

  17. Patient received cyclosporine, an anti-TNFα or other immunomodulatory agents otherthan azathioprine/6-mercaptopurine within 12 weeks prior to Screening.

  18. Patient is a primary non-responder an anti-TNFα.

  19. Patient is refractory to azathioprine/6-mercaptopurine.

  20. Patient received methotrexate within 6 weeks prior to Screening.

  21. Patient received metronidazole within 2 weeks prior to Screening.

  22. Patient received non-steroidal anti-inflammatory drugs (NSAIDS) within 2 weeks beforeBaseline visit for more than 3 consecutive days, except acetylsalicylic acid ≤ 350mg/d which is allowed.

  23. Patient received antibiotic, antifungal or antiparasitic medication in the last 2weeks prior to Screening and/or would potentially require this during the studytreatment period.

  24. Patient with history of drug or alcohol abuse within 6 months prior to Screening.

  25. Patient with evidence of poor compliance with medical advice and instruction includingdiet or medication.

  26. Patient is unable or unwilling to swallow study medication suspension.

  27. Patient with a significant medical condition which puts the patient at risk for studyparticipation and/or for any reason is considered by the Investigator to be anunsuitable patient to receive CNDO-201 TSO or is potentially put at risk by studyprocedures.

  28. Patient who has participated in another clinical trial within 30 days of Screening forthis trial and/or any experimental treatment for this population.

Study Design

Total Participants: 250
Study Start date:
July 01, 2012
Estimated Completion Date:
October 31, 2014

Connect with a study center

  • Visions Clinical Research - Tucson

    Tucson, Arizona 85712
    United States

    Site Not Available

  • Lynn Institue of the Ozarks

    Little Rock, Arkansas 72205
    United States

    Site Not Available

  • Preferred Research Partners

    Little Rock, Arkansas 72211
    United States

    Site Not Available

  • Anaheim Clinical Trials

    Anaheim, California 92801
    United States

    Site Not Available

  • Rokay Kamyar, MD Inc

    La Mesa, California 91941
    United States

    Site Not Available

  • Medvin Clinical Research

    La Mirada, California 90638
    United States

    Site Not Available

  • Lakewood Primary Care Medical Group, Inc

    Lakewood, California 90712
    United States

    Site Not Available

  • Alliance Research

    Long Beach, California 90804
    United States

    Site Not Available

  • Collaborative Neuroscience Network, Inc.

    Long Beach, California 90806
    United States

    Site Not Available

  • Alliance Clinical Research, LLC

    Oceanside, California 92056
    United States

    Site Not Available

  • Digestive Care Associates

    San Carlos, California 94070
    United States

    Site Not Available

  • San Diego Clinical Trials

    San Diego, California 92120
    United States

    Site Not Available

  • Gastroenterology of the Rockies

    Lafayette, Colorado 80026
    United States

    Site Not Available

  • Clinical Research of West Florida

    Clearwater, Florida 33765
    United States

    Site Not Available

  • Sanitas Research

    Coral Gables, Florida 33134
    United States

    Site Not Available

  • Avail Clinical Research, LLC

    DeLand, Florida 32720
    United States

    Site Not Available

  • Florida Medical Research Institute

    Gainesville, Florida 32607
    United States

    Site Not Available

  • The Center for Gastrointestinal Disorders

    Hollywood, Florida 33021
    United States

    Site Not Available

  • Borland-Groover Clinic

    Jacksonville, Florida 32204
    United States

    Site Not Available

  • Gastroenterology Associates of Osceola

    Kissimme, Florida 34741
    United States

    Site Not Available

  • Gastroenterology Associates of Osceola

    Kissimmee, Florida 34741
    United States

    Site Not Available

  • Sunrise Medical Research

    Lauderdale Lakes, Florida 33319
    United States

    Site Not Available

  • Community Research Foundation, Inc

    Miami, Florida 33155
    United States

    Site Not Available

  • Paramount Public Health & Research Management Services

    Miami, Florida 33135
    United States

    Site Not Available

  • Gastroenterology Group of Naples

    Naples, Florida 34102
    United States

    Site Not Available

  • Clinical Research of West Florida, Inc.

    Tampa, Florida 336003
    United States

    Site Not Available

  • Shafran Gastroenterology Center

    Winter Park, Florida 32789
    United States

    Site Not Available

  • Atlanta Gastroenterology Specialists, PC

    Suwanee, Georgia 30024
    United States

    Site Not Available

  • Selah Medical Center

    Boise, Idaho 83704
    United States

    Site Not Available

  • Northwest Gastroenterologists

    Arlington Heights, Illinois 60005
    United States

    Site Not Available

  • Suburban Clinical Research

    Bolingbrook, Illinois 60490
    United States

    Site Not Available

  • Suburban Clinical Research

    Burr Ridge, Illinois 60527
    United States

    Site Not Available

  • The University of Chicago Hospital

    Chicago, Illinois 60637
    United States

    Site Not Available

  • Medisphere Medical Research Center, LLC

    Evansville, Indiana 47714
    United States

    Site Not Available

  • University of Iowa Hospitals and Clinics

    Iowa City, Iowa 52242
    United States

    Site Not Available

  • Cotton O'Neil Digestive Healthcare

    Topeka, Kansas 66606
    United States

    Site Not Available

  • University of Louisville

    Louisville, Kentucky 40202
    United States

    Site Not Available

  • Brigham and Women's Hospital

    Boston, Massachusetts 02115
    United States

    Site Not Available

  • Tufts Medical Center

    Boston, Massachusetts 02111
    United States

    Site Not Available

  • University of Michigan Health Services

    Ann Arbor, Michigan 48109
    United States

    Site Not Available

  • Clinical Research Institute of Michigan, LLC

    Chesterfield, Michigan 48047
    United States

    Site Not Available

  • Beyer Research

    Kalamazoo, Michigan 49009
    United States

    Site Not Available

  • Midwest Center for Clinical Research

    Lee's Summit, Missouri 64064
    United States

    Site Not Available

  • Center for Digestive and Liver Disease

    Mexico, Missouri 65265
    United States

    Site Not Available

  • Billings Clinic Research Center

    Billings, Montana 59101
    United States

    Site Not Available

  • Quality Clinical Research, Inc.

    Omaha, Nebraska 68114
    United States

    Site Not Available

  • Reno Clinical Trials

    Sparks, Nevada 89434
    United States

    Site Not Available

  • South Jersey Medical Associates, P.A.

    Blackwood, New Jersey 08012
    United States

    Site Not Available

  • Holy Name Medical Center

    Teaneck, New Jersey 07666
    United States

    Site Not Available

  • Albany Medical Center

    Albany, New York 12208
    United States

    Site Not Available

  • Digestive Health Physicians

    Cheektowaga, New York 14225
    United States

    Site Not Available

  • Long Island Clinical Research Associates, LLP

    Great Neck, New York 11021
    United States

    Site Not Available

  • Metropolitan Research Associates

    New York, New York 10016
    United States

    Site Not Available

  • University of North Carolina

    Chapel Hill, North Carolina 27599
    United States

    Site Not Available

  • Clinical Trials of America, Inc.

    Winston-Salem, North Carolina 27103
    United States

    Site Not Available

  • Consultants for Clinical Research, Inc

    Cincinnati, Ohio 45219
    United States

    Site Not Available

  • The Ohio State University-Inflammatory Bowel Disease Ctr

    Columbus, Ohio 43210
    United States

    Site Not Available

  • Great Lakes Gastroenterology

    Mentor, Ohio 44060
    United States

    Site Not Available

  • Gastroenterology United of Tulsa

    Tulsa, Oklahoma 74135
    United States

    Site Not Available

  • Northwest Gastroenterology Clinic, LLD

    Portland, Oregon 97210
    United States

    Site Not Available

  • James J. Boylan Gastroenterology and Liver Diseases

    Bethlehem, Pennsylvania 18015
    United States

    Site Not Available

  • Shirish A. Amin, MD, PC

    Indiana, Pennsylvania 15701
    United States

    Site Not Available

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania 15213
    United States

    Site Not Available

  • Donald Guthrie Foundation for Education & Research

    Sayre, Pennsylvania 18840
    United States

    Site Not Available

  • Cherry Tree Medical

    Uniontown, Pennsylvania 15401
    United States

    Site Not Available

  • Omega Medical Research

    Warwick, Rhode Island 02886
    United States

    Site Not Available

  • Vanderbilt University Medical Center

    Nashville, Tennessee 37212
    United States

    Site Not Available

  • Austin Gastroenterology PA/Professional Quality Research, Inc

    Austin, Texas 78705
    United States

    Site Not Available

  • Lovelace Scientific Resources, Inc.

    Austin, Texas 78758
    United States

    Site Not Available

  • Baylor College of Medicine

    Houston, Texas 77030
    United States

    Site Not Available

  • Diagnostic Clinic of Houston

    Houston, Texas 77004
    United States

    Site Not Available

  • Gastroenterology Associates of Northern Virginia

    Fairfax, Virginia 22031
    United States

    Site Not Available

  • Virginia Commonwealth University Medical Center

    Richmond, Virginia 23298
    United States

    Site Not Available

  • Wenatchee Valley Medical Center

    Wenatchee, Washington 98801
    United States

    Site Not Available

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