Study to Assess the Safety, Tolerability, and Preliminary Efficacy of ST266 in Infants With Necrotizing Enterocolitis

Last updated: May 19, 2025
Sponsor: Noveome Biotherapeutics, formerly Stemnion
Overall Status: Active - Recruiting

Phase

1/2

Condition

Crohn's Disease

Treatment

ST266

Clinical Study ID

NCT06315738
ST266-NEC-201
  • Ages 2-8
  • All Genders

Study Summary

The primary objective of this study is to determine the safety and tolerability of two dose levels (0.5 mL/kg and 1.0 mL/kg) of once daily (QD) via IV route of administration of ST266 in treating patients with Bell's stage IIA or higher medical NEC by incidence of treatment emergent adverse events (TEAEs) and SAEs, with a secondary objective to assess preliminary efficacy of the same two dose levels (0.5 mL/kg and 1.0 mL/kg) of QD via IV route of administration of ST266 in treating patients with Bell's stage IIA or higher medical NEC.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Infants born from ≥26 weeks gestational age to 40 weeks gestational age; up to 40weeks postmenstrual gestational age (gestational age plus chronological age in termsof weeks) with current weight at diagnosis of NEC between ≥800g and ≤3000g as aresult of prematurity and/or IUGR. Parent(s)/legal medical representative(s)voluntarily provides written consent prior to study enrollment.

  2. Minimum Bell stage IIA NEC diagnosis by radiologic confirmed pneumatosisintestinalis and may include intestinal dilation and ileus.

Exclusion

Exclusion Criteria:

  1. Infants with abdominal perforation at less than 10 days of life

  2. Not expected to survive ≥2 weeks or born with a lethal condition requiring hospiceor palliative care (e.g., disease has progressed to NEC totalis, or patient hasmulti-organ system failure).

  3. Born with major congenital anomalies such as cardiac defects (e.g., Tetralogy ofFallot) or chromosomal disorders/anomalies (e.g., neural tube defect).

  4. Mother's receipt of any investigational product during pregnancy.

  5. Infants with malignancies (e.g., neoplastic cell growth as a solid tumor or a bloodneoplasm, such as congenital leukemia).

  6. Infants with hypercoagulability disorders (any active thrombosis, diagnosis ofdisseminated intravascular coagulation or other acquired/inherited disorders (i.e.,hemophilia) of coagulation.

  7. Infants with a known immunodeficiency (such as galactosemia or agranulocytosis).

  8. Infants with anatomic defects that require surgical intervention.

  9. Infants with persistent pulmonary hypertension of newborn.

  10. Infants with any congenital or acquired gastrointestinal pathology that precludefeeds within 7 days after birth (e.g., duodenal atresia).

  11. Infants who have hypoxic ischemic injury (perinatal asphyxia).

  12. Infants with polycythemia (at time of treatment) (>22 g/dL).

  13. Positive maternal human immunodeficiency virus status.

  14. History of maternal drug abuse (such as amphetamines, opiates, cocaine). This doesnot include marijuana, or prescription medications for treatment of drug abuse.

  15. Considered by the Investigator, for any reason, to be an unsuitable candidate forthe study.

  16. Infants diagnosed with NEC who will require immediate surgical intervention.

Study Design

Total Participants: 36
Treatment Group(s): 1
Primary Treatment: ST266
Phase: 1/2
Study Start date:
August 19, 2024
Estimated Completion Date:
November 30, 2029

Study Description

This Phase 1-2 clinical trial is a randomized, controlled, open-label study using a sequential cohort design. Assignment to cohorts will be based on the following dosages and weight ranges: 0.5 mL/kg and 1.0 mL/kg; weight ≥1000 g and ≤3000 g, and weight ≥800 g and ≤999 g.

In each cohort, patients will be randomized to either ST266 + SOC or SOC alone. The first 3 patients randomized to ST266 will be staggered, where each patient must complete their 10 day treatment cycle and 1 month follow up visit and be evaluated by the Data Safety Monitoring Board (DSMB), before dosing of the next patient occurs. Patients randomized to SOC alone will follow the treatment plan as dictated by the Investigator or licensed medical designee and will be evaluated for the same inclusion/exclusion criteria and selected endpoints for analysis. If for any reason a patient is withdrawn, the decision for replacement will be determined by the DSMB.

Dosing for the next cohort will occur after review of safety data up to and including Day 28/1 Month from all patients in the previous cohort. The DSMB reviews will include comprehensive safety data analysis of data available at that time.

Connect with a study center

  • Yale-New Haven Hospital

    New Haven, Connecticut 06510
    United States

    Active - Recruiting

  • Orlando Health, Inc. Winnie Palmer Hospital for Women and Babies

    Orlando, Florida 32806
    United States

    Site Not Available

  • BayCare Health System-St. Joseph's Women's Hospital

    Tampa, Florida 33607
    United States

    Active - Recruiting

  • NorthShore University-Evanston Hospital

    Evanston, Illinois 60201
    United States

    Active - Recruiting

  • Duke University Medical Center (DUMC)

    Durham, North Carolina 27710
    United States

    Site Not Available

  • Oklahoma Children's Hospital

    Oklahoma City, Oklahoma 73104
    United States

    Active - Recruiting

  • University of Pittsburgh Medical Center Magee Womens Hospital

    Pittsburgh, Pennsylvania 15219
    United States

    Active - Recruiting

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