Target Engagement of EXL01 in the Prevention of Post-operative Recurrence of Crohn's Disease

Last updated: May 12, 2025
Sponsor: Madeleine Bezault
Overall Status: Active - Recruiting

Phase

2

Condition

N/A

Treatment

After surgery for Crohn's disease, eligible patients will be randomized 1:1 to receive oral EXL01 or placebo with or without SoC treatment (based on investigator decision) for up to 24 weeks

Clinical Study ID

NCT06925061
REMIND_2024-001_EXL01
2024-511357-22-00
  • Ages > 18
  • All Genders

Study Summary

MAINTAIN-POP is a Phase 2, randomised, double-blind, placebo-controlled, multicenter study of the impact of oral administration of EXL01 in the prevention of post-operative endoscopic recurrence of Crohn's disease after surgery.

After surgery for Crohn's disease, as per institutional Standard of Care (SoC), approximately 80 eligible patients will be randomized 1:1 to receive oral EXL01 or placebo with or without SoC treatment (based on investigator decision) for up to 24 weeks or until a study or treatment discontinuation criterion is met. Randomisation will be stratified on post-surgical treatment (none vs anti-TNF), and on smoking status (non-smoker vs smoker).

The primary objective is to compare the distribution of endoscopic modified Rutgeerts scores, as centrally assessed, at 6 months post-surgery in patients with CD treated with EXL01 to patients treated with placebo.. All patients will be monitored continuously for safety while on the study treatment. Endoscopic recurrence will be assessed using the endoscopic score assessed by central reading at Week 24 after surgery. Faecal and blood samples for biomarker assessments will be obtained at Weeks 0, 4, 12, and 24. Patients who experience disease flare before Week 24 will discontinue the study treatment (EXL01 or placebo) and undergo an early discontinuation (ED) visit. All participants will be followed for safety until 4 weeks after end of treatment.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Is male or female aged ≥18 years at the time of providing documented informedconsent.

  • Has a diagnosis of CD with ileal involvement (ileal only or ileocolonic; L1 or L3 inMontreal classification) for at least 3 months prior to Screening.

  • Has undergone an ileocecal resection or iterative ileo-colonic resection, as perinstitutional SoC, between 5 days to 5 weeks before randomization.

  • Is scheduled, in SoC context, to receive no treatment for CD or anti-TNF agents inthe 6 months after surgery

Exclusion

Exclusion Criteria:

  • Has a not recovered adequately from any toxicity and/or complications from thesurgery before the first dose of study intervention

  • Has a current stoma. Inclusion will be possible after continuity restoration (duringthe 5 weeks following continuity restoration)

  • Has active anal fistula

  • Is scheduled, according to SoC, to receive a biotherapy at the exception of anti-TNFagent in the 6 months after surgery

  • Has had more than 2 past small bowel resections or cumulated intestinal resectionsuperior to 50 cm

  • Has a contraindication to endoscopy or anaesthesia.

  • Is receiving antibiotics at time of randomization or is likely to require antibiotictreatment within 6 weeks of the first dose of EXL01 or placebo.

  • Has a history of hypersensitivity to EXL01 and/or any excipients, which are listedin the Investigator Brochure (IB), and/or to soybean or soy-containing products.

  • Has a not recovered adequately from any toxicity and/or complications from thesurgery before the first dose of study intervention

  • Has a current stoma. Inclusion will be possible after continuity restoration (duringthe 5 weeks following continuity restoration)

  • Has active anal fistula

  • Is scheduled, according to SoC, to receive a biotherapy at the exception of anti-TNFagent in the 6 months after surgery

  • Has had more than 2 past small bowel resections or cumulated intestinal resectionsuperior to 50 cm

  • Has a contraindication to endoscopy or anaesthesia.

  • Is receiving antibiotics at time of randomization or is likely to require antibiotictreatment within 6 weeks of the first dose of EXL01 or placebo.

  • Has a history of hypersensitivity to EXL01 and/or any excipients, which are listedin the Investigator Brochure (IB), and/or to soybean or soy-containing products.

Study Design

Total Participants: 80
Treatment Group(s): 1
Primary Treatment: After surgery for Crohn's disease, eligible patients will be randomized 1:1 to receive oral EXL01 or placebo with or without SoC treatment (based on investigator decision) for up to 24 weeks
Phase: 2
Study Start date:
March 31, 2025
Estimated Completion Date:
December 31, 2026

Connect with a study center

  • CHU Clermont-Ferrand

    Clermont-Ferrand,
    France

    Site Not Available

  • Hôpital Henri Mondor

    Créteil,
    France

    Active - Recruiting

  • Hôpital Bicêtre

    Le Kremlin-Bicêtre, 94270
    France

    Site Not Available

  • CHU Lille

    Lille,
    France

    Site Not Available

  • Hospices civils Lyon Sud

    Lyon,
    France

    Site Not Available

  • CHU Marseille Nord

    Marseille,
    France

    Site Not Available

  • CHU Montpellier

    Montpellier,
    France

    Site Not Available

  • CHU Nancy

    Nancy,
    France

    Site Not Available

  • CHU Nantes

    Nantes,
    France

    Site Not Available

  • CHU Nice Archet 2

    Nice,
    France

    Site Not Available

  • CHU Saint Louis

    Paris, 75010
    France

    Active - Recruiting

  • Hôpital Saint Antoine

    Paris, 75012
    France

    Active - Recruiting

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