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NCT06237452ClinicalTrials.gov

VE303 for Prevention of Recurrent Clostridioides Difficile Infection

A Randomized, Double-Blind, Placebo-Controlled Phase 3 Study of VE303 for Prevention of Recurrent Clostridioides Difficile Infection

En recrutementAccepte des participants actuellement, selon la fiche du registre.
Contacter cette étude

En bref

The overall objective of the RESTORATiVE303 study is to evaluate the safety and the Clostridioides difficile infection (CDI) recurrence rate at Week 8 in participants who receive a 14-day course of VE303 or matching placebo. The objectives and endpoints are…

Phase 3852 participants recherchés215 sites24 pays

Catégories

Enregistré dans 1 registre

Une même étude peut être enregistrée dans plusieurs registres. Nous l'affichons une seule fois et renvoyons vers chaque fiche que nous détenons.

Les informations de l'essai sont affichées telles que publiées par le registre, dans leur langue d'origine.

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How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Present: Registered before enrolment beganFirst posted 2024-02-01; recorded start 2024-05-20
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Present: Participants are randomly assignedAllocation is recorded as randomised
  • Present: Has a comparison groupThe record lists a placebo or comparator arm, or more than one study arm
  • Present: Uses blinding (masking)A masking level is recorded in the record
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Present: Sponsor has 3 other studies in this databaseCounted from the lead sponsor named in the record (Vedanta Biosciences, Inc.)
  • Not stated: No posted results from this sponsor are in this database yetBased on the sponsor’s studies in this database
  • The record lists 10 conditions.
  • Lead sponsor type recorded as: industry.
  • Intervention regulatory context: investigational, within a phased regulatory pathway.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourDEFINITIVE

A definitive-grade design for a phase 3 study, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation20/20

    Participants are randomly allocated between arms

  • Blinding20/20

    Quadruple-blind

  • Control arm13/15

    Placebo / sham control arm

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type7/10

    Clinical-event endpoint

  • Multi-centre8/8

    Multi-centre: 215 sites

  • Data monitoring committee7/7

    A data monitoring committee is in place

  • Prospective registration5/5

    Registered before the study start date

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleLARGE

A large study, international in scope: 852 participants (target), run at 215 sites, across 24 countries.

How this score is built
  • Enrolment29/40

    852 participants (target)

  • Site count25/25

    215 sites

  • Country count15/15

    24 countries

  • Planned duration8/10

    Planned over about 41 months

  • Sponsor scale2/10

    Vedanta Biosciences, Inc. has led 4 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

Résumé

The overall objective of the RESTORATiVE303 study is to evaluate the safety and the Clostridioides difficile infection (CDI) recurrence rate at Week 8 in participants who receive a 14-day course of VE303 or matching placebo. The objectives and endpoints are identical for Stage 1 (recurrent CDI) and Stage 2 (high-risk primary CDI).

Affections

  • Clostridium Difficile
  • Clostridium Difficile Infections
  • Clostridium Difficile Infection Recurrence
  • Clostridioides Difficile Infection
  • Clostridioides Difficile Infection Recurrence
  • CDI
  • C. Diff Infection
  • Recurrent Clostridium Difficile Infection
  • C.Difficile Diarrhea
  • Diarrhea Infectious

Éligibilité

Éligibilité
SexeTous
Âges12 YearsAucun maximum
Volontaires sainsNon

Éligibilité telle qu'elle figure dans le registre

Key Inclusion Criteria (For enrollment in Stage 1: recurrent CDI population): * Age ≥ 12 years where permitted, and ≥ 18 years in other locations, with a laboratory-confirmed qualifying episode of CDI and at least 1 prior occurrence within the last 6 months Key Inclusion Criteria (For enrollment in Stage 2: primary CDI with high-risk for recurrence population): * Age ≥ 75 years with a laboratory-confirmed qualifying episode of CDI * OR age ≥ 12 years where permitted, and ≥ 18 years in other locations, with least two of the following risk factors: 1. Age ≥ 65 years 2. Kidney dysfunction, defined as estimated creatinine clearance \< 60 mL/min/1.73 m\^2 at the time of the qualifying CDI episode 3. History of regular use of a proton pump inhibitor (PPI) within the past 2 months and expectation of continued use of PPIs throughout the study 4. History of a prior CDI episode between 6 and 12 months prior to enrollment 5. Immunosuppression due to an underlying disease or its treatment 6. Has undergone solid organ or hematopoietic stem cell transplantation Key Inclusion Criteria (For enrollment in Stage 1 or 2): * The qualifying episode of CDI must meet all the following criteria: 1. New onset of ≥ 3 unformed bowel movements (ie, Types 5 to 7 on the Bristol stool scale) within 24 hours for 2 consecutive days 2. CDI symptoms started within 4 weeks prior to initiation of standard of care (SoC) antibiotic therapy for CDI 3. Stool sample collected before (or no later than 72 hours after) initiation of SoC antibiotic therapy that was positive in a CDI laboratory test, defined as enzyme immunoassay (EIA) for toxin A/B and glutamate dehydrogenase (GDH) with polymerase chain reaction (PCR) reflex testing for discordant EIA/GDH results, performed at either a local laboratory or the central laboratory 4. Diarrhea considered unlikely to have another etiology * Prior to receiving any study medication, the participant should: 1. Receive and complete a course of SoC antibiotic therapy for at least 10 days, up to a maximum of 28 days (Note: choice of agent is at the physician's discretion and antibiotic tapering is not allowed). It is permissible for decentralized participants to be randomized during SoC antibiotic administration. 2. Meet the criterion of a successful clinical response, defined attaining symptomatic control of the qualifying CDI episode, ie, \< 3 loose/unformed bowel movements per 24 hours for at least 2 consecutive days * Able to receive the first dose of study drug on the last planned day of SoC antibiotic administration for a qualifying CDI episode, or no later than 2 days after completion of antibiotic dosing * Recovered from any complications of severe or fulminant CDI and be clinically stable by the time of randomization Key Exclusion Criteria (For both Stage 1 and Stage 2): * History of chronic diarrhea (defined as ≥ 3 loose stools per day lasting for at least 4 weeks) within 3 months prior to randomization that is not related to CDI * Known or suspected toxic megacolon or small bowel ileus at the time of randomization * History of confirmed celiac disease, inflammatory bowel disease, microscopic colitis, short gut, GI tract fistulas, or a recent episode (within 6 months of screening) of intestinal ischemia or ischemic colitis * Receipt of bezlotoxumab during the course of SoC antibiotic treatment for the qualifying CDI episode * Use of antidiarrheal drugs (eg, loperamide, diphenoxylate) within 3 days prior to the planned first dose of study drug * Anticipated administration of oral or parenteral antibacterial therapy for a non-CDI indication after randomization through Week 24 (end of study) * Probiotics, whether characterized as a dietary/food supplement, or a drug, are prohibited within 2 days before starting study drug and through the dosing period. (Note: consumption of food-based products such as yogurt, kombucha, and kefir are permitted.) * Absolute neutrophil count (ANC) of \< 0.5 ×10\^9 cells/L on 2 consecutive occasions within 7 days prior to randomization, or sustained ANC \< 1.0 × 10\^9 cells/L

Éligibilité en énoncés simples

Les critères de cette fiche n'ont pas encore été décomposés en énoncés distincts. Le texte du registre ci-dessus est complet et fait foi.

Conception de l'étude

Conception de l'étude
Type d'étudeInterventionnelle
PhasePhase 3
RépartitionRandomisée
Modèle d'interventionPARALLEL
Objectif principalPREVENTION
InsuQUADRUPLE (4)
Recrutement852 participants recherchés

Promoteur et collaborateurs

  • Vedanta Biosciences, Inc. Promoteur

Groupes et interventions

  • VE303EXPERIMENTAL

    Subjects assigned to the VE303 arm will take 3 capsules containing VE303 per day for 14 days after completing 10 to 21 days of standard of care antibiotic treatment for the qualifying CDI episode.

  • PlaceboPLACEBO_COMPARATOR

    Subjects assigned to the placebo arm will take 3 placebo capsules per day for 14 days after completing 10 to 21 days of standard of care antibiotic treatment for the qualifying CDI episode.

Interventions

  • Produit biologique Placebo

    Placebo capsules contain microcrystalline cellulose. Placebo capsules are visually identical to and not discernible from VE303 capsules. Placebo capsules will not contain any VE303 drug product.

  • Produit biologique VE303

    VE303 is a live biotherapeutic product (LBP) consisting of 8 clonally derived, nonpathogenic, nontoxigenic, commensal bacteria strains manufactured under Good Manufacturing Practices (GMP) conditions.

Critères de jugement

  1. Critère de jugement principal

    CDI Recurrence Rate at Week 8

    Proportion of participants with laboratory-confirmed CDI recurrence before or at Week 8.

    Délai 8 weeks

Dates

Dates
Date de début20 mai 2024 (réelle)
Achèvement principal1 juin 2027 (estimée)
Achèvement1 octobre 2027 (estimée)
Première publication1 février 2024 (réelle)
Dernière mise à jour14 septembre 2026
Résultats publiésNon précisé dans la fiche du registre
Statut vérifié pour la dernière foisseptembre 2026

Réelle signifie que l'événement a eu lieu. Estimée signifie que le promoteur s'y attend. Les deux ont un sens différent.

Lieux

155 sites sont en recrutement

Australia

Australia
ÉtablissementVilleÉtat ou régionStatut
Monash HealthClaytonVictoriaRetiré
Concord Repatriation General HospitalConcordNew South WalesRetiré
Melbourne HealthParkvilleVictoriaRetiré
Westmead HospitalWestmeadNew South WalesRetiré

Belgium

Belgium
ÉtablissementVilleÉtat ou régionStatut
Erasme University Hospital - Infectiology DepartmentAnderlechtEn recrutement
Universite Catholique De Louvain and Cliniques Universitaires Saint-LucBrusselsEn recrutement
Universitair Ziekenhuis GentGhentEn recrutement

Brazil

Brazil
ÉtablissementVilleÉtat ou régionStatut
CCIH - Consultoria em Controle de Infecção Hospitalar LtdaBelo HorizonteMinas GeraisEn recrutement
Fundacao Universidade de Caxias do Sul - Hospital Geral de Caxias do SulCaxias do SulRio Grande do SulEn recrutement
Hospital Nossa Senhora das GraçasCuritibaParanáEn recrutement
CPCLIN - Centro de Estudos e Pesquisas em Molestias Infecciosas - Pesquisa ClínicaNatalRio Grande do NorteEn recrutement
Hospital de Clinicas de Porto Alegre - UFRGSPorto AlegreRio Grande do SulEn recrutement
Associação Educadora São Carlos AESC - Hospital Mãe de Deus - Centro de PesquisaPorto AlegreRio Grande do SulEn recrutement
Hospital Alemao Oswaldo CruzSão PauloSão PauloEn recrutement

Bulgaria

Bulgaria
ÉtablissementVilleÉtat ou régionStatut
UMHAT Burgas ADBurgasRetiré
Multiprofile Hospital for Active Treatment St. Ivan Rilski Gorna Oriahovitsa EOODGorna OryahovitsaEn recrutement
Multiprofile Hospital for Active Treatment Sveti Nikolay Chuditvorets EOODLomRetiré
Medicinski centar Hipokrat-N EOODPlovdivRetiré
MHAT Dr.Ivan Seliminski - Sliven Ltd.SlivenRetiré
Medical Center Excelsior OOD, Base 1SofiaSofia-GradRetiré

Canada

Canada
ÉtablissementVilleÉtat ou régionStatut
Alberta Health Services (AHS) - Foothills Medical CentreCalgaryAlbertaEn recrutement
INTERMED groupe santéChicoutimiQuebecEn recrutement
University of AlbertaEdmontonAlbertaEn recrutement
Research St. Josephs HamiltonHamiltonOntarioEn recrutement
St. Joseph's Hospital - LondonLondonOntarioEn recrutement
The Moncton HospitalMonctonNew BrunswickEn recrutement
Centre Hospitalier de l Universite Laval (CHUL)QuébecQuebecEn recrutement
CaRe ClinicRed DeerAlbertaEn recrutement
Viable Clinical Research CorporationScarborough VillageOntarioRetiré
NL Health ServicesSt. John'sNewfoundland and LabradorEn recrutement
University Health NetworkTorontoOntarioEn recrutement
Vancouver Coastal Health Research Institute Clinical Research UnitVancouverBritish ColumbiaEn recrutement

Czechia

Czechia
ÉtablissementVilleÉtat ou régionStatut
Fakultni nemocnice BrnoBrnoBrno-městoRetiré
Nemocnice Kyjov, p.o.KyjovRetiré
Fakultni Nemocnice OstravaOstrava-PorubaRetiré

Denmark

Denmark
ÉtablissementVilleÉtat ou régionStatut
Aarhus University HospitalAarhusCentral JutlandEn recrutement

France

France
ÉtablissementVilleÉtat ou régionStatut
CHU Bordeaux - Hopital Saint Andre Service de medecine interne et maladies infectieusesBordeaux CedexHauts-de-FranceEn recrutement
Hôpital du BocageDijonFranche-ComtéEn recrutement
Assistance Publique-Hopitaux de Paris (AP-HP) - Hopitaux Universitaires Paris Ile-de-France Ouest - Raymond-PoincareGarchesHauts-de-SeineEn recrutement
Hospital St. JosephLes ParisAuvergne-Rhône-AlpesEn recrutement
Hôpital De La Croix Rousse - GastroenterologyLyonRhoneEn recrutement
CHU de Nantes - Hôtel DieuNantesLoire-AtlantiqueEn recrutement
Assistance Publique Hôpitaux de Paris Hôpital Bichat- Claude Bernard - Département des maladies infectieuses et tropicalesParisParisEn recrutement
Centre Hospitalier Universitaire (CHU) de Reims - Hopital Robert DebreParisGrand EstEn recrutement
Chru De ToursToursEn recrutement

Georgia

Georgia
ÉtablissementVilleÉtat ou régionStatut
ISR-GEO Med Res Clin HealthycoreTbilisiK'alak'i T'bilisiEn recrutement
LTD "Academician Vakhtang Bochorishvili Clinic"TbilisiK'alak'i T'bilisiEn recrutement
LTD "Aversi Clinic"TbilisiK'alak'i T'bilisiEn recrutement
LTD "Emergency Cardiology Center named by Acad.G.Chapidze"TbilisiEn recrutement

Germany

Germany
ÉtablissementVilleÉtat ou régionStatut
Epimed GmbHBerlinState of BerlinEn recrutement

165 sites supplémentaires sont indiqués dans la fiche du registre.

Documents de l'étude

Aucun document n'est lié dans cette fiche du registre.

Évolution au fil du temps

Aucun changement n'a été enregistré depuis que nous avons intégré cette fiche pour la première fois.

Un changement est enregistré chaque fois que le promoteur met à jour la fiche du registre. Le statut, les dates, le recrutement et les sites apparaissent ici au fur et à mesure de leur évolution.