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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

RecruitingTaking participants now, according to the registry record.
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In brief

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 sought215 sites24 countries

Categories

Registered in 1 registry

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Trial information is shown as published by the registry, in its original language.

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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.

Summary

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).

Conditions

  • 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

Eligibility

Eligibility
SexAll
Ages12 YearsNo maximum
Healthy volunteersNo

Eligibility as written in the registry

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

Eligibility in plain statements

This record's criteria have not been broken into separate statements yet. The registry text above is complete and is the authoritative version.

Study design

Study design
Study typeInterventional
PhasePhase 3
AllocationRandomised
Intervention modelPARALLEL
Primary purposePREVENTION
MaskingQUADRUPLE (4)
Enrolment852 participants sought

Sponsor and collaborators

  • Vedanta Biosciences, Inc. Sponsor

Arms and 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

  • Biological 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.

  • Biological 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.

Outcome measures

  1. Primary outcome

    CDI Recurrence Rate at Week 8

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

    Time frame 8 weeks

Dates

Dates
Start dateMay 20, 2024 (actual)
Primary completionJune 1, 2027 (estimated)
CompletionOctober 1, 2027 (estimated)
First postedFebruary 1, 2024 (actual)
Last updatedSeptember 14, 2026
Results postedNot stated in the registry record
Status last verifiedSeptember 2026

Actual means the event happened. Estimated means the sponsor expects it. The two mean different things.

Locations

155 sites are recruiting

Australia

Australia
FacilityCityState or regionStatus
Monash HealthClaytonVictoriaWithdrawn
Concord Repatriation General HospitalConcordNew South WalesWithdrawn
Melbourne HealthParkvilleVictoriaWithdrawn
Westmead HospitalWestmeadNew South WalesWithdrawn

Belgium

Belgium
FacilityCityState or regionStatus
Erasme University Hospital - Infectiology DepartmentAnderlechtRecruiting
Universite Catholique De Louvain and Cliniques Universitaires Saint-LucBrusselsRecruiting
Universitair Ziekenhuis GentGhentRecruiting

Brazil

Brazil
FacilityCityState or regionStatus
CCIH - Consultoria em Controle de Infecção Hospitalar LtdaBelo HorizonteMinas GeraisRecruiting
Fundacao Universidade de Caxias do Sul - Hospital Geral de Caxias do SulCaxias do SulRio Grande do SulRecruiting
Hospital Nossa Senhora das GraçasCuritibaParanáRecruiting
CPCLIN - Centro de Estudos e Pesquisas em Molestias Infecciosas - Pesquisa ClínicaNatalRio Grande do NorteRecruiting
Hospital de Clinicas de Porto Alegre - UFRGSPorto AlegreRio Grande do SulRecruiting
Associação Educadora São Carlos AESC - Hospital Mãe de Deus - Centro de PesquisaPorto AlegreRio Grande do SulRecruiting
Hospital Alemao Oswaldo CruzSão PauloSão PauloRecruiting

Bulgaria

Bulgaria
FacilityCityState or regionStatus
UMHAT Burgas ADBurgasWithdrawn
Multiprofile Hospital for Active Treatment St. Ivan Rilski Gorna Oriahovitsa EOODGorna OryahovitsaRecruiting
Multiprofile Hospital for Active Treatment Sveti Nikolay Chuditvorets EOODLomWithdrawn
Medicinski centar Hipokrat-N EOODPlovdivWithdrawn
MHAT Dr.Ivan Seliminski - Sliven Ltd.SlivenWithdrawn
Medical Center Excelsior OOD, Base 1SofiaSofia-GradWithdrawn

Canada

Canada
FacilityCityState or regionStatus
Alberta Health Services (AHS) - Foothills Medical CentreCalgaryAlbertaRecruiting
INTERMED groupe santéChicoutimiQuebecRecruiting
University of AlbertaEdmontonAlbertaRecruiting
Research St. Josephs HamiltonHamiltonOntarioRecruiting
St. Joseph's Hospital - LondonLondonOntarioRecruiting
The Moncton HospitalMonctonNew BrunswickRecruiting
Centre Hospitalier de l Universite Laval (CHUL)QuébecQuebecRecruiting
CaRe ClinicRed DeerAlbertaRecruiting
Viable Clinical Research CorporationScarborough VillageOntarioWithdrawn
NL Health ServicesSt. John'sNewfoundland and LabradorRecruiting
University Health NetworkTorontoOntarioRecruiting
Vancouver Coastal Health Research Institute Clinical Research UnitVancouverBritish ColumbiaRecruiting

Czechia

Czechia
FacilityCityState or regionStatus
Fakultni nemocnice BrnoBrnoBrno-městoWithdrawn
Nemocnice Kyjov, p.o.KyjovWithdrawn
Fakultni Nemocnice OstravaOstrava-PorubaWithdrawn

Denmark

Denmark
FacilityCityState or regionStatus
Aarhus University HospitalAarhusCentral JutlandRecruiting

France

France
FacilityCityState or regionStatus
CHU Bordeaux - Hopital Saint Andre Service de medecine interne et maladies infectieusesBordeaux CedexHauts-de-FranceRecruiting
Hôpital du BocageDijonFranche-ComtéRecruiting
Assistance Publique-Hopitaux de Paris (AP-HP) - Hopitaux Universitaires Paris Ile-de-France Ouest - Raymond-PoincareGarchesHauts-de-SeineRecruiting
Hospital St. JosephLes ParisAuvergne-Rhône-AlpesRecruiting
Hôpital De La Croix Rousse - GastroenterologyLyonRhoneRecruiting
CHU de Nantes - Hôtel DieuNantesLoire-AtlantiqueRecruiting
Assistance Publique Hôpitaux de Paris Hôpital Bichat- Claude Bernard - Département des maladies infectieuses et tropicalesParisParisRecruiting
Centre Hospitalier Universitaire (CHU) de Reims - Hopital Robert DebreParisGrand EstRecruiting
Chru De ToursToursRecruiting

Georgia

Georgia
FacilityCityState or regionStatus
ISR-GEO Med Res Clin HealthycoreTbilisiK'alak'i T'bilisiRecruiting
LTD "Academician Vakhtang Bochorishvili Clinic"TbilisiK'alak'i T'bilisiRecruiting
LTD "Aversi Clinic"TbilisiK'alak'i T'bilisiRecruiting
LTD "Emergency Cardiology Center named by Acad.G.Chapidze"TbilisiRecruiting

Germany

Germany
FacilityCityState or regionStatus
Epimed GmbHBerlinState of BerlinRecruiting

165 further sites are listed in the registry record.

Study documents

No documents are linked in this registry record.

Changes over time

No changes have been recorded since we first ingested this record.

A change is recorded each time the sponsor updates the registry record. Status, dates, enrolment and sites appear here as they move.