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CompletedNCT00620451Updated Sep 20, 2017

Randomized, Double-Blind, Placebo-Controlled Study of Larazotide Acetate in Subjects With Active Celiac Disease

A Phase 2 interventional study of larazotide acetate and placebo in Celiac Disease, sponsored by 9 Meters Biopharma, Inc.. Completed at 33 sites in 3 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2017-09-20.

Sponsored by 9 Meters Biopharma, Inc. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jul 2009, 17 years 3 months ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in Sep 2017.
Phase
Phase 2
Study type
Interventional
Enrollment
105
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This study was conducted to assess the safety and efficacy of larazotide acetate versus placebo in inducing remission in subjects with active celiac disease.

Read the detailed description

This was an outpatient, randomized, parallel- group, double-blind, multicenter, 8-week study with three treatment arms: larazotide acetate 4 mg TID, larazotide acetate 8 mg TID and placebo TID in subjects with celiac disease. The primary objective was to assess the efficacy of larazotide acetate versus placebo in inducing remission in subjects with active celiac disease, as defined by an improvement in the Villous Height to Crypt Depth (Vh:Cd) ratio, obtained by duodeno-jejunal biopsy. Secondary objectives included assessment of the safety and tolerability of larazotide acetate, to prospectively validate the components of a composite weighted index of celiac disease activity (celiac disease Activity Rating Score, CeDARS), individually and as a whole, to To compare the CeDARS against the Clinician Global Assessment of disease (CGA), Psychological Well Being Index and the Short Form 12 version 2 (SF-12 v2) health survey and to assess the effects of larazotide acetate on inflammatory markers in subjects with active celiac disease.

02

Conditions studied

  • Celiac Disease

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Keywords

  • Treatment
  • Active
  • Celiac
  • Remission
  • Induction
03

In context

Celiac Disease

333 studies on the registry are indexed under Celiac Disease; 78 are open to participants now.

This study's enrollment of 105 is above the median of 50 across 203 interventional studies indexed under Celiac Disease.

Browse Celiac Disease studies →

Lead sponsor

9 Meters Biopharma, Inc. is the lead sponsor of 10 studies on the registry; none are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male and female adults with celiac disease (as demonstrated by duodenal/jejunal biopsy or by capsule endoscopy plus positive anti-tTG)
  • Marsh score ≥ II at screening
  • Positive serum anti-tTG antibodies as determined by screening serology
  • Willing to comply with a gluten-free diet for the duration of the study

Exclusion criteria

Exclusion Criteria:

  • Has refractory Celiac Disease or severe complications of celiac disease (eg, EATL-, ulcerative jejunitis, perforation, etc.)
  • Has chronic active GI disease other than Celiac Disease
  • Has diabetes (Type 1 or Type 2) or other autoimmune disease that might interfere with the conduct of the study
  • Has hemoglobin value below 8.5 g/dL
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
105 participants (actual)

Study arms

  • Experimental
    Larazotide acetate 4 mg

    larazotide acetate capsules 4 mg TID

    Drug: larazotide acetate

  • Experimental
    Larazotide acetate 8 mg

    Larazotide acetate capsules 8 mg TID

    Drug: larazotide acetate

  • Placebo comparator
    Placebo

    Placebo capsules

    Drug: placebo

Interventions

  • Druglarazotide acetate

    gelatin capsule

    Also known as: AT-1001, INN-202

  • Drugplacebo

    gelatin capsule

06

What researchers measure

Primary outcomes

  1. Assess the efficacy of larazotide acetate in inducing remission in subjects with active celiac disease

    Remission was defined as an improvement in the Villous Height to Crypt Depth (Vh:Cd) ratio obtained by duodeno-jejunal biopsy.

    Time frame: duodeno-jejunal biopsies were performed at Baseline and Day 56

Secondary outcomes

  1. Assess the safety and tolerability of larazotide acetate

    Safety endpoints assessed in this study were adverse events, vital signs, physical examination results, clinical laboratory test results and ECG results. Plasma larazotide acetate and metabolites, as well as potential serum antibodies against larazotide acetate, were also determined.

    Time frame: Up to 8 weeks

  2. To prospectively validate the components of a composite weighted index of Celiac Disease activity (Celiac Disease Activity Rating Score, CeDARS), individually and as a whole.

    Candidate components of the CeDARS Index measured in this study were GSRS, anti-tTG antibodies, LAMA ratio, Hb, ferritin, body weight, triceps skin fold thickness, BMI, urinary nitrates

    Time frame: Up to 8 weeks

  3. To compare the CeDARS against the Clinician Global Assessment of disease (CGA), Psychological Well Being Index (PWBI) and the Short Form 12 version 2 (SF-12v2) health survey.

    The CGA was completed by the PI or designee; the PWBI and SF-12v2 were completed by the subject.

    Time frame: CGA, PWBI and SF-12v2 were collected at Visits 2, 3 and 4.

  4. To assess the effects of larazotide acetate on inflammatory markers in subjects with active celiac disease subjects

    Blood for serum was drawn for potential future determination of inflammatory mediators that might be involved in the response of Celiac Disease to larazotide acetate, such as cytokines (e.g. TNF-α,IFN-γ) or the putative permeability factor "zonulin".

    Time frame: Blood draws occurred at Visits 1, 2, 3, 4 and 5.

07

Study locations

33 sites
  • Study Site
    Orange, California 92868, United States
  • Study Site
    San Francisco, California 94115, United States
  • Study Site
    Torrington, Connecticut 06790, United States
  • Study Site
    Jacksonville, Florida 32207, United States
  • Study Site
    Topeka, Kansas 66606, United States
  • Study Site
    Lexington, Kentucky 40536, United States
  • Study Site
    Hagerstown, Maryland 21740, United States
  • Study Site
    Silver Spring, Maryland 20901, United States
  • Study Site
    Chesterfield, Michigan 48047, United States
  • Study Site
    Troy, Michigan 48084, United States
  • Study Site
    Rochester, Minnesota 55905, United States
  • Study Site
    Asheville, North Carolina 28801, United States
  • Study Site
    Harrisburg, North Carolina 28075, United States
  • Study Site
    Gallipolis, Ohio 45631, United States
  • Study Site
    Paoli, Pennsylvania 19301, United States
  • Study Site
    Philadelphia, Pennsylvania 19014, United States
  • Study Site
    Pittsburgh, Pennsylvania 15243, United States
  • Study Site
    Sioux Falls, South Dakota 57105, United States
  • Study Site
    Franklin, Tennessee 37067, United States
  • Study Site
    Houston, Texas 77030, United States
  • Study Site
    Edmonton, Alberta T6G2X8, Canada
  • Study Site
    Abbotsford, British Columbia V5ZIH2, Canada
  • Study Site
    Kelowna, British Columbia V1Y2H4, Canada
  • Study Site
    Richmond Hill, Ontario L4B3PB, Canada
  • Study Site
    Palma, Mallorca 07014, Spain
  • Study Site
    Barcelona, 08028, Spain
  • Study Site
    Huesca, 22004, Spain
  • Study Site
    Leon, 24005, Spain
  • Study Site
    Madrid, 28007, Spain
  • Study Site
    Madrid, 28034, Spain
  • Study site
    Madrid, 28040, Spain
  • Study Site
    Reus, 43201, Spain
  • Study Site
    Valladolid, 47005, Spain
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 20, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00620451
Lead sponsor
9 Meters Biopharma, Inc.
Responsible party
Sponsor
First posted
Feb 21, 2008
Start date
Feb 2008
Primary completion
Jul 2009
Completion
Dec 2009
Last update
Sep 20, 2017

Study contacts

Francisco Leon, MD, Ph.D
study director · Alba Therapeutics

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2017. You cannot join it, but the record below documents what was studied.

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