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TerminatedNCT02730325Updated Nov 18, 2021

To Evaluate the Impact of SBI on C. Difficile in Hospitalized UC Patients

An interventional study of Serum-derived bovine immunoglobulin/protein isolate (SBI) and Placebo in Clostridium Difficile, sponsored by Northwestern University. Terminated at 3 sites in United States. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2021-11-18.

Sponsored by Northwestern University · Not applicable, Interventional, and Other

Why this study was terminated
Study terminated due to limited enrollment.
Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

The effects of serum-derived bovine immunoglobulin/protein isolate (SBI) will be evaluated and compared to matching placebo in two distinct patient populations:

I. Hospitalized ulcerative colitis (UC) patients who tested positive for Clostridium difficile (C. difficile) at time of admission and are receiving vancomycin.

II. Hospitalized UC patients who tested negative for C. difficile at time of admission.

Read the detailed description

The effects of serum-derived bovine immunoglobulin/protein isolate (SBI) will be evaluated and compared to matching placebo in two distinct patient populations:

I. Hospitalized ulcerative colitis (UC) patients who tested positive for Clostridium difficile (C. difficile) at time of admission and are receiving vancomycin.

Primary Objective:

  • To evaluate the effect of SBI on time (# of days) to resolution of diarrhea, defined as a consecutive 24 hour period with only formed bowel movements (Bristol Stool Scale (BSS) ≤ 4) in this patient population

Secondary Objectives:

  • To evaluate the ability of SBI to decrease the incidence of recurrent C. difficile infection (CDI) following successful treatment with vancomycin.
  • To evaluate the effect of SBI on UC status
  • To evaluate the effect of SBI on nutritional status
  • To evaluate the safety and tolerability of SBI
  • To evaluate the effect of SBI on subjects' quality of life (QOL)
  • To investigate the effect of SBI in fecal microbiome
  • To evaluate the length of hospitalization (time of hospitalization to time of discharge)

II. Hospitalized UC patients who tested negative for C. difficile at time of admission.

Primary Objective:

  • To evaluate the effect of SBI on time (# of days) to resolution of diarrhea, defined as a consecutive 24 hour period with only formed bowel movements (Bristol Stool Scale (BSS) ≤ 4) in this patient population

Secondary Objectives:

  • To evaluate the effect of SBI in decreasing the incidence of CDI
  • To evaluate the effect of SBI on UC status
  • To evaluate the effect of SBI on nutritional status
  • To evaluate the safety and tolerability of SBI
  • To evaluate the effect of SBI on subjects' QOL
  • To investigate the effect of SBI in fecal microbiome
  • To evaluate the length of hospitalization (time of hospitalization to time of discharge)
02

Conditions studied

  • Clostridium Difficile

Keywords

  • CDI
  • C. diff
  • Ulcerative Colitis
  • UC
  • IBD
  • Inflammatory Bowel Disease
03

In context

Clostridium Infections

310 studies on the registry are indexed under Clostridium Infections; 50 are open to participants now.

This study's enrollment of 10 is below the median of 65 across 233 interventional studies indexed under Clostridium Infections.

Browse Clostridium Infections studies →

Lead sponsor

Northwestern University is the lead sponsor of 1,396 studies on the registry; 199 are open to participants now.

Of its 102 completed or terminated interventional studies of FDA-regulated products, 73 (72%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis of UC confirmed by colonoscopy and histology.
  • Confirmed active UC upon hospital admission, defined by a partial Mayo Score of ≥ 3 with a stool frequency subscore of ≥ 2.
  • Concomitant therapy for UC will be permitted. Subjects will be instructed not to make any medication changes after hospital discharge before first discussing with the Investigator.
  • Eligible subjects will be assigned to one of two different and independent patient groups based on C. difficile status as determined by clinical symptoms with diarrhea and laboratory tests: either a polymerase chain reaction (PCR) assay or glutamate dehydrogenase (GDH) screening test used in two- or three-step algorithm with subsequent toxin A and B EIA testing.

Exclusion criteria

Exclusion Criteria:

  • Subjects with history of constipation within a week of the screening visit; or any serious hepatic, renal, cardiovascular, neurological or hematological disorder in the opinion of the Investigator.
  • Subjects with history of drug or alcohol abuse, history of psychiatric disorders, known allergy or hypersensitivity to beef or any component of SBI.
  • Subjects with a history of antibiotic treatment within the 4 weeks prior to enrollment.
  • Subjects using anti-diarrheal medications (e.g., loperamide and bismuth subsalicylate).

    • Note: anti-diarrheal medications will be prohibited throughout the study.
  • Subjects who have been admitted to the hospital more than 48 hours prior to enrollment.
  • Women who are pregnant.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
10 participants (actual)

Study arms

  • Active comparator
    SBI 10 g BID

    Serum-derived bovine immunoglobulin/protein isolate (SBI) 10.0 grams twice per day

    Other: Serum-derived bovine immunoglobulin/protein isolate (SBI)

  • Placebo comparator
    Placebo BID

    Placebo

    Other: Placebo

Interventions

  • OtherSerum-derived bovine immunoglobulin/protein isolate (SBI)
  • OtherPlacebo
06

What researchers measure

Primary outcomes

  1. Time (# of days) to resolution of diarrhea

    Group 1 \& Group 2 subjects: Stool consistency will be assessed using the BSS. Subjects will be provided a daily diary A to record the time and consistency of each bowel movement in a 24 hour period. At the Week 4 visit, the Investigator will calculate the time (# of days) to resolution of diarrhea, defined as a consecutive 24 hour period with only formed bowel movements (BSS ≤ 4), after initiation of investigational product (Day 1).

    Time frame: 12 weeks

Secondary outcomes

  1. Incidence of recurrent CDI

    Group I subjects: if subject develops diarrhea (≥ 3 unformed stools in 24h period) at any point following successful treatment with vancomycin. The presence of C. difficile will be determined by PCR or GDH/Toxin EIA.

    Time frame: 12 weeks

  2. Incidence of C. difficile

    Group II subjects: Incidence of C. difficile will be determined following 12 weeks of investigational product. Symptoms will be assessed by daily diary and by P SCCAI at each study visit. Should the subject develop diarrhea (≥ 3 unformed stools in 24h period) at any point during the study participation, he/she will return to the clinic and be tested for C. difficile by PCR or GDH/Toxin EIA.

    Time frame: 12 weeks

  3. UC status measured by P-SCCAI

    Group I \& Group II subjects

    Time frame: 4, 8 and 12 weeks

  4. UC status measured by BSS

    Group I \& Group II subjects

    Time frame: 4 weeks

  5. UC status measured by Fecal calprotectin

    Group I \& Group II subjects

    Time frame: 12 weeks

  6. UC status measured by CRP

    Group I \& Group II subjects

    Time frame: 12 weeks

  7. UC status measured by colectomy rate

    Group I \& Group II subjects

    Time frame: 12 weeks

  8. Nutritional Status measured by pre-albumin

    Group I \& Group II subjects

    Time frame: 12 weeks

  9. Nutritional Status measured by albumin

    Group I \& Group II subjects

    Time frame: 12 weeks

  10. Nutritional Status measured by hand grip strength

    Group I \& Group II subjects

    Time frame: 12 weeks

  11. Nutritional Status measured by fecal alpha-1 antitrypsin

    Group I \& Group II subjects

    Time frame: 12 weeks

  12. Safety and Tolerability evaluated by reported and observed treatment related adverse events

    Group I \& Group II subjects

    Time frame: 12 weeks

  13. Quality of Life evaluated using the SF-36

    Group I \& Group II subjects

    Time frame: 12 weeks

  14. Fecal Microbiome

    Group I \& Group II subjects

    Time frame: 12 weeks

  15. Length of Hospitalization

    Group I \& Group II subjects

    Time frame: 12 weeks

07

Study locations

3 sites
  • University of Miami
    Miami, Florida 33136, United States
  • Northwestern University
    Chicago, Illinois 60611, United States
  • Rush University
    Chicago, Illinois 60657, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 18, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02730325
Lead sponsor
Northwestern University
Collaborators
Entera Health, Inc
Responsible party
Stephen Hanauer (Professor of Medicine, Northwestern University) — Principal investigator
First posted
Apr 6, 2016
Start date
Dec 2015
Primary completion
Dec 12, 2017
Completion
Jan 5, 2018
Last update
Nov 18, 2021

Study contacts

Stephen B Hanauer, MD
principal investigator · Northwestern University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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