ClinicalTrials.gg
CompletedNCT03408132Updated Oct 24, 2024

Metabolic Balance Study of FE203799 in Patients With SBS With Intestinal Insufficiency

A Phase 1/2 interventional study of FE203799 in SBS - Short Bowel Syndrome, sponsored by GlyPharma Therapeutics. Completed at 1 site in Denmark. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2024-10-24.

Sponsored by GlyPharma Therapeutics · Phase 1/2, Interventional, and Supportive care

Phase
Phase 1/2
Study type
Interventional
Enrollment
8
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This is a repeated dose, open label trial investigating safety, efficacy, PD and PK of FE 203799 in 8 patients with SBS. The patients will receive a subcutaneous (SC) dose of 5 mg FE 203799 once weekly for 4 consecutive weeks, and efficacy parameters and PK will be assessed after the fourth dose. Safety follow up assessments will be performed 4-6 weeks after the last dose.

Read the detailed description

This is a repeated dose, open label trial investigating safety, efficacy, PD and PK of FE 203799 in 8 patients with SBS . The patients will receive a subcutaneous (SC) dose of 5 mg FE 203799 once weekly for 4 consecutive weeks, and efficacy parameters and PK will be assessed after the fourth dose. Safety follow-up assessments will be performed 4-6 weeks after the last dose.

The first two administrations of trial drug will be performed at the clinic, while the third dose can be either self-administered by the patient or administered at the clinic if the patient prefers to travel to the site or other considerations make a site visit preferable. The fourth administration of trial drug will be performed at the clinic just prior to assessment of efficacy parameters in the treatment balance study.

Prior to each administration of trial drug, liver function parameters will be analysed and assessed. During the entire trial, patients who develop extremely high or persistently elevated liver enzymes following trial drug administration will be discontinued from the trial.

The patients will complete a diary with data on trial drug administration performed at home, local tolerability and adverse events (AEs).

02

Conditions studied

  • SBS - Short Bowel Syndrome

Browse trials for

03

In context

Short Bowel Syndrome

159 studies on the registry are indexed under Short Bowel Syndrome; 24 are open to participants now.

This study's enrollment of 8 is below the median of 21 across 108 interventional studies indexed under Short Bowel Syndrome.

Browse Short Bowel Syndrome studies →

Lead sponsor

GlyPharma Therapeutics is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Males and females with SBS secondary to surgical resection of the small intestine, with or without an intact colon.
  2. 18-80 years of age
  3. Average faecal wet weight excretion of ≥1500 g/day during the baseline balance study
  4. Average urine production \<2000 mL/day during the baseline balance study
  5. (BMI) between 16.0 and 32.0 (both inclusive)
  6. At least 6 months since last surgical bowel resection
  7. Willing to adhere to a defined oral intake of fluids on certain days as required by the protocol (and based on the individual's routine daily consumption)
  8. Women of must agree to use an adequate method of during the trial and for 60 days after the end-of-trial visit. Adequate methods of contraception include intrauterine device or hormonal contraception (oral contraceptive pill, depot injections or implant, transdermal depot patch or vaginal ring). To be considered sterilised or infertile, females must have undergone surgical sterilisation (bilateral tubectomy, hysterectomy or bilateral ovariectomy) or be (defined as at least 12 months amenorrhoea and confirmed with follicle-stimulating hormone [FSH] test)

Exclusion criteria

Exclusion Criteria:

  1. Pregnancy or lactation
  2. Positive results on the (HIV), and/or C tests
  3. A history of intestinal adhesions and/or chronic abdominal pain
  4. Require chronic systemic narcotics for treatment of pain that exceeds an amount corresponding to 80 mg of morphine per day
  5. History of cancer or clinically significant lymphoproliferative disease within ≤5 years, except for adequately treated basal cell skin cancer
  6. History of gallstone within the past 3 years. Gallstone with subsequent cholecystectomy to resolve the issues is acceptable.
  7. Inflammatory bowel disease patients (IBD) who have NOT been on a stable drug treatment regimen for at least the past 4 weeks
  8. Evidence of active IBD in the past 12 weeks
  9. Visible blood in the stool within the last 3 months
  10. Decompensated heart failure ( [NYHA] class III-IV, see Appendix 12.2) and/or known coronary heart disease defined as unstable angina pectoris and/or myocardial infarction within the last 6 months prior to screening
  11. Radiation enteritis, scleroderma or other condition of intestinal dysmotility, coeliac disease, or tropical sprue
  12. History of alcohol and/or drug abuse within the last 12 months
  13. Inadequate hepatic function as defined by: > (ULN), (ALT) or aspartate transaminase (AST) >2.0 × ULN; alkaline phosphatase (ALP) >2.5 × ULN; or (INR) >1.5 × ULN
  14. Inadequate renal function as defined by serum creatinine or blood urea nitrogen >2.5 x ULN
  15. Unplanned hospitalisation of >24 hours duration within 1 month before the screening visit
  16. Systemic , methotrexate, cyclosporine, tacrolimus, sirolimus, infliximab, or other biologic therapy/immune modifiers within 30 days of screening
  17. Any use of growth hormone, glutamine or growth factors such as native GLP-2 or GLP-2 analogue within the last 3 months
  18. Any use of antibiotics within the last 30 days
  19. Participation in another clinical trial within the last 3 months and during this trial
  20. Previously been treated in this trial
  21. Loss of blood or donation of blood or plasma >500 mL within 3 months prior to screening
  22. Patient not capable of understanding or not willing to adhere to the trial visit schedules and other protocol requirements
  23. For any other reason judged not eligible by the investigator
Terms in these criteria, in plain language(14)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
8 participants (actual)

Study arms

  • Experimental
    FE203799 5 mg

    FE203799 5 mg subcutaneous injection

    Drug: FE203799

Interventions

  • FE203799 5 mg subcutaneous once weekly

    Also known as: GLP 2 analogue

06

What researchers measure

Primary outcomes

  1. Incidence of treatment-emergent adverse events

    Adverse events as assessed by CTCAE v4.03

    Time frame: Day -28 to Day 26 plus 6 weeks

Secondary outcomes

  1. Assessment of intestinal insufficiency and gut absorption

    Changes in the wet weight (g) of faecal excretion

    Time frame: Day -28 to day 26

  2. Assessment of intestinal insufficiency and gut absorption

    Changes from baseline in lean body mass by DEXA scan.

    Time frame: Day -28 and day 26

  3. Assessment of intestinal insufficiency and gut absorption

    Changes from baseline in bone mineral content by DEXA scan.

    Time frame: Day -28 and day 26

  4. Assessment of intestinal insufficiency and gut absorption

    Changes from baseline in fat mass by DEXA scan.

    Time frame: Day -28 and day 26

  5. Assessment of intestinal insufficiency and gut absorption

    Measure of body weight (kg)

    Time frame: Day -28 to day 26 plus 6 weeks

  6. Assessment of intestinal insufficiency and gut absorption

    Measurement of urinary output (ml)

    Time frame: Baseline (Day -6) to end of treatment (Day 26)

  7. Assessment of intestinal insufficiency and gut absorption

    Measurement of urinary electrolytes (sodium, potassium, calcium, magnesium) (mmol/d)

    Time frame: Baseline (Day -6) to end of treatment (Day 26)

  8. Assessment of gut regeneration

    Measurements of the plasma Citrulline (ng/ml)

    Time frame: Baseline (Day -7) to end of treatment period (Day 26) plus 6 weeks

  9. Maximum observed plasma concentration (Cmax)

    Cmax (ng/ml)

    Time frame: Day 1 to end of treatment period (Day 26)

  10. Cumulative area under the plasma concentration (AUC) of FE 203799 from time 0 to 168

    AUC0-168 (ng\*hr/ml)

    Time frame: Day 1 to end of treatment period (Day 26)

  11. Terminal elimination half-life (T1/2) of FE 203799

    T1/2 (h)

    Time frame: Day 1 to end of treatment period (Day 26)

  12. Apparent total body clearance (CL) of FE 203799 from plasma

    CL (ml/hr)

    Time frame: Day 1 to end of treatment period (Day 26)

  13. Apparent volume of distribution (Vd) of FE 203799 during terminal phase

    Vd (ml)

    Time frame: Day 1 to end of treatment period (Day 26)

07

Study locations

1 site
  • Rigshospitalet
    Copenhagen, Denmark
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 24, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03408132
Lead sponsor
GlyPharma Therapeutics
Collaborators
VectivBio AG
Responsible party
Sponsor
First posted
Jan 23, 2018
Start date
May 2, 2018
Primary completion
Oct 28, 2019
Completion
Oct 28, 2019
Last update
Oct 24, 2024

Study contacts

Tomasz Masior
study director · VectivBio AG

Oversight

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

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