ClinicalTrials.gg
CompletedNCT03415594Updated Oct 26, 2024

Safety, Efficacy, PD of FE203799 in Short Bowel Syndrome on Parenteral Support

A Phase 1/2 interventional study of FE203799 GLP-2 analogue and FE203799 Placebo GLP-2 analogue in 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 2024-10-26.

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

Phase
Phase 1/2
Study type
Interventional
Enrollment
8
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Part A:once weekly dosing for 4 weeks in patients with short bowel syndrome who require total parenteral nutrition; patients will complete period 1 and after a 6-10 week wash-out, they will enter period 2 (active treatment and placebo); Part B: treatment period 3, is an open label extension to part A and starts after a washout of 6-10 weeks after the last dose in treatment period 2. patients are dosed once weekly for 4 weeks.

Read the detailed description

This trial is divided into 2 parts. Part A of this trial is a repeated dose, placebo controlled, double blind, randomised cross-over trial investigating safety, efficacy and PD of FE 203799 in 8-10 patients with SBS. Additionally, the plasma concentration of FE 203799 will be assessed for determination of the trough and post-dose concentration in SBS patients. The patients will receive a subcutaneous (SC) dose of 5 mg FE 203799 or placebo once weekly for 4 consecutive weeks, and after a washout period of 6-10 weeks, the alternate treatment will be administered once weekly for 4 consecutive weeks. Safety follow-up assessments will be performed 6-10 weeks after the last dose in each treatment period.

Part B of this trial, treatment period 3, is an open label extension to part A that will test a new dose. Following a washout period of 6-10 weeks after the last dose in treatment period 2, the new dose will be administered once weekly for 4 weeks. Safety follow-up assessments will be performed 4-6 weeks after the last dose in treatment period 3.

The first two administrations of trial drug in each treatment period will be performed at the clinic, while the third and fourth 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.

Prior to each administration of trial drug, liver function parameters will be analysed and assessed. During each treatment period, 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 during each treatment period with daily data on parenteral support (PS) usage, oral liquid intake at specific periods, trial drug administrations performed at home, local tolerability and adverse events (AEs).

02

Conditions studied

  • 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 small intestine
  2. 18-80 years of age
  3. (BMI) between 16.0 and 32.0
  4. Patients with a jejuno- or ileostomy and a faecal wet weight excretion of at least 1500 g/day, as recorded within the last 18 months according to the patient's medical record
  5. Parenteral support ≥3 times/week for ≥12 months according to the patient's medical record
  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. Gallstones with subsequent cholecystectomy to resolve the issues is acceptable
  7. Inflammatory bowel disease (IBD) patients 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. Catheter sepsis experienced within the last 3 months
  11. Decompensated heart failure ( [NYHA] class III-IV) and/or known coronary heart disease defined as unstable angina pectoris and/or myocardial infarction within the last 6 months prior to screening
  12. Radiation enteritis, scleroderma or other condition of intestinal dysmotility, coeliac disease, or tropical sprue
  13. History of alcohol and/or drug abuse within the last 12 months
  14. 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
  15. Inadequate renal function as defined by serum creatinine or blood urea nitrogen >2.5 × ULN
  16. Unplanned hospitalisation of >24 hours duration within 1 month before the screening visit
  17. Systemic , methotrexate, cyclosporine, tacrolimus, sirolimus, infliximab or other biologic therapy/immune modifiers within 30 days of screening
  18. Any use of growth hormone, glutamine or growth factors such as native glucagon-like peptide 2 (GLP 2) or GLP 2 analogue within the last 3 months
  19. Any use of antibiotics within the last 30 days
  20. Participation in another clinical trial within the last 3 months and during this trial
  21. Previously been randomised in this trial
  22. Loss of blood or donation of blood or plasma >500 mL within 3 months prior to screening
  23. Patient not capable of understanding or not willing to adhere to the trial visit schedules and other protocol requirements
  24. 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
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
8 participants (actual)

Study arms

  • Experimental
    FE203799 5 mg

    FE203799 GLP-2 analogue, once weekly, subcutaneous administration

    Drug: FE203799 GLP-2 analogue

  • Placebo comparator
    Placebo

    Placebo FE203799 GLP-2 analogue, once weekly, subcutaneous administration

    Drug: FE203799 Placebo GLP-2 analogue

  • Other
    FE203799 10 mg

    FE203799 GLP-2 analogue, once weekly, subcutaneous administration

    Drug: FE203799 GLP-2 analogue

Interventions

06

What researchers measure

Primary outcomes

  1. Incidence of treatment-emergent adverse events

    Adverse events (AEs) as assessed by CTCAE v4.03

    Time frame: Day -28 to Day 29

Secondary outcomes

  1. Assessment of intestinal failure and gut absorption

    Measurement of urinary output (ml)

    Time frame: Day -3 - Day 28

  2. Assessment of intestinal failure and gut absorption

    Measurement of urinary sodium (mmol/d)

    Time frame: Day -3 - Day 28

  3. Assessment of intestinal failure and gut absorption

    Measurement of Parenteral Support (L)

    Time frame: Day -3 - Day 29

  4. Assessment of intestinal failure and gut absorption

    Measurement of oral fluids intake (L)

    Time frame: Day -3 - Day 28

  5. Assessment of intestinal failure and gut absorption

    Changes from baseline in lean body mass by DEXA scan

    Time frame: Day -3 and Day 29

  6. Assessment of intestinal failure and gut absorption

    Changes from baseline in fat mass by DEXA scan

    Time frame: Day -3 and Day 29

  7. Assessment of intestinal failure and gut absorption

    Changes from baseline in bone mineral content by DEXA scan

    Time frame: Day -3 and Day 29

  8. Assessment of gut regeneration

    Measurements of the plasma citrulline (ng/ml)

    Time frame: Day 1 - Day 29

  9. Plasma Trough concentration (Ctrough) of study drug

    Ctrough

    Time frame: Day 1 - Day 29

  10. Plasma concentration post 72 hours (C72) of study drug

    C72

    Time frame: Day 1 - Day 29

07

Study locations

1 site
  • Rigshospitalet
    Copenhagen, Denmark
08

References and documents

Publications

  • Eliasson J, Hvistendahl MK, Freund N, Bolognani F, Meyer C, Jeppesen PB. Apraglutide, a novel glucagon-like peptide-2 analog, improves fluid absorption in patients with short bowel syndrome intestinal failure: Findings from a placebo-controlled, randomized phase 2 trial. JPEN J Parenter Enteral Nutr. 2022 May;46(4):896-904. doi: 10.1002/jpen.2223. Epub 2021 Sep 7. PubMed 34287970 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 26, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03415594
Lead sponsor
GlyPharma Therapeutics
Collaborators
VectivBio AG
Responsible party
Sponsor
First posted
Jan 30, 2018
Start date
May 8, 2018
Primary completion
Nov 21, 2019
Completion
Nov 21, 2019
Last update
Oct 26, 2024

Study contacts

Tomasz Masior
study director · VectivBio AG

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2020. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Apraglutide

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