ClinicalTrials.gg
CompletedNCT03562130REVEUpdated Sep 11, 2025

Characterization of the Long-term Safety, Efficacy, and Pharmacodynamics Revestive® in the Management of Short Bowel Syndrome Pediatric Patients

A Phase 4 interventional study of Teduglutide in Short Bowel Syndrome, sponsored by Assistance Publique - Hôpitaux de Paris. Completed at 1 site in France. Open to participants aged 2 Years to 18 Years. Per ClinicalTrials.gov, last updated 2025-09-11.

Sponsored by Assistance Publique - Hôpitaux de Paris · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
25
Allocation
Not applicable
Ages
2 Years to 18 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate if the treatment could maximize intestinal absorption, minimize the inconvenience of diarrhea, and avoid, reduce or eliminate the need for parenteral support (PS) to achieve normal growth, to avoid parenteral nutrition complications and to achieve the best possible quality of life for the patient

Read the detailed description

The short bowel syndrome (SBS) may be defined as a severe malabsorption caused by reduction of intestinal absorptive surface following massive resection of the small intestine. Teduglutide (Revestive®) is an analog of glucagon-like peptide 2 (GLP-2), a naturally occurring hormone that regulates the functional and structural integrity of the cells lining the gastrointestinal tract. The aim of the treatment is to maximize intestinal absorption, minimize the inconvenience of diarrhea, and avoid, reduce or eliminate the need for parenteral support (PS) to achieve the best possible quality of life for the patient. The rationale for the use of Revestive® is based on data obtained, especially in the trial in SBS patients.

Treatment with 0.05 mg/kg/day was safe and well tolerated (no recorded side effects).

Patients remained stable despite substantial reduction in parenteral nutrition (PN) supply as evidenced by stable body weight and height, serum electrolytes, pancreatic enzymes and renal function tests.

Treatment was associated with:

  • Reduced PN volume and calories delivered by 25 and 45% respectively with 20% of patients weaned off PN during the study period
  • Increased Enteral Nutrition (EN) supply in volume and calories by 40 and 62% respectively
  • Increased in plasma citrulline during the treatment period, but decreased after Teduglutide discontinuation The recommended dose of Revestive® in children and adolescents (aged 1 to 17 years) is the same as for adults (0.05 mg/kg body weight once daily).
02

Conditions studied

  • Short Bowel Syndrome

Keywords

  • Teduglutide
  • Short Bowel Syndrome
  • Parenteral nutrition
  • Intestinal failure
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 25 is above the median of 21 across 108 interventional studies indexed under Short Bowel Syndrome.

Browse Short Bowel Syndrome studies →

Lead sponsor

Assistance Publique - Hôpitaux de Paris is the lead sponsor of 3,592 studies on the registry; 1,033 are open to participants now.

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

04

Who can participate

Ages eligible
2 Years to 18 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

  • Being aged from 2 to 18 years old included ;
  • Presenting less than 80 cm of residual small intestine with or without the terminal ileum, ileocecal valve and right colon or having less than 120 cm in case of Short Bowel Syndrome (SBS) caused by Hirschsprung disease;
  • Being stable on PN support (inability to significantly reduce PN intake for the last six months before inclusion) ;
  • Being dependent on PN for at least 2 years and enterally fed (oral or tube feeding) ;
  • Having a normal colonoscopy in the 12 months before screening for children with maintained colon (=SBS type 2 or 3) older than 12 years ;
  • Having signed the form (or parents or legal representative for minor patients).

Exclusion criteria

Exclusion Criteria:

  • Having a major gastrointestinal surgical intervention like serial transverse enteroplasty or any other bowel lengthening procedure performed within 6 months of screening ;
  • Having a untreated intestinal obstruction or active stenosis ;
  • Having an unstable absorption due to cystic fibrosis or known DNA abnormalities ;
  • Presenting a radiographic or manometric evidence of pseudo-obstruction or severe known dysmotility syndrome, including persistent, severe gastroschisis-related motility disorders ;
  • Having an unstable cardiac disease, congenital heart disease or cyanotic disease, with the exception of patients who had undergone ventricular or atrial septal defect repair ;
  • Having a history of cancer or clinically significant lymphoproliferative disease; excepted resected cutaneous basal or squamous cell carcinoma, or in situ non-aggressive and surgically resected cancer ;
  • Having participated in a clinical study using an experimental drug within 1 month or an experimental antibody treatment within 3 months prior to screening, or concurrent participation in any clinical study using an experimental drug that would affect the safety of teduglutide ;
  • Having already used native GLP-2 and glucagon-like peptide-1 analog or human growth hormone within 3 months prior to screening ;
  • Having already used oral or IV glutamine, octreotide, or dipeptidyl peptidase IV (DPP-IV) inhibitors within 3 months prior to screening ;
  • Having an active Crohn's disease which has been treated with biological therapy within the 6 months prior to screening ;
  • Having an intestinal polyposis;
  • Being, for female patient, both lactating and breast-feeding or having a positive pregnancy test during the screening period;
  • Refusing the follow the protocol requirements in terms of ;
  • Being unable to follow the study procedures for any reason: psychological, geographical…
  • to the active substance or to any of the listed in section 6.1 of Summary of Product Characteristics (SPC), or trace residues of tetracycline.
  • Active or suspected .
  • Patients with a history of malignancies in the gastrointestinal tract including the hepatobiliary system within the last five years.
Terms in these criteria, in plain language(6)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
25 participants (actual)

Study arms

  • Experimental
    Revestive

    Revestive® (teduglutide)is administered in children sub cutaneous injection at 0.05 mg/kg body weight once daily

    Drug: Teduglutide

Interventions

  • Daily sub cutaneous injection 0,05 mg/kg/day

06

What researchers measure

Primary outcomes

  1. Decrease in parenteral nutrition: Parenteral Nutrition/Resting Energy Expenditure (PN/REE)

    Evaluate the efficacy of Revestive® treatment

    Time frame: At week 24

Secondary outcomes

  1. Ostomy output defined as stool balance testing, urine output and plasma citrulline

    Evaluate the impact of Revestive on ostomy flow

    Time frame: up to week 48

  2. Change in days per week of Parenteral Nutrition (PN)

    Quantify the impact of Revestive on the number of perfusion in a week

    Time frame: up to week 48

  3. Change in number of stool per day

    to evaluate the impact of Revestive on diarrhea

    Time frame: up to week 48

  4. Change in stools consistency (Bristol stool chart)

    to evaluate the impact of Revestive on diarrhea

    Time frame: up to week 48

  5. Ingesta (calorimetric measure)

    to evaluate the impact of Revestive on Intestinal absorption

    Time frame: Every 4 weeks up to week 48

  6. Stool weight/24h

    to evaluate the impact of Revestive on Intestinal absorption

    Time frame: Every 4 weeks up to week 48

  7. Percentage of lipid in stool

    to evaluate the impact of Revestive on Intestinal absorption

    Time frame: Every 4 weeks up to week 48

  8. Percentage of nitrogen in stool

    to evaluate the impact of Revestive on Intestinal absorption

    Time frame: Every 4 weeks up to week 48

  9. Percentage of carbohydrate in stool

    to evaluate the impact of Revestive on Intestinal absorption

    Time frame: Every 4 weeks up to week 48

  10. Percentage of sodium in stool

    to evaluate the impact of Revestive on Intestinal absorption

    Time frame: Every 4 weeks up to week 48

  11. Number of adverse events

    to evaluate the long term safety of Revestive

    Time frame: At week 48

  12. Change in body weight

    Time frame: At baseline, then at 6 and 12 months

  13. Change in heart rate

    Time frame: At baseline, then at 6 and 12 months

  14. Change in blood pressure

    Time frame: At baseline, then at 6 and 12 months

  15. Endogenous GLP-2 rates (antibody ELISA)

    to evaluate the response rate of Revestive

    Time frame: up to week 48

07

Study locations

1 site
  • Hôpital Necker - Enfants malades
    Paris, 75015, France
08

References and documents

Publications

  • Lambe C, Talbotec C, Kapel N, Barbot-Trystram L, Brabant S, Nader EA, Pigneur B, Payen E, Goulet O. Long-term treatment with teduglutide: a 48-week open-label single-center clinical trial in children with short bowel syndrome. Am J Clin Nutr. 2023 Jun;117(6):1152-1163. doi: 10.1016/j.ajcnut.2023.02.019. Epub 2023 May 3. PubMed 37270289 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2018 to primary completion in Dec 2019, 17 months.

How these figures are worked out, and which studies are left out of them.

Registered
May 18, 2018
First posted
Jun 19, 2018
StartActual
Jul 2, 2018
Primary completionActual
Dec 11, 2019
CompletionActual
Jul 13, 2020
Last update
Sep 11, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03562130
Collaborators
Imagine Institute, URC-CIC Paris Descartes Necker Cochin
Responsible party
Sponsor
First posted
Jun 19, 2018
Start date
Jul 2, 2018
Primary completion
Dec 11, 2019
Completion
Jul 13, 2020
Last update
Sep 11, 2025

Study contacts

Olivier GOULET, MD, PhD
principal investigator · Assistance Publique - Hôpitaux de Paris

Oversight

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

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Studies of the drug tested here: Teduglutide

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