ClinicalTrials.gg
CompletedNCT04627025STARSUpdated Nov 27, 2024

Trial to Evaluate Efficacy and Safety of Apraglutide in SBS-IF

A Phase 3 interventional study of apraglutide in Short Bowel Syndrome, sponsored by VectivBio AG. Completed at 68 sites in 18 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-11-27.

Sponsored by VectivBio AG (part of Ironwood Pharmaceuticals, Inc.) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jan 2024, 2 years 10 months ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in Nov 2024.
Phase
Phase 3
Study type
Interventional
Enrollment
164
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary objective of the trial is the confirmation of the efficacy of apraglutide to evaluate the efficacy of weekly subcutaneous apraglutide in reducing parenteral support dependency.

Read the detailed description

This is an international, multicenter, double-blind, randomized, placebo-controlled, trial to evaluate the efficacy and safety of weekly SC injections of apraglutide in adult subjects with SBS-IF. The active pharmaceutical ingredient is apraglutide, a GLP-2 analogue.

The trial consists of a screening phase, a treatment phase of 48 weeks, and a safety follow-up phase. Trial participants will receive, after successful screening, once weekly apraglutide.

02

Conditions studied

  • Short Bowel Syndrome

Keywords

  • Short Bowel Syndrome
  • Intestinal Failure
  • SBS
  • SBS-IF
  • GLP-2
  • Short Bowel Syndrome 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 164 is above the median of 21 across 108 interventional studies indexed under Short Bowel Syndrome.

Browse Short Bowel Syndrome studies →

Lead sponsor

VectivBio AG is the lead sponsor of 9 studies on the registry; 1 is open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 4 (57%) have results posted.

First submitted before VectivBio AG became part of Ironwood Pharmaceuticals, Inc..

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

04

Who can participate

Ages eligible
18 Years and older
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. Signed for this trial prior to any trial specific assessment.
  2. Male and female subjects with SBS-IF, receiving parenteral support (PS), secondary to surgical resection of the small intestine with either stoma or colon-in-continuity (CIC).
  3. Subject must require PS at least 3 days per work and be considered stable.
  4. No restorative surgery intended to change PS requirements in the trial period.
  5. Age ≥18 years at screening.

Exclusion criteria

Exclusion Criteria:

  1. Pregnancy or lactation.
  2. Major abdominal surgery in the last 6 months prior to screening.
  3. History of cancer (including colon carcinoma) or lymphoproliferative disease within ≤5 years, except for adequately treated basal cell skin cancer.
  4. Evidence of active inflammatory GI conditions in the previous 6 months.
  5. Evidence of decompensated heart failure.
  6. Evidence of severe renal or hepatic impairment.
  7. Any previous use of growth factors such as growth hormone (GH), native GLP-2, GLP-1, or GLP-2 or GLP-1 analogues should be discussed with the Investigator.
Terms in these criteria, in plain language(2)

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
164 participants (actual)

Study arms

  • Experimental
    Apraglutide SC injections, once weekly

    Peptide analogue of GLP-2

    Drug: apraglutide

  • Placebo comparator
    Placebo

    Placebo for apraglutide, SC injection once weekly

    Drug: apraglutide

Interventions

  • Apraglutide is a peptide analogue of GLP-2 under development for treatment of SBS-IF, which acts as a full agonist at the GLP-2 receptor with in vitro potency and selectivity comparable with native GLP-2.

06

What researchers measure

Primary outcomes

  1. Relative change from baseline in actual weekly PS volume at Week 24.

    Time frame: At week 24 of treatment

Secondary outcomes

  1. Subjects who achieve a reduction of at least 1 day per week of PS at Weeks 24 / 48 (CIC only).

    Time frame: Weeks 24 and 48 of treatment

  2. Relative change from baseline in actual weekly PS volume at Weeks 12 / 24 / 48 (CIC only).

    Time frame: Weeks 12 / 24 / 48 of treatment

  3. Subjects reaching enteral autonomy at Weeks 24 / 48 (CIC only).

    Time frame: Weeks 24 / 48 of treatment

  4. At least 20% reduction of PS volume from baseline at Weeks 20 / 24.

    Time frame: Weeks 20 / 24 of treatment

  5. Calorie reduction in the PN at Weeks 24.

    Time frame: Weeks 24 of treatment

  6. Change from baseline on the Pittsburgh Sleep Quality Inventory (PSQI) at Weeks 24 / 48 (CIC only)

    Time frame: Weeks 24 / 48 of treatment

  7. Change from baseline on the Patient Global Impression of Change (PGIC) at Weeks 24 / 48 (CIC only)

    Time frame: Weeks 24 / 48 of treatment.

  8. Change from baseline on the Patient Global Impression of Treatment Satisfaction (PGI-TS) at week 24 and 48 (CIC only).

    Time frame: Weeks 24 / 48 of treatment

  9. Change from baseline on the Patient Global Impression of Satisfaction with Parenteral Support (PGI-SPS) at Week 24 and 48 (CIC only).

    Time frame: Weeks 24 / 48 of treatment

  10. Change from baseline on the Patient Global Impression of Parenteral Support Impact (PGI-PSI) at Week 24 and 48 (CIC only).

    Time frame: Weeks 24 / 48 of treatment

  11. Absorption rate constant (ka) of apraglutide through population PK data analysis

    Time frame: Weeks 0 / 24 of treatment

  12. Apparent clearance (CL/F) of apraglutide through population PK data analysis

    Time frame: Weeks 0 / 24 of treatment

  13. Apparent volume of distribution (Vz/F) of apraglutide through population PK data analysis

    Time frame: Weeks 0 / 24 of treatment

  14. At least 40% reduction of PS volume at Weeks 20 and 24 (Stoma only)

    Time frame: Weeks 20 / 24 of treatment

  15. Trough plasma concentrations (Ctrough) at every other visit during the prolonged dosing period (CIC only)

    Time frame: Weeks 24 / 48 of treatment

07

Study locations

68 sites
  • Ronald Reagan UCLA Medical Center
    Los Angeles, California 90095, United States
  • Gastroenterology Group of Naples
    Naples, Florida 34102, United States
  • Northwestern University
    Chicago, Illinois 60611, United States
  • Henry Ford Medical Center - Columbus
    Novi, Michigan 48377, United States
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • University of Nebraska Medical Center
    Omaha, Nebraska 68198, United States
  • Mount Sinai Medical Center
    New York, New York 10029, United States
  • Duke University Hospital
    Durham, North Carolina 27705, United States
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 45229-3039, United States
  • Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
  • Hospital of the University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • Vanderbilt University Medical Center, Center for Human Nutrition
    Nashville, Tennessee 37212, United States
  • University of Washington Medical Center
    Seattle, Washington 98195, United States
  • University Hospital Foundation Favaloro
    Buenos Aires, Argentina
  • Universitair Ziekenhuis Leuven - Gasthuisberg
    Leuven, Vlaams Brabant 3000, Belgium
  • University Hospital Brussels
    Brussels, 1090, Belgium
  • University Hospital Brno
    Brno, 62500, Czechia
  • University Hospital Hradec Kralove
    Hradec Králové, 50005, Czechia
  • Hospital Novy Jicin
    Nový Jičín, 741 01, Czechia
  • University Hospital Plzen
    Pilsen, 30460, Czechia
  • University Hospital Kralovske Vinohrady, 2nd Internal Clinic
    Prague, 10034, Czechia
  • General University Hospital in Prague
    Prague, 12800, Czechia
  • Rigshospitalet - University Hospital Copenhagen
    Copenhagen, 2100, Denmark
  • Hôpital Beaujon
    Clichy, 92110, France
  • CHU Hôtel Dieu
    Nantes, 44093, France
  • Hôpital ARCHET II
    Nice, 6202, France
  • Hôpital Haut-Lévèque
    Pessac, 33604, France
  • Hospices Civils de Lyon
    Pierre Benite, 69495, France
  • Brabois Adults Hospital
    Vandœuvre-lès-Nancy, 54500, France
  • Charité - Universitätsmedizin Berlin
    Berlin, 10117, Germany
  • University Hospital Bonn
    Bonn, 53127, Germany
  • Asklepios Klinik St. Georg
    Hamburg, 20099, Germany
  • University Hospital Heidelberg
    Heidelberg, 69120, Germany
  • University Hospital Muenster
    Münster, 48149, Germany
  • Medical Centre, Hungarian Defence Forces
    Budapest, 1062, Hungary
  • Semmelweis University
    Budapest, 1082, Hungary
  • St. Imre University Teaching Hospital Budapest
    Budapest, H-1115, Hungary
  • University of Szeged
    Szeged, 6725, Hungary
  • Rambam Health Care Campus
    Haifa, 31096, Israel
  • Rabin Medical Center
    Petah-Tikva, 49100, Israel
  • Sheba Medical Center
    Tel HaShomer, 5262000, Israel
  • Polyclinic S. Orsola-Malpighi
    Bologna, 40138, Italy
  • University Polyclinic Foundation "Agostino Gemelli" - IRCCS
    Rome, 00168, Italy
  • Citta della salute e della Scienza di Torino Hospital
    Torino, 10126, Italy
  • Yokohama Municipal Citizen's Hospital
    Kanagawa, 05505, Japan
  • Yokohama City University Medical Center
    Kanagawa, 232-0024, Japan
  • National University Corportation Tohoku University Tohoku University Hospital
    Miyagi, 980-8574, Japan
  • Osaka University Hospital
    Osaka, 565-0871, Japan
  • JCHO Tokyo Yamate Medical Center
    Tokyo, 169-0073, Japan
  • The Catholic University of Korea, Seoul St. Mary's Hospital
    Seoul, 06591, Korea, Republic of
  • Asan Medical Center
    Soeul, 05505, Korea, Republic of
  • Samsung Medical Center
    Soeul, 06351, Korea, Republic of
  • Alesund Hospital
    Ålesund, 6017, Norway
  • Stadmedica, Non-Public Healthcare Facility
    Bydgoszcz, 85-391, Poland
  • COPERNICUS Limited Liability Company
    Gdansk, 80-152, Poland
  • Gastromed Poland Sp. z o.o.
    Lublin, 20-582, Poland
  • Stanley Dudrick Multispecialty Hospital
    Skawina, 32-050, Poland
  • M. Pirogow Provincial Specialized Hospital
    Łódź, 90-531, Poland
  • University General Hospital Gregorio Maranon
    Madrid, 28007, Spain
  • University Hospital 12 de Octubre
    Madrid, 28041, Spain
  • University Hospital Virgen del Rocio
    Sevilla, 41013, Spain
  • Sahlgrenska University Hospital
    Göteborg, 41345, Sweden
  • Far Eastern Memorial Hospital
    New Taipei City, 220, Taiwan
  • University Hospitals Birmingham NHS Foundation Trust
    Birmingham, B15 2TH, United Kingdom
  • St Mark's Hospital
    Harrow, HA1 3UJ, United Kingdom
  • Royal London Hospital
    London, E1 1BB, United Kingdom
  • University College Hospital
    London, United Kingdom
  • Salford Royal Hospital
    Salford, United Kingdom
08

References and documents

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2021 to primary completion in Jan 2024, 35 months.

Of 26 industry-sponsored phase 3 interventional studies under Short Bowel Syndrome, half reached primary completion within 36 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 45. This study's 35 months is close to that.

Counting every sponsor, half of 27 studies reached it within 37 months; a quarter within 24 and three quarters within 46.

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

Registered
Oct 22, 2020
First posted
Nov 13, 2020
StartActual
Jan 26, 2021
Primary completionActual
Jan 2, 2024
CompletionActual
Feb 22, 2024
Results delay requested
Nov 22, 2024
Last update
Nov 27, 2024
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 Nov 27, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04627025
Lead sponsor
VectivBio AG
Responsible party
Sponsor
First posted
Nov 13, 2020
Start date
Jan 26, 2021
Primary completion
Jan 2, 2024
Completion
Feb 22, 2024
Last update
Nov 27, 2024

Study contacts

Tomasz Masior
study director · VectivBio AG

Oversight

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 Nov 2024. 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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