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CompletedNCT04806737Updated May 16, 2025

Teriflunomide vs. Placebo During Gluten Challenge in Celiac Disease

A Phase 1/2 interventional study of Teriflunomide Oral Tablet in Celiac Disease, sponsored by Oslo University Hospital. Completed at 1 site in Norway. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-05-16.

Sponsored by Oslo University Hospital · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The investigators will see if the drug teriflunomide (which is in use in other immune disorder (multiple sclerosis)) can inhibit the immune activation in celiac disease patients during a 3 day gluten challenge. This will be measured in a blood sample.

Read the detailed description

This is a controlled, double-blind, randomised, singlecentre, placebo-controlled, phase IIa proof-of-concept study on effects of the drug on activation and efflux of gluten specific T cells using HLA-DQ:gluten tetramers. The study will be conducted with two treatment groups in the form of a 2:1 parallel group comparison and will serve to compare oral treatment with 14 mg/d teriflunomide vs. placebo in subjects with well-controlled coeliac disease undergoing gluten challenge. The screening period will be up to 8 weeks, followed by a 7-day run-in treatment period with a loading dose of teriflunomide followed by a 6 day therapeutic maintenance dose, an initial 4-week treatment-free follow-up period and a 6 month closing follow-up.

02

Conditions studied

  • Celiac Disease

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Keywords

  • Immunotherapy
  • Gluten challenge
  • Teriflunomide
03

In context

Celiac Disease

333 studies on the registry are indexed under Celiac Disease; 78 are open to participants now.

This study's enrollment of 15 is below the median of 50 across 203 interventional studies indexed under Celiac Disease.

Browse Celiac Disease studies →

Lead sponsor

Oslo University Hospital is the lead sponsor of 810 studies on the registry; 148 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

Inclusion criteria

  • Patient aged 18-80
  • Willingness to comply with the study procedures and having signed informed, written consent
  • Previous diagnosis of coeliac disease according to established guidelines based on positive serology (Endomysium test, IgA-TG2 and/or IgGDGP) and a duodenal biopsy showing villous atrophy graded as Marsh 3
  • Positive gene test for HLA-DQ2.5
  • Adherence to gluten-free diet

Exclusion criteria

Exclusion Criteria:

  • Known intolerance to ingredients of teriflunomide or placebo tablets
  • Known intolerance to gluten challenge
  • Known intolerance to cholestyramine
  • Duration of gluten free diet shorter than six months
  • Positive serology (IgA-TG2 below upper level of normal) at screening visit
  • Pregnancy or breast-feeding
  • Not willing to comply with proper pregnancy control (in females)
  • Concomitant medication that interferes with immune activation (e.g. steroids, calcineurin inhibitors, biological treatment for inflammatory bowel disease or other immune disorders, further list is given below)
  • Any other medical condition that in the opinion of the principal investigator makes the individual unsuitable for participation
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
15 participants (actual)

Study arms

  • Active comparator
    IMP

    Teriflunomide 14 mg tablets, first 7 days 5 tablets once pr day, thereafter 1 pr day for another 6 days.

    Drug: Teriflunomide Oral Tablet

  • Placebo comparator
    Placebo

    Sham tablets

    Drug: Teriflunomide Oral Tablet

Interventions

  • DrugTeriflunomide Oral Tablet

    The study will be conducted with two treatment groups in the form of a 2:1 parallel group comparison and will serve to compare oral treatment with 14 mg/d teriflunomide vs. placebo in subjects with well-controlled coeliac disease undergoing gluten challenge. The screening period will be up to 8 weeks, followed by a 7-day run-in treatment period with a loading dose of teriflunomide followed by a 6 day therapeutic maintenance dose, an initial 4-week treatment-free follow-up period and a 6 month closing follow-up.

    Also known as: Gluten challenge

06

What researchers measure

Primary outcomes

  1. Adaptive T cell activation

    Expression of CD38 on HLA-DQ:gluten tetramer positive T cells

    Time frame: Blood sample on the 4th day after a 3 day gluten challenge

07

Study locations

1 site
  • Dept of Gastroenterology
    Oslo, 0881, Norway
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 May 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04806737
Lead sponsor
Oslo University Hospital
Responsible party
Knut E. A. Lundin (Professor, M.D., PhD., Consultant gastroenterologist, Oslo University Hospital) — Principal investigator
First posted
Mar 19, 2021
Start date
Apr 16, 2021
Primary completion
Oct 15, 2022
Completion
Dec 31, 2023
Last update
May 16, 2025

Study contacts

Pål-Dag Line, MD, PhD
study chair · Oslo University Hoapital
Knut EA Lundin, MD, PhD
principal investigator · Oslo University Hospital

Oversight

Data monitoring committee
Yes
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 Mar 2025. You cannot join it, but the record below documents what was studied.

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