ClinicalTrials.gg
RecruitingNCT06839209Updated Feb 26, 2025

Advantages and Disadvantages of TOXCLEAN As Add on Treatment to SOC in Patients with Clostridium Difficile-associated Diarrhea

An interventional study of Toxclean 1g in Clostridium; Difficile, As Cause of Disease Classified Elsewhere and Clostridium Difficile Diarrhea, sponsored by ABResearch S.r.l.. Recruiting at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-02-26.

Sponsored by ABResearch S.r.l. · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Primary completion was expected by Dec 2025, 10 months ago, but the record still lists the study as recruiting.
  • Started Jan 2025; still recruiting 1 year 9 months later.

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Not applicable
Study type
Interventional
Enrollment
18
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 26 studies in Diarrhea with a site in Italy — 4 open to participants now, 4 under way, none of them phase 3. Diarrhea · Italy.

Planned enrollment
21st of 22
18 · median 117
Started
2025
with 1 other
No phase
15 of 26
3 open now
Registered
23rd of 26
by date
Lead sponsor
1 of 26
ABResearch S.r.l.

Among the 26 studies in Diarrhea with a site in Italy, this one is the 21st largest by planned enrollment of the 22 interventional ones that give a count, is one of 2 that started in 2025, is one of 15 with no phase, and was the 23rd registered.

Diarrhea

878 studies on the registry are indexed under Diarrhea; 77 are open to participants now.

Browse Diarrhea studies →

Open to participants now

4 of the 26 studies in Diarrhea with a site in Italy are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in Italy have not opened yet or have stopped. Only those recruiting at a site in Italy →

Who these studies take

Of the 45 Diarrhea studies recruiting now, 21 (47%) set no upper age limit and 22 (49%) stop at 75 or younger; 19 take children under 18; 15 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 26 studies in Diarrhea with a site in Italy, or all of them as a file.
02

Study summary

This is a single center, randomized, exploratory clinical investigation that will evaluate the safety and efficacy of Toxclean (ABResearch srl) as add on treatment to Standard therapy in 24 patients with recurrent CDAD.

Eligible subjects will be adult patients with recurrent CDAD. Recurrent CDAD, for the purpose of this protocol, is defined as one or more new episode of diarrhea (Ned) within two months from the end of the SoC treatment. The objective of this pilot study is to evaluate whether 1 or 2 grams of Toxclean powder is orally administrable and well tolerated as add on treatment to SoC in patients with recurrent CDAD.

Read the detailed description

This is a single center, randomized, exploratory clinical investigation that will evaluate the safety and efficacy of Toxclean (ABResearch srl) as add on treatment to Standard therapy in 24 patients with recurrent CDAD.

Eligible subjects will be adult patients with recurrent CDAD. Recurrent CDAD, for the purpose of this protocol, is defined as one or more new episode of diarrhea (Ned) within two months from the end of the SoC treatment. The objective of this pilot study is to evaluate whether 1 or 2 grams of Toxclean powder is orally administrable and well tolerated as add on treatment to SoC in patients with recurrent CDAD. Primary

  • Percentage of patients that complete Toxclean schedule treatment; Secondary
  • Safety and tolerability of two different dosage of oral Toxclean treatment;
  • Reduction of toxin amount in fecal sample;
  • Clinical response after 28-day oral administration of two different dosage of TOXCLEAN in combination with SoC therapy;
  • CDAD symptoms improvements during treatment and follow up periods;
  • Fecal concentration of Toxclean;
03

Conditions studied

  • Clostridium; Difficile, As Cause of Disease Classified Elsewhere
  • Clostridium Difficile Diarrhea

Browse trials for

Keywords

  • clostridium difficile
  • clostridium
  • cdad
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

  • Age ≥ 18 years, male or female, at the time of
  • Signed informed consent by patient, or where applicable, patient's legally authorized representative;
  • Diagnosis of recurrent CDAD, defined as those episodes of C. Difficile associated diarrhea occurring 2-8 weeks after either the symptoms resolution of a previous CDAD episode or C. difficile negativization of fecal sample.
  • Detection of C. difficile toxins by nucleic acid amplification tests (NAAT), EIA or GDH;
  • Received at least one course of adequate antibiotic therapy for CDAD (≥ 10 days of vancomycin at a dose of ≥125 mg four times per day, ≥ 10 days of metronidazole at a dose of 500mg three times per day or fidaxomixin 200mg twice a day for 10 days)

Exclusion criteria

Exclusion Criteria:

  • History of C. difficile complicating inflammatory bowel disease (Crohn's disease, ulcerative colitis), or history of bowel resection surgery (other than uncomplicated appendectomy) or history of other infectious diarrhea or diarrhea of unknown etiology since the initial episode of CDAD;
  • Participants who require oral anticoagulant medications, including but not limited to warfarin and NOACs (novel oral anticoagulants);
  • Major gastrointestinal surgery within 3 months of enrollment;
  • History of swallowing difficulties, including dysphagia or odynophagia for liquids or solids;
  • Clinically due to any primary immune or deficiency, as a result of chronic disease, cancer or medication used to treat these diseases
  • Consumption of the following prescription medications during the current enrollment episode: Bezlotuxamab/Zinplava Is pregnant or lactating Known to the active principle or
Terms in these criteria, in plain language(5)

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
18 participants (estimated)

Study arms

  • Experimental
    Single dosage

    1 g of Toxclean once a day for 28 days plus SoC therapy

    Device: Toxclean 1g

  • Experimental
    Double dosage

    1 g of Toxclean twice daily for 28 days plus SoC therapy

    Device: Toxclean 1g

Interventions

  • DeviceToxclean 1g

    1 g of Toxclean once or twice daily for 28 days

06

What researchers measure

Primary outcomes

  1. Percentage of patients that complete Toxclean schedule treatment

    The primary objective of this early feasibility clinical study is to evaluate whether 1 or 2 grams of Toxclean powder is orally administrable and well tolerated as add on treatment to SoC in patients recurrent

    Time frame: 28 days

Secondary outcomes

  1. the assessment of the safety and tolerability of two different dosage of oral Toxclean treatment

    Safety and tolerability of two dosage of oral Toxclean powder plus SoC assessed by number of participants who experienced adverse events

    Time frame: 28 days

  2. the clinical response after 14-day oral administration of two different dosage of TOXCLEAN in combination with SoC therapy;

    time to resolution of diarrhea: time in days from start of treatment to the first formed bowel movement

    Time frame: 14 days

  3. the CDAD symptoms improvements during treatment and follow up periods

    reduction of CDAD symptoms such as abdominal pain, nausea etc

    Time frame: 2 months

  4. Measurement of Toxclean fecal concentration of Toxclean

    C. difficile toxins in fecal sample;

    Time frame: 28 days

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Study report published

Supporting information: Clinical study report

Time frame: After Study conclusion, no time limits

Access criteria: Published on Peer journals

No publications or documents are linked to this record.

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

Started Jan 2025 (actual). Primary completion is estimated for Dec 2025, 11 months after the start.

Of 35 industry-sponsored interventional studies with no phase under Diarrhea, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 23. This study's planned 11 months is close to that.

Counting every sponsor, half of 164 studies reached it within 14 months; a quarter within 5 and three quarters within 35.

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

Registered
Feb 17, 2025
First posted
Feb 21, 2025
StartActual
Jan 27, 2025
Primary completionEst.
Dec 31, 2025
CompletionEst.
Dec 31, 2025
Last update
Feb 26, 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 Feb 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06839209
Lead sponsor
ABResearch S.r.l.
Collaborators
Nextrasearch S.r.l.s.
Responsible party
Sponsor
First posted
Feb 21, 2025
Start date
Jan 27, 2025
Primary completion
Dec 31, 2025 (estimated)
Completion
Dec 31, 2025 (estimated)
Last update
Feb 26, 2025

Study contacts

Giovanni Cammarota, Professor
Contact
giovanni.cammarota@policlinicogemelli.it
+39 0630154732
Giovanni Cammarota, Professor
principal investigator · Direttore U.O.C. GASTROENTEROLOGIA Policlinico Gemelli

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion