Evaluation of the Immune Response to Clostridium Difficile in Adults With Clostridium Difficile Infection (CDI)

GlaxoSmithKline (GSK)

Status: Completed

Conditions: Infections, Clostridium Difficile

Treatments: Procedure: Blood sampling; Other: Stool sample collection

Study type: Interventional

Funder types: Industry

Identifiers

NCT01716533

116509

Details and patient eligibility

About

This study aims to 1) evaluate the C. difficile-specific immune response in CDI patients and 2) explore the difference in immune response between the patients with CDI recurrence and those with a sustained clinical response.

Full description

Patients with an initial episode of CDI will be followed up for CDI recurrence or sustained clinical response. The subjects will be allocated into 2 groups at the study end:

• Recurrence Group: Subjects who experience recurrence of CDI after clinical response to antibiotic treatment to treat the initial CDI episode.
• Sustained response Group: Subjects who do not experience recurrence of CDI after clinical response to the antibiotic treatment to treat the initial CDI episode.

This protocol has been amended twice to improve recruitment of subjects in the study.

Enrollment: 57 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Subjects who the investigator believes that they can and will comply with the requirements of the protocol or/ and subjects who can receive assistance from his/ her legally acceptable representative (LAR) or a designate who can and will comply with the requirements of the protocol.
• A male or female aged 18 years or older at the time of enrolment.
• Written informed consent obtained from the subject/ LAR of the subject.
• A reasonable prognosis of survival during the study period as judged by the investigator.
• Outpatients, emergency room and/ or hospitalized subjects diagnosed with CDI for which the symptoms started maximum 14 days prior to study enrolment.
• Subjects who receive or plan to receive antibiotic treatment to treat the CDI episode.

Exclusion criteria

• Concurrently participating or planning to participate in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational product.
• Previous CDI episode within the previous 6 months before study enrolment (except for up to ~25% of the subjects).
• Chronic diarrheal illness such as, but not limited to, ulcerative colitis or Crohn's disease.
• Planned surgery for CDI within 24 hours after study entry.
• Previous vaccination against Clostridium difficile.
• Having received a Clostridium difficile monoclonal antibody product(s) within the previous 3 months or planned administration during the study period.
• Administration of immunoglobulins within the previous 3 months or planned administration during the study period.
• Subject having any other condition that, in the opinion of the investigator, would jeopardize the safety or rights of the subject participating in the study, would make it unlikely for the subject to complete the study, or would confound the results of the study.
• Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drugs within the previous 6 months.
• Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history.
• Family history of congenital or hereditary immunodeficiency.
• Major congenital defects.

Trial design

Primary purpose: Basic Science

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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57 participants in 4 patient groups

Recurrence group

Other group

Description:

Male or female subjects aged 18 years or older at the time of enrollment, who experienced recurrence of Clostridium difficile infection (CDI) after clinical response to antibiotic treatment to treat the initial CDI episode.

Treatment:

Procedure: Blood sampling

Other: Stool sample collection

Sustained response group

Other group

Description:

Male or female subjects aged 18 years or older at the time of enrollment, who did not experience recurrence of CDI after clinical response to the antibiotic treatment to treat the initial CDI episode.

Treatment:

Procedure: Blood sampling

Other: Stool sample collection

Failure to antibiotic Group

Other group

Description:

Male or female subjects aged 18 years or older at the time of enrollment, withdrawn due to failure of antibiotic treatment to treat the initial CDI episode.

Treatment:

Procedure: Blood sampling

Other: Stool sample collection

Unclassified Group

Other group

Description:

Male or female subjects aged 18 years or older at the time of enrollment, who couldn't be classified as sustained response, recurrence, or failure to antibiotic due to missing data.

Treatment:

Procedure: Blood sampling

Other: Stool sample collection