VIBRANT Study of Vurolenatide in Adult Patients With Short Bowel Syndrome.

9 Meters Biopharma

Status and phase: Terminated; Phase 2

Conditions: Short Bowel Syndrome

Treatments: Drug: Vurolenatide 50mg/PBO; Drug: Vurolenatide 100mg/PBO; Drug: Vurolenatide 50/50 mg; Drug: Placebo

Study type: Interventional

Funder types: Industry

Identifiers

NCT04988997

NMSBS01-002

Details and patient eligibility

About

A Study of Vurolenatide in Adult Patients with Short Bowel Syndrome.

Full description

A Phase 2 study of Vurolenatide in adult patients with SBS. Patients were planned to be dosed in four treatment groups with placebo and/or active Vurolenatide. The study is 13 weeks (3 weeks screening, 4 weeks SC study drug administration, and 6 weeks of follow up). Safety and efficacy will be analyzed.

Enrollment: 12 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Key Inclusion Criteria:

Criteria for patient inclusion in this study are as follows:

1. Male and female adults with SBS secondary to surgical resection of small intestine
2. 18-75 years of age at the time of screening.
3. Female patients must be postmenopausal (at least 2 years prior to dosing) or surgically sterile or agree to use an acceptable form of birth control from screening until 30 days after last dose. If oral contraceptives are used, patients must have been on a stable dose for ≥6 months.
4. Male patients must agree to use an acceptable form of birth control during the study and for 30 days after the last dose. Male patients should not donate sperm for 90 days after last dose.
5. At least 6 months since last surgical bowel resection.
6. Patients may be on Parenteral Support [PS] (nutrition and/or fluid and electrolytes for at least some of their nutritional needs).
7. If on PS, stable administration of PS volume for 1 month (±20% vol) prior to enrollment [stable administration of PS volume confirmed by Medical Monitor].
8. Able to ingest solid or semi-solid foods and drink.

Key Exclusion Criteria:

Criteria for exclusion from participation in this study are presented below.

1. Pregnancy or lactation
2. Body mass index at screening <18 or >30 kg/m2
3. Clinically significant intestinal adhesions and/or chronic abdominal pain that can interfere with the conduct of the study
4. Active Crohn's disease or IBD (as evaluated by standard procedures employed by the investigator/institution). If in remission, must be ≥12 weeks of remission prior to screening
5. Inflammatory bowel disease patients who have NOT been on a stable drug treatment regimen for at least the past 3 months prior to screening
6. Visible blood in the stool within the last 3 months
7. Known heart failure or active coronary disease
8. Alcohol or drug abuse within the last 12 months by history, or a disqualifying positive urine drug test at screening.
9. Inadequate renal function as defined by serum creatinine <0.7 or >1.3 mg/dL (in men) and <0.6 or >1.1 mg/dL in women.
10. Personal or family history of medullary thyroid cancer.
11. History of pancreatitis
12. Any use of growth hormone, or growth factors such as native GLP-2 or GLP-2 analog (teduglutide) within the last 3 months
13. Use of antibiotics within the last 30 days
14. Patient not capable of understanding or not willing to adhere to the study visit schedules and other protocol requirements

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Sequential Assignment

Masking: Quadruple Blind

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12 participants in 4 patient groups, including a placebo group

Vurolenatide 50 mg/PBO

Active Comparator group

Description:

50 mg biweekly SC administration, PBO alternate weeks

Treatment:

Drug: Vurolenatide 50mg/PBO

Vurolenatide 100 mg/PBO

Active Comparator group

Description:

100 mg biweekly SC administration, PBO alternate weeks

Treatment:

Drug: Vurolenatide 100mg/PBO

Vurolenatide 50/50 mg

Active Comparator group

Description:

50 mg weekly SC administration

Treatment:

Drug: Vurolenatide 50/50 mg

Placebo

Placebo Comparator group

Description:

PBO - weekly SC administration

Treatment:

Drug: Placebo