Phase 3
N=10
Safety, Efficacy and Pharmacokinetic Study of Teduglutide in Infants 4 to 12 Months of Age With Short Bowel Syndrome
Short Bowel Syndrome
Bottom Line
View on ClinicalTrials.gov: NCT03571516 ↗Enrolled (actual)
10
Serious AEs
70.0%
Results posted
Apr 2021
Primary outcome: Primary: Number of Participants Who Achieved At Least 20 Percent (%) Reduction From Baseline in Weight-normalized Parenteral Support (PS) Volume at End of Treatment/Early Termination (EOT/ET) — 3; 1; 3; 3 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Teduglutide (Drug); Standard Medical Therapy (Other); Syringe (Device); Needle (Device)
- Age
- Pediatric · 0+ yrs
- Sex
- All
- Sponsor
- Shire
- Primary completion
- Sep 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants Who Achieved At Least 20 Percent (%) Reduction From Baseline in Weight-normalized Parenteral Support (PS) Volume at End of Treatment/Early Termination (EOT/ET) |
3; 1; 3; 3 | — |
| SECONDARY Plasma Concentration of Teduglutide at Nominal Time Points (Baseline at Pre-dose, and 1 Hour and 4 Hours Post-dose; 2 Hours Post-dose at Week 7) |
0.00; 16.300; 8.385; 16.950 | — |
| SECONDARY Number of Participants With Treatment-emergent Adverse Events (TEAEs) |
5; 5 | — |
| SECONDARY Change From Baseline in Body Weight Z-score at Week 24 |
-0.408; -0.289 | — |
| SECONDARY Change From Baseline in Length Z-Score at Week 24 |
-0.274; -0.422 | — |
| SECONDARY Change From Baseline in Head Circumference Z-Score at Week 24 |
-0.544; -0.167 | — |
| SECONDARY Change From Baseline in Weight-for-Length Z-Score at Week 24 |
-0.447; -0.058 | — |
| SECONDARY Change From Baseline in Average Total Urine Output at Week 24 |
-0.61; 10.25 | — |
| SECONDARY Change From Baseline in Fecal Output at Week 24 |
-3.33; 1.67 | — |
| SECONDARY Number of Participants With Positive Specific Antibodies to Teduglutide |
— | — |
| SECONDARY Number of Participants Who Achieved At Least 20 Percent (%) Reduction From Baseline in Weight-normalized Parenteral Support (PS) Caloric Intake at End of Treatment/Early Termination (EOT/ET) |
3; 1; 3; 3 | — |
| SECONDARY Number of Participants Who Achieved 100 Percent (%) Reduction in Complete Weaning Off (Enteral Autonomy) Parenteral Support (PS) Volume at Week 24 |
0; 0 | — |
| SECONDARY Number of Participants Who Achieved 100 Percent (%) Reduction in Complete Weaning Off (Enteral Autonomy) Parenteral Support (PS) Volume at End of Study (EOS) |
0; 0 | — |
| SECONDARY Change From Baseline in Weight-normalized Parenteral Support (PS) Volume at End of Treatment/Early Termination (EOT/ET) |
-21.54; -9.51; -22.90; -14.90 | — |
| SECONDARY Percent Change From Baseline in Weight-normalized Parenteral Support (PS) Volume at End of Treatment/Early Termination (EOT/ET) |
-24.77; -16.75; -27.28; -22.39 | — |
| SECONDARY Change From Baseline in Weight-normalized Parenteral Support (PS) Caloric Intake at End of Treatment/Early Termination (EOT/ET) |
-16.14; -6.10; -15.31; -20.40 | — |
| SECONDARY Percent Change From Baseline in Weight-normalized Parenteral Support (PS) Caloric Intake at End of Treatment/Early Termination (EOT/ET) |
-27.00; -13.68; -27.81; -38.86 | — |
| SECONDARY Change From Baseline in Weight-normalized Enteral Nutrition (EN) Volume at End of Treatment/Early Termination (EOT/ET) |
16.14; -15.25; -1.28; 2.27 | — |
| SECONDARY Percent Change From Baseline in Weight-normalized Enteral Nutrition (EN) Volume at End of Treatment/Early Termination (EOT/ET) |
273.20; -44.25; -16.40; 14.80 | — |
| SECONDARY Change From Baseline in Weight-normalized Enteral Nutrition (EN) Caloric Intake at End of Treatment/Early Termination (EOT/ET) |
9.08; -9.38; -1.15; 3.11 | — |
| SECONDARY Percent Change From Baseline in Weight-normalized Enteral Nutrition (EN) Caloric Intake at End of Treatment/Early Termination (EOT/ET) |
207.06; -44.25; -16.40; 24.18 | — |
| SECONDARY Number of Participants Who Achieved At Least 20 Percent (%) Increase From Baseline in Weight-normalized Enteral Nutrition (EN) Volume at End of Treatment/Early Termination (EOT/ET) |
2; 0; 0; 2 | — |
| SECONDARY Number of Participants Who Achieved At Least 20 Percent (%) Increase From Baseline in Weight-normalized Enteral Nutrition (EN) Caloric Intake at End of Treatment/Early Termination (EOT/ET) |
2; 0; 0; 2 | — |
Summary
The purpose of the study is to evaluate the safety, efficacy/pharmacodynamics (PD) and pharmacokinetics (PK) of teduglutide treatment in infants with short bowel syndrome (SBS) dependent on parenteral (PN) support.
Eligibility Criteria
Inclusion Criteria
- Informed consent by the parent or legal guardian.
- Male or female infant 4 to 12 months corrected gestational age at screening.
- Weight at least 5 kilogram (kg) and weight-for-length Z-score greater than -2 at screening and baseline.
- Short bowel syndrome with dependence on parenteral support to provide at least 50% of fluid or caloric needs.
- Stable PN requirements for at least 1 month prior to screening, defined as a less than or equal to ( ) 1.5 not corrected with PN vitamin K
- Platelet count 4 milligram per deciliter (mg/dL) (>68 micromoles per liter [mcmol/L]) over a 2 week period.
- More than 3 serious complications of intestinal failure (example [e.g.], catheter-associated bloodstream infections, interruption of nutrition due to feeding intolerance, catheter-associated thrombosis, severe fluid or electrolyte disturbances) within 1 month prior to or during screening.
- A history of cancer or a known cancer predisposition syndrome, such as juvenile polyposis or Beckwith-Wiedemann syndrome, or first degree relative with early onset of gastrointestinal cancer (including hepatobiliary and pancreatic cancers).
- Concurrent treatment with glucagon-like peptide-1 (GLP-1); glucagon-like peptide-2 (GLP-2); insulin-like growth factor-1 (IGF-1); growth hormone, somatostatin, or analogs of these hormones; or glutamine.
- Participation in a clinical study using an experimental drug within 3 months or 5.5 half-lives of the experimental drug, whichever is longer.
- Known or suspected intolerance or hypersensitivity to the investigational product, closely-related compounds, or any of the stated ingredients.
- Any condition, disease, illness, or circumstance that, in the investigator's opinion, puts the participant at any undue risk, prevents completion of the study, or interferes with analysis of the study results.
Data sourced from ClinicalTrials.gov (NCT03571516). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.