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Early Phase 1 N=18 Basic Science

Gluten Challenge Study in Celiac Disease Participants (MK-0000-402)

Celiac Disease

Enrolled (actual)
18
Serious AEs
0.0%
Results posted
Mar 2023
Primary outcome: Primary: Percentage of α1- and α2-gliadin-reactive CD4+ T Cells in Peripheral Blood Before Gluten Challenge — 0.00364; 0.00016; 0.00049; 0.00005 Percentage of T cells

Study Design & Population

Study type
Interventional
Phase
Early Phase 1
Interventions
Gluten powder 4g (Dietary_supplement)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Merck Sharp & Dohme LLC
Primary completion
Jun 2021

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of α1- and α2-gliadin-reactive CD4+ T Cells in Peripheral Blood Before Gluten Challenge
0.00364; 0.00016; 0.00049; 0.00005; 0.00007; 0.00161
PRIMARY
Percentage of α1- and α2-gliadin-reactive CD4+ T Cells in Peripheral Blood After Gluten Challenge
0.00707; 0.00054; 0.00276; 0.00049; 0.00091; 0.00361
PRIMARY
Percentage of α1-gliadin-reactive CD4+ T Cells in Duodenal Biopsies After Gluten Challenge
0.29347; 0.00263; 0.19977; 0.21248; 0.26563; 0.24281

Summary

This is a gluten challenge study to characterize peripheral blood and intestinal gluten specific cluster of differentiation 4 glycoprotein (CD4+) thymus lymphocyte (T cell) subsets in participants with Celiac Disease

Eligibility Criteria

Inclusion Criteria

  • Participant must have documented diagnosis with celiac disease (CeD) by duodenal/jejunal biopsy at least 6 months prior to entrance into the study.
  • Participant must be on a gluten-free diet (GFD) for at least the past 12 months.
  • Female participants must not be pregnant or breastfeeding. Women of childbearing potential (WOCBP) must use an acceptable contraceptive method or abstain from heterosexual intercourse.
  • Must be Human leukocyte antigen (HLA)-DQ2.5 positive, assessed at screening. If participants have already been genotyped, results from previous testing may be used in lieu of genotyping at screening.
  • Has anti-tissue transglutaminase (anti-tTG) 3 months may be enrolled in the study at the discretion of the investigator.
  • Is mentally or legally incapacitated, has significant emotional problems at the time of prestudy (screening) visit or expected during the conduct of the study or has a history of clinically significant psychiatric disorder within the last 5 years. Participants who have had situational depression may be enrolled in the study at the discretion of the investigator.
  • Participant has an estimated Glomerular Filtration Rate (eGFR) ≤80 mL/min/1.73 m^2 at the screening visit based on the Cockcroft-Gault (CG) equation
  • Has a history of significant multiple and/or severe allergies (e.g., food, drug, latex allergy), or has had an anaphylactic reaction or systemic allergic reaction to prescription or nonprescription drugs or food.
  • Subject has a history of severe acute symptomatic reactions to sporadic gluten ingestion.
  • Is positive for hepatitis B surface antigen, hepatitis C antibodies or human immunodeficiency virus (HIV).
  • Had major surgery, donated or lost 1 unit of blood (approximately 500 mL) within 4 weeks prior to the prestudy (screening) visit.
  • Is on Coumadin™ or other anticoagulants.
  • Is unable to refrain from or anticipates the use of systemic anti-inflammatory, immunosuppressive, or immunomodulatory medications, which may include ibuprofen > 2400 mg/day, naproxen >750 mg/day, prednisone >10 mg/day, or methylprednisolone > 8 mg/day, within 48 hours prior to the start of and throughout the entire gluten challenge.
  • Has participated in another investigational study within 4 weeks (or 5 half-lives, whichever is greater) prior to the prestudy (screening) visit. The window will be derived from the date of the last visit in the previous study.
  • Has a corrected QT (QTc) interval ≥470 msec (for males) or ≥480 msec (for females).
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04054544). 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.

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