Recruiting
Phase 2

Clostridium Difficile

Sponsor:

ImmuniMed Inc.

Code:

NCT04121169

Conditions

Clostridium Difficile Infection (CDI)

Eligibility Criteria

Sex: All

Age: 18 - 70+

Healthy Volunteers: Not accepted

Interventions

IM-01

Study Details

Brief summary:

Patients diagnosed to have mild-moderate CDI will be randomized to receive IM-01 egg-derived anti-C. difficile polyclonal antibodies in increasing dosages, twice daily, for a total of 10 - 14 days. Resolution of diarrhea and other symptoms and fecal test parameters will be used to assess clinical effectiveness of Immunotherapy with IM-01 antibodies. Patients will be followed for recurrence of CDI. Subjects who are assessed as non-respondents to IM-01 will be reassessed and treated with standard of care CDI antibiotics for 10 -14 days.

Conditions

Clostridium Difficile Infection (CDI)

Study ID

NCT04121169

Start date

Oct 4, 2019

Status verified date

Oct, 2022

Completion date

Mar 30, 2024

Anticipated

Primary completion date

Dec 30, 2023

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18 - 70+

Healthy Volunteers: Not accepted

Inclusion Criteria:

In order to be eligible to participate in this study, an individual must meet all of the following criteria:

  • Provide signed and dated informed consent form
  • Willing to comply with all study procedures and be available for the duration of the study
  • Male or female, aged 18 to 89
  • In good general health as evidenced by medical history or Diagnosed with specific condition/disease or Exhibits specific clinical signs or symptoms or physical/oral examination findings
  • Participant has a diagnosis of CDI defined as (i) presence of diarrhea with 4 or more unformed stools within 24 hours and (ii) positive test for toxigenic C. difficile from stools collected within 7 days.
  • Participants received < 24 h of SOC therapy for CDI.
  • Participants presented with primary CDI episode or any number of CDI relapse recurrence of CDI
  • Participants comply with the eligibility criteria and willing to participate in the study including the 8 week post treatment follow up period.
  • White Blood Cell absolute neutrophil count <15 x 109/L,
  • Women of reproductive potential must use highly effective contraception. For those with child bearing potential, the following methods of birth control are required from Visit 1 up to at least 30 days after study treatment discontinuation: 1). Diaphragm, female condom or cervical cap, partner's use of a condom, any of which must be used in combination with a spermicide; 2). Intra-uterine device; 3). Oral or injectable contraceptive agent, implant, or transdermal contraceptive hormone patches. If a hormonal contraceptive is used, it must have been taken for at least one month prior to enrolment/randomization; 4). Sterilization method (tubal ligation/occlusion, or partner's vasectomy); 5). True abstinence from intercourse with a male partner only when this is in line with the preferred lifestyle of the subject.
  • Men of reproductive potential must use condoms-

Exclusion Criteria:

An individual who meets any of the following criteria will be excluded from participation in this study:

  • known allergic reactions to chicken egg components.
  • Female of child bearing potential and not receiving contraception; pregnant or lactating persons.
  • severe CDI defined as >10 unformed bowel movements (UBMs)/24 h period, fever >38.5 o C, White Blood Cell count > 15 x 109/L, abdominal pain and tenderness on physical examination, toxic megacolon, ileus, nausea, vomiting.
  • receipt of > 24 h of SOC treatment of CDI, or fecal microbial transplant (FMT) prior to enrollment.
  • treatment with another investigational drug or other intervention within 30 days prior to enrollment including intravenous immunoglobulin (IVIG) or monoclonal intravenous (IV) antibody.
  • received vaccine for C. difficile.
  • concurrent use of probiotics of any type during treatment and follow up.
  • unable to discontinue use of opiates for diarrhea control.
  • co-infection with another gastrointestinal (GI) pathogen.
  • presence of Inflammatory Bowel Disease (IBS), IBS with diarrhea (IBS-D), chronic diarrhea of unknown cause.
  • any condition that hinders oral consumption. Exception: nasogastric tubes can be used to administer the product.
  • death likely within study interval.
  • any circumstance or medical condition under the Investigator's opinion that precludes participation.

Study Design

Enrollment

60 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

other: Adults subjects with CDI receiving 20g a day

10 g twice a day for 10 - 14 days

other: Adults subjects with CDI receiving 40 g a day

20 g twice a day for 10 - 14 days

Interventions

IM-01

Antibodies react with C. difficile toxin, C. difficile bacteria and spores; neutralizes the toxin and inhibit the growth of spores and vegetative forms of C. difficile

Primary outcome measure

  • Determine Clinical Response to IM-01 Treatment for CDI for 14 days [ Time Frame: 10-14 days of IM-01 post-treatment ]
  • Reduce C. difficile pathogen count, spore count, and C. difficile Toxin Titers in stool samples following IM-01 treatment, [ Time Frame: day 56 IM-01 post-treatment ]

Central Contacts and Locations

Central contacts

Locations

Foothills Medical Center

Recruiting

Calgary, Alberta, Canada, T2N 2T9

Contacts

Thomas J Louie, MD, FRCPC

403-944-2038thomas.louie@ahs.ca

More Information

Sponsor

ImmuniMed Inc.

Last update posted

Dec 16, 2022

Last verified

Oct, 2022

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by ImmuniMed Inc. on 2022-12-16.