The purpose of this study is to verify the safety and tolerability of AG011 (genetically modified L. lactis that has been engineered to secrete human Interleukin-10), and to determine whether AG011 can successfully treat the symptoms of moderately active Ulcerative Colitis (UC).
The purpose of this study is to verify the safety and tolerability of AG011 and to determine whether AG011 can successfully treat the symptoms of Ulcerative Colitis (UC). Three different dosages will be used in reference to a placebo. AG011 is an experimental medication. It has been developed as potential treatment for moderately active UC. AG011 is the clinical formulation of a genetically modified L. lactis that has been engineered to secrete human Interleukin-10 (hIL-10). By delivering hIL-10 locally at inflamed tissue in the intestine, it is believed that, compared to hIL-10 given by injection, the effectiveness may be increased, with fewer adverse effects. Study medication will be provided in capsule and enema (topical rectal application) forms by ActoGeniX NV. Subjects will be entered sequentially into one of three dose groups, starting from the lowest dose group. Within each of the first two dose groups, 15 subjects will be entered. Within the highest dose group, 30 subjects will be entered. Within each dose group, subjects will be randomly assigned in a 2:1 ratio to receive either AG011 or placebo for 28 days. Timely monitoring of safety data is planned for the study, such that subject enrollment can continue without interruption for the purpose of data collection between dose groups. Safety and tolerability will be closely monitored by the Clinical Safety Specialist (CSS) assigned to the study. The CSS will review adverse events and laboratory safety data and report any safety concerns to the Sponsor and a Data Safety Monitoring Committee (DSMC). At least 8 subjects must have safely completed study treatment for 28 days at a specific dose level, prior to escalation to the next dose group. The DSMC will convene to assess safety data when 8 subjects have completed study treatment for 28 days at the specific dose level. The role of the DSMC for the study will be complete when all subjects in the study have completed study treatment. For those patients randomized within the active group, UC symptoms could improve. As a result of the information gathered by this study, the knowledge and understanding of UC could improve.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
60
Capsules (low, mid or high dose), twice daily for 28 days, combined with Enema (low, mid or high dose respectively), once daily for 28 days.
Capsules (matching placebo for low, mid or high dose), twice daily for 28 days, combined with Enema (matching placebo for low, mid or high dose respectively), once daily for 28 days.
Imelda Bonheiden
Bonheiden, Belgium
UCL St. Luc
Brussels, Belgium
UZ Antwerpen
SAFETY: Adverse Events
Time frame: day 1, 8 15, 22, 29, 57
SAFETY: Physical Examination (complete or brief)
Time frame: day -7, 1, 8, 15, 22, 29
SAFETY: Vital signs
Time frame: day -7, 1, 8, 15, 22, 29, 57
SAFETY: Clinical Laboratory Tests (hematology, serum chemistry, urinalysis)
Time frame: day -7, 1, 8, 15, 22, 29, 57
SAFETY: Analysis of hIL-10 (systemic exposure) and anti-hIL-10 antibodies (immunogenicity) in plasma
Time frame: day 1, day 29
SAFETY: Stool Diary
Time frame: From day -7 until day 29
SAFETY: Other Safety Measures (Stool samples for culture, ova and parasite evaluation and Clostridium difficile assay.
Time frame: day -7
BIOLOGICAL CONTAINMENT: Evaluation of living, genetically modified micro-organisms in stool samples
Time frame: day 1, 8, 36
PHARMACODYNAMICS: Biomarkers in blood and colon biopsy samples
Time frame: day -7, 29
EFFICACY: Flexible sigmoidoscopy (assessment of inflammation)
Time frame: Day -7, 29
EFFICACY: Histological assessment of inflammation (biopsy samples)
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Edegem, Belgium
UZ Gent
Ghent, Belgium
AZ Groeninge Campus St.-Niklaas
Kortrijk, Belgium
UZ Leuven
Leuven, Belgium
GI Research Institute
Vancouver, British Columbia, Canada
The office of Dr. Donald Daly
Victoria, British Columbia, Canada
Hotel Dieu Hospital
Kingston, Ontario, Canada
LHSC - South Street Campus
London, Ontario, Canada
...and 8 more locations
Time frame: Day -7, 29
EFFICACY: Disease activity assessments (MCDAS, UCCS, Investigator and Subject Global Ratings)
Time frame: Day -7, 1, 8, 15, 22, 29, 57
EFFICACY: Laboratory assessments (CRP and fecal calprotectin)
Time frame: Day 1, 15, 29, 57