The objectives of this study are: (1) to evaluate the safety and tolerability of VP 20621 dosed orally for up to 14 days in adults previously treated for CDI; (2) to characterize the frequency and duration of stool colonization with the VP 20621 strain of C. difficile; (3) to evaluate the efficacy of VP 20621 for prevention of recurrence of CDI; and (4)to select a dose regimen of VP 20621 to be used in future studies.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
173
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
An adverse event (AE) is any untoward, undesired, unplanned clinical event in the form of signs, symptoms, disease, or laboratory or physiological observations occurring in a study participant, regardless of causal relationship. TEAEs were defined as all AEs that start during the study drug treatment period (and up to 7 days after the last dose of the study drug) and were not seen at baseline, or were seen at baseline but increased in frequency and/or severity during the study drug treatment period (and up to 7 days after the last dose of study drug). SAE was any AE that results in any of the following outcomes: death, a life-threatening event, inpatient hospitalization or prolongation of an existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, a congenital anomaly/birth defect, other medically important events based upon appropriate medical judgement.
Time frame: Baseline up to 7 days after the last dose of study drug (up to Week 3)
Number of Participants With Positive Clostridium Difficile Stool Cultures Demonstrating Non-Toxigenic Clostridium Difficile-Strain M3
Time frame: After study drug administration period (14 days) through Week 6
Number of Participants With Clostridium Difficile Infection (CDI) Recurrence
CDI recurrence was defined as at least 1 event characterized by ALL of the following: \>=3 unformed (loose or watery) stools within 24 hours (data derived from Diarrhea case report form (CRF) page which was to be completed for any clinical event of diarrhea or loose/watery stool occurring between Day 1 and Week 6); a positive C. difficile stool assay, or pseudomembranes on endoscopy/surgery; and no other likely cause of the diarrhea in the opinion of the investigator.
Time frame: Baseline (Day 1) up to Week 6
Number of Participants With Use of Antibacterial Treatment for CDI
Any antibacterial medication used after Day 1 for which the investigator selected the indication "antibacterial for C. difficile infection".
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VP20621 as oral liquid once daily for 14 days
Unnamed facility
Modesto, California, United States
Unnamed facility
Palm Desert, California, United States
Unnamed facility
Sacramento, California, United States
Unnamed facility
Aurora, Colorado, United States
Unnamed facility
Hartford, Connecticut, United States
Unnamed facility
Bay Pines, Florida, United States
Unnamed facility
Jacksonville, Florida, United States
Unnamed facility
Honolulu, Hawaii, United States
Unnamed facility
Chicago, Illinois, United States
Unnamed facility
Maywood, Illinois, United States
...and 49 more locations
Time frame: Baseline (Day 1) up to Week 6
Number of Participants With Clinical Events of Diarrhea or Loose/Watery Stools
Data were derived from all AEs starting on or after Day 1 for which a Diarrhea CRF page was completed.
Time frame: Baseline (Day 1) up to Week 6
Time to First CDI Recurrence
CDI recurrence was defined as at least 1 event characterized by ALL of the following: \>=3 unformed (loose or watery) stools within 24 hours (data derived from Diarrhea CRF page which was to be completed for any clinical event of diarrhea or loose/watery stool occurring between Day 1 and Week 6); a positive C. difficile stool assay, or pseudomembranes on endoscopy/surgery; and no other likely cause of the diarrhea in the opinion of the investigator. Time of onset is from date of randomization to date of first CDI recurrence. Time to first CDI recurrence was assessed using Kaplan-Meier curve. Due to small number of subjects (\<50%) with CDI recurrence, median time to event was not evaluable.
Time frame: Baseline (Day 1) up to Week 6