An open-label, randomised, multi-centre, dose evaluation study of the efficacy and safety of TLA Gut™ leukapheresis treatment in patients with UC. The aim of this trial is to evaluate the efficacy and safety of two different TLA Gut™ dose regimens in patients with acute exacerbation of UC. Enrolled patients will participate in a 6-week treatment phase and a 20- week follow-up phase. The treatment phase consists of two periods; 2 weeks in which patients will undergo two treatment sessions per week, followed by 4 weeks of a single treatment session per week. The follow-up phase consists of 2 visits, one visit at week 7 and the last visit at week 26. Telephone visits will be conducted between these visits. In all a patient will undergo 8 treatment visits and 2 follow-up visits. Only patients not having experienced an earlier recurrence will participate in the follow-up phase.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
12
The medical device to be investigated is named Tailored Leukapheresis (TLA) Gut™. The device comprises a column that has been designed for extracorporeal leukapheresis to specifically remove chemokine (C-C motif) receptor 9 (CCR9) expressing immunological cell populations including human leukocyte antigen DR isotype (HLA-DRhi ) monocytes from the circulation. This is achieved by integrating a strong affinity binding between the gut homing cell receptor, CCR9, and its cognate ligand, thymus-expressed chemokine (TECK) or chemokine ligand 25 (CCL25). Those blood cells that express CCR9 will bind to presented Biotinylated thymus-engineered chemokine (bTECK) on the matrix by a strong receptor ligand interaction, remaining bound to the matrix. Blood cells that do not express the receptor pass through the column unchanged and are returned to the patient.
Ersta Sjukhus, Medicinkliniken
Stockholm, Sweden
RECRUITINGEvaluate whether the intervention of TLA Gut™ reduces Human Leukocyte Antigen DR isotype (HLADRhi)
Mean percentage change in HLA-DRhi expressing monocytes
Time frame: baseline, during treatment (after 4 treatment sessions at week 2)
Evaluate the effect of intervention of TLA Gut™ on clinical, histopathology and laboratory criteria and variables
Mean change in HLA-DRhi expressing monocytes
Time frame: baseline, during treatment (after 4 treatment sessions at week 2)
Evaluate the effect of intervention of TLA Gut™ on clinical variables
Mean change and mean percentage change in Mayo Score Index
Time frame: baseline, after 4 treatment sessions at week 2 , immediately after treatment completion
Evaluate the effect of intervention of TLA Gut™ on laboratory criteria
Mean percentage change in faecal calprotectin levels
Time frame: baseline, during treatment (at week 6), immediately after treatment completion
Evaluate the effect of intervention of TLA Gut™ on clinical, histopathology and laboratory criteria and variables
Proportion of patients in each dosing group achieving laboratory remission, clinical remission or both laboratory and clinical remission
Time frame: immediately after treatment completion
Evaluate the effect of intervention of TLA Gut™ on clinical variables
Proportion of patients in each dosing group classified as responders
Time frame: immediately after treatment completion
Evaluate the effect of intervention of TLA Gut™ on clinical variables
Mean change and mean percentage change in Mayo Endoscopic Sub-Score Index
Time frame: baseline, after 4 treatment sessions at week 2 , immediately after treatment completion
Evaluate the effect of intervention of TLA Gut™ on clinical variables
Mean change and mean percentage change in Ulcerative Colitis Endoscopic Index of Severity (UCEIS) score
Time frame: baseline, after 4 treatment sessions at week 2 , immediately after treatment completion
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