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NCT00930644

Open-Label Study of Teduglutide for Subjects With PN-Dependent Short Bowel Syndrome (SBS)

Completed Phase 3 Results posted Last updated 11 June 2021
What this trial tests

Phase 3 trial testing teduglutide in Short Bowel Syndrome in 88 participants. Completed in 24 January 2013.

Timeline
21 September 2009
Primary endpoint
24 January 2013
24 January 2013

Quick facts

Lead sponsorShire
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment88
Start date21 September 2009
Primary completion24 January 2013
Estimated completion24 January 2013
Sites23 locations across Denmark, France, Italy, United Kingdom, Germany, Poland, Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

Shire — full company profile →

Who can join

18 and older, any sex, with Short Bowel Syndrome. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percent Change in PN/IV Volume by Visit Primary · 24 months

The mean change from baseline in weekly PN.IV volume in percent change is shown by visit.

Month 1
GroupValue95% CI
NT/TED-5.35± 11.287
PBO/TED-6.44± 11.241
TED/TED-40.65± 21.546
Month 2
GroupValue95% CI
NT/TED-12.88± 22.789
PBO/TED-10.27± 14.027
TED/TED-44.24± 21.823
Month 3
GroupValue95% CI
NT/TED-10.83± 47.396
PBO/TED-14.18± 16.440
TED/TED-45.80± 22.681
Month 6
GroupValue95% CI
NT/TED-24.13± 17.496
PBO/TED-16.48± 20.979
TED/TED-34.70± 55.319
Month 9
GroupValue95% CI
NT/TED-25.35± 17.855
PBO/TED-20.95± 27.500
TED/TED-37.91± 57.460
Month 12
GroupValue95% CI
NT/TED-23.33± 20.296
PBO/TED-22.00± 33.858
TED/TED-51.33± 28.299
Month 15
GroupValue95% CI
NT/TED-31.62± 25.901
PBO/TED-18.89± 33.165
TED/TED-54.24± 27.871
Month 18
GroupValue95% CI
NT/TED-35.11± 35.545
PBO/TED-24.18± 32.183
TED/TED-63.01± 26.587
Absolute Change in PN/IV Volume by Visit Primary · 24 months

The mean change from baseline in weekly PN.IV volume in Liters is shown by visit.

Month 1
GroupValue95% CI
NT/TED-1.05± 1.315
PBO/TED-0.95± 1.938
TED/TED-5.28± 3.819
Month 2
GroupValue95% CI
NT/TED-1.88± 2.057
PBO/TED-1.38± 2.228
TED/TED-5.62± 3.873
Month 3
GroupValue95% CI
NT/TED-2.55± 3.123
PBO/TED-1.65± 2.456
TED/TED-5.72± 3.771
Month 6
GroupValue95% CI
NT/TED-3.85± 2.761
PBO/TED-1.90± 3.309
TED/TED-5.20± 4.650
Month 9
GroupValue95% CI
NT/TED-3.69± 2.916
PBO/TED-2.61± 4.071
TED/TED-5.59± 4.899
Month 12
GroupValue95% CI
NT/TED-2.90± 2.762
PBO/TED-2.72± 4.310
TED/TED-6.36± 4.633
Month 15
GroupValue95% CI
NT/TED-3.58± 2.811
PBO/TED-2.48± 4.398
TED/TED-6.37± 4.261
Month 18
GroupValue95% CI
NT/TED-3.63± 2.834
PBO/TED-2.90± 4.394
TED/TED-6.99± 4.048
Number of Subjects Achieving PN/IV Reduction Secondary · 24 Months or Last Dosing Visit

The number of subjects who achieve at least 1-, 2-, and 3-day reductions in PN/IV per Week.

Achieving >= 1 Day of PN/IV Reduction
GroupValue95% CI
NT/TED3
PBO/TED14
TED/TED21
Achieving >= 2 Day of PN/IV Reduction
GroupValue95% CI
NT/TED2
PBO/TED7
TED/TED18
Achieving >= 3 Day of PN/IV Reduction
GroupValue95% CI
NT/TED2
PBO/TED5
TED/TED18

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse event data were collected for each subject from the time informed consent was signed to the end of the study. The most commonly reported treatment emergent adverse events (>= 3% grouped at PT level) are listed.. Reporting threshold: 3%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

NT,PBO/TED
Serious: 32/51 (63%)
Deaths:
TED/TED
Serious: 24/37 (65%)
Deaths:

Serious adverse events (81 terms)

ReactionSystemNT,PBO/TEDTED/TED
Central line infectionInfections and infestations
PyrexiaGeneral disorders
Catheter bacteraemiaInfections and infestations
Catheter sepsisInfections and infestations
SepsisInfections and infestations
Urinary tract infectionInfections and infestations
Catheter related infectionInfections and infestations
PneumoniaInfections and infestations
Catheter site infectionInfections and infestations
GastroenteritisInfections and infestations
Gastrointestinal stoma complicationInjury, poisoning and procedural complications
AnaemiaBlood and lymphatic system disorders
LymphadenitisBlood and lymphatic system disorders
Cardiac failure congestiveCardiac disorders
TachycardiaCardiac disorders
Crohns diseaseGastrointestinal disorders
Abdominal painGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
Fecal volume increasedGastrointestinal disorders
Intestinal obstructionGastrointestinal disorders
MelenaGastrointestinal disorders
Pancreatitis acuteGastrointestinal disorders
Papilla of Vater stenosisGastrointestinal disorders
Face oedemaGeneral disorders
Injection site haematomaGeneral disorders
Other adverse events (14 terms — click to expand)

ReactionSystemNT,PBO/TEDTED/TED
Gastrointestinal DisordersGastrointestinal disorders
Infections and InfestationsInfections and infestations
General Disorders, and Administration Site ConditionsGeneral disorders
InvestigationsInvestigations
Injury, Poisoning, and Procedural ComplicationsInjury, poisoning and procedural complications
Metabolism and Nutrition DisorderMetabolism and nutrition disorders
Vascular DisorderVascular disorders
Musculoskeletal and Connective Tissue DisordersMusculoskeletal and connective tissue disorders
Nervous System DisordersNervous system disorders
Respiratory, Thoracic, and Mediastinal DisordersRespiratory, thoracic and mediastinal disorders
Hepatobiliary DisordersHepatobiliary disorders
Psychiatric DisordersPsychiatric disorders
Renal and Urinary DisordersRenal and urinary disorders
Blood and Lymphatic System DisordersBlood and lymphatic system disorders

Most-reported serious reactions: Central line infection, Pyrexia, Catheter bacteraemia, Catheter sepsis, Sepsis, Urinary tract infection, Catheter related infection, Pneumonia.

Data from ClinicalTrials.gov NCT00930644 adverse events section.

Sponsor's own description

This study is a 2-year open label extension study to collect long term efficacy and safety data from patients who have completed the 24-weeks of study drug dosing in CL0600-020.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Long-Term Teduglutide for the Treatment of Patients With Intestinal Failure Associated With Short Bowel Syndrome.
    Schwartz LK, O'Keefe SJ, Fujioka K, Gabe SM, et al · · 2016 · cited 132× · PMID 26844839 · DOI 10.1038/ctg.2015.69
  2. Independence From Parenteral Nutrition and Intravenous Fluid Support During Treatment With Teduglutide Among Patients With Intestinal Failure Associated With Short Bowel Syndrome.
    Iyer KR, Kunecki M, Boullata JI, Fujioka K, et al · · 2017 · cited 63× · PMID 27875291 · DOI 10.1177/0148607116680791
  3. Reduction of Parenteral Nutrition and Hydration Support and Safety With Long-Term Teduglutide Treatment in Patients With Short Bowel Syndrome-Associated Intestinal Failure: STEPS-3 Study.
    Seidner DL, Fujioka K, Boullata JI, Iyer K, et al · · 2018 · cited 57× · PMID 29761915 · DOI 10.1002/ncp.10092
  4. Teduglutide for the treatment of adults with intestinal failure associated with short bowel syndrome: pooled safety data from four clinical trials.
    Pape UF, Iyer KR, Jeppesen PB, Kunecki M, et al · · 2020 · cited 40× · PMID 32341691 · DOI 10.1177/1756284820905766
  5. Enteral Autonomy and Days Off Parenteral Support With Teduglutide Treatment for Short Bowel Syndrome in the STEPS Trials.
    Seidner DL, Gabe SM, Lee HM, Olivier C, et al · · 2020 · cited 23× · PMID 31423614 · DOI 10.1002/jpen.1687
  6. Colon polyps in patients with short bowel syndrome before and after teduglutide: Post hoc analysis of the STEPS study series.
    Armstrong D, Forbes A, Jeppesen PB, Lee HM, et al · · 2020 · cited 22× · PMID 31522784 · DOI 10.1016/j.clnu.2019.08.020
  7. Changes in Parenteral Nutrition Requirements and BMI in Patients with Parenteral Nutrition-Dependent Short Bowel Syndrome after Stopping Teduglutide-9 Years of Follow-Up.
    Zaczek Z, Jurczak-Kobus P, Panczyk M, Braszczyńska-Sochacka J, et al · · 2022 · cited 11× · PMID 35458196 · DOI 10.3390/nu14081634
  8. An updated overview of glucagon-like peptide-2 analog trophic therapy for short bowel syndrome in adults.
    Zhu C, Li Y. · · 2022 · cited 9× · PMID 35343263 · DOI 10.1177/03000605221086145

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