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NCT02949362

Long-term Study of Teduglutide in Pediatric Subjects With Short Bowel Syndrome Who Completed the TED-C13-003 Study

Completed Phase 3 Results posted Last updated 19 March 2025
What this trial tests

Phase 3 trial testing Teduglutide in Short Bowel Syndrome in 29 participants. Completed in 14 July 2020.

Timeline
9 December 2016
Primary endpoint
14 July 2020
14 July 2020

Quick facts

Lead sponsorShire
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment29
Start date9 December 2016
Primary completion14 July 2020
Estimated completion14 July 2020
Sites11 locations across United Kingdom, United States

Drugs / interventions tested

Conditions studied

Sponsor

Shire — full company profile →

Who can join

Eligibility, 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.

Number of Participants With Adverse Events (AEs) in Retrospective Observation Period Primary · From end of the core study (TED-C13-003 [NCT01952080]) up to the beginning of the prospective period (up to Week 168)

An AE was any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. A SAE was any untoward medical occurrence (whether considered to be related to investigational product or not) that at any dose: results in death, was life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, was a congenital abnormality/birth defect, was an important medical event. Number of particip

Participants with AEs
GroupValue95% CI
Retrospective TED/NTT Group23
Retrospective TED/TED Group4
Participants with Related AEs
GroupValue95% CI
Retrospective TED/NTT Group23
Retrospective TED/TED Group4
Participants with SAEs
GroupValue95% CI
Retrospective TED/NTT Group23
Retrospective TED/TED Group4
Participants with Related SAE
GroupValue95% CI
Retrospective TED/NTT Group0
Retrospective TED/TED Group0
Change From Baseline in Height for Age Z-score up to Week 168 of Retrospective Observation Period Primary · Baseline (Baseline visit in the core study [TED-C13-003 (NCT01952080)]) up to the beginning of the prospective period (up to Week 168)

Height was measured using age Z-score. Z-score was calculated as (observed value - median value of the reference population) / standard deviation value of reference population. Centers for Disease Control and Prevention (age greater than or equal to \[\>=\] 2 years old) and World Health Organization (age less than \[\<\] 2 years old) Z-score calculation charts are used for calculation. A negative Z-score indicates values lower than the mean while a positive Z-score indicates values higher than the mean. Change from baseline in height for age Z-score up to Week 168 of retrospective observation

GroupValue95% CI
Retrospective TED/NTT Group0.128± 0.0505
Change From Baseline in Body Weight for Age Z-score up to Week 168 of Retrospective Observation Period Primary · Baseline (Baseline visit in the core study [TED-C13-003 (NCT01952080)]) up to the beginning of the prospective period (up to Week 168)

Body weight was measured using age Z-score. Z-score was calculated as (observed value - median value of the reference population) / standard deviation value of reference population. Centers for Disease Control and Prevention (age \>= 2 years old) and World Health Organization (age \< 2 years old) Z-score calculation charts are used for calculation. A negative Z-score indicates values lower than the mean while a positive Z-score indicates values higher than the mean. Change from baseline in body weight for age Z-score up to Week 168 was reported. Data for this outcome was not planned to be coll

GroupValue95% CI
Retrospective TED/NTT Group-0.181± 0.0601
Change From Baseline in Body Mass Index (BMI) for Age Z-score up to Week 168 of Retrospective Observation Period Primary · Baseline (Baseline visit in the core study [TED-C13-003 (NCT01952080)]) up to the beginning of the prospective period (up to Week 168)

BMI Z-score was calculated by using the retrospective height and weight data. Z-score was calculated as (observed value - median value of the reference population) / standard deviation value of reference population. Centers for Disease Control and Prevention (age \>= 2 years old) and World Health Organization (age \< 2 years old) Z-score calculation charts are used for calculation. A negative Z-score indicates values lower than the mean while a positive Z-score indicates values higher than the mean. Change from baseline in height for age Z-score up to Week 168 of retrospective observation peri

GroupValue95% CI
Retrospective TED/NTT Group-0.283± 0.0646
Number of Participants With Treatment Emergent Adverse Events (TEAEs) of Prospective Study Period Primary · From the beginning of the prospective study period to End of Study (EOS) (up to Week 144)

TEAEs are defined as AEs that started or worsened on or after the first dose of teduglutide treatment in the core study. A SAE was any untoward medical occurrence (whether considered to be related to investigational product or not) that at any dose: results in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, was a congenital abnormality/birth defect, was an important medical event. AESI was an TEAE or TESAE of scientific and medical concern specific to the sponsor's product o

Participants with TEAEs
GroupValue95% CI
Prospective TED/NTT Group4
Prospective TED/TED Group19
Participants with TESAEs
GroupValue95% CI
Prospective TED/NTT Group3
Prospective TED/TED Group17
Participants with AESI
GroupValue95% CI
Prospective TED/NTT Group0
Prospective TED/TED Group0
Change From Baseline in Height for Age Z-score up to Cycle 6 Week 12 During the End of Teduglutide Treatment Period of Prospective Study Period Primary · Baseline (from the beginning of the prospective study period) up to Cycle 6 Week 12

Height was measured using age Z-score. Z-score was calculated as (observed value - median value of the reference population) / standard deviation value of reference population. Centers for Disease Control and Prevention (age \>= 2 years old) and World Health Organization (age \< 2 years old) Z-score calculation charts are used for calculation. A negative Z-score indicates values lower than the mean while a positive Z-score indicates values higher than the mean. Change from baseline in height for age Z-score up to Cycle 6 Week 12 during the end of teduglutide treatment period in prospective stu

GroupValue95% CI
Prospective TED/TED Group0.05± 1.068
Change From Baseline in Body Weight for Age Z-score up to Cycle 6 Week 24 During the End of Teduglutide Treatment Period of Prospective Study Period Primary · Baseline (from the beginning of the prospective study period) up to Cycle 6 Week 24

Body weight was measured using age Z-score. Z-score was calculated as (observed value - median value of the reference population) / standard deviation value of reference population. Centers for Disease Control and Prevention (age \>= 2 years old) and World Health Organization (age \< 2 years old) Z-score calculation charts are used for calculation. A negative Z-score indicates values lower than the mean while a positive Z-score indicates values higher than the mean. Change from baseline in body weight for age Z-score up to Cycle 6 Week 24 during the end of teduglutide treatment period of prosp

GroupValue95% CI
Prospective TED/TED Group-0.66± NA
Change From Baseline in BMI for Age Z-score up to Cycle 6 Week 12 During the End of Teduglutide Treatment Period of Prospective Study Period Primary · Baseline (from the beginning of the prospective study period) up to Cycle 6 Week 12

BMI Z-score was calculated by using the height and weight data. Z-score was calculated as (observed value - median value of the reference population) / standard deviation value of reference population. Centers for Disease Control and Prevention (age \>= 2 years old) and World Health Organization (age \< 2 years old) Z-score calculation charts are used for calculation. A negative Z-score indicates values lower than the mean while a positive Z-score indicates values higher than the mean. Change from baseline in BMI for age Z-score up to Cycle 6 Week 12 during the end of teduglutide treatment per

GroupValue95% CI
Prospective TED/TED Group-0.68± 0.349
Average Total 48-Hour Urine Output up to Cycle 6 Week 12 During the End of Teduglutide Treatment Period of Prospective Study Period Primary · Baseline (from the beginning of the prospective study period) up to Cycle 6 Week 12

Average total urine output was calculated based on the daily data recorded in participants diaries over a 48-hour period of nutritional stability prior to each scheduled visit. Average total 48-Hour urine output up to Cycle 6 Week 12 during the end of teduglutide treatment period of prospective study period was reported. Here, mL/kg/day is abbreviated as milliliter per kilogram per day.

GroupValue95% CI
Prospective TED/TED Group14.38± 12.712
Average Total 48-Hour Urine Output up to Week 108 During the End of Non-Teduglutide Treatment (NTT) Period of Prospective Study Period Primary · Baseline (from the beginning of the prospective study period) up to Week 108

Average total urine output was calculated based on the daily data recorded in participants diaries over a 48-hour period of nutritional stability prior to each scheduled visit. Average total 48-Hour urine output up to Week 108 during the end of NTT period in prospective study period was reported.

GroupValue95% CI
Prospective TED/NTT Group22.86± 9.956
Average Number of Stools Per Day up to Cycle 6 Week 24 During the End of Teduglutide Treatment Period of Prospective Study Period Primary · Baseline (from the beginning of the prospective study period) up to Cycle 6 Week 24

Average number of stools per day was calculated based on the daily data recorded in participants diaries over a 48-hour period of nutritional stability prior to each scheduled visit. Average number of stools per day up to cycle 6 week 24 during the end of teduglutide treatment period in prospective study period was reported.

GroupValue95% CI
Prospective TED/TED Group5.50± NA
Average Number of Stools Per Day up to Week 120 During the End of NTT Period of Prospective Study Period Primary · Baseline (from the beginning of the prospective study period) up to Week 120

Average number of stools per day was calculated based on the daily data recorded in participants diaries over a 48-hour period of nutritional stability prior to each scheduled visit. Average number of stools per day up to Week 120 during the end of NTT period in prospective study period was reported.

GroupValue95% CI
Prospective TED/NTT Group3.75± 3.182

Adverse events — posted to ClinicalTrials.gov

Time frame: From start of screening up to end of the study (up to 168 weeks). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Retrospective TED/NTT Group
Serious: 23/24 (96%)
Deaths: 0/24
Retrospective TED/TED Group
Serious: 4/5 (80%)
Deaths: 0/5
Prospective TED/NTT Group
Serious: 3/5 (60%)
Deaths: 0/5
Prospective TED/TED Group
Serious: 17/19 (89%)
Deaths: 0/19

Serious adverse events (86 terms)

ReactionSystemRetrospective TED/NTT GroupRetrospective TED/TED GroupProspective TED/NTT GroupProspective TED/TED Group
Device related infectionInfections and infestations
PyrexiaGeneral disorders
Device breakageProduct Issues
InfluenzaInfections and infestations
Device malfunctionProduct Issues
Haemorrhagic anaemiaBlood and lymphatic system disorders
Gastrointestinal haemorrhageGastrointestinal disorders
IleusGastrointestinal disorders
PancreatitisGastrointestinal disorders
Short-bowel syndromeGastrointestinal disorders
VomitingGastrointestinal disorders
BacteraemiaInfections and infestations
GastroenteritisInfections and infestations
Gastroenteritis viralInfections and infestations
Upper respiratory tract infectionInfections and infestations
Urinary tract infectionInfections and infestations
UrosepsisInfections and infestations
Viral infectionInfections and infestations
DehydrationMetabolism and nutrition disorders
Electrolyte imbalanceMetabolism and nutrition disorders
Central venous catheterisationSurgical and medical procedures
AnaemiaBlood and lymphatic system disorders
Febrile neutropeniaBlood and lymphatic system disorders
Microcytic anaemiaBlood and lymphatic system disorders
TachycardiaCardiac disorders
Other adverse events (145 terms — click to expand)

ReactionSystemRetrospective TED/NTT GroupRetrospective TED/TED GroupProspective TED/NTT GroupProspective TED/TED Group
VomitingGastrointestinal disorders
Abdominal painGastrointestinal disorders
Upper respiratory tract infectionInfections and infestations
CoughRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
C-reactive protein increasedInvestigations
HeadacheNervous system disorders
RashSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
Abdominal distensionGastrointestinal disorders
NauseaGastrointestinal disorders
GastroenteritisInfections and infestations
Gastroenteritis viralInfections and infestations
NasopharyngitisInfections and infestations
Urinary tract infectionInfections and infestations
Viral infectionInfections and infestations
Bacterial test positiveInvestigations
DizzinessNervous system disorders
LethargyNervous system disorders
Device occlusionProduct Issues
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Abdominal pain upperGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Faecal volume increasedGastrointestinal disorders
Frequent bowel movementsGastrointestinal disorders
GastritisGastrointestinal disorders
HaematocheziaGastrointestinal disorders
Lip swellingGastrointestinal disorders
ProctalgiaGastrointestinal disorders
FatigueGeneral disorders
PyrexiaGeneral disorders
Ear infectionInfections and infestations
InfluenzaInfections and infestations
Otitis mediaInfections and infestations
Respiratory tract infectionInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
White blood cells urine positiveInvestigations
Decreased appetiteMetabolism and nutrition disorders
Pain in extremityMusculoskeletal and connective tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Device related infection, Pyrexia, Device breakage, Influenza, Device malfunction, Haemorrhagic anaemia, Gastrointestinal haemorrhage, Ileus.

Data from ClinicalTrials.gov NCT02949362 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the safety and efficacy of teduglutide treatment of children with short bowel syndrome (SBS) who completed the TED-C13-003 study over a long-term period. It will evaluate how these children fared after the TED-C13-003 study ended. This study will also offer teduglutide treatment to eligible subjects, regardless of treatment received in TED-C13-003.

Publications & conference data

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

  1. Safety and Efficacy of Teduglutide in Pediatric Patients With Intestinal Failure due to Short Bowel Syndrome: A 24-Week, Phase III Study.
    Kocoshis SA, Merritt RJ, Hill S, Protheroe S, et al · · 2020 · cited 86× · PMID 31495952 · DOI 10.1002/jpen.1690
  2. Safety Findings in Pediatric Patients During Long-Term Treatment With Teduglutide for Short-Bowel Syndrome-Associated Intestinal Failure: Pooled Analysis of 4 Clinical Studies.
    Hill S, Carter BA, Cohran V, Horslen S, et al · · 2021 · cited 21× · PMID 33305440 · DOI 10.1002/jpen.2061
  3. Use of Teduglutide in Children With Intestinal Failure: A Systematic Review.
    Gigola F, Cianci MC, Cirocchi R, Ranucci MC, et al · · 2022 · cited 16× · PMID 35774551 · DOI 10.3389/fnut.2022.866518
  4. Long-term teduglutide associated with improved response in pediatric short bowel syndrome-associated intestinal failure.
    Wales PW, Hill S, Robinson I, Raphael BP, et al · · 2024 · cited 11× · PMID 38873891 · DOI 10.1002/jpn3.12276
  5. Quality of life for pediatric patients with short bowel syndrome-associated intestinal failure treated with teduglutide.
    Wendel D, Wales PW, Kocoshis S, Venick R, et al · · 2026 · PMID 41858082 · DOI 10.1002/jpn3.70358
  6. Abstract
    · 2025
  7. Abstract
    · 2024
  8. Abstract
    · 2024

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