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NCT03234465

Efficacy, Safety and Tolerability of AG013 in Oral Mucositis Compared to Placebo When Administered Three Times Per Day

Terminated Phase 2 Results posted Last updated 23 November 2020
What this trial tests

Phase 2 trial testing AG013 in Oral Mucositis in 200 participants. Terminated before completion.

Timeline
18 July 2017
Primary endpoint
31 March 2020
13 July 2020

Quick facts

Lead sponsorOragenics, Inc.
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment200
Start date18 July 2017
Primary completion31 March 2020
Estimated completion13 July 2020
Sites50 locations across Belgium, United Kingdom, United States, Germany

Drugs / interventions tested

Conditions studied

Sponsor

Oragenics, Inc. — full company profile →

Who can join

21 and older, any sex, with Oral Mucositis. 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.

Efficacy of AG013 Compared to Placebo for Reducing OM as Measured by Duration (in Days) of Severe Oral Mucositis (WHO Grades 3 or 4) Primary · From the start of radiation therapy (RT) until 2 weeks following its completion, 7 to 9 weeks depending on the duration of CRT.

Duration (in Days) of Severe Oral Mucositis (WHO Grades 3 or 4)

US
GroupValue95% CI
AG01319.6± 25.00
Placebo20.6± 25.20
Europe
GroupValue95% CI
AG01317.2± 22.67
Placebo15.3± 22.54

Adverse events — posted to ClinicalTrials.gov

Time frame: From the time of screening and up to a total of 15 to 17 weeks, depending on the duration of CRT.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

AG013
Serious: 43/100 (43%)
Deaths: 2/100
Placebo
Serious: 25/97 (26%)
Deaths: 4/97

Serious adverse events (67 terms)

ReactionSystemAG013Placebo
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
DysphagiaGastrointestinal disorders
Acute kidney injuryRenal and urinary disorders
PyrexiaGeneral disorders
PneumoniaInfections and infestations
DehydrationMetabolism and nutrition disorders
BronchitisInfections and infestations
General physical health deterioriationGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
Failure to thriveMetabolism and nutrition disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Oropharynggeal painRespiratory, thoracic and mediastinal disorders
Febrile neutropeniaBlood and lymphatic system disorders
Suicidal ideationPsychiatric disorders
DiarrhoeaGastrointestinal disorders
Gastric haemorrhageGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Inguinal herniaGastrointestinal disorders
Neutropenic colitisGastrointestinal disorders
OdynophagiaGastrointestinal disorders
Candida infectionInfections and infestations
CellulitisInfections and infestations
Clostridium difficile colitisInfections and infestations
DiverticulitisInfections and infestations
Other adverse events (64 terms — click to expand)

ReactionSystemAG013Placebo
NauseaGastrointestinal disorders
FatigueGeneral disorders
ConstipationGastrointestinal disorders
DysgeusiaNervous system disorders
Radiation skin injuryInjury, poisoning and procedural complications
DiarrhoeaGastrointestinal disorders
Dry mouthGastrointestinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
DysphagiaGastrointestinal disorders
VomitingGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
Weight decreasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
HeadacheNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
DysphoniaRespiratory, thoracic and mediastinal disorders
DehydrationMetabolism and nutrition disorders
Oral candidiasisInfections and infestations
TinnitusEar and labyrinth disorders
Oral painGastrointestinal disorders
Candida infectionInfections and infestations
DyspepsiaGastrointestinal disorders
White blood cell count decreasedInvestigations
ErythemaSkin and subcutaneous tissue disorders
Blood creatinine increasedInvestigations
PyrexiaGeneral disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Secretion dischargeGeneral disorders
Platelet count decreasedInvestigations
HypokalaemiaMetabolism and nutrition disorders
DizzinessNervous system disorders
LeukopeniaBlood and lymphatic system disorders
Neutrophil count decreasedInvestigations
HyponatraemiaMetabolism and nutrition disorders
InsomniaPsychiatric disorders
HyperglycaemiaMetabolism and nutrition disorders
OdynophagiaGastrointestinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
HypomagnesaemiaMetabolism and nutrition disorders
NeutropeniaBlood and lymphatic system disorders

Most-reported serious reactions: Nausea, Vomiting, Dysphagia, Acute kidney injury, Pyrexia, Pneumonia, Dehydration, Bronchitis.

Data from ClinicalTrials.gov NCT03234465 adverse events section.

Sponsor's own description

The purpose of the study is to evaluate the efficacy, safety and tolerability of topically administered AG013 compared to placebo for reducing Oral Mucositis (OM) in patients undergoing chemoradiation for the treatment of head and neck cancer, as measured by the duration, time to development, and overall incidence of OM during the active treatment phase, beginning from the start of chemoradiation therapy (CRT) until 2 weeks following its completion. The effect of AG013 on patient-reported symptoms and analgesic use during the active treatment phase, and on the cumulative radiation dose administered before the onset of OM will also be evaluated, as will biomarkers and, in a subset of subjects, the PK (pharmacokinetic) profile of AG013.

Publications & conference data

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

  1. Microbiome and Human Health: Current Understanding, Engineering, and Enabling Technologies.
    Aggarwal N, Kitano S, Puah GRY, Kittelmann S, et al · · 2023 · cited 242× · PMID 36317983 · DOI 10.1021/acs.chemrev.2c00431
  2. Cell therapies in the clinic.
    Wang LL, Janes ME, Kumbhojkar N, Kapate N, et al · · 2021 · cited 99× · PMID 34027097 · DOI 10.1002/btm2.10214
  3. Engineered probiotics.
    Ma J, Lyu Y, Liu X, Jia X, et al · · 2022 · cited 72× · PMID 35477497 · DOI 10.1186/s12934-022-01799-0
  4. Oral Mucositis: An Update on Innate Immunity and New Interventional Targets.
    Chen C, Zhang Q, Yu W, Chang B, et al · · 2020 · cited 44× · PMID 32479139 · DOI 10.1177/0022034520925421
  5. Microbial therapeutics: New opportunities for drug delivery.
    Jimenez M, Langer R, Traverso G. · · 2019 · cited 43× · PMID 31028093 · DOI 10.1084/jem.20190609
  6. Trefoil factors share a lectin activity that defines their role in mucus.
    Järvå MA, Lingford JP, John A, Soler NM, et al · · 2020 · cited 40× · PMID 32404934 · DOI 10.1038/s41467-020-16223-7
  7. <i>Lactococcus lactis</i> As a Versatile Vehicle for Tolerogenic Immunotherapy.
    Cook DP, Gysemans C, Mathieu C. · · 2017 · cited 39× · PMID 29387056 · DOI 10.3389/fimmu.2017.01961
  8. Clinical translation of microbe-based therapies: Current clinical landscape and preclinical outlook.
    Vargason AM, Anselmo AC. · · 2018 · cited 36× · PMID 30065967 · DOI 10.1002/btm2.10093

Verify or expand the search:

Other recruiting trials for Oral Mucositis

Currently open trials in the same condition.

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