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NCT03664960

An Extension Study of AK002 in Patients With Eosinophilic Gastritis and/or Eosinophilic Duodenitis

Completed Phase 2 Results posted Last updated 28 February 2024
What this trial tests

Phase 2 trial testing AK002 in Eosinophilic Gastritis in 58 participants. Completed in 2 November 2021.

Timeline
14 November 2018
Primary endpoint
2 November 2021
2 November 2021

Quick facts

Lead sponsorAllakos Inc.
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment58
Start date14 November 2018
Primary completion2 November 2021
Estimated completion2 November 2021
Sites17 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Allakos Inc. — full company profile →

Who can join

Adults 18 to 80, any sex, with Eosinophilic Gastritis or Eosinophilic Gastroenteritis. 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.

The Safety and Tolerability of AK002 by Evaluating Adverse Events Assessed Using the CTCAE Version 4.03 Primary · Through study completion, up to 28 months

Adverse events assessed using the CTCAE version 4.03

Subjects with ≥1 adverse events
GroupValue95% CI
Main Study Placebo to Extension Study 1 to 3.0 mg/kg of AK00221
Main Study Active to Extension Study 1 to 3.0 mg/kg of AK00235
Subjects with ≥1 treatment-related adverse events
GroupValue95% CI
Main Study Placebo to Extension Study 1 to 3.0 mg/kg of AK00215
Main Study Active to Extension Study 1 to 3.0 mg/kg of AK00222
Subjects with an adverse event leading to study discontinuation
GroupValue95% CI
Main Study Placebo to Extension Study 1 to 3.0 mg/kg of AK0020
Main Study Active to Extension Study 1 to 3.0 mg/kg of AK0023
Subjects with ≥1 serious adverse events
GroupValue95% CI
Main Study Placebo to Extension Study 1 to 3.0 mg/kg of AK0022
Main Study Active to Extension Study 1 to 3.0 mg/kg of AK0029
Subjects with ≥1 treatment-related serious adverse events
GroupValue95% CI
Main Study Placebo to Extension Study 1 to 3.0 mg/kg of AK0020
Main Study Active to Extension Study 1 to 3.0 mg/kg of AK0020
Percent Change in PRO Total Symptom Score (TSS) From AK002-003 Baseline Secondary · AK002-003 Baseline to End of Treatment (2 weeks post last dose, up to 26 months)

The PRO Total Symptom Score (TSS) is a patient-reported outcome (PRO) questionnaire comprises the following 8 symptoms: abdominal pain, nausea, vomiting, early satiety, loss of appetite, abdominal cramping, bloating, and diarrhea. Individual symptom scores ranged from 0 to 10. The daily total symptom score ranged from 0 to 80, with higher scores indicating greater severity. The End of treatment TSS score is defined as the average of the 14 daily scores on or after the day of the last dose of the extension study.

GroupValue95% CI
Main Study Placebo to Extension Study 1 to 3.0 mg/kg of AK002-66.3± 27.7
Main Study Active to Extension Study 1 to 3.0 mg/kg of AK002-60.6± 32.4
Changes in the Number of Eosinophils in Gastric and/or Duodenal Mucosa From AK002-003 Baseline Secondary · AK002-003 Baseline to Day 547

Percentage of Change in the Number of Eosinophils in Gastric and/or Duodenal Mucosa in each group from AK002-003 Baseline

GroupValue95% CI
Main Study Placebo to Extension Study 1 to 3.0 mg/kg of AK002-93.5± 18.9
Main Study Active to Extension Study 1 to 3.0 mg/kg of AK002-99.7± 0.7

Adverse events — posted to ClinicalTrials.gov

Time frame: Through study completion, up to 28 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Main Study Placebo to Extension Study 1 to 3.0 mg/kg of AK002
Serious: 2/21 (10%)
Deaths: 0/21
Main Study Active to Extension Study 1 to 3.0 mg/kg of AK002
Serious: 9/37 (24%)
Deaths: 0/37

Serious adverse events (13 terms)

ReactionSystemMain Study Placebo to Exte…Main Study Active to Exten…
Small intestinal obstructionGastrointestinal disorders
VomitingGastrointestinal disorders
InfluenzaInfections and infestations
SpondylolisthesisMusculoskeletal and connective tissue disorders
AngioedemaSkin and subcutaneous tissue disorders
HypertensionVascular disorders
NauseaGastrointestinal disorders
Abdominal hierniaGastrointestinal disorders
Coronary artery diseaseCardiac disorders
Abdominal painGastrointestinal disorders
EnteritisGastrointestinal disorders
EnterocolitisGastrointestinal disorders
Gastric ulcerGastrointestinal disorders
Other adverse events (38 terms — click to expand)

ReactionSystemMain Study Placebo to Exte…Main Study Active to Exten…
Infusion related reactionInjury, poisoning and procedural complications
HeadacheNervous system disorders
NauseaGastrointestinal disorders
NasopharyngitisInfections and infestations
SinusitisInfections and infestations
Blood creatine phosphokinase increasedInvestigations
AnemiaBlood and lymphatic system disorders
DiarrheaGastrointestinal disorders
InfluenzaInfections and infestations
Urinary tract infectionInfections and infestations
NeutrophiliaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Gastroenteritis eosinophilicGastrointestinal disorders
VomitingGastrointestinal disorders
Chest painGeneral disorders
Injection site painGeneral disorders
Coronavirus infectionInfections and infestations
Muscle spasmsMusculoskeletal and connective tissue disorders
AnxietyPsychiatric disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
HypertensionVascular disorders
LymphopeniaBlood and lymphatic system disorders
Gastroesophageal reflux diseaseGastrointestinal disorders
FatigueGeneral disorders
Influenza like illnessGeneral disorders
PyrexiaGeneral disorders
PneumoniaInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
ParesthesiaNervous system disorders
NephrolithiasisRenal and urinary disorders
AlopeciaSkin and subcutaneous tissue disorders
EczemaSkin and subcutaneous tissue disorders
UrticariaSkin and subcutaneous tissue disorders

Most-reported serious reactions: Small intestinal obstruction, Vomiting, Influenza, Spondylolisthesis, Angioedema, Hypertension, Nausea, Abdominal hiernia.

Data from ClinicalTrials.gov NCT03664960 adverse events section.

Sponsor's own description

This is a Phase 2, open-label, extension study to assess the safety and tolerability of AK002, given monthly for up to 26 doses.

Publications & conference data

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

  1. The clinical impact of glycobiology: targeting selectins, Siglecs and mammalian glycans.
    Smith BAH, Bertozzi CR. · · 2021 · cited 380× · PMID 33462432 · DOI 10.1038/s41573-020-00093-1
  2. The role of biologics in pediatric food allergy and eosinophilic gastrointestinal disorders.
    Sindher SB, Barshow S, Tirumalasetty J, Arasi S, et al · · 2023 · cited 24× · PMID 36872039 · DOI 10.1016/j.jaci.2023.01.007
  3. Novel Approaches in the Inhibition of IgE-Induced Mast Cell Reactivity in Food Allergy.
    Tontini C, Bulfone-Paus S. · · 2021 · cited 24× · PMID 34456900 · DOI 10.3389/fimmu.2021.613461
  4. Eosinophilic gastroenteritis: Pathogenesis, diagnosis, and treatment.
    Li K, Ruan G, Liu S, Xu T, et al · · 2023 · cited 23× · PMID 37022943 · DOI 10.1097/cm9.0000000000002511
  5. Primary eosinophilic gastrointestinal disorders and allergy: Clinical and therapeutic implications.
    Rossi CM, Lenti MV, Merli S, Licari A, et al · · 2022 · cited 20× · PMID 35620572 · DOI 10.1002/clt2.12146

Verify or expand the search:

Other trials of AK002

Trials testing the same drug.

Other recruiting trials for Eosinophilic Gastritis

Currently open trials in the same condition.

Other Allakos Inc. trials

Trials by the same sponsor.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03664960.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing