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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03644069
Registration number
NCT03644069
Ethics application status
Date submitted
21/05/2018
Date registered
23/08/2018
Titles & IDs
Public title
A Study of the Safety, Efficacy and Tolerability of Nexvax-2 in Patients With Celiac Disease (CeD)
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Scientific title
A Phase 2 Randomized, Double-blind, Placebo-controlled Study in HLA-DQ2.5+ Adults With Celiac Disease to Assess the Effect of Nexvax2 on Symptoms After Masked Gluten Food Challenge
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Secondary ID [1]
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Nexvax2-2006
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Celiac Disease
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Celiac
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Intestinal Disease
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Malabsorption Syndromes
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Gastrointestinal Disease
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Digestive System Disease
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Gluten Sensitivity
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Autoimmune Diseases
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Condition category
Condition code
Inflammatory and Immune System
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Autoimmune diseases
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Metabolic and Endocrine
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Other metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Nexvax2
Treatment: Other - Placebo
Experimental: Nexvax2 -
Placebo comparator: Placebo -
Treatment: Other: Nexvax2
Nexvax2 subcutaenous (SQ) injections: 32 in total, at twice weekly intervals
Treatment: Other: Placebo
Placebo SQ injections: 32 in total, at twice weekly intervals
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Efficacy of Nexvax2 compared to placebo in reducing Celiac Disease (CeD) associated GI symptoms.
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Assessment method [1]
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Measured by the CeD Patient Reported Outcome (CeD PRO) between baseline and day of the first masked food challenge (MFC) containing gluten. The CeD PRO captures patient ratings for a number of CeD-associated symptoms, on a 0 to 10 scale, with 0 being absent or no symptoms, and 10 being the most severe symptoms. The Total GI domain score is calculated as an average of summed average and individual symptom scores relevant to the GI tract, to yield a value of 0 to 10.
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Timepoint [1]
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79 to 93 days after baseline
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Secondary outcome [1]
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Evaluate efficacy of Nexvax 2 compared with placebo on immune-system activation after the first MFC containing gluten.
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Assessment method [1]
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Differences in levels of pharmacodynamic markers between baseline and day of the first MFC containing gluten.
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Timepoint [1]
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79 to 93 days after baseline
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Secondary outcome [2]
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Evaluate efficacy of Nexvax2 compared with placebo in reducing CeD associated GI symptom sub-domains.
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Assessment method [2]
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Differences in daily GI symptom domain score between baseline and day of the first MFC containing gluten.
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Timepoint [2]
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79 to 93 days after baseline
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Secondary outcome [3]
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Evaluate efficacy of Nexvax2 compared with placebo in reducing individual GI symptoms.
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Assessment method [3]
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Differences in each of the individual GI item scores in the CeD PRO between baseline and day of the first MFC containing gluten. GI symptoms assessed on the CeD PRO include abdominal cramping, abdominal pain, bloating, diarrhea, gas, loose stool, and nausea. Each are rated on a 0 to 10 scale, where 0 is absent and 10 is the most severe.
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Timepoint [3]
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79 to 93 days after baseline
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Secondary outcome [4]
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Incidence of Treatment-Emergent Adverse Events (TEAEs) in assessing safety and tolerability of Nexvax2.
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Assessment method [4]
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Treatment emergent adverse events (TEAEs) will be summarized by treatment arm, severity, relationship to study drug and to known or potential gluten exposure, and phase of treatment and presented as the number and percentage of patients reporting an event(s) as well as the number of events reported.
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Timepoint [4]
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Study Duration: 21 weeks
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Eligibility
Key inclusion criteria
* Adults 18 to 70 years of age (inclusive)
* History of medically diagnosed celiac disease (CeD) that included duodenal biopsy
* Maintenance of gluten free diet (GFD) for at least 12 consecutive months prior to screening.
* Willingness to consume a moderate amount of gluten
* Able to read and understand English
* Worsening of GI symptoms in response to an oral gluten challenge
* HLA DQ 2.5 positive
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Minimum age
18
Years
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Maximum age
70
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Unwilling or unable to perform self-injections
* History of inflammatory bowel disease and/or microscopic colitis.
* Any medical condition or lab abnormality that in the opinion of the investigator may interfere with study conduct or would impact the immune response (other than CeD), confound interpretation of study results, or pose an increased risk to the subject.
* Use of immunomodulatory or immune-suppressing medical treatment during the 6 months prior to screening
* Use of oral or parenteral immunomodulatory corticosteroids, within the 6 weeks prior to screening. Topical or inhaled corticosteroids are acceptable.
* Receipt of any investigational drug or participation in another clinical study within 6 months prior to screening.
* Females who are lactating or pregnant
* Receipt of any vaccine within 1 week prior to planned first day of the treatment period.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
6/08/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/09/2019
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Actual
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Sample size
Target
146
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD,Southern AustraliaVIC,WA
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Recruitment hospital [1]
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The Wesley Hospital - The Wesley Research Institute - Auchenflower
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Recruitment hospital [2]
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Coral Sea Clinical Research Institute - Mackay
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Recruitment hospital [3]
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Clinical Trials Centre - University of the Sunshine Coast - Sippy Downs
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Recruitment hospital [4]
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The University of Queensland - Princess Alexandra Hospital - Woolloongabba
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [6]
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Eastern Health-Box Hill Hospital - Box Hill
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Recruitment hospital [7]
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Alfred Hospital - Melbourne
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Recruitment hospital [8]
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The Royal Melbourne Hospital - The Walter and Eliza Hall Institute of Medical Research - Parkville
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Recruitment hospital [9]
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Sir Charles Gairdner Hospital - Nedlands
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Recruitment postcode(s) [1]
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4066 - Auchenflower
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Recruitment postcode(s) [2]
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4740 - Mackay
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Recruitment postcode(s) [3]
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4556 - Sippy Downs
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Recruitment postcode(s) [4]
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4102 - Woolloongabba
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Recruitment postcode(s) [5]
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5000 - Adelaide
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Recruitment postcode(s) [6]
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3128 - Box Hill
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Recruitment postcode(s) [7]
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3004 - Melbourne
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Recruitment postcode(s) [8]
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3052 - Parkville
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Recruitment postcode(s) [9]
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6009 - Nedlands
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Recruitment outside Australia
Country [1]
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United States of America
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California
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Connecticut
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Florida
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Idaho
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Illinois
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Iowa
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New Zealand
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Auckland
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New Zealand
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Christchurch
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New Zealand
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Havelock North
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New Zealand
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Mount Cook
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
ImmusanT, Inc.
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
A randomized, double-blind, placebo-controlled clinical study in human leukocyte antigen (HLA)-DQ 2.5+ adults with celiac disease (CeD).
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Trial website
https://clinicaltrials.gov/study/NCT03644069
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Trial related presentations / publications
Tye-Din JA, Daveson AJM, Goldstein KE, Hand HL, Neff KM, Goel G, Williams LJ, Truitt KE, Anderson RP; RESET CeD Study Group. Patient factors influencing acute gluten reactions and cytokine release in treated coeliac disease. BMC Med. 2020 Nov 26;18(1):362. doi: 10.1186/s12916-020-01828-y.
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Public notes
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Contacts
Principal investigator
Name
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Robert Anderson, PhD, FRACP
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Address
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ImmusanT, Inc.
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03644069