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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 6 February 2023
Main ID:  NCT04979832
Date of registration: 30/06/2021
Prospective Registration: Yes
Primary sponsor: Zealand University Hospital
Public title: GM-CSF, Fosfomycin and Metronidazole for Pouchitis in Ulcerative Colitis Patients After Restorative IPAA Surgery
Scientific title: A Combined Treatment With GM-CSF, Fosfomycin and Metronidazole for Pouchitis in Ulcerative Colitis Patients After Restorative Ileal Pouch Anal Anastomosis Surgery
Date of first enrolment: September 6, 2021
Target sample size: 18
Recruitment status: Recruiting
URL:  https://clinicaltrials.gov/show/NCT04979832
Study type:  Interventional
Study design:  Allocation: N/A. Intervention model: Single Group Assignment. Primary purpose: Treatment. Masking: None (Open Label).  
Phase:  Phase 1/Phase 2
Countries of recruitment
Denmark
Contacts
Name:     Viviane Lin, MD
Address: 
Telephone: 60547025
Email: vial@regionsjaelland.dk
Affiliation: 
Name:     Viviane Lin, MD
Address: 
Telephone: 60547025
Email: vial@regionsjaelland.dk
Affiliation: 
Name:     Ismail Gögenur, Professor
Address: 
Telephone:
Email:
Affiliation:  Zealand University Hospital
Key inclusion & exclusion criteria

Inclusion Criteria:

- Of any gender

- Over 18 years of age

- Have a previous diagnosis of ulcerative colitis

- Have had IPAA surgery, and

- Have been diagnosed with pouchitis

- Be able to understand and complete study procedures as determined by the investigator

- Be able to speak either Danish or English

- Be able to comply with study procedures for the length of the study

- Use a highly effective contraception method for the duration of the trial (until day
30 in Phase I and until day 37 in Phase II), such as implants, injectables, oral
contraceptives, IUD (intrauterine device), sexual abstinence or vasectomized partner.

Exclusion Criteria:

- Patients with a previous allergic reaction to GM-CSF, metronidazole or fosfomycin

- Patients who are currently under antibiotic treatment or have received antibiotic
treatment within the past 30 days

- Patients currently pregnant or breastfeeding

- Patients with ASA IV classification (American Society of Anesthesiologists physical
status classification)

- Patients with severe pulmonary disease

- Patients with autoimmune thrombocytopenia

- Patients with severe renal impairment (eGFR < 40 ml/min)

- Patients with alcohol use disorder or history of drug abuse

- Patients currently in treatment for any malignant or hematological disease

- Patients with a previous history of cancer will be excluded from the study (except for
patients with well-treated and stabile cancer after a control period of more than two
years).

- Patients with anticipated compliance problems as determined by the investigator



Age minimum: 18 Years
Age maximum: N/A
Gender: All
Health Condition(s) or Problem(s) studied
Pouchitis
Intervention(s)
Drug: GM-CSF, fosfomycin and metronidazole
Primary Outcome(s)
Phase 2: Proof of concept study, Change in the pouchitis disease activity index (PDAI) [Time Frame: 14 days after first application of the study drug]
Phase 1: safety study, Determine serious adverse reactions or adverse reactions from the application of GM-CSF, metronidazole and fosfomycin in the pouch [Time Frame: 30 days after first application of study drug]
Secondary Outcome(s)
Phase 1: Change in the pouchitis disease activity index (PDAI) [Time Frame: Within 7 days after application of the study drug]
Phase 1: Number of trial participants with a change in median CRP after treatment [Time Frame: Within 7 days after application of the study drug]
Phase 1: Number of trial participants with a change in median white blood cells after treatment [Time Frame: Within 7 days after application of the study drug]
Phase 2: Change in the clinical, endoscopic or histological PDAI [Time Frame: 14 days after first application of the study drug]
Phase 2: Determine serious adverse reactions or adverse reactions from the application of GM-CSF, metronidazole and fosfomycin in the pouch [Time Frame: 37 days after first application of the study drug]
Phase 1: Change in microbial diversity in the pouch using 16S rRNA sequencing [Time Frame: Within 7 days after application of the study drug]
Phase 1: Number of trial participants with a change in median creatinine after treatment [Time Frame: Within 7 days after application of the study drug]
Phase 2: Number of trial participants with a change in median creatinine after treatment [Time Frame: 14 days after first application of the study drug]
Phase 2: Number of trial participants with a change in median liver enzymes after treatment [Time Frame: 14 days after first application of the study drug]
Phase 2: Change in microbial diversity in the pouch using 16S rRNA sequencing [Time Frame: 14 days after first application of the study drug]
Phase 1: Number of trial participants with a change in median liver enzymes after treatment [Time Frame: Within 7 days after application of the study drug]
Phase 2: Number of trial participants with a change in median CRP after treatment [Time Frame: 14 days after first application of the study drug]
Phase 2: Number of trial participants with a change in median white blood cells after treatment [Time Frame: 14 days after first application of the study drug]
Secondary ID(s)
REG-106-2020
2020-000609-10
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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