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This study was conducted to evaluate the efficacy of multiple doses of larazotide acetate in preventing intestinal permeability changes induced by a 6- week gluten challenge in subjects with celiac disease.
This was a Phase IIb, randomized, double-blind, placebo-controlled, dose ranging, multicenter Study to determine the safety, tolerance, and efficacy of larazotide acetate in subjects with celiac disease during a gluten challenge. Subjects remained on their gluten-free diet throughout the duration of the trial. Study drug or drug placebo capsules were administered TID 15 minutes before each meal. Gluten or gluten placebo capsules will be taken TID with each meal.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Larazotide acetate 1 mg | Experimental | larazotide acetate 1 mg capsules TID + 900 mg gluten capsules TID for 6 weeks |
|
| Larazotide acetate 4 mg | Experimental | larazotide acetate 4 mg capsules TID + 900 mg gluten capsules TID for 6 weeks |
|
| Larazotide acetate 8 mg | Experimental | larazotide acetate 8 mg capsules TID + 900 mg gluten capsules TID for 6 weeks |
|
| Placebo | Placebo Comparator | placebo capsules TID + 900 mg gluten capsules TID for 6 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| larazotide acetate | Drug | gelatin capsules |
|
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of multiple doses larazotide acetate in preventing intestinal permeability changes induced by a 6- week gluten challenge. | The primary efficacy endpoint was the Day 49 to Day 7 ratio of urinary LAMA ratios as a response to gluten | Following ingestion of a solution of lactulose and mannitol; lactulose and mannitol excretion was quantified and the LAMA ratio calculated from overnight urine specimens collected on Days 7, 21, 35, 49 and 56. |
| Measure | Description | Time Frame |
|---|---|---|
| Safety of a 6-week exposure to oral doses of larazotide acetate in celiac disease patients exposed to 900 mg gluten TID with meals | Safety endpoints assessed in this study were adverse events, vital signs, physical examination results, clinical laboratory test results, concomitant medication usage and ECG results | Up to 6 weeks |
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Inclusion Criteria:
Exclusion Criteria
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| Name | Affiliation | Role |
|---|---|---|
| Francisco Leon, MD, Ph.D. | Alba Therapeutics Corp | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Study Site | Scottsdale | Arizona | 85259 | United States | ||
| Study Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23163616 | Result | Kelly CP, Green PH, Murray JA, Dimarino A, Colatrella A, Leffler DA, Alexander T, Arsenescu R, Leon F, Jiang JG, Arterburn LA, Paterson BM, Fedorak RN; Larazotide Acetate Celiac Disease Study Group. Larazotide acetate in patients with coeliac disease undergoing a gluten challenge: a randomised placebo-controlled study. Aliment Pharmacol Ther. 2013 Jan;37(2):252-62. doi: 10.1111/apt.12147. Epub 2012 Nov 19. |
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Randomized, double-blind, placebo Controlled, dose ranging, multicenter Study
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Double-blind
| placebo | Drug | gelatin capsules |
|
| 900 mg gluten | Dietary Supplement | gelatin capsules |
|
| To prospectively validate a composite, weighted index of celiac disease activity |
Gastrointestinal symptoms were assessed by the GSRS patient self-assessment questionnaire |
| GSRS was completed weekly throughout the study. |
| Colorado Springs |
| Colorado |
| 80907 |
| United States |
| Study Site | Chicago | Illinois | 60637 | United States |
| Study Site | Lexington | Kentucky | 40536 | United States |
| Study Site | Hagerstown | Maryland | 21740 | United States |
| Study Site | Boston | Massachusetts | 02215 | United States |
| Study Site | Troy | Michigan | 48084 | United States |
| Study Site | Rochester | Minnesota | 55905 | United States |
| Study Site | New York | New York | 10032 | United States |
| Study Site | Asheville | North Carolina | 28801 | United States |
| Study Site | Cleveland | Ohio | 44195 | United States |
| Study Site | Philadelphia | Pennsylvania | 19107 | United States |
| Study Site | Pittsburgh | Pennsylvania | 15243 | United States |
| Study Site | Houston | Texas | 77030 | United States |
| Study Site | Plano | Texas | 75093 | United States |
| Study Site | Richmond | Virginia | 23298 | United States |
| Study Site | Seattle | Washington | 98101 | United States |
| Study Site | Edmonton | Alberta | Canada |
| Study Site | Kelowna | British Columbia | Canada |
| Study Site | Calgary | Canada |
| Study Site | Montreal | Canada |
| Study Site | Toronto | Canada |
| Study Site | Winnipeg | Canada |
| ID | Term |
|---|---|
| D002446 | Celiac Disease |
| ID | Term |
|---|---|
| D008286 | Malabsorption Syndromes |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| C525167 | larazotide acetate |
| D005983 | Glutens |
| ID | Term |
|---|---|
| D055315 | Prolamins |
| D000078522 | Grain Proteins |
| D010940 | Plant Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D055314 | Seed Storage Proteins |
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