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The primary objectives are:
The secondary objectives are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Gluten Challenge | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gluten Powder | Dietary Supplement | Administered orally daily for 14 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in small intestine TCR repertoire | Change in the T-cell receptor repertoire (measured by T cell receptor sequencing) in the small intestine after gluten challenge | Up to 30 days post challenge |
| Change from Baseline in peripheral blood TCR repertoire | Change in the T-cell receptor repertoire (measured by T cell receptor sequencing) in peripheral blood after gluten challenge | Up to 30 days post challenge |
| Changes from baseline in small intestine and peripheral blood transcriptome | Change in the gene expression profile (transcriptomic analysis by ribonucleic acid [RNA] sequencing and cellular indexing of transcriptomes and epitopes by sequencing [CITEseq]) of the small intestine and peripheral blood after gluten challenge | Up to 30 days post challenge |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in Small Intestine Histology Based on Intraepithelial Lymphocytes (IEL) Count per 100 epithelial cells | IELs are white blood cells (WBCs) interspersed between epithelial cells of the small and large intestine where they function to preserve the integrity of the mucosal barrier by protecting the epithelium against pathogen or immune-induced pathology. Increased IELs count indicated more extreme CeD disease symptoms. Baseline values are defined as the last observed value before the first dose of gluten. |
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Key Inclusion Criteria:
Key Exclusion Criteria:
Note: Other protocol-defined inclusion/ exclusion criteria apply
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Trial Administrator | Regeneron Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Celiac Research Centre Mass General Hospital | Boston | Massachusetts | 02114 | United States |
All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing
When Regeneron has received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc.) for the product and indication, has made the study results publicly available (e.g., scientific publication, scientific conference, clinical trial registry), has the legal authority to share the data, and has ensured the ability to protect participant privacy.
Qualified researchers can submit a proposal for access to individual patient or aggregate level data from a Regeneron-sponsored clinical trial through Vivli. Regeneron's Independent Research Request Evaluation Criteria can be found at: https://www.regeneron.com/sites/default/files/Regeneron-External-Data-Sharing-Policy-and-Independent-Research-Request-Evaluation-Criteria.pdf
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| ID | Term |
|---|---|
| D002446 | Celiac Disease |
| ID | Term |
|---|---|
| D008286 | Malabsorption Syndromes |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| Baseline and Day 15 |
| Change from Baseline in Small Intestine Histology Based on Villous Height (Microns), Crypt Depth (Microns) and Villous Height to Crypt Depth Ratio (Vh:Cd) | Villi are the small finger like projections that line the small intestine and promote nutrient absorption and are often shortened in active CeD. Crypts are grooves between the villi that are often elongated in CeD. A decreased Vh:Cd ratio indicates more extreme CeD disease symptoms. Baseline values (Microns) will be defined as the last observed value before the first dose of gluten. | Baseline and Day 15 |
| Identification and ex vivo functional validation of gluten-specific T cells | Clonality of peripheral blood mononuclear cell (PBMC)-derived gluten-specific T cells (measured by T cell receptor sequencing) after ex vivo expansion with gluten peptides | Up to 30 days post challenge |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |