Not provided
Not provided
Not provided
Not provided
Study was terminated due to sponsor decision. This decision was not related to safety concerns.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This is a multi-center, open-label study to investigate the safety, tolerability, pharmacokinetics (PK) and efficacy of REC-3964 (doses of either 250 mg or 500 mg PO every 12 hours) for the reduction of Clostridioides difficile infection (CDI).
Study was terminated due to sponsor decision. This decision was not related to safety concerns.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| REC-3964 High-dose | Experimental | Participants will receive 500 mg REC-3964 q12h REC-3964 250 mg capsules |
|
| REC-3964 Low-dose | Experimental | Participants will receive 250 mg REC-3964 q12h REC-3964 250 mg capsules |
|
| Observation | No Intervention | Participants will undergo watchful waiting |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| REC-3964 | Drug | REC-3964 given at a dose of either 500 mg q12h or 250 mg q12h |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Survival Without Recurrence or Requirement for Additional Clostridioides Difficile Infection (CDI) Treatment | Recurrent CDI was defined as a new episode of CDI associated with a new positive Clostridioides difficile stool toxin or requirement for additional CDI treatment during the 8-week Follow-up Period after cure of preceding CDI with initial curative treatment. | 8 weeks |
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) | A TEAE was the development of an undesirable medical condition or the deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to the product. | Up to 8 weeks |
| Number of Participants With Related TEAEs | A TEAE was the development of an undesirable medical condition or the deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to the product. An Investigator who was qualified in medicine determined relationship to the study drug for each AE (unrelated or related). The Investigator decided whether, in his or her medical judgment, if there was a reasonable biological possibility that the event may have been caused by the study drug. | Up to 8 weeks |
| Number of Participants With Serious TEAEs | A TEAE was the development of an undesirable medical condition or the deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to the product. A Serious TEAE was defined as results in death, immediately life-threatening, requires in-participant hospitalization or prolongation of existing hospitalization, results in persistent or significant disability or incapacity in conducting activities of daily living for at least 28 days, results in a congenital abnormality or birth defect, or an important medical event that may jeopardize the participant or may require medical intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of Recurrent Clostridioides Difficile Infection (rCDI) | Recurrent CDI was defined as a new episode of CDI associated with a new positive Clostridioides difficile stool toxin within 8 weeks of the cessation of initial curative treatment. The number of unformed [types 5-7 on the Bristol stool scale] bowel movements per day were recorded by the participant in the stool diary in order to identify a new episode of diarrhea. All new episodes of diarrhea were tested for toxigenic Clostridioides difficile to confirm CDI recurrence. The rate of rCDI was defined as the proportion of participants who had the Clostridioides difficile recurrence among randomized participants. |
Not provided
Key Inclusion Criteria:
Key Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GANJ - Toms River - Ocean Family Gastroenterology | Toms River | New Jersey | 08755 | United States | ||
| Southern Star Research Institute, LLC |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Due to early study termination, only 3 participants were enrolled.
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | REC-3964 250 mg | Participants received REC-3964 given at a dose 250 milligrams (mg) every 12 hours (q12h). |
| FG001 | REC-3964 500 mg | Participants received REC-3964 given at a dose of 500 mg q12h. |
| FG002 | Observation | Participants underwent watchful waiting. No treatment was administered. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
All enrolled participants. Due to the small sample size, data were not reported for participant confidentiality reasons.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | REC-3964 250 mg | Participants received REC-3964 given at a dose 250 mg q12h. |
| BG001 | REC-3964 500 mg | Participants received REC-3964 given at a dose of 500 mg q12h. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Due to the small sample size, data was not reported for participant confidentiality reasons. |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Survival Without Recurrence or Requirement for Additional Clostridioides Difficile Infection (CDI) Treatment | Recurrent CDI was defined as a new episode of CDI associated with a new positive Clostridioides difficile stool toxin or requirement for additional CDI treatment during the 8-week Follow-up Period after cure of preceding CDI with initial curative treatment. | All randomized participants who received at least 1 dose of REC-3964 intervention or who were followed-up on in the Observational arm. | Posted | Count of Participants | Participants | 8 weeks |
|
Up to 8 weeks
All randomized participants who received at least 1 dose of REC-3964 intervention or who were followed-up on in the Observation arm.
AEs occurring in participants randomized to observation were recorded up to 28 days after the participant's last day in the Observation arm.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | REC-3964 250 mg | Participants received REC-3964 given at a dose 250 mg q12h. | 0 |
Not provided
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Constipation | Gastrointestinal disorders | MedDRA 28.0 | Systematic Assessment |
Due to the early termination of the study, only 3 participants were enrolled. Data are limited due to the small sample size.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Recursion Pharmaceuticals | Recursion Pharmaceuticals, Inc. | 385-374-1724 | clinicaltrials@recursionpharma.com |
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Mar 27, 2025 | Nov 4, 2025 | Prot_SAP_000.pdf |
Not provided
| ID | Term |
|---|---|
| D003015 | Clostridium Infections |
| ID | Term |
|---|---|
| D016908 | Gram-Positive Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Up to 8 weeks |
| Number of Participants With TEAEs Leading to Study Drug Discontinuation | A TEAE was the development of an undesirable medical condition or the deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to the product. | Up to 8 weeks |
| 8 weeks |
| Time to Recurrence of rCDI | Recurrent CDI was defined as a new episode of CDI associated with a new positive Clostridioides difficile stool toxin within 8 weeks of the cessation of initial curative treatment. The number of unformed [types 5-7 on the Bristol stool scale] bowel movements per day were recorded by the participant in the stool diary in order to identify a new episode of diarrhea. All new episodes of diarrhea were tested for toxigenic Clostridioides difficile to confirm CDI recurrence. Time to recurrence of rCDI was to be assessed using Kaplan-Meier estimation. | Up to 8 weeks |
| Number of Participants With Severe rCDI | Recurrent CDI was defined as a new episode of CDI associated with a new positive Clostridioides difficile stool toxin within 8 weeks of the cessation of initial curative treatment. The number of unformed [types 5-7 on the Bristol stool scale] bowel movements per day were recorded by the participant in the stool diary in order to identify a new episode of diarrhea. All new episodes of diarrhea were tested for toxigenic Clostridioides difficile to confirm CDI recurrence. Severe CDI was defined as CDI with white blood cell count >15,000 cells/milliliter and/or serum creatinine ≥1.5 milligram/deciliter. | Up to 8 weeks |
| Number of Participants With rCDI Who Had Associated Hospital Admissions | Recurrent CDI was defined as a new episode of CDI associated with a new positive Clostridioides difficile stool toxin within 8 weeks of the cessation of initial curative treatment. The number of unformed [types 5-7 on the Bristol stool scale] bowel movements per day were recorded by the participant in the stool diary in order to identify a new episode of diarrhea. All new episodes of diarrhea were tested for toxigenic Clostridioides difficile to confirm CDI recurrence. | Up to 8 weeks |
| Maximum Observed Plasma Concentration (Cmax) of REC-3964 | Pre-dose, 1 hour, 3 hours, and 6 hours post morning dose on Day 1 and Day 15 |
| Time to Maximum Plasma Concentration (Tmax) of REC-3964 | Pre-dose, 1 hour, 3 hours, and 6 hours post morning dose on the Day 1 and Day 15 |
| Trough Plasma Concentration (Ctrough) of REC-3964 | Pre-dose on Day 15 |
| San Antonio |
| Texas |
| 78229 |
| United States |
| BG002 | Observation | Participants underwent watchful waiting. No treatment was administered. |
| BG003 | Total | Total of all reporting groups |
| Mean |
| Standard Deviation |
| years |
|
| Sex: Female, Male | Due to the small sample size, data was not reported for participant confidentiality reasons. | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Due to the small sample size, data was not reported for participant confidentiality reasons. | Count of Participants | Participants |
|
| Race (NIH/OMB) | Due to the small sample size, data was not reported for participant confidentiality reasons. | Count of Participants | Participants |
|
Participants received REC-3964 given at a dose of 500 mg q12h. |
| OG002 | Observation | Participants underwent watchful waiting. No treatment was administered. |
|
|
| Primary | Number of Participants With Treatment-emergent Adverse Events (TEAEs) | A TEAE was the development of an undesirable medical condition or the deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to the product. | All randomized participants who received at least 1 dose of REC-3964 intervention or who were followed-up on in the Observation arm. | Posted | Count of Participants | Participants | Up to 8 weeks |
|
|
|
| Primary | Number of Participants With Related TEAEs | A TEAE was the development of an undesirable medical condition or the deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to the product. An Investigator who was qualified in medicine determined relationship to the study drug for each AE (unrelated or related). The Investigator decided whether, in his or her medical judgment, if there was a reasonable biological possibility that the event may have been caused by the study drug. | All randomized participants who received at least 1 dose of REC-3964 intervention or who were followed-up on in the Observation arm. | Posted | Count of Participants | Participants | Up to 8 weeks |
|
|
|
| Primary | Number of Participants With Serious TEAEs | A TEAE was the development of an undesirable medical condition or the deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to the product. A Serious TEAE was defined as results in death, immediately life-threatening, requires in-participant hospitalization or prolongation of existing hospitalization, results in persistent or significant disability or incapacity in conducting activities of daily living for at least 28 days, results in a congenital abnormality or birth defect, or an important medical event that may jeopardize the participant or may require medical intervention. | All randomized participants who received at least 1 dose of REC-3964 intervention or who were followed-up on in the Observation arm. | Posted | Count of Participants | Participants | Up to 8 weeks |
|
|
|
| Primary | Number of Participants With TEAEs Leading to Study Drug Discontinuation | A TEAE was the development of an undesirable medical condition or the deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to the product. | All randomized participants who received at least 1 dose of REC-3964 intervention or who were followed-up on in the Observation arm. | Posted | Count of Participants | Participants | Up to 8 weeks |
|
|
|
| Secondary | Rate of Recurrent Clostridioides Difficile Infection (rCDI) | Recurrent CDI was defined as a new episode of CDI associated with a new positive Clostridioides difficile stool toxin within 8 weeks of the cessation of initial curative treatment. The number of unformed [types 5-7 on the Bristol stool scale] bowel movements per day were recorded by the participant in the stool diary in order to identify a new episode of diarrhea. All new episodes of diarrhea were tested for toxigenic Clostridioides difficile to confirm CDI recurrence. The rate of rCDI was defined as the proportion of participants who had the Clostridioides difficile recurrence among randomized participants. | Data for this outcome measure was not summarized since there was only 1 participant in each treatment arm. | Posted | 8 weeks |
|
|
| Secondary | Time to Recurrence of rCDI | Recurrent CDI was defined as a new episode of CDI associated with a new positive Clostridioides difficile stool toxin within 8 weeks of the cessation of initial curative treatment. The number of unformed [types 5-7 on the Bristol stool scale] bowel movements per day were recorded by the participant in the stool diary in order to identify a new episode of diarrhea. All new episodes of diarrhea were tested for toxigenic Clostridioides difficile to confirm CDI recurrence. Time to recurrence of rCDI was to be assessed using Kaplan-Meier estimation. | Data for this outcome measure could not be estimated since no recurrence events occurred during this study. | Posted | Up to 8 weeks |
|
|
| Secondary | Number of Participants With Severe rCDI | Recurrent CDI was defined as a new episode of CDI associated with a new positive Clostridioides difficile stool toxin within 8 weeks of the cessation of initial curative treatment. The number of unformed [types 5-7 on the Bristol stool scale] bowel movements per day were recorded by the participant in the stool diary in order to identify a new episode of diarrhea. All new episodes of diarrhea were tested for toxigenic Clostridioides difficile to confirm CDI recurrence. Severe CDI was defined as CDI with white blood cell count >15,000 cells/milliliter and/or serum creatinine ≥1.5 milligram/deciliter. | Data for this outcome measure was not assessed since no recurrence events occurred. | Posted | Up to 8 weeks |
|
|
| Secondary | Number of Participants With rCDI Who Had Associated Hospital Admissions | Recurrent CDI was defined as a new episode of CDI associated with a new positive Clostridioides difficile stool toxin within 8 weeks of the cessation of initial curative treatment. The number of unformed [types 5-7 on the Bristol stool scale] bowel movements per day were recorded by the participant in the stool diary in order to identify a new episode of diarrhea. All new episodes of diarrhea were tested for toxigenic Clostridioides difficile to confirm CDI recurrence. | Data for this outcome measure was not assessed since no recurrence events occurred. | Posted | Up to 8 weeks |
|
|
| Secondary | Maximum Observed Plasma Concentration (Cmax) of REC-3964 | Data for this outcome measure was not summarized since there was only 1 participant in each treatment arm. | Posted | Pre-dose, 1 hour, 3 hours, and 6 hours post morning dose on Day 1 and Day 15 |
|
|
| Secondary | Time to Maximum Plasma Concentration (Tmax) of REC-3964 | Data for this outcome measure was not summarized since there was only 1 participant in each treatment arm. | Posted | Pre-dose, 1 hour, 3 hours, and 6 hours post morning dose on the Day 1 and Day 15 |
|
|
| Secondary | Trough Plasma Concentration (Ctrough) of REC-3964 | Data for this outcome measure was not summarized since there was only 1 participant in each treatment arm. | Posted | Pre-dose on Day 15 |
|
|
| 1 |
| 0 |
| 1 |
| 0 |
| 1 |
| EG001 | REC-3964 500 mg | Participants received REC-3964 given at a dose of 500 mg q12h. | 0 | 1 | 0 | 1 | 0 | 1 |
| EG002 | Observation | Participants underwent watchful waiting. No treatment was administered. | 0 | 1 | 0 | 1 | 1 | 1 |
| Pharyngitis | Infections and infestations | MedDRA 28.0 | Systematic Assessment |
|
Not provided
Not provided
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|