E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
short bowel syndrome |
síndrome de intestino corto |
|
E.1.1.1 | Medical condition in easily understood language |
short gut |
intestino corto |
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E.1.1.2 | Therapeutic area | Diseases [C] - Digestive System Diseases [C06] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10049416 |
E.1.2 | Term | Short-bowel syndrome |
E.1.2 | System Organ Class | 10017947 - Gastrointestinal disorders |
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E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To assess long-term safety and tolerability of apraglutide in subjects with SBS-IF |
Evaluar la seguridad y la tolerabilidad a largo plazo de apraglutida en pacientes con SIC-FI |
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E.2.2 | Secondary objectives of the trial |
To evaluate markers indicative of clinical effects of apraglutide |
Evaluar marcadores indicativos de los efectos clínicos de apraglutida |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Males and females with a diagnosis of SBS-IF secondary to surgical resection of the small intestine, with CIC or stoma, who have completed parent trials TA799-007 or TA799-013 and: a. Did not meet any stopping criteria. b. Received a minimum of 70% of the planned doses in the trial (unless an AE precluded the subject from meeting this percentage; in this case, the Investigator will decide if the subject will benefit from enrolling in the trial). c. Complete the last two scheduled visits of the parent trial. Subjects who were forced to withdraw from TA799-007 for logistical reasons not related to the efficacy or safety of apraglutide (e.g., hospitalization for a car accident, COVID-19 pandemic, or emergency surgery) which resulted in several consecutive missed doses may be eligible to participate in this trial upon approval by the Medical Monitor. 2. Able to give informed consent and agree to follow the details of participation as outlined in this protocol. 3. Women of childbearing potential must agree to use a highly effective method of contraception during the trial and for 4 weeks after the end of trial (EOT) visit. 4. Male subjects with a female partner of childbearing potential must commit to practice methods of contraception and abstain from sperm donation during the trial and for 2 weeks after the EOT Visit. |
1. Pacientes de ambos sexos con diagnóstico de SIC-FI secundario a una resección quirúrgica del intestino delgado, con CEC o estoma, que hayan completado los estudios originarios TA799-007 o TA799-013 y que: a. No cumplan ninguno de los criterios de interrupción. b. Hayan recibido al menos el 70 % de las dosis programadas en el estudio (a menos que un AA hubiera impedido al paciente cumplir este porcentaje; en este caso, el investigador decidirá si el reclutamiento en el estudio puede ser beneficioso para el paciente). c. Hayan completado las dos últimas visitas programadas del estudio originario. En el caso de los pacientes que tuvieron que retirarse del estudio TA799-007 por razones logísticas no relacionadas con la eficacia o la seguridad de apraglutida (por ejemplo, por una hospitalización por un accidente de coche, la pandemia de la COVID-19 o una cirugía de urgencia) y que por ello dejaron de recibir varias dosis consecutivas, pueden ser elegibles para participar en este estudio, previa aprobación del monitor médico. 2. Ser capaz de proporcionar el consentimiento informado y estar de acuerdo en seguir los detalles de participación según se define en este protocolo. 3. Las mujeres que puedan quedarse embarazadas deben comprometerse a utilizar un método anticonceptivo muy eficaz durante el estudio y las 4 semanas posteriores a la visita correspondiente al final de este (final del estudio [FDE]). 4. Los pacientes varones con una pareja que pueda quedarse embarazada deben comprometerse a utilizar métodos anticonceptivos y abstenerse de donar esperma durante el estudio y las 2 semanas posteriores a la visita del FDE. |
|
E.4 | Principal exclusion criteria |
1. Subject not capable of understanding or not willing to adhere to the trial visit schedules and other protocol requirements. 2. Any other reason judged not eligible by the Investigator. |
1. Pacientes que no puedan comprender o no estén dispuestos a cumplir los calendarios de visitas del estudio y otros requisitos del protocolo. 2. Cualquier otra razón que el investigador considere que haga que el paciente no sea elegible. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
- Adverse events (AE; system organ class, frequency and severity) - Occurrence of clinically relevant AEs of special interest (AESIs): o Injection site reactions o Gastrointestinal (GI) obstructions o Gallbladder, biliary and pancreatic disease o Fluid overload o Colorectal polyps o Malignancies - Clinical chemistry, hematology, hemostasis and urinalysis - Occurrence of clinically relevant changes in vital signs (systolic and diastolic blood pressure, heart rate) - Occurrence of clinically relevant changes in electrocardiogram (ECG; intervals and rhythm) |
- Acontecimientos adversos (AA; sistema, órgano y clase; frecuencia y gravedad) - Incidencia de AA de interés especial (AAIE) clínicamente relevantes: o Reacciones en el lugar de inyección o Obstrucciones gastrointestinales (GI) o Colecistopatía, enfermedad biliar y pancreática o Hipervolemia o Pólipos colorrectales o Neoplasias malignas • Bioquímica clínica, hematología, hemostasis y análisis de orina • Incidencia de cambios clínicamente relevantes en las constantes vitales (tensión arterial sistólica y diastólica, frecuencia cardíaca) • Incidencia de cambios clínicamente relevantes en los electrocardiogramas (ECG; intervalos y ritmo) |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
- Change from baseline in PS volume at Week 104 - Change from baseline in PS frequency at Week 104 - Change from baseline in PS composition at Week 104 - Change from baseline in PS infusion time at Week 104 - Percentage of subjects reaching enteral autonomy by Week 104 - Change from baseline in body weight at Week 104 - Change from baseline on QoL measures at Week 104 |
- Cambio entre el período inicial y la semana 104 en el volumen del AP - Cambio entre el período inicial y la semana 104 en la frecuencia del AP - Cambio entre el período inicial y la semana 104 en la composición del AP - Cambio entre el período inicial y la semana 104 en el tiempo de infusión del AP - Porcentaje de pacientes que alcancen la autonomía entérica en la semana 104 - Cambio entre el período inicial y la semana 104 en el peso corporal - Cambio entre el período inicial y la semana 104 en el Índice de la calidad del sueño de Pittsburgh (PSQI) - Cambio entre el período inicial y la semana 104 en la Impresión global del cambio percibido por el paciente (PGIC) - Cambio entre el período inicial y la semana 104 en la Impresión global de la gravedad percibida por el paciente (PGIS) |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 26 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
China |
Israel |
Japan |
Korea, Republic of |
Taiwan |
United States |
Belgium |
Denmark |
France |
Germany |
Italy |
Norway |
Poland |
Spain |
Sweden |
United Kingdom |
Czechia |
Argentina |
|
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
LVLS |
ultima visita del ultimo paciente |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |