Evaluation the Safety and Efficacy of Lyophilized Fecal Microbiota Transplantation Administered Orally for Prevention of Relapse or Intestinal Inflammation in Adults With Ulcerative Colitis

Study Overview
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Brief Summary
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The purpose of the study is to evaluate the efficacy and safety of lyophilized PRIM-DJ2727 capsules given orally in subjects with ulcerative colitis at remission stage. This study will also include longitudinal analyses of recipient's gut microbiota taxonomy and metagenomics to determine potential associations with clinical outcomes in context of active FMT or placebo administration.

Official Title
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A Phase 2a, Randomized, Double-blinded, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Lyophilized Fecal Microbiota Transplantation (PRIM-DJ2727) Administered Orally in Combination With Standard of Care Therapy for Prevention of Relapse or Intestinal Inflammation in Adults With Ulcerative Colitis

Conditions
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Adults With Ulcerative Colitis

Intervention / Treatment
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* Drug: PRIM-DJ2727
* Drug: Placebos


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult ≥18 years of age History of active UC in the past 12 months based on standard clinical, endoscopic, or histologic criteria. Remission of UC based on clinical grounds (partial Mayo score of ≤2 with each subscore ≤1), and on stable maintenance therapy. Sexually active male and female subjects of childbearing potential must agree to use an effective method of birth control during the study. Female subjects of childbearing potential must have a negative urine Qualitative HCG pregnancy test at enrolment and on the Week 1, Day 1 of the Treatment prior to administration of study drug. Willing and able to sign an informed consent form and attend all study-related clinic visits, assessments, and follow-up phone calls. Subject has an attending physician who will provide the non-FMT care. Exclusion Criteria: Unable to take multiple capsules orally. Females who are pregnant, breastfeeding, or planning to become pregnant during the study. Receipt of systemic non-topical antibiotics within 14 days of treatment day 1. Positive results for active HIV, Hepatitis B, or Hepatitis C infections. History of recurrent Clostridium difficile infection or FMT in the past 6-months. History of other active gastrointestinal conditions such as irritable bowel syndrome, microscopic colitis, celiac disease, short gut syndrome, colostomy, colectomy, gastrointestinal fistulae or strictures, chronic parasitic infections, diverticulitis etc. Known history of bile acid diarrhea Compromised immune system (e.g. primary immune disorders or clinical immunosuppression due to a medical condition or medication e.g. taking oral prednisone >20 mg a day or prednisone-equivalent) History of active cancer and/or ongoing chemotherapy (superficial non-metastatic cancers and maintenance chemotherapy are permitted). History of use of an investigational drug within 90 days prior to the screening visit. History of significant uncontrolled systemic disease that in the opinion of the study investigator could interfere with study participation and/or objectives. Life expectancy of < 1 year. In the opinion of investigator, subject for any reason, should be excluded from the study.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Patients with UC will receive FMT capsules<br>Patients with ulcerative colitis will receive fecal microbiota capsules from 3 healthy donors | Drug: PRIM-DJ2727<br>* Fecal Microbiota Transplantation (FMT) product manufactured as PRIM-DJ2727 capsules consists of lyophilized microbiota suspension from well-screened donors. Microbiota from three donors will be combined to make the product.<br>|
| Placebo Comparator: Patients with UC will receive placebo<br>Patients with ulcerative colitis will receive matching placebo capsules. Placebo capsule will be identical to PRIM-DJ2727 but will not contain intestinal bacteria. | Drug: Placebos<br>* Placebo capsule will be identical to PRIM-DJ2727 but will not contain intestinal bacteria.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patients in remission after administering 12 weeks of PRIM-DJ2727 capsules will be measured by partial Mayo score ≤ 3 |  | 9 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of life will be characterized by health-related quality of life score. |  | 9 months | 
| Subject-reported score in Hospital Anxiety and Depression Scale | After administering 12 weeks of PRIM-DJ2727 | 9 months |