VE202 in Patients with Mild-to-Moderate Ulcerative Colitis

Purpose

A Phase 2 study to evaluate the safety, efficacy, and microbiota changes of VE202 in patients with mild to moderate ulcerative colitis (UC).

Conditions

  • Ulcerative Colitis
  • Colitis, Ulcerative

Eligibility

Eligible Ages
Between 18 Years and 75 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  1. 18 to 75 years of age 2. Documented clinical and endoscopic diagnosis of UC at least 3 months prior to randomization 3. Active mild to moderate UC, as defined by the following: 1. Disease that extends at least 15 cm from the anal verge 2. A modified Mayo score of 4 to 8 with: (i.) Mayo endoscopic subscore of ≥ 2 based on screening flexible sigmoidoscopy; (ii.) Rectal bleeding score of ≥ 1 4. Has never received a biologic agent, Janus kinase inhibitor, or sphingosine-1-phosphate modulator for the treatment of UC 5. If receiving corticosteroids, dose must be stable for at least 4 weeks before randomization 6. Doses of other allowable UC medications must be stable for at least 8 weeks before randomization

Exclusion Criteria

  1. Known history of Crohn's disease (CD) or indeterminate colitis 2. A known diagnosis of primary sclerosing cholangitis 3. Allergy to VE202 or any of its components 4. Allergy to vancomycin or any of its components 5. A diagnosis of any non-IBD diarrheal illness (eg, Clostridioides difficile, celiac disease, parasitic infection) within 3 months prior to randomization 6. Use of probiotics or herbal, botanical, or traditional medicinal preparations within the 2 weeks prior to randomization (consumption of food products such as yogurt, kefir, kombucha, and herbal teas is permissible) 7. Receipt of Fecal Microbiota Transplantation (FMT) or other fecal-derived preparation within 6 months prior to randomization 8. Prior colectomy, ostomy, or other intestinal surgery (excluding cholecystectomy or appendectomy) 9. Receipt of any investigational biologic within 60 days or 5 half-lives prior to randomization, whichever is longer

Study Design

Phase
Phase 2
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Other
Group A: Part 1 Active and Part 2 Placebo Treatment with Vancomycin pretreatment.
In Part 1 of the study, patients in Group A will receive VE202 for 8 weeks. In Part 2 of the study, patients in Group A will receive VE202 placebo for 2 weeks. In Part 3, patients will be followed for safety for 1 year from the start of treatment.
  • Biological: VE202
    VE202 is a rationally defined, live biotherapeutic product for oral administration.
  • Drug: Vancomycin Oral Capsule
    Vancomycin is an antibiotic used to treat or prevent infection
  • Other: VE202 Placebo
    VE202 Placebo
  • Other: Vancomycin Placebo
    Vancomycin Placebo
Other
Group B: Part 1 Placebo and Part 2 Active Treatment with Vancomycin pretreatment.
In Part 1 of the study, patients in Group B will receive VE202 placebo for 8 weeks. In Part 2 of the study, patients in Group B will receive VE202 for 2 weeks. In Part 3, patients will be followed for safety for 1 year from the start of treatment.
  • Biological: VE202
    VE202 is a rationally defined, live biotherapeutic product for oral administration.
  • Drug: Vancomycin Oral Capsule
    Vancomycin is an antibiotic used to treat or prevent infection
  • Other: VE202 Placebo
    VE202 Placebo
  • Other: Vancomycin Placebo
    Vancomycin Placebo

Recruiting Locations

Boston Medical Center
Boston, Massachusetts 02118
Contact:
Pavan Vuddanda
617-638-6527
VENKAT.VUDDANDA@BMC.ORG

More Details

Status
Recruiting
Sponsor
Vedanta Biosciences, Inc.

Study Contact

Mary Garfield, MS
203.906.5693
Consortium02-ctinquiries@vedantabio.com

Detailed Description

A Phase 2 double-blind, placebo-controlled, randomized study to evaluate the safety, efficacy, and microbiota changes of VE202 in biologic-naïve patients with mild to moderate UC. In Parts 1 and 2 of the study, patients will receive VE202 or placebo for 8 weeks or 2 weeks. In Part 3, patients will be followed for safety for 1 year from the start of treatment.