Randomized, Double-blind, Placebo-controlled Study in Patients With Fistulizing Crohn's Disease

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01624376
Recruitment Status : Completed
First Posted : June 20, 2012
Last Update Posted : February 4, 2014
Information provided by (Responsible Party):
Delenex Therapeutics AG

Brief Summary:

The primary objective of this study is to investigate the safety and tolerability of locally administered DLX105 in treating enterocutaneous fistulas in Crohn's Disease patients.

The study will consist of a screening period of approx. 2 weeks, a 4-week treatment period and a 2-week follow-up period. An end-of study visit is scheduled on Day 43, 2 weeks after the last study visit.

Condition or disease Intervention/treatment Phase
Fistulizing Crohn's Disease Drug: DLX105 Drug: Placebo Phase 2

Detailed Description:
Beside investigation of the safety and tolerability of locally administered DLX105, the purpose of the study is also to evaluate the response rate and time to response of enterocutaneous fistulas following local injection of DLX105 (secondary objective).

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 18 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: A Randomized, Double-blind, Placebo-controlled Phase I/IIa Study in Patients With Abdominal or Perianal Fistulizing Crohn's Disease to Explore the Safety, Tolerability and Preliminary Efficacy of Locally Administered DLX105.
Study Start Date : June 2012
Actual Primary Completion Date : February 2013
Actual Study Completion Date : August 2013

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Active Comparator: DLX105
DLX105 local injection into the identified fistula(s)
Drug: DLX105
10mg DLX105/injection injected into the fistula over a treatment period of 4 weeks.
Placebo Comparator: Placebo Injection Drug: Placebo
Placebo injections are administered over the treatment period of 4 weeks.

Primary Outcome Measures :
  1. Local Tolerability [ Time Frame: each study visit after randomization over a period of 4 weeks ]
    Investigator and Patient will assess the local tolerability of DLX105 for each treated fistula using a 10-cm visual analogue scale (VAS) at each study visit. Changes from Baseline will be reported descriptively.

  2. Reduction of Number of draining fistulas [ Time Frame: Day 29 and Day 43 after randomization ]
    Reduction of number of draining fistulas of 50% from baseline observed at Visit 10 and confirmed at End of Study Visit.

Secondary Outcome Measures :
  1. Complete Response [ Time Frame: Day 29 and Day 43 after randomization ]
    Complete absence of drainage from all of the fistulas treated in a given patient despite gentle finger compression

  2. Perianal Disease Activity Index (PDAI) Score [ Time Frame: Baseline, Day 15, Day 29, Day 43 after randomization ]
    Evaluate the efficacy with completion of PDAI at the given visits.

  3. Number of Participants with Adverse Events as a Measure of Safety and Tolerapility [ Time Frame: each study visit over a period of 6 weeks after randomization ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 65 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Diagnosis of Crohn' Disease
  • Single or multiple enterocutaneous abdominal and/or perianal and/or rectovaginal fistulas of at least 3 months'duration.
  • TNF-blocker naive patients or patients who are primary or secondary anti-TNF non-responders

Exclusion Criteria:

  • CDAI greater than 450
  • ongoing treatment with TNF-blockers (duration of wash-out prior to randomization is 8 weeks)
  • Active abscess formation within fistula
  • Abdominal or anorectal surgery within the last 4 weeks prior to randomization
  • Known immunosuppression
  • Infections, sepsis
  • Positive Test for hepatitis B or C and HIV
  • Patients who had life vaccination within 6 weeks prior first study drug administration, or will require live vaccination during the course of the trial
  • Active liver disease with ALT and/or AST greater than 3x upper limit of normal
  • Any severe, progressive or uncontrolled medical condition that in judgment of investigator prevents the patient from participating in the study.
  • History or evidence of drug or alcohol abuse within the 6 months prior first study drug administration
  • Pregnant or nursing women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive B-hCG laboratory test

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01624376

University Hospital
Zürich, Switzerland
Sponsors and Collaborators
Delenex Therapeutics AG

Responsible Party: Delenex Therapeutics AG Identifier: NCT01624376     History of Changes
Other Study ID Numbers: DLX105-004-001-001
First Posted: June 20, 2012    Key Record Dates
Last Update Posted: February 4, 2014
Last Verified: February 2014

Keywords provided by Delenex Therapeutics AG:
non-invasive management
Crohn's Disease
local administration

Additional relevant MeSH terms:
Crohn Disease
Inflammatory Bowel Diseases
Gastrointestinal Diseases
Digestive System Diseases
Intestinal Diseases