A Study to Assess the Safety of TPM502 in Adults With Celiac Disease
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ClinicalTrials.gov Identifier: NCT05660109 |
Recruitment Status :
Recruiting
First Posted : December 21, 2022
Last Update Posted : June 6, 2023
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The goal of this clinical trial is to learn about the safety and the pharmacodynamic (PD) effects of TPM502 in adults with celiac disease. The main questions it aims to answer are:
- if TPM502 is safe and well tolerated
- if TPM502 can induce modifications in parameters indicating that it may induce tolerance to gluten
Participants will:
- undergo 1-day gluten challenge during screening and after administration of TPM502 or placebo.
- receive 2 infusions of TPM502 or placebo, 2 weeks apart
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Celiac Disease | Drug: TPM502 Other: Placebo | Phase 2 |
This is a multi center, double-blind, randomized, placebo-controlled Phase 2a study to evaluate the safety, tolerability, and PD effects of two infusions of TPM502 in adult patients diagnosed with CeD.
The patient´s participation in the study comprises 3 phases: screening period, treatment period and follow-up period.
Patients fulfilling the eligibility criteria will be randomized to receive two infusions of TMP502 (or placebo) at the same dose level. Patients will undergo a second GC one week after the second infusion of TPM502.
The study includes 4 cohorts of patients, each cohort will receive escalating doses of TPM502 (or placebo).
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 42 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) |
Primary Purpose: | Treatment |
Official Title: | A Double-blind, Randomized, Placebo-controlled, Phase 2a Study to Evaluate the Safety, Tolerability, and Pharmacodynamic (PD) Effects of Two Infusions of Escalating Doses of TPM502 in Adults Diagnosed With Celiac Disease |
Actual Study Start Date : | December 12, 2022 |
Estimated Primary Completion Date : | May 30, 2024 |
Estimated Study Completion Date : | May 30, 2024 |

Arm | Intervention/treatment |
---|---|
Experimental: TPM502 |
Drug: TPM502
TPM502 contains 3 peptides each consisting of two overlapping T cell epitopes that encompass the major gluten epitopes for HLA-DQ2.5 |
Placebo Comparator: placebo |
Other: Placebo
Placebo |
- Incidence, severity, causality, and outcomes of treatment-emergent adverse events [ Time Frame: throughout the study, on average 43 days ]

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years to 70 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Availability of a documented biopsy-confirmed diagnosis of CeD OR documented tissue transglutaminase >10x ULN and documented positive IgA anti-endomysial antibody (EMA) at time of CeD diagnosis (as per local guidelines)
- Serum anti-tissue transglutaminase 2 immunoglobin A antibodies within normal range (i.e., <15 U/mL) at screening
- Serum IL-2 levels (AUC1-6h) above a pre-defined threshold following the GC at screening
- Patients must have been on GFD for ≥ 6 months
- Patients must have well-controlled CeD, defined as mild or with no ongoing signs or symptoms felt to be related to active CeD, as per investigator's assessment
- HLA-DQ2.5 positive
Exclusion Criteria:
- Known or suspected refractory CeD (refractory CeD type I or II)
- Known intolerable symptoms following previous GCs, as per investigator's assessment
- HLA DQ8 positive
- Any active gastrointestinal disease such as gastroesophageal reflux disease, esophagitis or peptic ulcer, microscopic colitis, or irritable bowel syndrome, which in the opinion of the investigator might interfere with the assessment of the symptoms related to CeD
- Known history of or active Crohn's disease, ulcerative colitis, or ulcerative jejunitis
- Known wheat allergy
- Known hypersensitivity to i.v. iron preparations or any other excipients present in the reconstituted TPM502 or placebo

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 ClinicalTrials.gov identifier (NCT number): NCT05660109
Contact: Veronica Asnaghi, MD | +41 (0)79 5722414 | Asnaghi@topas-therapeutics.com |
Finland | |
CRST Oy | Recruiting |
Turku, Finland, FI-20520 | |
Contact: Mika Scheinin, MD mika.scheinin@crst.fi | |
Netherlands | |
Centre for Human Drug Research | Recruiting |
Leiden, Netherlands, 2333 ZA | |
Contact: Naomi Klarenbeek, MD nklarenbeek@chdr.nl | |
Norway | |
Oslo University Hospital HF - Rikshospitalet | Recruiting |
Oslo, Norway, 0372 | |
Contact: Knut Lundin, MD knut.lundin@medisin.uio.no | |
University Hospital of North-Norway | Recruiting |
Tromsø, Norway, 9038 | |
Contact: Rasmus Goll, MD rasmus.goll@unn.no | |
Sweden | |
Clinical Trial Consultants, Uppsala University | Recruiting |
Uppsala, Sweden, 752 37 | |
Contact: Per M Hellström, MD per.hellstrom@medsci.uu.se |
Principal Investigator: | Knut Lundin, MD | Oslo University Hospital |
Responsible Party: | Topas Therapeutics GmbH |
ClinicalTrials.gov Identifier: | NCT05660109 |
Other Study ID Numbers: |
TCeD21 |
First Posted: | December 21, 2022 Key Record Dates |
Last Update Posted: | June 6, 2023 |
Last Verified: | May 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
celiac disease tolerance |
Celiac Disease Malabsorption Syndromes Intestinal Diseases |
Gastrointestinal Diseases Digestive System Diseases Metabolic Diseases |