RecruitingACTRN12616000962437

MS1819-SD phase IIa clinical trial for patients with exocrine pancreatic insufficiency (EPI) caused by chronic pancreatitis (CP) and/or distal pancreatectomy.

A multicentre open-label phase IIa study with escalating dose of MS1819-SD, to investigate the efficacy and safety of a Yarrowia lipolytica lipase preparation for the compensation of exocrine pancreatic insufficiency caused by chronic pancreatitis and/or distal pancreatectomy.


Sponsor

INC Research Australia Pty Ltd

Enrollment

13 participants

Start Date

Jan 27, 2017

Study Type

Interventional

Conditions

Summary

This is a Phase IIa study, testing a new medication for chronic pancreatitis. The new medication is called MS1819-SD which is a modified version of a naturally occurring enzyme made in the pancreas. The primary purpose of this study is to investigate the safety of escalating doses of study drug MS1819-SD in people with chronic pancreatitis. This enzyme has demonstrated an appropriate profile to compensate the pancreatic lipase (enzyme) deficiency that is common with CP patients. The deficiency in this enzyme can be responsible of greasy diarrhea, fecal urge and weight loss. The design of the study is open-label, meaning that all eligible participants will receive the study drug MS1819-SD. The MS1819-SD dose will increase throughout the study during dose escalation visits in each treatment period; study includes a total of four treatment periods that ranges from low, medium, to higher doses. The total duration of the MS1819-SD treatment phase is of 48-60 days, Participants will be required to complete five day stool collections following high fat meals at the end of the washout period and at the end of each treatment phase. The total duration of patient participation in the study is of 74-93 days. Safety will be assessed at throughout the study that will include physical examinations and pathology testing to determine immunoallergic effects, Digestive symptoms will also be assessed and evaluated throughout the study. This study is being sponsored by AzurRx (the Sponsor). The Sponsor will fund researchers who conduct this research for the use of their facilities and to conduct this study.


Eligibility

Sex: Both males and femalesMin Age: 18 Yearss

Plain Language Summary

Simplified for easier understanding

This study is for people with chronic pancreatitis (long-term inflammation of the pancreas) or who have had part of their pancreas removed, and as a result cannot properly digest fat. The pancreas normally makes enzymes to digest food, and when it cannot, people can develop greasy diarrhea, urgency, and weight loss. This trial tests a new enzyme replacement medicine called MS1819-SD at different doses to find out if it is safe and helps digestion. You may be eligible if: - You are 18 years of age or older - You have chronic pancreatitis or have had a distal pancreatectomy (partial pancreas removal) - Blood tests show your pancreas is not making enough enzymes - You are within a certain weight range You may NOT be eligible if: - You have cystic fibrosis - You have had your entire stomach or most of your duodenum removed - You have celiac disease, small bowel disease, or significant small bowel removal - You had an acute pancreatitis attack within the last 3 months - You have active or recurrent pancreatic cancer - You are pregnant or breastfeeding Talk to your doctor about whether this trial might be right for you.

This is a simplified summary. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

This is a Phase IIa study, testing a new medication for the compensation of exocrine pancreatic insufficiency caused by chronic pacreatitis and/or distal pancreatectomy. The new medication is called M

This is a Phase IIa study, testing a new medication for the compensation of exocrine pancreatic insufficiency caused by chronic pacreatitis and/or distal pancreatectomy. The new medication is called MS1819-SD which is a lipase produced by the LIP2 gene of Yarrowia lipolytica using recombinant DNA technology. The primary purpose of this study is to investigate the safety of escalating doses of study drug MS1819-SD in people with chronic pancreatitis. This enzyme has demonstrated an appropriate profile to compensate the pancreatic lipase (enzyme) deficiency that is common with CP patients. The deficiency in this enzyme can be responsible of greasy diarrhea, fecal urge and weight loss. The design of the study is open-label, meaning that all eligible participants will receive the study drug MS1819-SD. The MS1819-SD dose will increase throughout the study during dose escalation visits in each treatment period; study includes a total of four treatment periods. The total duration of the MS1819-SD treatment phase is of 48-60 days, The total duration of patient participation in the study is of 74-93 days. Patient will receive increasing doses from the lowest dose of MS1819-SD to a maximum dose of MS1819-SD. The total treatment phase will range from 48 days to 60 days.


Locations(6)

The Royal Adelaide Hospital - Adelaide

SA,WA, Australia

Linear Clinical Research - Nedlands

SA,WA, Australia

Mackay Base Hospital - Mackay

SA,WA, Australia

Wellington, New Zealand

Christchurch, New Zealand

France

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ACTRN12616000962437