RecruitingPhase 2NCT06925061

Target Engagement of EXL01 in the Prevention of Post-operative Recurrence of Crohn's Disease

A Phase 2 Multicentre, Randomised, Parallel-arm, Placebo-controlled, Double-blind Study to Evaluate the Safety and Target Engagement of EXL01 in the Prevention of Post-operative Recurrence of Crohn's Disease


Sponsor

Madeleine Bezault

Enrollment

80 participants

Start Date

Mar 31, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

MAINTAIN-POP is a Phase 2, randomised, double-blind, placebo-controlled, multicenter study of the impact of oral administration of EXL01 in the prevention of post-operative endoscopic recurrence of Crohn's disease after surgery. Approximately 80 eligible patients will be randomized 1:1 to receive oral EXL01 or placebo with or without SoC treatment (based on investigator decision) for up to 24 weeks or until a study or treatment discontinuation criterion is met. Randomisation will be stratified on post-surgical treatment (none vs anti-TNF), and on smoking status (non-smoker vs smoker). The primary objective is to compare the distribution of endoscopic modified Rutgeerts scores, as centrally assessed, at 6 months post-surgery in patients with CD treated with EXL01 to patients treated with placebo. Endoscopic recurrence will be assessed using the endoscopic score assessed by central reading at Week 24 after surgery. All participants will be followed for safety until 4 weeks after end of treatment.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing EXL01, a new drug, to see if it can prevent Crohn's disease from coming back in the gut after surgery to remove the affected section of intestine. Crohn's disease frequently recurs after surgery, and this trial aims to find a better way to stop that from happening. **You may be eligible if...** - You are 18 or older - You have Crohn's disease involving the small intestine (ileum) - You have recently had surgery to remove part of your intestine (ileocecal or ileo-colonic resection), between 5 days and 5 weeks ago - You are scheduled to either receive no Crohn's treatment or start anti-TNF therapy after surgery **You may NOT be eligible if...** - You have not fully recovered from your surgery - You currently have a stoma (surgical opening in your abdomen) with no plans to reverse it during the trial window - You have active infections, other serious conditions, or are pregnant Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGAfter surgery for Crohn's disease, eligible patients will be randomized 1:1 to receive oral EXL01 or placebo with or without SoC treatment (based on investigator decision) for up to 24 weeks

Randomisation will be stratified on post-surgical treatment (none vs anti-TNF), and on smoking status (non-smoker vs smoker).


Locations(12)

CHU Clermont-Ferrand

Clermont-Ferrand, France

Hôpital Henri Mondor

Créteil, France

Hôpital Bicêtre

Le Kremlin-Bicêtre, France

CHU Lille

Lille, France

Hospices civils Lyon Sud

Lyon, France

CHU Marseille Nord

Marseille, France

CHU Montpellier

Montpellier, France

CHU Nancy

Nancy, France

CHU Nantes

Nantes, France

CHU Nice Archet 2

Nice, France

CHU Saint Louis

Paris, France

Hôpital Saint Antoine

Paris, France

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NCT06925061


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