Status:

COMPLETED

VE303 for Treatment of Hepatic Encephalopathy (HE)

Lead Sponsor:

Patricia Bloom

Collaborating Sponsors:

Vedanta Biosciences, Inc.

American College of Gastroenterology

Conditions:

Cirrhosis

Hepatic Encephalopathy

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

This research is studying the use of a new drug to learn about its safety and efficacy as a treatment for hepatic encephalopathy. Eligible participants will be enrolled and given oral antibiotics fol...

Eligibility Criteria

Inclusion

  • Diagnosis of cirrhosis based on liver biopsy, imaging, or evidence of clinical decompensation
  • History of at least one episode of overt HE any time in the past
  • Prescribed both lactulose and rifaximin, and compliant with this treatment

Exclusion

  • Current episode of overt HE
  • Variceal bleeding in the last 4 weeks
  • Gut-absorbable or intravenous antibiotic therapy in the last 28 days
  • Fecal microbiota transplant in the last 6 months
  • Use of probiotics in the last 2 weeks
  • Alcohol or illicit drug intake in the last 4 weeks
  • Primary sclerosing cholangitis as etiology of liver disease
  • History of inflammatory bowel disease, short gut, gastrointestinal tract fistulas, intestinal ischemia, or any form of ongoing colitis
  • Prior diagnosis of dementia or other primary neurocognitive disorder
  • Known hypersensitivity/allergy/intolerance to Vancomycin and any ingredients of VE303: sucrose, histidine, yeast extract, cysteine, metabisulfite, and microcrystalline cellulose
  • History of Roux-en-Y Gastric bypass
  • Any gastrointestinal surgery in the last year
  • Substantial immune compromise/deficiency (e.g., uncontrolled human immunodeficiency virus, active immune suppressive therapy including high doses of corticosteroids or medications to prevent graft rejection, recent myeloablative therapy, sustained neutropenia)
  • Pregnancy or breast feeding
  • Model for end-stage liver disease (MELD) \> 20
  • History of spontaneous bacterial peritonitis
  • Hemodialysis in the last 28 days
  • Placement of a portosystemic shunt or transjugular intrahepatic portosystemic shunt in the last 3 months (permissible if placed \>3 months before enrollment)
  • Unstable doses of opiates, benzodiazepines or other sedating medication
  • Chronic methadone or low dose benzodiazepines (for example) is acceptable

Key Trial Info

Start Date :

August 6 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 30 2023

Estimated Enrollment :

19 Patients enrolled

Trial Details

Trial ID

NCT04899115

Start Date

August 6 2021

End Date

August 30 2023

Last Update

February 7 2025

Active Locations (1)

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1

University of Michigan

Ann Arbor, Michigan, United States, 48109