Clinical trial • Phase II|Phase IV • Gastroenterology
perflubutane for Crohn's disease
Phase II|Phase IV trial of perflubutane for Crohn's disease.
Overview
- Trial Therapeutic Area
- Gastroenterology
- Trial Disease
- Crohn's disease
- Trial Stage
- Phase II|Phase IV
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 13-12-2024
- First CTIS Authorization Date
- 11-04-2025
Trial design
None/Not specified; study arms defined by disease/activity groups: Remission (20 patients), Stenosis (32 patients: 16 passable, 16 impassable), Ulcers (32 patients: 16 inflammation/small ulcers, 16 large ulcers), Healthy volunteers (20).-controlled, adaptive Phase II|Phase IV trial in Norway.
- Comparator
- None/Not specified; study arms defined by disease/activity groups: Remission (20 patients), Stenosis (32 patients: 16 passable, 16 impassable), Ulcers (32 patients: 16 inflammation/small ulcers, 16 large ulcers), Healthy volunteers (20).
- Adaptive
- Yes
- Target Sample Size
- 104
Stratification factors
- Disease activity group (Remission; Stenosis: passable vs impassable; Ulcers: inflammation/small ulcers vs large ulcers; Healthy volunteer)
Eligibility
Recruits 104 No vulnerable populations selected. Participants must be capable of giving signed informed consent. Separate ICFs exist for patients and for healthy volunteers; no assent procedures or child consent described..
- Pregnancy Exclusion
- Pregnancy
- Vulnerable Population
- No vulnerable populations selected. Participants must be capable of giving signed informed consent. Separate ICFs exist for patients and for healthy volunteers; no assent procedures or child consent described.
Inclusion criteria
- {"criterion_text":"-Patients >18 years old with Crohn’s disease in the terminal ileum who undergo ileocolonoscopy"}
- {"criterion_text":"-Healthy volunteers > 18 years without known gastrointestinal illnesses"}
- {"criterion_text":"-Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol"}
Exclusion criteria
- {"criterion_text":"-Age<18 years"}
- {"criterion_text":"-Known egg allergy"}
- {"criterion_text":"-Pregnancy"}
- {"criterion_text":"-Breastfeeding"}
- {"criterion_text":"-Severe obesity (BMI >35)"}
- {"criterion_text":"-Serious heart or lung disease"}
- {"criterion_text":"-Change in treatment for Crohn’s disease between endoscopy/ultrasound and contrast ultrasound examination"}
Endpoints
Primary endpoints
- {"endpoint_text":"-Number of patients with homogenous contrast filling of the entire lumen of the terminal ileum within 1 hours of ingestion, with a clear separation between the lumen and intestinal wall as visually assessed by the examiner.","definition_or_measurement_approach":"Visual assessment by the examiner within 1 hour of ingestion; endpoint is count of patients with homogenous contrast filling and clear separation between lumen and intestinal wall."}
Secondary endpoints
- {"endpoint_text":"-Number of patients who develop adverse events and severe adverse events","definition_or_measurement_approach":"Recording and counting adverse events and severe adverse events as reported during/after the procedure."}
- {"endpoint_text":"-Number of patients who are willing to undergo the procedure again","definition_or_measurement_approach":"Patient-reported willingness to repeat the procedure."}
- {"endpoint_text":"-Number of patients with detected stenosis in the terminal ileum with and without contrast, as visually assessed by the examiner and confirmed on endoscopy.","definition_or_measurement_approach":"Visual assessment by examiner with comparison of findings with and without contrast; confirmation by endoscopy."}
- {"endpoint_text":"-Number of patients with detected ulcers >0,5cm in the terminal ileum with and without contrast, as visually assessed by the examiner and confirmed on endoscopy","definition_or_measurement_approach":"Visual assessment by examiner with and without contrast for ulcers >0.5 cm; confirmation on endoscopy."}
- {"endpoint_text":"-Number of patients with large (0,5cm-2cm) and very large (>2cm) ulcers in the terminal ileum with and without contrast, as visually assessed by the examiner and confirmed on endoscopy.","definition_or_measurement_approach":"Visual size-based classification of ulcers with and without contrast; confirmation by endoscopy."}
- {"endpoint_text":"-Interobserver variability for wall thickness in the terminal ileum with and without contrast as visually assessed by the examiner.","definition_or_measurement_approach":"Assessment of interobserver variability (comparison between examiners) of wall thickness measurements with and without contrast."}
- {"endpoint_text":"-Number of patients with visible intestinal contractions with and without contrast","definition_or_measurement_approach":"Visual assessment counting patients with observable intestinal contractions during ultrasound with and without contrast."}
- {"endpoint_text":"-Number of patients with ulcers and visible intestinal contractions in the terminal ileum","definition_or_measurement_approach":"Combined assessment: presence of ulcers and observable contractions as visually assessed."}
- {"endpoint_text":"-Number of patients with stenosis and visible intestinal contractions in the terminal ileum","definition_or_measurement_approach":"Combined assessment: presence of stenosis and observable contractions as visually assessed."}
- {"endpoint_text":"-The correlation between ulcer size, bowel wall thickness and frequency of contractions in the terminal ileum.","definition_or_measurement_approach":"Statistical correlation analysis between measured ulcer size, bowel wall thickness and contraction frequency."}
- {"endpoint_text":"-The correlation of motility findings in Crohn’s patients and healthy volunteers","definition_or_measurement_approach":"Comparative analysis/correlation of motility measurements between patients and healthy volunteers."}
- {"endpoint_text":"-The number of patients with detected disease activity in the neoterminal ileum with and without contrast.","definition_or_measurement_approach":"Visual assessment of disease activity in neoterminal ileum with and without contrast; count of patients detected."}
Recruitment
- Planned Sample Size
- 104
- Recruitment Window Months
- 47
- Consent Approach
- Participants must provide signed informed consent. Separate subject information and ICF documents exist for patients and for healthy volunteers. No assent or additional consent procedures for vulnerable populations are described; consent is provided by the participant.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 104
Norway
- Earliest CTIS Part Ii Submission Date
- 31-03-2025
- Latest Decision Or Authorization Date
- 11-04-2025
- Processing Time Days
- 11
- Number Of Sites
- 1
- Number Of Participants
- 104
Sites
- Site Name
- Helse Bergen HF (Jonas Lies Vei 65)
- Department Name
- Medical Department, Haukeland Univsersity Hospital
- Principal Investigator Name
- Kim Nylund
- Principal Investigator Email
- kim.nylund@helse-bergen.no
- Contact Person Name
- Kim Nylund
- Contact Person Email
- kim.nylund@helse-bergen.no
- Number Of Participants
- 104
Sponsor
Primary sponsor
- Full Name
- Helse Bergen HF
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Norway
Investigational products
- Investigational Product Name
- Sonazoid 8 mikroliter per ml pulver og væske til injeksjonsvæske, dispersjon
- Active Substance
- perflubutane
- Modality
- Small molecule
- Routes Of Administration
- ORAL USE
- Route
- ORAL
- Authorisation Status
- Authorised (marketing authorisation number 11-8225, Norway)
- Maximum Dose
- 1 ml (maxTotalDoseAmount 1 ml)
- Investigational Product Name
- Laxabon pulver til mikstur, oppløsning i doseposer a 68,5 g.
- Active Substance
- sodium hydrogen carbonate; potassium chloride; sodium chloride; sodium sulfate anhydrous; macrogol 3350
- Modality
- Small molecule
- Routes Of Administration
- ORAL USE
- Route
- ORAL
- Authorisation Status
- Authorised (marketing authorisation number 7996, Norway)
- Maximum Dose
- 500 ml (maxTotalDoseAmount 500 ml)
- Combination Treatment
- Yes
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