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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