Clinical trial • Phase I/II • Musculoskeletal | Gastroenterology

sodium glycocholate; sodium butyrate for Postoperative obesity

Phase I/II trial of sodium glycocholate; sodium butyrate for Postoperative obesity. open-label. 12 participants.

Overview

Trial Therapeutic Area
Musculoskeletal | Gastroenterology
Trial Disease
Postoperative obesity
Trial Stage
Phase I/II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
12-03-2024
First CTIS Authorization Date
28-05-2024

Trial design

open-label Phase I/II trial across 1 site in Sweden.

Open Label
Yes
Target Sample Size
12

Eligibility

Recruits 12 No vulnerable populations selected. Provision of signed and dated, written informed consent prior to any study specific procedures is required; consent provided by the participant (no information on assent for minors)..

Pregnancy Exclusion
Women with a positive pregnancy test on enrolment or lactating women.
Vulnerable Population
No vulnerable populations selected. Provision of signed and dated, written informed consent prior to any study specific procedures is required; consent provided by the participant (no information on assent for minors).

Inclusion criteria

  • {"criterion_text":"- Provision of signed and dated, written informed consent prior to any study specific procedures.\n- Healthy female and male subjects ≥20 years of age ≤65 years of age.\n- Healthy operated patients with RYGB >12 months ago on daily micronutrient substitution free from medicines (medicines for steady state medical conditions allowed) with normal blood calcium, vitamin D and calcium supplementation and ability to take BAFA\n- Have a steady weight phase (weight within 5 kg variation within last 3 months) and a body mass index from ≥ 20 to ≤ 45 kg/m2\n- Females must have a negative pregnancy test and use anticonceptives.\n- Subjects must be able to understand and willing to comply with study procedures, restrictions and requirements as judged by the investigator."}

Exclusion criteria

  • {"criterion_text":"- Women with a positive pregnancy test on enrolment or lactating women.\n- History of hypersensitivity and allergy, as judged by the investigator\n- Subjects not tolerating injections.\n- Complicated RYGB (for example failed primary operation or severe postop complications that affect GI function)), other previous surgeries in the abdomen (appendectomy/cholecystectomy allowed) or severe abdominal complaints.\n- Subjects not tolerating taste of IMP\n- Have previous (<12 months) treatments that may have had impact on bone metabolism.\n- Have other conditions that make principal investigator insecure on study participation.\n- Involvement in the planning, and/or conduct of the study\n- Previous enrolment or randomization in the present study\n- Participation in another clinical study with an IMP during the last 3 months prior to enrolment.\n- History of any unstable medical disease which may interact with the objective of the study or with the safety of the subject, as judged by the investigator\n- History of any psychiatric disease that could preclude reliable participation in the study, as judged by the investigator.\n- Clinically significant illness within 2 weeks before the administration of the IMP as judged by the investigator.\n- Donation of plasma from 2 weeks before Visit 1 or donation of blood from 3 months from Visit 1.\n- Abnormal vital signs, laboratory test value or ECG of clinical significance, as judged by the investigator.\n- Immunisation with live vaccine within the previous 3 months, for other vaccines within the past 30 days.\n- Subjects with active infectious disease or infections that warrants special infection control measures, such as human immunodeficiency virus, tuberculosis, or chronic hepatitis B or C infection.\n- History of alcohol or drug abuse within 2 years of entering the study\n- History of positive test of covid-19 and as judged by the investigator."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Safety and tolerability","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- PTH concentrations","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Ca urinary excretion during 24 h","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Bone resorption markers P1NP, CTX and BALP","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
12
Recruitment Window Months
32
Consent Approach
Provision of signed and dated, written informed consent prior to any study specific procedures. Subject information and informed consent documents available (documents referenced in CTIS); no specific assent procedures or age-specific consent documents described.

Geography

Total Number Of Sites
1
Total Number Of Participants
12

Sweden

Earliest CTIS Part Ii Submission Date
10-05-2024
Latest Decision Or Authorization Date
27-08-2025
Processing Time Days
474
Number Of Sites
1
Number Of Participants
12

Sites

Site Name
Sahlgrenska University Hospital-Vaestra Goetalandsregionen
Department Name
Department of Surgery
Contact Person Name
Ville Wallenius
Contact Person Email
ville.wallenius@vgregion.se

Sponsor

Primary sponsor

Full Name
Vaestra Goetalandsregionen
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Sweden

Investigational products

Investigational Product Name
BAFA - Butyrate 90 mg and Glycocholate 480 mg Oral solution
Active Substance
sodium glycocholate; sodium butyrate
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Starting Dose
Butyrate 90 mg and Glycocholate 480 mg (oral solution)
Combination Treatment
Yes

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