Clinical trial • Phase II • Gastroenterology

VANCOMYCIN HYDROCHLORIDE for Ulcerative colitis

Phase II trial of VANCOMYCIN HYDROCHLORIDE for Ulcerative colitis. None/Not specified-controlled. 140 participants.

Overview

Trial Therapeutic Area
Gastroenterology
Trial Disease
Ulcerative colitis
Trial Stage
Phase II
Drug Modality
Small molecule
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
08-12-2025
First CTIS Authorization Date
24-03-2026

Trial design

None/Not specified-controlled Phase II trial across 1 site in Finland.

Comparator
None/Not specified
Target Sample Size
140

Eligibility

Recruits 140 paediatric patients.

Pregnancy Exclusion
Pregnancy
Vulnerable Population
Participants are minors (children aged 6-16). Subject information and informed consent forms are provided for guardians and age-specific participant ICFs (documents listed: L1_SIS and ICF_huoltaja (guardian), L1_SIS and ICF_15-16v, L1_SIS and ICF_12-14v, L1_SIS and ICF_alle 12v), indicating guardian consent and age-specific information/assent handling.

Inclusion criteria

  • {"criterion_text":"- 6-16 years old with established diagnosis of atypical UC (presenting right-sided colitis, backwash ileitis, or rectal sparing, and/or positive atypical pANCA or PR3-ANCA) with confirmed PSC in MRCP (PSC-UC) or without detectable PSC (aUC-non-PSC), and children with typical UC without PSC\n- Has nor received OVT preciously, but patients and/or their guardians has given an informed consent to commence OVT for at least 3 months for treating PSC-UC or aUC-non-PSC\n- Able to swallow capsules\n- Do not have active infection (such as clostridium or other bacteria) if the clinical stool screening before starting OVT\n- No new interventions (medications or new conventional therapies) for treating IBD was given within the past 4 weeks before starting OVT • May use contraceptives or other medications that are not antibiotics\n- May use contraceptives or other medications that are not antibiotics\n- For healthy participant: no symptoms or suspicion of inflammatory bowel diseases but are scheduled for endoscopy for other reasons"}

Exclusion criteria

  • {"criterion_text":"- PSC without UC; Crohn’s disease type of inflammatory bowel diseases.\n- Under the age of 6 years old\n- Is unable to swallow capsules\n- Had a previous allergic reactions to vancomycin (such as vancomycin allergy) and/or other related antibiotics similar to vancomycin\n- Presence of malignant disease or potential need for liver transplantation within the following 12 months\n- Pregnancy\n- For healthy controls: presence of chronic illness requiring long-term medications, use of antibiotics within the past 6 months"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Suolen tervehtyminen (remissio eli lapsi on oireeton ja ulosteen kalprotektiini on alle 100)","definition_or_measurement_approach":"Remission defined as the child being asymptomatic and faecal calprotectin below 100 (as stated in parentheses)."}
  • {"endpoint_text":"- Miltä suolen bakteeristo näyttää ennen vankomysiinihoitoa tai tavanomaista hoitoa tulehduksen aikana ja remissiossa hoidon aloittamisen jälkeen","definition_or_measurement_approach":"Assessment of gut microbiota composition and function before vancomycin therapy or conventional treatment during inflammation and in remission after treatment initiation (microbiota composition/function analysis as stated)."}

Recruitment

Planned Sample Size
140
Recruitment Window Months
57
Consent Approach
Consent to participate is provided by guardians (guardian/parent ICFs present). Age-specific participant information and informed consent/assent forms are provided for 15-16 years, 12-14 years and under 12 years (document titles: L1_SIS and ICF_15-16v, L1_SIS and ICF_12-14v, L1_SIS and ICF_alle 12v, and guardian versions L1_SIS and ICF_huoltaja).

Geography

Total Number Of Sites
1
Total Number Of Participants
140

Finland

Earliest CTIS Part Ii Submission Date
25-02-2026
Latest Decision Or Authorization Date
31-03-2026
Processing Time Days
34
Number Of Sites
1
Number Of Participants
140

Sites

Site Name
Pirkanmaan hyvinvointialue
Department Name
Pediatric department
Principal Investigator Name
Laura Räisänen
Principal Investigator Email
laura.raisanen@pirha.fi
Contact Person Name
Laura Räisänen
Contact Person Email
laura.raisanen@pirha.fi

Sponsor

Primary sponsor

Full Name
Pirkanmaan hyvinvointialue
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Finland

Investigational products

Investigational Product Name
Vancomycin Xellia 250 mg, kapseli, kova
Active Substance
VANCOMYCIN HYDROCHLORIDE
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised (marketing authorisation in FI, marketingAuthNumber 11661)
Dose Levels
250 mg (capsule)
Maximum Dose
1500 mg per day
Investigational Product Name
Vancomycin Xellia 125 mg, kapseli, kova
Active Substance
VANCOMYCIN HYDROCHLORIDE
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised (marketing authorisation in FI, marketingAuthNumber 11660)
Dose Levels
125 mg (capsule)
Maximum Dose
1500 mg per day

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