Latiglutenase for Celiac Disease

AN
JS
Overseen ByJack Syage, PhD
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Entero Therapeutics
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a treatment called latiglutenase in individuals with both Type 1 diabetes and celiac disease. The researchers aim to determine if latiglutenase can help manage symptoms in those who have followed a gluten-free diet for at least a year but still experience issues. Participants will receive either the active treatment or a placebo (a pill with no active medicine). Suitable candidates for this trial have both conditions, follow a gluten-free diet, and continue to experience symptoms like stomach pain or discomfort. As a Phase 2 trial, this research focuses on measuring the treatment's effectiveness in an initial, smaller group of people.

Do I need to stop my current medications for the trial?

The trial information does not specify if you need to stop taking your current medications. It's best to discuss this with the trial coordinators.

Is there any evidence suggesting that Latiglutenase is likely to be safe for humans?

Research shows that latiglutenase is generally safe for use. Earlier studies found that this pill protects the small intestine and lessens gluten-related symptoms without causing major side effects. However, it did not improve tissue health for all individuals with celiac disease. While some studies suggest the need for further research, current evidence indicates that latiglutenase is safe for most people when used as directed.12345

Why do researchers think this study treatment might be promising for diabetes and celiac disease?

Latiglutenase is unique because it targets the breakdown of gluten, which can be a significant issue for people with both type 1 diabetes (T1D) and celiac disease (CD). Unlike traditional treatments that primarily focus on managing blood sugar or avoiding gluten entirely, latiglutenase offers a potential way to help digest gluten more effectively. This mechanism could reduce the immune response triggered by gluten in people with CD, potentially improving quality of life by allowing for more dietary flexibility. Researchers are excited about latiglutenase because it addresses a specific unmet need for those managing both conditions simultaneously.

What evidence suggests that Latiglutenase might be an effective treatment for Type 1 diabetes and celiac disease?

Research has shown that latiglutenase, which participants in this trial may receive, can protect the small intestine and reduce symptoms for people with celiac disease, especially after accidental gluten ingestion. Studies have found that taking this treatment as a pill with meals helps break down gluten in the stomach, reducing the severity of symptoms when gluten is consumed by mistake. Previous users have experienced fewer symptoms without major side effects. Although primarily studied for celiac disease, research suggests latiglutenase might also benefit those with both celiac disease and Type 1 diabetes who are adhering to a gluten-free diet.13567

Who Is on the Research Team?

DM

David Maahs, MD

Principal Investigator

Stanford University

Are You a Good Fit for This Trial?

Inclusion Criteria

Confirmed T1D diagnosis
Seropositive
You have had a moderate or severe symptom that you have identified and reported in the last 28 days.
See 4 more

Exclusion Criteria

Known refractory celiac disease (RCD1 or RCD2)
You are allergic to wheat.
Inability to give informed consent
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Treatment

Participants receive either Latiglutenase or placebo in a double-blind, crossover design

6 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Latiglutenase
How Is the Trial Designed?
2Treatment groups
Active Control
Placebo Group
Group I: LatiglutenaseActive Control1 Intervention
Group II: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Entero Therapeutics

Lead Sponsor

Trials
10
Recruited
410+

Immunogenics, LLC

Industry Sponsor

Trials
4
Recruited
220+

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator

Trials
2,513
Recruited
4,366,000+

Citations

Latiglutenase Protects the Mucosa and Attenuates ...Latiglutenase is given orally, protects the small intestine and reduces symptoms induced by gluten challenge without significant side effects in patients with ...
Latiglutenase Protects the Mucosa and Attenuates ...Latiglutenase protects the mucosa and attenuates symptom severity in patients with celiac disease exposed to a gluten challenge.
Significant Clinical Progress for LatiglutenaseLatiglutenase is a dual enzyme investigational product designed to break down gluten in the stomach. When taken with meals it offers celiac disease (CeD) ...
Latiglutenase Protects the Mucosa and Attenuates ...Full Report: Celiac Disease. Latiglutenase Protects the Mucosa and Attenuates Symptom Severity in Patients With Celiac Disease Exposed to a Gluten Challenge.
Clinical TrialsA Study to Evaluate the Safety, Effectiveness, and Tolerability of Latiglutenase to Treat Patients with Well-Controlled Celiac Disease · More about research at ...
Efficacy of latiglutenase in treating celiac diseaseLatiglutenase did not significantly improve histological findings or adverse events in Celiac patients. However, there is still a need for further RCTs to ...
Latiglutenase Treatment for Celiac Disease: Symptom and ...In this analysis we report on the efficacy of latiglutenase, an orally administered enzyme treatment, for improving multiple gluten-induced symptoms and ...
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