Aldafermin for Bile Acid Diarrhea

Mayo Clinic, Rochester, MN
Bile Acid Diarrhea+5 More ConditionsAldafermin - Drug
Eligibility
18 - 75
All Sexes
What conditions do you have?
Select

Study Summary

This trial is testing if aldafermin can help improve bowel function and bile acid excretion in patients with diarrhea caused by bile acid malabsorption.

Eligible Conditions
  • Bile Acid Diarrhea
  • Bile Acid Malabsorption Syndrome Type II
  • Functional Diarrhea
  • Chronic Functional Diarrhea
  • Diarrhoea Predominant Irritable Bowel Syndrome (IBS-D)
  • Bile Acid Malabsorption

Treatment Effectiveness

Study Objectives

4 Primary · 12 Secondary · Reporting Duration: 14 days, 28 days

14 days, 28 days
Absolute change in stool consistency from baseline to Day 14 and Day 28 of treatment
Average daily stool consistency score
Average daily stool consistency score at Day 14 and Day 28 of treatment
Bile Acids
Proportion of fecal secretory (CDCA + DCA) bile acid as measured in a random stool sample by a validated laboratory assay.
Total fecal bile acid concentration in a random stool sample as measured by a validated laboratory assay.
28 days
Maximum abdominal pain score
Number of bowel movements per week
Stool consistency responder
Baseline, 28 days
Change in fasting serum C4 levels from Baseline to Day 28 assay.
Change in fasting serum C4 levels from baseline as measured by a validated laboratory assay.
Change in stool consistency from Baseline to Day 28
Change in total fecal bile acid concentrations in a random stool sample from baseline measurement as measured by a validated laboratory assay.
Day 28
Absolute change in abdominal pain from baseline to Day 14 and Day 28 of treatment
Total aldafermin concentration in serum as measured by a validated laboratory assay
baseline, 28 days
Change in total fecal bile acid concentration between baseline and Day 28

Trial Safety

Phase-Based Safety

2 of 3
This is further along than 68% of similar trials

Trial Design

2 Treatment Groups

Aldafermin (NGM282)
1 of 2
Placebo
1 of 2

Experimental Treatment

Non-Treatment Group

35 Total Participants · 2 Treatment Groups

Primary Treatment: Aldafermin · Has Placebo Group · Phase 2

Aldafermin (NGM282)
Drug
Experimental Group · 1 Intervention: Aldafermin · Intervention Types: Drug
Placebo
Drug
PlaceboComparator Group · 1 Intervention: Placebo · Intervention Types: Drug
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Aldafermin
Not yet FDA approved

Trial Logistics

Trial Timeline

Screening: ~3 weeks
Treatment: Varies
Reporting: 14 days, 28 days

Who is running the clinical trial?

Michael Camilleri, MDLead Sponsor
2 Previous Clinical Trials
172 Total Patients Enrolled
NGM Biopharmaceuticals, IncIndustry Sponsor
23 Previous Clinical Trials
2,140 Total Patients Enrolled
Michael Camilleri, M.D.Principal InvestigatorMayo Clinic
2 Previous Clinical Trials
692 Total Patients Enrolled

Eligibility Criteria

Age 18 - 75 · All Participants · 10 Total Inclusion Criteria

Mark “Yes” if the following statements are true for you:

Who else is applying?

How old are they?
18 - 65100.0%
What portion of applicants met pre-screening criteria?
Did not meet criteria100.0%

Frequently Asked Questions

Has Aldafermin achieved official authorization from the FDA?

"Taking into account the Phase 2 status of this drug, our team at Power assigned Aldafermin a safety rating of two since there is some data confirming its security but no clinical evidence to support efficacy." - Anonymous Online Contributor

Unverified Answer

What goals are researchers aiming to achieve from this research?

"According to the trial sponsor, NGM Biopharmaceuticals, Inc., primary outcomes are Change in fasting serum C4 levels from baseline as measured by a validated laboratory assay and will be quantified over 28 days. Additionally, secondary metrics such as Average daily stool consistency score (which is based on Bristol Stool Form Scale), Maximum abdominal pain score, and Number of bowel movements per week will also be evaluated." - Anonymous Online Contributor

Unverified Answer

Are the criteria for this experiment open to my participation?

"This medical research is recruiting 30 individuals, aged 18 to 75 years old and suffering from functional diarrhea or IBS with diarrhoea based on Rome III or IV criteria. Other requirements include C4 serum levels above 52 ng/mL, fecal BA of more than 2,337 μmoles / 48 hours, total fecal BA greater than 1,000 μmoles / 48 hours plus 4% primary BA, body mass index between 18.0-45.0 kg/m2 as well as an understanding and willingness to comply with the study's procedures; tricyclic antidepressants (TCAs), selective serotonin reuptake" - Anonymous Online Contributor

Unverified Answer

Is there presently any opportunity to join this trial?

"Indeed, clinicaltrials.gov records confirm that recruitment for this medical experiment is ongoing and has been since December 1st 2021. The most recent update to the trial was made on April 20th 2022; 30 participants are needed at a single site." - Anonymous Online Contributor

Unverified Answer

Is this experiment open to participants aged 18 or above?

"This study is open to those over 18 years old but under 75, providing they meet the necessary criteria." - Anonymous Online Contributor

Unverified Answer

How many individuals are the maximum allowed to take part in this trial?

"Affirmative. Clinicaltrials.gov data indicates that this ongoing research is currently accepting volunteers; it was uploaded on December 1st 2021 and last updated April 20th 2022, with a requirement for 30 participants from one centre." - Anonymous Online Contributor

Unverified Answer

Can you discuss any other experiments conducted with Aldafermin?

"Currently, there are two active Aldafermin trials with none in the third phase. Rochester is a central location for these studies but 72 other sites are also conducting experiments related to this drug." - Anonymous Online Contributor

Unverified Answer

Does this trial represent a pioneering medical initiative?

"Since 2020, Aldafermin has been the subject of multiple clinical trials. NGM Biopharmaceuticals, Inc was responsible for initiating its research in that year with an initial cohort size of 160 participants. After successful Phase 2 results were obtained, two active studies are currently being conducted across 10 nations and 46 cities." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.