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Peptide Hormone

Aldafermin for Irritable Bowel Syndrome

Phase 2
Waitlist Available
Led By Michael Camilleri, M.D.
Research Sponsored by Michael Camilleri, MD
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 14 days, 28 days
Awards & highlights

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
  • Functional Diarrhea
  • Bile Acid Malabsorption Syndrome
  • Irritable Bowel Syndrome
  • Bile Acid Malabsorption
  • Bile Acid Diarrhea

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~14 days, 28 days
This trial's timeline: 3 weeks for screening, Varies for treatment, and 14 days, 28 days for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Change in Stool Consistency From Baseline to Day 28
Fasting Serum C4 Levels
Secondary outcome measures
Abdominal Pain Score
Bowel Movements
Proportion of Fecal Primary (CDCA + CA) Bile Acid as Measured in a Random Stool Sample by a Validated Laboratory Assay.
+4 more

Side effects data

From 2022 Phase 2 trial • 30 Patients • NCT05130047
33%
Infections
27%
Increased LDL Cholesterol
20%
Irritation at injection site
20%
Other gastrointestinal symptoms
20%
Musculoskeletal
13%
Headache
13%
Metabolism and Nutrition
13%
Reanl and urinary
13%
Increased diarrhea
7%
Myocardial infarction
7%
Abdominal pain
100%
80%
60%
40%
20%
0%
Study treatment Arm
Placebo
Aldafermin (NGM282)

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: Aldafermin (NGM282)Experimental Treatment1 Intervention
Aldafermin (NGM282) is an investigational medication. It is an engineered analog of FGF-19 which reduces synthesis of bile acids and diarrhea caused by elevated bile acids. Participants receive aldafermin (NGM282) 1 mg given by subcutaneous injection once daily for 28 days.
Group II: PlaceboPlacebo Group1 Intervention
A placebo looks exactly like the study drug but contains no active ingredients. It is used to learn if the effects seen are truly from the study drug. Participants receive placebo solution matching aldafermin (NGM282) given by subcutaneous injection once daily for 28 days.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Aldafermin
2021
Completed Phase 2
~110

Find a Location

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
2,191 Total Patients Enrolled
Michael Camilleri, M.D.Principal InvestigatorMayo Clinic
2 Previous Clinical Trials
692 Total Patients Enrolled

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

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."

Answered by AI

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."

Answered by AI

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"

Answered by AI

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."

Answered by AI

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."

Answered by AI

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."

Answered by AI

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."

Answered by AI

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."

Answered by AI

Who else is applying?

How old are they?
18 - 65
What portion of applicants met pre-screening criteria?
Did not meet criteria
~9 spots leftby Apr 2025