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NCT06237452From ClinicalTrials.govRecruiting

VE303 for Prevention of Recurrent Clostridioides Difficile Infection

A Randomized, Double-Blind, Placebo-Controlled Phase 3 Study of VE303 for Prevention of Recurrent Clostridioides Difficile Infection

  • Clostridium Difficile
  • Clostridium Difficile Infections
  • Clostridium Difficile Infection Recurrence
  • Clostridioides Difficile Infection
  • Clostridioides Difficile Infection Recurrence
  • CDI
  • C. Diff Infection
  • Recurrent Clostridium Difficile Infection

At a glance

Phase
Phase 3
Study type
Interventional
Sponsor
Vedanta Biosciences, Inc.
Enrolment target
852
Started
20 May 2024
Main results due
June 2027
Study sites
215
Registry updated
29 September 2026

Can you take part?

  • Aged 12 years and over.
  • Open to any sex.
  • You need the condition being studied — healthy volunteers are not accepted.

These are the headline rules only. Every study has a longer list, and whether you are eligible is decided by the research team at the site — never by this page.

Read the full eligibility criteria
Key Inclusion Criteria (For enrollment in Stage 1: recurrent CDI population):

* Age ≥ 12 years where permitted, and ≥ 18 years in other locations, with a laboratory-confirmed qualifying episode of CDI and at least 1 prior occurrence within the last 6 months

Key Inclusion Criteria (For enrollment in Stage 2: primary CDI with high-risk for recurrence population):

* Age ≥ 75 years with a laboratory-confirmed qualifying episode of CDI
* OR age ≥ 12 years where permitted, and ≥ 18 years in other locations, with least two of the following risk factors:

  1. Age ≥ 65 years
  2. Kidney dysfunction, defined as estimated creatinine clearance \< 60 mL/min/1.73 m\^2 at the time of the qualifying CDI episode
  3. History of regular use of a proton pump inhibitor (PPI) within the past 2 months and expectation of continued use of PPIs throughout the study
  4. History of a prior CDI episode between 6 and 12 months prior to enrollment
  5. Immunosuppression due to an underlying disease or its treatment
  6. Has undergone solid organ or hematopoietic stem cell transplantation

Key Inclusion Criteria (For enrollment in Stage 1 or 2):

* The qualifying episode of CDI must meet all the following criteria:

  1. New onset of ≥ 3 unformed bowel movements (ie, Types 5 to 7 on the Bristol stool scale) within 24 hours for 2 consecutive days
  2. CDI symptoms started within 4 weeks prior to initiation of standard of care (SoC) antibiotic therapy for CDI
  3. Stool sample collected before (or no later than 72 hours after) initiation of SoC antibiotic therapy that was positive in a CDI laboratory test, defined as enzyme immunoassay (EIA) for toxin A/B and glutamate dehydrogenase (GDH) with polymerase chain reaction (PCR) reflex testing for discordant EIA/GDH results, performed at either a local laboratory or the central laboratory
  4. Diarrhea considered unlikely to have another etiology
* Prior to receiving any study medication, the participant should:

  1. Receive and complete a course of SoC antibiotic therapy for at least 10 days, up to a maximum of 28 days (Note: choice of agent is at the physician's discretion and antibiotic tapering is not allowed). It is permissible for decentralized participants to be randomized during SoC antibiotic administration.
  2. Meet the criterion of a successful clinical response, defined attaining symptomatic control of the qualifying CDI episode, ie, \< 3 loose/unformed bowel movements per 24 hours for at least 2 consecutive days
* Able to receive the first dose of study drug on the last planned day of SoC antibiotic administration for a qualifying CDI episode, or no later than 2 days after completion of antibiotic dosing
* Recovered from any complications of severe or fulminant CDI and be clinically stable by the time of randomization

Key Exclusion Criteria (For both Stage 1 and Stage 2):

* History of chronic diarrhea (defined as ≥ 3 loose stools per day lasting for at least 4 weeks) within 3 months prior to randomization that is not related to CDI
* Known or suspected toxic megacolon or small bowel ileus at the time of randomization
* History of confirmed celiac disease, inflammatory bowel disease, microscopic colitis, short gut, GI tract fistulas, or a recent episode (within 6 months of screening) of intestinal ischemia or ischemic colitis
* Receipt of bezlotoxumab during the course of SoC antibiotic treatment for the qualifying CDI episode
* Use of antidiarrheal drugs (eg, loperamide, diphenoxylate) within 3 days prior to the planned first dose of study drug
* Anticipated administration of oral or parenteral antibacterial therapy for a non-CDI indication after randomization through Week 24 (end of study)
* Probiotics, whether characterized as a dietary/food supplement, or a drug, are prohibited within 2 days before starting study drug and through the dosing period. (Note: consumption of food-based products such as yogurt, kombucha, and kefir are permitted.)
* Absolute neutrophil count (ANC) of \< 0.5 ×10\^9 cells/L on 2 consecutive occasions within 7 days prior to randomization, or sustained ANC \< 1.0 × 10\^9 cells/L

What this study is about

In the sponsor’s own words, from the registry.

The overall objective of the RESTORATiVE303 study is to evaluate the safety and the Clostridioides difficile infection (CDI) recurrence rate at Week 8 in participants who receive a 14-day course of VE303 or matching placebo. The objectives and endpoints are identical for Stage 1 (recurrent CDI) and Stage 2 (high-risk primary CDI).

Study sites(215)

  • Metro Infectious Disease Consultants

    Huntsville, Alabama, United States

    Recruiting

  • Advanced Gastroenterology, P.C.

    Chandler, Arizona, United States

    Withdrawn

  • Mayo Clinic Hospital

    Phoenix, Arizona, United States

    Withdrawn

  • GI Alliance

    Sun City, Arizona, United States

    Recruiting

  • Om Research, LLC

    Apple Valley, California, United States

    Withdrawn

  • Science 37 Inc (Remote/Home option)

    Culver City, California, United States

    Recruiting

  • Children's Hospital of Los Angeles

    Los Angeles, California, United States

    Recruiting

  • VA San Diego Healthcare System

    San Diego, California, United States

    Recruiting

  • North America Research Institute

    San Dimas, California, United States

    Withdrawn

  • Clinical Trials Management Services

    Thousand Oaks, California, United States

    Recruiting

  • Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center

    Torrance, California, United States

    Recruiting

  • Connecticut Clinical Research Institute

    Bristol, Connecticut, United States

    Recruiting

  • Medical Research Center of Connecticut

    Hamden, Connecticut, United States

    Recruiting

  • Hartford Hospital

    Hartford, Connecticut, United States

    Withdrawn

  • Gastro Florida

    Clearwater, Florida, United States

    Recruiting

  • Proactive Clinical Research, LLC

    Fort Lauderdale, Florida, United States

    Recruiting

  • Encore Borland-Groover Clinical Research

    Jacksonville, Florida, United States

    Recruiting

  • GI Pros Research

    Naples, Florida, United States

    Recruiting

  • Advanced Medical Research Center

    Port Orange, Florida, United States

    Recruiting

  • KM International Research Operation LLC

    Saint Cloud, Florida, United States

    Recruiting

  • James A. Haley Veterans' Hospital

    Tampa, Florida, United States

    Recruiting

  • International Center for Research

    Tampa, Florida, United States

    Recruiting

  • Summit Clinical Research, LLC

    Athens, Georgia, United States

    Recruiting

  • Emory University Hospital Midtown

    Atlanta, Georgia, United States

    Recruiting

  • Metro Infectious Disease Consultants

    Decatur, Georgia, United States

    Recruiting

  • Regional Infectious Diseases and Infusion Center, Inc.

    La Grange, Georgia, United States

    Withdrawn

  • Gastrointestinal Specialists of Georgia

    Marietta, Georgia, United States

    Recruiting

  • Snake River Research, PLLC

    Idaho Falls, Idaho, United States

    Recruiting

  • Metro Infectious Disease Consultants

    Burr Ridge, Illinois, United States

    Recruiting

  • NorthShore University Health System - Evanston Hospital

    Evanston, Illinois, United States

    Withdrawn

  • GI Alliance

    Gurnee, Illinois, United States

    Recruiting

  • Innovative Clinical Research Center, LLC (ICRC)

    Island Lake, Illinois, United States

    Withdrawn

  • Indiana University Health University Hospital

    Indianapolis, Indiana, United States

    Recruiting

  • Gastroenterology Health Partners

    New Albany, Indiana, United States

    Recruiting

  • Deaconess GI Specialty Center

    Newburgh, Indiana, United States

    Withdrawn

  • University of Kansas Medical Center

    Kansas City, Kansas, United States

    Recruiting

  • IDC Clinical Research, LLC

    Wichita, Kansas, United States

    Withdrawn

  • Gastroenterology Health Partners

    Louisville, Kentucky, United States

    Recruiting

  • Ochsner Clinic Foundation

    New Orleans, Louisiana, United States

    Recruiting

  • Johns Hopkins Hospital

    Baltimore, Maryland, United States

    Active, not recruiting

  • MGG Group Co., Inc., Chevy Chase Clinical Research

    Chevy Chase, Maryland, United States

    Recruiting

  • Tufts Medical Center

    Boston, Massachusetts, United States

    Withdrawn

  • Massachusetts General Hospital

    Boston, Massachusetts, United States

    Recruiting

  • Brigham and Women's Hospital

    Boston, Massachusetts, United States

    Recruiting

  • Newton-Wellesley Hospital

    Newton, Massachusetts, United States

    Withdrawn

  • LTC Charles S. Kettles VA Medical Center

    Ann Arbor, Michigan, United States

    Recruiting

  • Henry Ford Health

    Detroit, Michigan, United States

    Recruiting

  • Corewell Health William Beaumont University Hospital

    Royal Oak, Michigan, United States

    Recruiting

  • University of Minnesota Medical Center

    Minneapolis, Minnesota, United States

    Recruiting

  • MNGI Digestive Health, PA

    Plymouth, Minnesota, United States

    Withdrawn

  • Mayo Clinic

    Rochester, Minnesota, United States

    Recruiting

  • Delta Gastroenterology and Endoscopy Center

    Southaven, Mississippi, United States

    Withdrawn

  • University of Missouri

    Columbia, Missouri, United States

    Withdrawn

  • Washington University School of Medicine

    St Louis, Missouri, United States

    Recruiting

  • St. Charles Clinical Research

    Weldon Spring, Missouri, United States

    Recruiting

  • Rutgers Robert Wood Johnson Medical School

    New Brunswick, New Jersey, United States

    Recruiting

  • South Jersey Infectious Disease

    Somers Point, New Jersey, United States

    Recruiting

  • Northwell Health Division of Infectious Diseases

    Manhasset, New York, United States

    Recruiting

  • NYU Grossman School of Medicine

    New York, New York, United States

    Recruiting

  • New York Presbyterian Hospital

    New York, New York, United States

    Recruiting

Showing 60 of 215 sites — filter to narrow it down. 155 of the 215 sites on this study are recruiting right now — a site can stop enrolling while the study as a whole is still open.

Source: ClinicalTrials.gov record NCT06237452. Trialion does not run this study, is not paid to refer anyone to it, and cannot enrol you. Eligibility is always decided by the research team at the site.

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VE303 for Prevention of Recurrent Clostridioides Difficile Infection | Trialion