Exploratory evaluation of the effect of cholestyramine on serum levels of persistent organic pollutants in obese patients

2023-505116-37-00 Protocol 21-AOI-07 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 8 Feb 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol 21-AOI-07

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 40
Countries 1
Sites 1

Obesity

To evaluate the effect of cholestyramine treatment on serum concentrations of different persistent organic pollutants in a population of obese women of childbearing age for whom bariatric surgery is indicated

Key facts

Sponsor
Centre Hospitalier Universitaire De Nice
Participant type
Patients
Age range
18-64 years
Gender
Female
Therapeutic area
Diseases [C] - Hormonal diseases [C19]
Trial duration
8 Feb 2024 → ongoing
Decision date (initial)
2023-06-14
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others

To evaluate the effect of cholestyramine treatment on serum concentrations of different persistent organic pollutants in a population of obese women of childbearing age for whom bariatric surgery is indicated

Secondary objectives 1

  1. Evaluation of the effect of pre-operative cholestyramine treatment in relation to observed and expected post-bariatric surgery release

Conditions and MedDRA coding

Obesity

VersionLevelCodeTermSystem organ class
20.0 PT 10014989 Epidermolysis bullosa 100000004850

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Female patients with an accepted indication for bariatric surgery (BMI > 40 kg/m2 or BMI > 35 kg/m2 with complication(s) improveable by surgery)
  2. Aged between 18 and 45 years
  3. Having effective contraception (according to Recommendations related to contraception and pregnancy testing in clinical trials Version 1.2 (CTCG Clinical Trials Coordination Group))

Exclusion criteria 6

  1. Pregnant or breastfeeding women
  2. Known allergy or intolerance to cholestyramine
  3. Chronic constipation
  4. Chronic disease that may interfere with the efficacy of treatment (unbalanced diabetes with HbA1c >7%, known and treated dyslipidaemia, chronic renal failure with GFR <60 ml/min, hepatocellular failure)
  5. Phenylketonuria
  6. Patients on anti-vitamin K, digoxin, levothyroxine or likely to be on such therapy within 3 months of inclusion.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Serum concentration of persistent organic pollutants between M0 (pre-surgery) and M4 (post-surgery)

Secondary endpoints 1

  1. Measurement of serum concentrations of persistants organics pollutants by mass spectrometry after bariatric surgery and determination of their evolution in relation to expected release.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

QUESTRAN 4 g, poudre orale en sachet

PRD7596346 · Product

Active substance
Colestyramine
Substance synonyms
CHOLESTYRAMINE
Pharmaceutical form
ORAL SUSPENSION
Route of administration
IN DRINKING WATER USE
Max daily dose
12 g gram(s)
Max total dose
372 g gram(s)
Max treatment duration
1 Month(s)
Authorisation status
Authorised
ATC code
C10AC01 — COLESTYRAMINE
Marketing authorisation
34009 315 027 2 2
MA holder
CHEPLAPHARM ARZNEIMITTEL GMBH
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Centre Hospitalier Universitaire De Nice

Sponsor organisation
Centre Hospitalier Universitaire De Nice
Address
4 Avenue Reine Victoria
City
Nice
Postcode
06000
Country
France

Scientific contact point

Organisation
Centre Hospitalier Universitaire De Nice
Contact name
Nicolas CHEVALIER

Public contact point

Organisation
Centre Hospitalier Universitaire De Nice
Contact name
Christine PINTARIC

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruiting 40 1
Rest of world 0

Investigational sites

France

1 site · Ongoing, recruiting
Centre Hospitalier Universitaire De Nice
Endocrinologie, 151 Route De Saint Antoine, 06200, Nice

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2024-02-08 2025-03-19

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 8 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) PROTOCOL_2023-505116-37-00 3
Protocol (for publication) PROTOCOL_2023-505116-37-00_SOC 1
Recruitment arrangements (for publication) Additionnal Document 0
Recruitment arrangements (for publication) Recruitment arrangements 0
Subject information and informed consent form (for publication) SIS and ICF 0
Subject information and informed consent form (for publication) SIS and ICF_2023-505116-37-00_FP 4
Summary of Product Characteristics (SmPC) (for publication) SmPC_cholestyramine 1
Synopsis of the protocol (for publication) PROTOCOL SYNOPSIS_FR_2023-505116-37-00 3

Application history

6 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-04-14 France Acceptable
2023-06-13
2023-06-14
2 SUBSTANTIAL MODIFICATION SM-1 2023-07-04 France Acceptable 2023-08-14
3 SUBSTANTIAL MODIFICATION SM-6 2025-08-18 France Acceptable
2025-10-30
2025-10-30
4 SUBSTANTIAL MODIFICATION SM-7 2025-11-18 France Acceptable 2025-12-08
5 SUBSTANTIAL MODIFICATION SM-8 2026-01-15 France Acceptable
2026-02-03
2026-02-11
6 SUBSTANTIAL MODIFICATION SM-9 2026-03-05 France Acceptable
2026-04-22
2026-04-27