The efficacy of oral vancomycin therapy in managing different phenotypes of paediatric inflammatory bowel diseases by correlating treatment response to commensal microbiota composition and function

2025-524543-12-00 Therapeutic exploratory (Phase II) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruitment pending
Participants planned 140
Countries 1
Sites 1

Ulcerative colitis

Comparing pre-post treatment clinical findings in correlation with changes in commensal microbiota composition and function

Key facts

Sponsor
Pirkanmaan hyvinvointialue
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Digestive System Diseases [C06]
Decision date (initial)
2026-03-24
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: Safety, Therapy, Efficacy

Comparing pre-post treatment clinical findings in correlation with changes in commensal microbiota composition and function

Conditions and MedDRA coding

Ulcerative colitis

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 7

  1. 6-16 years old with established diagnosis of atypical UC (presenting right-sided colitis, backwash ileitis, or rectal sparing, and/or positive atypical pANCA or PR3-ANCA) with confirmed PSC in MRCP (PSC-UC) or without detectable PSC (aUC-non-PSC), and children with typical UC without PSC
  2. Has nor received OVT preciously, but patients and/or their guardians has given an informed consent to commence OVT for at least 3 months for treating PSC-UC or aUC-non-PSC
  3. Able to swallow capsules
  4. Do not have active infection (such as clostridium or other bacteria) if the clinical stool screening before starting OVT
  5. No new interventions (medications or new conventional therapies) for treating IBD was given within the past 4 weeks before starting OVT • May use contraceptives or other medications that are not antibiotics
  6. May use contraceptives or other medications that are not antibiotics
  7. For healthy participant: no symptoms or suspicion of inflammatory bowel diseases but are scheduled for endoscopy for other reasons

Exclusion criteria 7

  1. PSC without UC; Crohn’s disease type of inflammatory bowel diseases.
  2. Under the age of 6 years old
  3. Is unable to swallow capsules
  4. Had a previous allergic reactions to vancomycin (such as vancomycin allergy) and/or other related antibiotics similar to vancomycin
  5. Presence of malignant disease or potential need for liver transplantation within the following 12 months
  6. Pregnancy
  7. For healthy controls: presence of chronic illness requiring long-term medications, use of antibiotics within the past 6 months

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Suolen tervehtyminen (remissio eli lapsi on oireeton ja ulosteen kalprotektiini on alle 100)
  2. Miltä suolen bakteeristo näyttää ennen vankomysiinihoitoa tai tavanomaista hoitoa tulehduksen aikana ja remissiossa hoidon aloittamisen jälkeen

Investigational products

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

Test 2

Vancomycin Xellia 250 mg, kapseli, kova

PRD377905 · Product

Active substance
Vancomycin Hydrochloride
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL USE
Max daily dose
1500 mg milligram(s)
Max total dose
548 g gram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
A07AA09 — VANCOMYCIN
Marketing authorisation
11661
MA holder
XELLIA PHARMACEUTICALS APS
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Vancomycin Xellia 125 mg, kapseli, kova

PRD377900 · Product

Active substance
Vancomycin Hydrochloride
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL USE
Max daily dose
1500 mg milligram(s)
Max total dose
548 g gram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
A07AA09 — VANCOMYCIN
Marketing authorisation
11660
MA holder
XELLIA PHARMACEUTICALS APS
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Pirkanmaan hyvinvointialue

Sponsor organisation
Pirkanmaan hyvinvointialue
Address
Elamanaukio 2
City
Tampere
Postcode
33520
Country
Finland

Scientific contact point

Organisation
Pirkanmaan hyvinvointialue
Contact name
Laura Räisänen

Public contact point

Organisation
Pirkanmaan hyvinvointialue
Contact name
Saara Ojala

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Authorised, recruitment pending 140 1
Rest of world 0

Investigational sites

Finland

1 site · Authorised, recruitment pending
Pirkanmaan hyvinvointialue
Pediatric department, Elamanaukio 2, 33520, Tampere

Results and documents

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

Documents 17 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol_2025-524543-12-00 1
Protocol (for publication) D1_Protocol_2025-524543-12-00_Redacted 3.0
Protocol (for publication) D4_Patient facing document_PedsQL FI 1
Protocol (for publication) D4_PUCAI_kyselylomake 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Recruitment arrangements (for publication) K1_Recruitment arrangements_clean 3
Subject information and informed consent form (for publication) L1_Notification_Guardian_redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF_12-14v 1
Subject information and informed consent form (for publication) L1_SIS and ICF_12-14v_redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF_15-16v 1
Subject information and informed consent form (for publication) L1_SIS and ICF_15-17v_redacted 3
Subject information and informed consent form (for publication) L1_SIS and ICF_alle 12v 1
Subject information and informed consent form (for publication) L1_SIS and ICF_alle 12v_redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF_huoltaja 1
Subject information and informed consent form (for publication) L1_SIS and ICF_huoltaja_redacted 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Vankomysiini_Xellia 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Vankomysiini_Xellia 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-12-08 Finland Acceptable
2026-03-13
2026-03-24
2 NON SUBSTANTIAL MODIFICATION NSM-1 2026-03-31 Finland Acceptable
2026-03-13
2026-03-31