A Multiple Dose Study to Evaluate Safety, Tolerability, PK, and Efficacy of SER-155 in Adults Undergoing HSCT

Purpose

An Open-Label and Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Efficacy of SER-155 in Adults Undergoing Hematopoietic Stem Cell Transplantation to Reduce the Risk of Infection and Graft vs. Host Disease

Condition

  • Allogeneic Hematopoietic Stem Cell Transplantation

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Male and female subjects ≥ 18 years of age undergoing HSCT. - Planning to undergo allogeneic hematopoietic stem cell transplantation from a human leukocyte antigen matched related donor, haploidentical related donor, HLA-matched unrelated donor, or HLA 1-antigen mismatched unrelated or related donor, with either bone marrow or peripheral blood stem cells as a graft source, and with any conditioning regimen

Exclusion Criteria

  • Severe colitis of any etiology or active/currently-treated inflammatory bowel disease (IBD) or total colectomy. - Evidence of relapse or progression of hematologic malignancy (minimal residual disease is allowed). - Transplant using umbilical cord blood or ex vivo T-cell-depleted HSCT - Receipt of chimeric antigen receptor T-cell (CAR-T) therapy. - Received a fecal microbiota transplant (FMT) or any live microbial therapeutic within 3 months prior to Screening. - Known allergy or intolerance to oral vancomycin. - Concomitant participation or participation within 14 days or 5 half-lives of another investigational unapproved treatment, whichever is longer.

Study Design

Phase
Phase 1
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
There are 2 parts or cohorts for the trial. Cohort 1 is an open-label study. Cohort 2 is double-blind, randomized, placebo-controlled study.
Primary Purpose
Treatment
Masking
Double (Participant, Investigator)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Cohort 1 - Open Label Study
Vancomycin & SER-155
  • Drug: Vancomycin Pre-Treatment
    Four times daily dosing with Vancomycin
  • Drug: SER-155
    Once daily dosing with SER-155
Experimental
Cohort 2 - Randomized, Double-Blind, Placebo-Controlled Study
Vancomycin & SER-155 OR Vancomycin placebo & SER-155 placebo
  • Drug: Vancomycin Pre-Treatment
    Four times daily dosing with Vancomycin
  • Drug: Vancomycin Placebo
    Four times daily dosing with Vancomycin Placebo
  • Drug: SER-155
    Once daily dosing with SER-155
  • Drug: SER-155 Placebo
    Once daily dosing with SER-155 placebo

More Details

Status
Active, not recruiting
Sponsor
Seres Therapeutics, Inc.

Study Contact

Detailed Description

This is a Phase 1b randomized, double-blind, placebo-controlled, multiple dose, multicenter study designed to evaluate the safety, efficacy, and microbiome alterations associated with SER-155 dosing, after microbiome conditioning with oral vancomycin, in adult subjects aged ≥18 years who are undergoing Hematopoietic Stem Cell Transplantation (HSCT).