Study on the Effects of Amlitelimab for Adults with Non-Responsive Celiac Disease

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What is this study about?

This clinical trial is focused on studying celiac disease, a condition where the body’s immune system reacts to gluten, a protein found in wheat, barley, and rye. The study is investigating a treatment called amlitelimab, which is given as a solution for injection under the skin. The purpose of the study is to evaluate how effective and safe amlitelimab is in helping adults with non-responsive celiac disease, which means their symptoms do not improve even when they follow a gluten-free diet.

Participants in the study will receive either amlitelimab or a placebo, which looks like the treatment but does not contain the active medicine. The study will last for several months, during which participants will continue their gluten-free diet. Some participants may also be exposed to gluten to see how the treatment works under different conditions. Throughout the study, participants will have regular check-ups and tests to monitor their health and any changes in their symptoms.

The main goal is to see if amlitelimab can improve the condition of the intestinal lining, which is often damaged in people with celiac disease. The study will also track any side effects and measure the levels of amlitelimab in the blood. This research aims to provide new insights into managing celiac disease for those who do not respond well to a gluten-free diet alone.

1 initial assessment

Upon joining the study, an initial assessment is conducted to confirm eligibility. This includes verifying age, medical history of celiac disease, and adherence to a gluten-free diet for at least 12 months.

Participants must demonstrate an understanding of a gluten-free diet and agree to maintain it throughout the study.

Participants undergo a screening process to ensure they have at least one moderate or severe gastrointestinal symptom related to gluten exposure.

2 baseline evaluation

A baseline esophagogastroduodenoscopy (EGD) is performed to collect duodenal biopsies. This procedure helps assess the condition of the intestinal lining before treatment begins.

3 randomization and treatment

Participants are randomly assigned to receive either amlitelimab or a placebo. The treatment is administered as a subcutaneous injection using a pre-filled syringe.

The study is double-blind, meaning neither the participants nor the researchers know who receives the actual medication or the placebo.

4 treatment period

The treatment period lasts for 28 weeks. During this time, participants receive regular injections according to the study schedule.

Participants continue to follow their gluten-free diet and report any symptoms or side effects experienced during the study.

5 follow-up assessments

Throughout the study, participants undergo regular assessments to monitor their health and the effects of the treatment.

These assessments include measuring changes in gastrointestinal symptoms and checking for any adverse events or abnormalities in vital signs and laboratory tests.

6 final evaluation

At the end of the 28-week treatment period, a final esophagogastroduodenoscopy (EGD) is performed to evaluate changes in the intestinal lining.

The primary goal is to assess the change in the villus height to crypt depth ratio, which indicates the health of the intestinal mucosa.

7 study completion

After completing the study, participants may be asked to provide feedback on their experience and any long-term effects observed.

The study aims to gather data on the efficacy and safety of amlitelimab in treating non-responsive celiac disease.

Who Can Join the Study?

  • Participants must be between 18 and 75 years old at the time they agree to join the study.
  • Participants must have been diagnosed with celiac disease by a doctor, with proof from a past biopsy (a small tissue sample taken for testing) confirmed by medical records or a doctor’s statement.
  • Participants must have tried to follow a gluten-free diet (GFD) for at least 12 months in a row and must be willing to continue their current diet during the study.
  • Participants must understand what a gluten-free diet (GFD) is, as checked by the study doctor.
  • Participants must be willing to go through all the tests in the study plan, including two esophagogastroduodenoscopies (a procedure where a thin tube with a camera is used to look at the upper digestive system) with duodenal biopsies (taking small samples from the small intestine).
  • Participants must have completed the CDSD with at least 75% compliance from the start of the study until they are randomly assigned to a group.
  • During the initial screening, participants must have at least one digestive symptom like diarrhea, stomach pain, bloating, or nausea that is moderate or more severe, on at least 3 out of any 7 consecutive days, which the study doctor believes is related to gluten exposure. The symptom can change, but it must be moderate or more severe on three or more days. Participants must meet these symptom requirements to have the initial esophagogastroduodenoscopy (EGD).

Who Cannot Join the Study?

  • Individuals who do not have non-responsive celiac disease (NRCD). This means the person must have celiac disease that does not improve with a gluten-free diet.
  • Individuals who are not following a gluten-free diet or are not exposed to gluten as part of the study conditions.
  • Individuals who are not within the specified age range for the study. The study is open to certain age groups only.
  • Individuals who are not willing or able to follow the study procedures and requirements.
  • Individuals who have other medical conditions that might interfere with the study or its results.
  • Individuals who are pregnant or breastfeeding, as the study may not be safe for them.
  • Individuals who are participating in another clinical trial at the same time, as this could affect the study results.
  • Individuals who have a history of severe allergic reactions or other serious health issues that could pose a risk during the study.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
Krakowskie Centrum Medyczne Sp. z o.o. Cracow Poland
Center For Pediatric And Adolescent Medicine Of The Johannes Gutenberg University Mainz Mainz Germany
Futuremeds Sp. z o.o. Wroclaw Poland
Katholieke Universiteit te Leuven Leuven Belgium

Other Sites

Site Name City Country Status
Endomed s.r.o. Kosice Slovakia
Clinical Research Services Turku CRST Oy Turku Finland
Klinische Forschung Berlin-Mitte GmbH Berlin Germany
CRST Helsinki Oy Helsinki Finland
Solumed Sp. z o.o. sp.k. Poznan Poland
El Hospital Universitario De Gran Canaria Dr. Negrin Las Palmas De Gran Canaria Spain
Accout Center s.r.o. Sahy Slovakia
Azienda Ospedaliera di Padova Padua Italy
Evangelismos S.A. Athens Greece
Virgen del Rocío University Hospital Sevilla Spain
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico Milan Italy
Charite Universitaetsmedizin Berlin KöR Berlin Germany
Universita’ Di Pisa Pisa Italy
CTC Clinical Trial Consultants AB Uppsala Sweden
Centre Hospitalier Universitaire De Nice Nice France
Vojenska Nemocnice Brno Brno-Zidenice Czechia
Pirkanmaan hyvinvointialue Tampere Finland
Hopital Beaujon Clichy France
Kardiocentrum Nitra s.r.o. Nitra Slovakia
Universitaetsklinikum Leipzig AöR Leipzig Germany
Hospital Universitario Virgen De La Victoria Malaga Spain
Gastro Jeka s.r.o. Klatovy Czechia
Cctpfkulg Udaxjvosssprqa Shomoicvi Woluwe-Saint-Lambert Belgium
Rngztamez Zukftlvspn Stbpmesyq Arnhem The Netherlands
Eurnqsez Hdjedvt stloar Havirov Czechia
Ntvyrncyx Mvyieaeswvz Sofzjh Sle Konhv Btwixhpiryuu V Pmavk Prague Czechia
Embyh Svigkcshhcbor Hkoittol Stockholm Sweden
Pcpriizmedeg Llvtyjbsrnqnywvinwu Ok Kuopio Finland
Loaqr Gpqzbko Hyrskhuc Oo Aqnzhv Athens Greece
Fcpcrjmh nggiwydly Mdhzl a Hyqlgdu Prague Czechia
Atwwaggnf Uqs Amsterdam The Netherlands
Ptdweejaf Igzinrsn Mwqnlhrx Mprdfyhredyy Slhvd Wfxdnrbfhnlx I Ainnqpfkgelra Warsaw Poland
Huatqbvr Vyfe dcoowews Barcelona Spain
Swlpqpwpvuipbrjmwvz Bwu Uw (enwwcarxrnorhwlauohw Halle (Saale) Germany

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Belgium Belgium
Not recruiting
14.09.2024
Czechia Czechia
Not recruiting
14.09.2024
Finland Finland
Not recruiting
14.09.2024
France France
Not recruiting
14.09.2024
Germany Germany
Not recruiting
14.09.2024
Greece Greece
Not recruiting
14.09.2024
Italy Italy
Not recruiting
14.09.2024
Poland Poland
Not recruiting
14.09.2024
Slovakia Slovakia
Not recruiting
14.09.2024
Spain Spain
Not recruiting
14.09.2024
Sweden Sweden
Not recruiting
14.09.2024
The Netherlands The Netherlands
Not recruiting
14.09.2024

Trial locations

Investigated drugs:

Amlitelimab is a medication being studied for its potential to help people with non-responsive celiac disease. This condition occurs when individuals with celiac disease do not fully respond to a gluten-free diet. Amlitelimab is given as an injection under the skin and is being tested to see if it can improve the health of the intestines in these patients, either when they are on a strict gluten-free diet or when they are exposed to some gluten.

Investigated diseases:

Coeliac disease – Coeliac disease is an autoimmune disorder where the ingestion of gluten leads to damage in the small intestine. When people with this condition eat gluten, their immune system responds by attacking the small intestine, specifically damaging the villi, which are small finger-like projections that line the intestine. This damage impairs nutrient absorption, leading to various gastrointestinal symptoms such as diarrhea, bloating, and abdominal pain. Over time, the continuous damage can lead to malnutrition and other health issues. The disease can also cause symptoms outside the digestive system, including fatigue and skin rashes. It is a chronic condition that requires lifelong management through dietary changes.

Trial ID:
2024-511213-38-00
Protocol code:
DRI17963
NCT ID:
NCT06557772
Trial Phase:
Therapeutic exploratory (Phase II)

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