A Study Of C. Difficile Toxin B Levels After SoC Antibiotic Treatment

Overview

About this study

The purpose of this study is investigate the incidence of recurrence of C. difficile infection over 8 weeks following standard of care antibiotic treatment for C. difficile infection (CDI)

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • Able to provide signed and dated informed consent

  • Males and females between 18 - 75 years old inclusive

  • Documented history of first recurrent Clostridiodides difficile (former Clostridium difficile) infection (rCDI), confirmed by a positive C. difficile test (Toxin A+B positive or Toxin B only), with initial infection occurring within the previous 12-months.

  • Must, in accordance with standard of care practices, have completed a SOC oral antibiotic therapy for the first rCDI no more than 5 days prior to the date of enrolment (baseline visit- Day 0).

  • Must not have any CDI-related symptoms when enrolled in the study at baseline (Day 0).

Exclusion Criteria:

  • Current episode of CDI or delayed symptom resolution from previous recurrence, according to the physical exam and investigator assessment  

  • Toxin A positive, and Toxin B negative C. difficile test.

  • Planned CDI recurrence treatment for the duration of the study e.g., fecal microbiome transplant, probiotics, Live Biotherapeutic Products (LBPs)

  • Those who are on further antibiotic treatment following initial rCDI antibiotic therapy completion.

  • Pregnant or lactating women or women who intend to become pregnant within the next 3 months.

  • Subjects presenting with active diarrhoea (3 or more stools per 24-hour period) and within Bristol stool scale range of 5-7 at baseline.

  • Has any significant acute or chronic coexisting health conditions that would prevent them from fulfilling the study requirements, put the Participant at risk or would confound the interpretation of the study results as judged by the investigator on the basis of medical history and routine laboratory test results.

    • Ostomized participants, parenteral nutrition users

    • Patients with active Pancreatitis

    • Active, non-controlled intestinal diseases such as IBS, IBD, Crohn's Disease, ulcerative colitis, celiac disease, or other chronic diarrheal illness

  • Currently or recently taking a medication that the investigator believes would interfere with the objectives of the study or pose a safety risk or confound the interpretation of the study results.

  • Individuals who, in the opinion of the investigator, are considered to be poor attendees or unlikely for any reason to be able to comply with the study.

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 6/23/2025. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Darrell Pardi

Open for enrollment

Contact information:

Patricia Kammer

(507) 538-1827

Kammer.Patricia@mayo.edu

More information

Publications

Publications are currently not available
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CLS-20597112

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