Incidence of most common adverse reactions compared
to antibiotics alone through 8 weeks1
The majority of adverse reactions were mild or moderate in severity1
Most adverse reactions occurred within 10 days of starting VOWST1
The median duration of these events was ≤5 days1
No serious adverse events were considered related to the use of VOWST1
*Safety population consisted of randomized participants who received a dose of study medication and were analyzed according to the treatmentreceived. Data were rounded to the nearest whole number for presentation.
†Solicited adverse events were recorded by participants in a diary for 7 days after completion of the 3-day regimen of VOWST or antibiotics alone.
INCIDENCE OF THE MOST COMMON ADVERSE REACTIONS IN THE OPEN-LABEL STUDY1
The ECOSPOR IV open-label, single-arm trial primary endpoint evaluated the safety and tolerability of VOWST up to 24 weeks2
All adverse events collected in ECOSPOR IV were unsolicited1
The majority of adverse reactions were mild to moderate in severity1
*Study population comprised of two cohorts. Cohort 1: 29 participants previously in ECOSPOR III with
C. diff
recurrence within 8 weeks after VOWST or antibiotics alone. Cohort 2: 234 new participants receiving VOWST with at least 1
C. diff
recurrence and responded to
C. diff
antibiotic therapy. Data were rounded to the nearest whole number for presentation.
REFERENCES: 1.
VOWST [Prescribing Information]. Cambridge, MA: Seres Therapeutics, Inc. and Nestlé Health Science. 04/2023.
2.
Sims MD, Khanna S, Feuerstadt P, et al.
JAMA Network Open. 2023;6(2):e2255758. doi:10.1001/jamanetworkopen.2022.55758.
IMPORTANT SAFETY INFORMATION
INDICATION
IMPORTANT SAFETY INFORMATIONWARNINGS AND PRECAUTIONS Transmissible infectious agents:
Because VOWST is manufactured from human fecal matter, it may carry a risk of transmitting infectious agents. Report any infection that is suspected to have been transmitted by VOWST to Aimmune Therapeutics, Inc. at
1-833-246-2566.
Potential presence of food allergens:
VOWST may contain food allergens. The potential to cause adverse reactions due to food allergens is unknown.
ADVERSE REACTIONS
The most common adverse reactions (reported in ≥5% of Vowst-treated participants, and at a rate greater than placebo) were abdominal distension (31.1%), fatigue (22.2%), constipation (14.4%), chills (11.1%), and diarrhea (10.0%).
DRUG INTERACTIONS
Do not administer antibacterials concurrently with VOWST.
INDICATION
VOWST is indicated to prevent the recurrence of
Clostridioides difficile
infection (CDI) in individuals 18 years of age and older following antibacterial treatment for recurrent CDI (rCDI).
Limitation of Use: VOWST is not indicated for treatment of CDI.
This site is intended for healthcare
professionals licensed in the United States only.
STUDY DESIGN
ECOSPOR III
Multicenter, randomized, double-blind, placebo-controlled,
parallel-group trial in adults (≥18 years) with recurrent
C. diff1-3
Primary Endpoint
Recurrence at 8 weeks*
Secondary Endpoints
Adverse events within 24 weeks
Recurrence at 4, 12, 24 weeks*
Recurrence confirmed with C. diff toxin test and ≥3 unformed bowel movements per day over 2 days*
10–21 days of vancomycin (125 mg QID) or fidaxomicin (200 mg BID)
ECOSPOR III efficacy endpoints based on intent-to-treat population.
Data were rounded to the nearest whole number for presentation.
STUDY DESIGN
ECOSPOR IV was an open-label, single arm study
of 263 participants with ≥1
C. diff
recurrences
evaluating the safety of VOWST;
the secondary endpoint was efficacy5
Limitations: open-label study design yields descriptive results limiting interpretations of efficacy and safety without a comparator
ECOSPOR IV
Multicenter, open-label, single-arm trial
in adults (≥18 years) with recurrent
C. diff5
Primary Endpoint
Adverse events within 24 weeks
Secondary Endpoints
Recurrence at 4, 8, 12, 24 weeks
Recurrence confirmed with
C. diff
toxin test
or
PCR
and ≥3 unformed bowel movements per day over 2 days*
10–42 days of vancomycin
or 10–25 days of fidaxomicin
Toxin and PCR testing were utilized to determine initial eligibility. Recurrences while on study were confirmed by toxin testing to ensure study integrity.
†25 placebo recipients and 4 VOWST recipients discontinued ECOSPOR III and enrolled in ECOSPOR IV after experiencing a C. Diff recurrence within 8 weeks.
Data were rounded to the nearest whole number for presentation.