(CB-01-02/02) Randomized Placebo Controlled Trial of Budesonide-multi-matrix System (MMX™) 6 mg and 9 mg in Patients With Ulcerative Colitis
Ulcerative Colitis
About this trial
This is an interventional treatment trial for Ulcerative Colitis focused on measuring Ulcerative colitis
Eligibility Criteria
Inclusion Criteria:
Patients fulfilling the following criteria at the screening visit are eligible for participation in the study:
- Male and female patients, 18-75 years old, suffering from ulcerative colitis for at least 6 months.
- Diagnosis of ulcerative colitis in active phase, of mild or moderate entity with Ulcerative Colitis Disease Activity Index (UCDAI) ≥ 4 and ≤ 10 according to Sutherland.
- All females of child-bearing potential must have a negative serum pregnancy test immediately prior to enrollment. In addition, all females of child-bearing potential must agree to be completely abstinent or be using an accepted form of contraception throughout the entire study period. Accepted forms of contraception are defined as those with a failure rate <1% when properly applied and include: combination oral pill, some intra-uterine devices, and a sterilised partner in a stable relationship. Female subjects must also not be actively breast-feeding through the entire study period.
- Ability to comprehend the full nature and purpose of the study, including possible risks and side effects.
- Ability to co-operate with the investigator and to comply with the requirements of the entire study.
- Must be able to understand and voluntarily sign written informed consent prior to inclusion in the study.
Exclusion Criteria:
Patients who meet any of the following criteria at screening visit are to be excluded from study participation:
- Patients with limited distal proctitis (from anal verge up to 15 cm above the pectineal line).
- Patients with severe ulcerative colitis (UCDAI >10).
- Patients with infectious colitis.
- Evidence or history of toxic megacolon.
- Severe anaemia, leucopaenia or granulocytopaenia.
- Use of oral or rectal steroids in the last 4 weeks.
- Use of immuno-suppressive agents in the last 8 weeks before the study.
- Use of anti tumour necrosis factor alpha (anti-TNFα) agents in the last 3 months.
- Concomitant use of any rectal preparation.
- Concomitant use of antibiotics.
- Concurrent use of cytochrome P450 3A4 (CYP3A4) inducers or CYP3A4 inhibitors.
- Patients with verified, presumed or expected pregnancy or ongoing lactation.
- Patients with liver cirrhosis, or evident hepatic or renal disease or insufficiency, and/or severe impairment of the bio-humoural parameters (i.e. 2 x upper limit of normal for alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyl transpeptidase (GGT) or creatinine).
- Patient with severe diseases in other organs and systems.
- Patients with local or systemic complications or other pathological states requiring a therapy with corticosteroids and/or immuno-suppressive agents.
- Patients diagnosed with type 1 diabetes.
- Patients diagnosed with, or with a family history of, glaucoma.
- All patients with known hepatitis B, hepatitis C or with human immunodeficiency virus (HIV), according to the local privacy policy.
- Participation in experimental therapeutic studies in the last 3 months. (Note: patients who participated in observational only studies are not excluded).
- Any other medical condition that in the principal investigator's opinion would make the administration of the study drug or study procedures hazardous to the subject or obscure the interpretation of adverse events (AEs).
Sites / Locations
- Centre for Digestive Diseases
- Royal Adelaide Hospital
- Box Hill Hospital, Department of Gastroenterology Clive Ward Centre,
- The Alfred Hospital
- Monash Medical Centre
- Imelda Hospital
- East Viru Central Hospital
- East Tallinn Central Hospital
- West Tallinn Central Hospital
- Tartu University Hospital
- Hôpital Beaujon
- Hospital Saint-Louis
- Yaron Niv
- CRO - IRCCS - Struttura Operativa Complessa di Gastroenterologia Oncologica
- Dipartimento di Medicina Interna e Specialità Mediche (DIMI)
- Divisione di Gastroenterologia - Istituto Clinico Humanitas IRCCS in Gastroenterologia
- Daugavpils Regional Hospital
- Paula Stradina Clinical University Hospital
- Digestive Disease Centre Gastro
- Clinical University Hospital Gailezers
- Kaunas Medical University Hospital
- Siauliai District Hospital
- M.Marcinkeviciaus Hospital
- Vilnius University Hospital Santariskiu Klinikos
- Niepubliczny Zaklad Opieki Zdrowotnej VIVAMED
- Centrum Leczenia Chorób Cywilizacyjnych
- Gastromed S.C.
- Gastromed S.C.Maciej Kralisz, Andrzej Penpicki, Jacek Romatowski, Gabinet, Gastrologiczny i Pracownia Endoskopowa
- NZOZ Centrum Leczenia Chorob Cywilizacyjnych, oddzial Gdynia, filia Fikakw
- NZOZ Centrum Leczenia Chorob Cywilizacyjnych
- Samodzielny Publiczny Zaklad Opieki Zdrowotnej, Szpital Uniwersytecki w Krakowie, Oddzial Kliniczny Kliniki Gastroenterologii, Hepatologii i Chorob Zakaznych,
- Szpital Uniwersytecki w Krakowie,Oddział Kliniczny Kliniki Gastroenterologii Hematologii i Chorób Zakaźnych
- Niepubliczny Zaklad Opieki Zdrowotnej POLIMEDICA
- Endoskopia Sp. z o.o.
- Endoskopia Sp.z o.o.
- Indywidualna Specjalistyczna Praktyka Lekarska
- NZOZ Polimedica
- Spitalul Clinic Colentina Sectia Gastroenterologie
- Cabinet Medical
- Spitalul Judetean Sibiu
- Centrul de Gastroenterologie Dr. Goldis Adrian
- Federal State Institution ?National Medical Surgical Center
- GU research educational medical centre of the administration of the affairs of the president of Russian Federation on the basis of State Healthcare Institution "State Clinical Hospital # 51"
- State Scientific Centre of Coloproctology of the Federal Agency for High-Technology Medical Care
- GUZ of Moscow "City Clinical Hospital #24"
- Rostov State Medical University
- Saint-Petersburg GUZ City polyclinic #38 28
- St. Petersburg State Medical Academy n.a. I.I. Mechnikov
- Krestovsky Ireland Medical Institute
- FGU North-West DIstrict Medical Center of Roszdrav
- ZAO Clinic Dvizhenie
- Yaroslavl Region Clinical Hospital
- FNsP Bratislava, Nemocnica Stare Mesto 1st Internal Clinic Mickiewiczova
- FNsP Bratislava, Nemocnica Ruzinov V. Interna klinika, Gastroenterohepatologicke oddelenie Ruzinovska
- Gastroenterologické a Hepatologické centrum
- NsP Nove Mesto nad Vahom n.o.
- Sahlgrenska Univerity Hospital
- Lund University Hospital
- IBD-Unit, Sophiahemmet
- Div. of Gastroenterology and Hepatology
- Dept. of Gastroenerology and Hepatology
- Chair of Gastroenterology and therapy of Dnipropetrovsk State Medical Academy based on Institute of gastroenterology
- City Clinical Emergency Hospital named after O.I.Meschaninov,
- Lviv National Medical University after name Danylo Halytsky based on Communal Clinical City hospital No 5, Department of Propedeutic of Internal Disease
- Odessa city Polyclinic #20, Therapeutic Dept. 6
- Uzhgorod National University, Hospital surgery chair on the base of Uzhgorod Regional Clinical Hospital
- Uzhgorod State Medical University, chair of therapy and family medicine, district clinical hospitalof station "Uzhgorod"
- John Radcliffe Hospital
- University Hospital of Coventry and Warwickshire
- Gastrointestinal Unit
- St Marks Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Active Comparator
Placebo Comparator
1: budesonide-MMX® 6 mg
2: budesonide-MMX® 9 mg
3: Entocort EC® 3 mg
4: Placebo
One budesonide-MMX® 6 mg plus three placebo Entocort EC® overencapsulated capsules daily in the morning after breakfast.
One budesonide-MMX® 9 mg plus three placebo Entocort EC® overencapsulated capsules daily in the morning after breakfast.
Three Entocort EC® 3 mg overencapsulated capsules plus one placebo budesonide MMX® tablet daily in the morning after breakfast.
Three placebo Entocort EC® overencapsulated capsules plus one placebo Budesonide MMX® tablet daily in the morning after breakfast.