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Safety and Activity of ORE1001 in Subjects With Ulcerative Colitis

Primary Purpose

Mild to Moderate Ulcerative Colitis

Status
Unknown status
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
ORE1001
Placebo
Sponsored by
Ore Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mild to Moderate Ulcerative Colitis focused on measuring IBD, Ulcerative colitis

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subject has a documented diagnosis of mild to moderate Ulcerative Colitis, as demonstrated clinically and by endoscopy at Visit 2.
  2. Baron score greater than or equal to 2 at baseline.
  3. Truelove-Witt (modified) score of 14 or less.
  4. At least 6 months duration of disease
  5. At baseline the subject should have either stable disease or stable disease requiring 5-ASA treatment
  6. If on a 5-ASA treatment, subject must have been on stable dose for at least two weeks prior to screening and is expected to continue on that dose until the study is completed
  7. Subject has normally functioning major organ systems (aside from gastrointestinal tract) as indicated by medical history, vital signs, physical exam and clinical laboratories (including hematology, coagulation, chemistries and urinalysis).
  8. Male or female subjects 18-70 years old
  9. Subject has provided voluntary written informed consent to participate in this study.
  10. Subject may be of child-bearing potential, but is not pregnant, nursing, or planning a pregnancy for the duration of the study and has a negative pregnancy test prior to enrollment.
  11. Subject agrees to use a medically-acceptable form of contraception from screening through 30 days after the final dose of study drug. Female partners of male subjects enrolled into this study are also recommended to use an acceptable method of birth control. Males must agree to not donate sperm during the entire study and for 90 days after the last dose of study drug.

Exclusion Criteria:

  1. A clinically significant medical history, medical finding or an ongoing medical or psychiatric condition which, in the opinion of the Investigator, could jeopardize the safety of the subject, impact the validity of the study results, or interfere with the completion of treatment according to this protocol.
  2. Subject has an ALT or serum creatinine greater than 1.5 times the upper limit of normal range for the reference lab at screening.
  3. Subject who, in the opinion of the investigator, is febrile at screening.
  4. Subject had used the following treatments for IBD: steroids or any or biologic immunomodulators or any topical treatments (e.g. enemas) within the last 4 weeks prior to baseline, immunosuppressants or antimetabolites within the preceding 6 weeks, antibiotic use within the previous 7 days or chronic use of any anti-inflammatory drugs (except aminosalicylates) within 7 days.
  5. History of illicit drug abuse or positive urine screen for drugs of abuse or history of alcohol abuse if acknowledged at the screening visit or noted in the subject's medical record at screening.
  6. Subject has a positive blood screen for HIV, Hepatitis B (HBsAg), or Hepatitis C.
  7. Subject has evidence of infectious colitis, e.g., Clostridium difficile, Amoebiasis, Giardia lamblia by stool examination of at screening.
  8. Subject has evidence for gastrointestinal parasites as per stool ova and parasites testing at screening.
  9. Subject has evidence of tuberculosis by blood interferon gamma release assay at screening.
  10. Any uncontrolled, intercurrent illness (e.g., active infection).
  11. History of gastrointestinal cancer.
  12. Abdominal surgery or any major surgery within the preceding 28 days of the screening visit.

Sites / Locations

  • Robarts Research InstituteRecruiting
  • Dr, Bhatnagar's ClinicRecruiting
  • Vikram Jyoth Centre for Advanced GastroenterologyRecruiting
  • St. John's Medical College HospitalRecruiting
  • Gut-n-HEPA CareRecruiting
  • Amol Gastroenterology HospitalRecruiting
  • B.Y.L. Nair HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Active study drug

Placebo control

Arm Description

ORE1001 300 mg oral capsules

300 mg oral capsules containing placebo material

Outcomes

Primary Outcome Measures

The safety and tolerability of ORE1001 in subjects with ulcerative colitis as demonstrated by the frequency and severity of adverse events

Secondary Outcome Measures

Change in the modified Baron Score from Baseline to Week 6
Change in the Ulcerative Colitis Clinical Score from Baseline
Change in the partial Mayo Score fom baseline
Calprotectin concentrations
Riley Acute Inflammation Scale (histology)
Clinical remission

Full Information

First Posted
December 23, 2009
Last Updated
June 7, 2011
Sponsor
Ore Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01039597
Brief Title
Safety and Activity of ORE1001 in Subjects With Ulcerative Colitis
Official Title
A Randomized, Double-Blind, Placebo-Controlled Pilot Study of the Safety and Therapeutic Activity of ORE1001 in Subjects With Ulcerative Colitis
Study Type
Interventional

2. Study Status

Record Verification Date
June 2011
Overall Recruitment Status
Unknown status
Study Start Date
December 2009 (undefined)
Primary Completion Date
June 2011 (Actual)
Study Completion Date
June 2011 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
Ore Pharmaceuticals, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
A clinical trial is being conducted to test the effects of a potential new treatment in patients with ulcerative colitis. Study participants will be given capsules containing either ORE1001 or a matching placebo capsule and will take the medicine by mouth for six weeks. Study participants will be asked to visit clinic sites where they will be asked questions about their ulcerative colitis. Small samples of blood will be be drawn at study visits to monitor the participant's health and a tiny sample of tissue will be taken in an endoscopy at two times to determine whether the disease is getting better or worse.
Detailed Description
This is a Phase Ib/IIa prospective, multicenter, double blind, randomized, placebo controlled, clinical study to evaluate the safety, tolerability and pilot therapeutic activity of ORE1001, administered as capsules by mouth, for 6 weeks in subjects with Ulcerative Colitis. Eligible subjects will be randomly assigned to either ORE1001 or placebo, respectively. Sigmoidoscopies with biopsies will be performed at the first treatment visit and week 6. Subjects will be instructed to self-administer the study drug on an outpatient basis and will be scheduled to return for clinical evaluation on weeks 2, 4, 6 and between Weeks 10-12.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mild to Moderate Ulcerative Colitis
Keywords
IBD, Ulcerative colitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
50 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Active study drug
Arm Type
Experimental
Arm Description
ORE1001 300 mg oral capsules
Arm Title
Placebo control
Arm Type
Placebo Comparator
Arm Description
300 mg oral capsules containing placebo material
Intervention Type
Drug
Intervention Name(s)
ORE1001
Other Intervention Name(s)
GL1001
Intervention Description
Oral capsules containing 300 mg of the active, study drug
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
matched placebo
Intervention Description
placebo capsules
Primary Outcome Measure Information:
Title
The safety and tolerability of ORE1001 in subjects with ulcerative colitis as demonstrated by the frequency and severity of adverse events
Time Frame
6 Week
Secondary Outcome Measure Information:
Title
Change in the modified Baron Score from Baseline to Week 6
Time Frame
6 Week
Title
Change in the Ulcerative Colitis Clinical Score from Baseline
Time Frame
6 Week
Title
Change in the partial Mayo Score fom baseline
Time Frame
6 week
Title
Calprotectin concentrations
Time Frame
6 week
Title
Riley Acute Inflammation Scale (histology)
Time Frame
6 week
Title
Clinical remission
Time Frame
Week 6

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject has a documented diagnosis of mild to moderate Ulcerative Colitis, as demonstrated clinically and by endoscopy at Visit 2. Baron score greater than or equal to 2 at baseline. Truelove-Witt (modified) score of 14 or less. At least 6 months duration of disease At baseline the subject should have either stable disease or stable disease requiring 5-ASA treatment If on a 5-ASA treatment, subject must have been on stable dose for at least two weeks prior to screening and is expected to continue on that dose until the study is completed Subject has normally functioning major organ systems (aside from gastrointestinal tract) as indicated by medical history, vital signs, physical exam and clinical laboratories (including hematology, coagulation, chemistries and urinalysis). Male or female subjects 18-70 years old Subject has provided voluntary written informed consent to participate in this study. Subject may be of child-bearing potential, but is not pregnant, nursing, or planning a pregnancy for the duration of the study and has a negative pregnancy test prior to enrollment. Subject agrees to use a medically-acceptable form of contraception from screening through 30 days after the final dose of study drug. Female partners of male subjects enrolled into this study are also recommended to use an acceptable method of birth control. Males must agree to not donate sperm during the entire study and for 90 days after the last dose of study drug. Exclusion Criteria: A clinically significant medical history, medical finding or an ongoing medical or psychiatric condition which, in the opinion of the Investigator, could jeopardize the safety of the subject, impact the validity of the study results, or interfere with the completion of treatment according to this protocol. Subject has an ALT or serum creatinine greater than 1.5 times the upper limit of normal range for the reference lab at screening. Subject who, in the opinion of the investigator, is febrile at screening. Subject had used the following treatments for IBD: steroids or any or biologic immunomodulators or any topical treatments (e.g. enemas) within the last 4 weeks prior to baseline, immunosuppressants or antimetabolites within the preceding 6 weeks, antibiotic use within the previous 7 days or chronic use of any anti-inflammatory drugs (except aminosalicylates) within 7 days. History of illicit drug abuse or positive urine screen for drugs of abuse or history of alcohol abuse if acknowledged at the screening visit or noted in the subject's medical record at screening. Subject has a positive blood screen for HIV, Hepatitis B (HBsAg), or Hepatitis C. Subject has evidence of infectious colitis, e.g., Clostridium difficile, Amoebiasis, Giardia lamblia by stool examination of at screening. Subject has evidence for gastrointestinal parasites as per stool ova and parasites testing at screening. Subject has evidence of tuberculosis by blood interferon gamma release assay at screening. Any uncontrolled, intercurrent illness (e.g., active infection). History of gastrointestinal cancer. Abdominal surgery or any major surgery within the preceding 28 days of the screening visit.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
John F Reinhard, Ph.D.
Phone
(617) 250-8620
Email
jreinhard@orepharma.com
Facility Information:
Facility Name
Robarts Research Institute
City
London
State/Province
Ontario
ZIP/Postal Code
N6A5K8
Country
Canada
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Margeret K Vandervoort, M.S.
First Name & Middle Initial & Last Name & Degree
William Barnett, M.D.
Facility Name
Dr, Bhatnagar's Clinic
City
Ahmedabad
State/Province
Gujarat
ZIP/Postal Code
380009
Country
India
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alpesh Thakkar
Email
alpesh@transmedindia.com
First Name & Middle Initial & Last Name & Degree
Manish Bhatnagar, M.D.
Facility Name
Vikram Jyoth Centre for Advanced Gastroenterology
City
Mysore
State/Province
Karnataka
ZIP/Postal Code
570002
Country
India
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Channa Basava
Email
Channa@transmedindia.com
First Name & Middle Initial & Last Name & Degree
Rajkumar Wadhwa, M.
Facility Name
St. John's Medical College Hospital
City
Bangalore
State/Province
Karnatka
ZIP/Postal Code
560034
Country
India
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Channa Basava
Email
channa@transmedindia.com
First Name & Middle Initial & Last Name & Degree
Harashad Devarbhavi, M.D.
Facility Name
Gut-n-HEPA Care
City
Indore
State/Province
Madhya Pradesh
ZIP/Postal Code
452001
Country
India
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alpesh Thakkar
Email
alpesh@transmedindia.com
First Name & Middle Initial & Last Name & Degree
Atul Shende, M.D.
Facility Name
Amol Gastroenterology Hospital
City
Indore
State/Province
Madhya Pradesh
ZIP/Postal Code
452003
Country
India
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alpesh Thakkar
Email
alpesh@transmedindia.com
First Name & Middle Initial & Last Name & Degree
Sulil Jain, M.D.
Facility Name
B.Y.L. Nair Hospital
City
Bombay
State/Province
Maharashtra
ZIP/Postal Code
400008
Country
India
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alpesh Thakkar
Email
alpesh@transmedindia.com
First Name & Middle Initial & Last Name & Degree
Pravin Rathi, M.D.

12. IPD Sharing Statement

Citations:
PubMed Identifier
19517214
Citation
Byrnes JJ, Gross S, Ellard C, Connolly K, Donahue S, Picarella D. Effects of the ACE2 inhibitor GL1001 on acute dextran sodium sulfate-induced colitis in mice. Inflamm Res. 2009 Nov;58(11):819-27. doi: 10.1007/s00011-009-0053-3. Epub 2009 Jun 11.
Results Reference
background
Links:
URL
http://www.ccfa.org
Description
Colitis and Crohn's Foundation of America

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Safety and Activity of ORE1001 in Subjects With Ulcerative Colitis

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