Safety, Efficacy, and Tolerability Study of ASP3291 in Patients With Active Ulcerative Colitis
Primary Purpose
Ulcerative Colitis
Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
ASP3291
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Ulcerative Colitis focused on measuring ulcerative colitis
Eligibility Criteria
Inclusion Criteria:
- Documented diagnosis of ulcerative colitis by endoscopy and histology consistent with diagnosis
- Must be able to provide informed consent
- Has a Modified Baron Score of at least 2 (as determined by the investigator) at 15 cm or more from the anal verge as assessed during the screening period
- Has an Ulcerative Colitis Clinical Score (UCCS) of at least 4, with a stool frequency and rectal bleeding score of at least 1 as assessed during the screening period
- If female, is at least 2 years postmenopausal, surgically sterile per documentation provided by a medical professional, agrees to sexual abstinence, or uses two approved highly effective methods of birth control during the study period and for 30 days after the last dose of study drug
- If male, agrees to sexual abstinence or to use two highly effective methods of birth control during the study period and for 90 days after last dose; agrees to not donate sperm during the study period and for 90 days after last dose
- Willing and able to comply with the study requirements
Exclusion Criteria:
- Has a history of any clinically significant neurological, renal, hepatic, gastrointestinal, pulmonary, metabolic, cardiovascular, psychiatric, endocrine, hematological disorder or disease, or any other medical condition that, in the investigator's opinion, would preclude participation in the study
Has severe Ulcerative Colitis as defined by an average bloody stool frequency of >6 per day and at least one of the following:
- Resting heart rate >90 bpm
- Oral temperature of >38°C (>100.4°F)
- Hemoglobin of <10.5 g/dL
- Has has undergone previous resective colonic surgery
- Has a significant or immediate risk for toxic megacolon
- Has previous diagnosis with Crohn's disease, indeterminate colitis, microscopic colitis or acute diverticulitis based on medical history
- Has an extension of disease limited to ulcerative proctitis (i.e., disease extension less than 15 cm from the anal verge)
- Has an active peptic ulcer disease based on medical history
- Shows a stool culture positive for enteric pathogens during the screening period
- Had previous treatment with tumor necrosis factor-α (TNF α) inhibitors
- Had treatment with rectal corticosteroid within 2 weeks before Day -2
- Has active liver disease or alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >2 times the upper limit of normal (ULN) at screening
- Has an estimated glomerular filtration rate (using Cockroft-Gault formula corrected for body surface area) of <60 mL/min at screening
- Known history of human immunodeficiency virus antibody
- History of severe allergic or anaphylactic reactions requiring medical attention
- Has participated in another investigational study within 30 days before Visit 3
- History of drug or alcohol abuse in the past 2 years
- Has previously participated in a study with ASP3291
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
ASP3291
Placebo
Arm Description
Outcomes
Primary Outcome Measures
Change from baseline (Visit 2) to Week 8 (Visit 7) in Modified Baron Score
Secondary Outcome Measures
Proportion of subjects with Modified Baron Score of 0 or 1 at Week 8 (Visit 7)
Change in Ulcerative Colitis Clinical Score of >3
Ulcerative Colitis Clinical Score stool frequency and rectal bleeding score of 0
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01612039
Brief Title
Safety, Efficacy, and Tolerability Study of ASP3291 in Patients With Active Ulcerative Colitis
Official Title
A Phase 2, Randomized, Double-Blind, Parallel, Placebo-Controlled, Proof-of-Concept Study to Assess the Efficacy, Safety, and Tolerability of ASP3291 in Patients With Active Ulcerative Colitis
Study Type
Interventional
2. Study Status
Record Verification Date
September 2016
Overall Recruitment Status
Completed
Study Start Date
July 2012 (undefined)
Primary Completion Date
April 2014 (Actual)
Study Completion Date
April 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Telsar Pharma Inc.
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is a Phase 2, randomized, double-blind, multicenter, parallel, placebo controlled study. Approximately 120 eligible patients with mild-to-moderate active ulcerative colitis will be randomized to double blind treatment of either 1,000 mg twice daily (b.i.d.) ASP3291 (2,000 mg/d) or matching placebo in a 1:1 ratio for 8 weeks.
The study hypothesis is that treatment with ASP3291 compared to placebo will improve a patient's ulcerative colitis endoscopic score from baseline to Week 8.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ulcerative Colitis
Keywords
ulcerative colitis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
112 (Actual)
8. Arms, Groups, and Interventions
Arm Title
ASP3291
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
ASP3291
Intervention Description
Tablet, 1,000 mg (four 250-mg tablets), twice a day, 8 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching placebo tablets
Primary Outcome Measure Information:
Title
Change from baseline (Visit 2) to Week 8 (Visit 7) in Modified Baron Score
Time Frame
Baseline to Week 8
Secondary Outcome Measure Information:
Title
Proportion of subjects with Modified Baron Score of 0 or 1 at Week 8 (Visit 7)
Time Frame
Week 8
Title
Change in Ulcerative Colitis Clinical Score of >3
Time Frame
Basline to Week 8
Title
Ulcerative Colitis Clinical Score stool frequency and rectal bleeding score of 0
Time Frame
Week 8
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Documented diagnosis of ulcerative colitis by endoscopy and histology consistent with diagnosis
Must be able to provide informed consent
Has a Modified Baron Score of at least 2 (as determined by the investigator) at 15 cm or more from the anal verge as assessed during the screening period
Has an Ulcerative Colitis Clinical Score (UCCS) of at least 4, with a stool frequency and rectal bleeding score of at least 1 as assessed during the screening period
If female, is at least 2 years postmenopausal, surgically sterile per documentation provided by a medical professional, agrees to sexual abstinence, or uses two approved highly effective methods of birth control during the study period and for 30 days after the last dose of study drug
If male, agrees to sexual abstinence or to use two highly effective methods of birth control during the study period and for 90 days after last dose; agrees to not donate sperm during the study period and for 90 days after last dose
Willing and able to comply with the study requirements
Exclusion Criteria:
Has a history of any clinically significant neurological, renal, hepatic, gastrointestinal, pulmonary, metabolic, cardiovascular, psychiatric, endocrine, hematological disorder or disease, or any other medical condition that, in the investigator's opinion, would preclude participation in the study
Has severe Ulcerative Colitis as defined by an average bloody stool frequency of >6 per day and at least one of the following:
Resting heart rate >90 bpm
Oral temperature of >38°C (>100.4°F)
Hemoglobin of <10.5 g/dL
Has has undergone previous resective colonic surgery
Has a significant or immediate risk for toxic megacolon
Has previous diagnosis with Crohn's disease, indeterminate colitis, microscopic colitis or acute diverticulitis based on medical history
Has an extension of disease limited to ulcerative proctitis (i.e., disease extension less than 15 cm from the anal verge)
Has an active peptic ulcer disease based on medical history
Shows a stool culture positive for enteric pathogens during the screening period
Had previous treatment with tumor necrosis factor-α (TNF α) inhibitors
Had treatment with rectal corticosteroid within 2 weeks before Day -2
Has active liver disease or alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >2 times the upper limit of normal (ULN) at screening
Has an estimated glomerular filtration rate (using Cockroft-Gault formula corrected for body surface area) of <60 mL/min at screening
Known history of human immunodeficiency virus antibody
History of severe allergic or anaphylactic reactions requiring medical attention
Has participated in another investigational study within 30 days before Visit 3
History of drug or alcohol abuse in the past 2 years
Has previously participated in a study with ASP3291
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert Schinagl, Ph.D.
Organizational Affiliation
Drais Pharmaceuticals, Inc.
Official's Role
Study Director
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Safety, Efficacy, and Tolerability Study of ASP3291 in Patients With Active Ulcerative Colitis
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