Efficacy and Safety of Anti-MAP Therapy in Adult Crohn's Disease (MAPUS)
Crohn's Disease
About this trial
This is an interventional treatment trial for Crohn's Disease focused on measuring Crohn's Disease, moderate to severe, remission, MAP, antibiotic
Eligibility Criteria
Inclusion Criteria
- Signed fully informed consent provided as per this protocol.
- Diagnosis of Crohn's Disease confirmed by endoscopy or radiography and/or histology at least 6 months prior to randomization into the study.
- CD involving the ileum and/or colon
- Moderately to severely active CD (Crohn's Disease Activity Index (CDAI) score of greater than or equal to 220 and less than or equal to 450) at baseline.
Current treatment with at least one of the following therapies:
A. Oral 5-acetyl salicylic acid (5-ASA) compounds. Dose must be stable for at least 4 weeks before baseline.
B. Corticosteroid therapy. Dose must be stable for at least 2 weeks before baseline.
C. Azathioprine or 6-mercaptopurine (6-MP) or methotrexate. Dose must be stable for at least 8 weeks before baseline.
D. Infliximab or adalimumab. Dose must be stable for at least 14 weeks before baseline.
- White blood cell count greater than or equal to 3.5 x 109 at screening.
- Active Crohn's disease, defined by at least one of the following: C-reactive protein greater than Upper Limit of Normal (ULN) at screening, fecal calprotectin greater than Upper Limit of Normal (ULN) at screening, OR radiographic (MRE or CTE) or endoscopic confirmation of the presence of active CD within 5 weeks of screening visit. .
- Subject agrees to use barrier contraceptive methods (i.e. diaphragm, cervical cap, contraceptive sponge or condom) with spermicidal foam/gel/cream/suppository, IUD/IUS or progestogen injection (Depo-Provera®) throughout the study and for at least 6 weeks after last study drug administration, unless subject is post-menopausal or otherwise incapable of becoming pregnant by reason of surgery or tubal ligation, or has had a vasectomy. In regions where local regulatory contraceptive requirements differ, the ICF will reflect local policies.
Exclusion Criteria
- Crohn's Disease involvement isolated to the mouth, upper gastrointestinal tract, or anus.
- History of total colectomy with ileorectal anastomosis or a proctocolectomy.
- Presence of active fistulizing Crohn's Disease or healed fistula within 2 months prior to screening.
- Subject has postoperative stoma, ostomy, or ileoanal pouch.
- Subject has short bowel syndrome.
- Subject is scheduled for surgical bowel resection.
- Subject has known symptomatic obstructive strictures or bowel perforation in the 6 months prior to screening.
- Change in dose or discontinuation of oral 5-acetyl salicylic acid (5-ASA) compounds less than 4 weeks prior to baseline.
- Change in dose or discontinuation of corticosteroids less than 2 weeks prior to baseline.
- Change in dose or discontinuation of azathioprine, 6-mercaptopurine (6-MP) or methotrexate less than 8 weeks prior to baseline.
- Change in dose or discontinuation of infliximab or adalimumab less than 14 weeks prior to baseline.
- Treatment with vedolizumab less than 120 days prior to baseline or biological therapies (apart from infliximab or adalimumab) less than 60 days prior to baseline.
- Previous treatment with rifabutin and/or clofazimine.
- Oral or parenteral antibiotics in the 4 weeks prior to baseline (topical antibiotics are permitted).
- Treatment with probiotics (excluding yogurt and yogurt-derived products) in the 4 weeks prior to baseline.
- Females who have a positive pregnancy test or are lactating.
Sites / Locations
- Del Sol Research Management, 850 N Knob Road
- Associated Gastroenterology Medical Group, 1211 W. La Palmak Ave, Suite 303
- Medvin Clinical Research, 15627 Imperial Highway,
- Digestive Care Associates, Inc., 1000 Laurel St.
- Ventura Clinical Trials, 1835 Knoll Drive
- Medical Research Center of Connecticut, LLC
- Innovative Medical Research of South Florida, 2999 NE 191 St., Suite 330
- Clinical Research of West Florida
- Sunrise Medical Research, Inc. 4700 N. State Road Building A, Suite 111
- Gastroenterology Group of Naples, 1064 Goodlette Road
- Advanced Research Institute Inc., 7114 Congress Street
- Endoscopic Research, Inc., 1817 North Mills Avenue
- Advanced Medical Research Center, 1690 Dunlawton Ave., Suite 110
- Atlanta Center for Gastroenterology 2665 North Decatur Road Suite 550
- Gastrointestinal Specialists of Georgia PC, 711 Canton Rd. Suite 300
- Rush University Medical Center
- The Carle Foundation, 611 West Park Street
- Cotton-O'Neil Clinical Research Center, 720 SW Lane St.
- Investigative Clinical Research, 612 Ridgely Avenue, Suite 401,
- Chevy Chase Clinical Research, 5550 Friendship Blvd.
- Commonwealth Clinical Studies, 189 Quincy St.
- Center For Digestive Health
- West Michigan Clinical Research Center, 2093 Health Dr. SW, Suite 201
- Ehrhardt Clinical Research, LLC, 108 Congress Street
- AGA Clinical Research Associates, Inc., 3205 Fire Road
- Holy Name Medical Center, 718 Teaneck Road
- Montefiore Medical Center, 111 East 210th Street
- North Shore Long Island Jewish Medical Group, 600 Northern Boulevard, Suite 111
- NYU Langone Long Island , 1000 Northern Boulevard, Suite 160
- Manhattan Medical Research Practice PLLC, 215 Lexington Avenue, 21st Floor
- University of North Carolina Center for inflammatory Bowel Diseases, CB 7080, 130 Mason Farm Road, 4151 Bioinformatics Bldg.
- Ohio GI and Liver Institute, 2925 Vernon Place 100
- Ohio GI and Liver Institute
- ClinSearch, 6035 Shallowford Road, Suite 109
- Brooke Army Medical Center, 3551 Roger Brooke Drive
- Baylor College of Medicine, 7200 Cambridge Street Suite 180.184, 10th Floor
- University of Texas Health Sciences Center at Houston, 6431 Fannin Street, Medical School Bldg 4-234
- Spring Gastroenterology Associates, 8901 FM 1960 West
- DHAT Research Institute / Digestive Health Associates of Texas 3600 Shire Blvd, Suite 106
- Digestive Disease Center, 621 Camden Street, Suite 202
- Tyler Research Institute, 1720 S. Beckham
- Gasteroenterology Associates of Northern Virgina, 3028 Javier Road
- McGuire DVAMC, 1201 Broad Rock Boulevard
- Bankstown Hospital, Level 3, Department of Gastroenterology, Eldridge Road
- Department of Gastroenterology and Hepatology, Concord Hospital, Hospital Road
- Nepean Hospital, Derby Street
- Department of Gastroenterology, Level 1, Clinic 123, New Clinical Building, Liverpool Hospital, Elizabeth St.
- Department of Gastroenterology and Hepatology, Level 9, Ned Hanlon Building, Royal Brisbane and Women's Hospital Corner Butterfield Street and Bowen Bridge Street
- Mater Hospital Brisbane, Department of Gastroenterology, Raymond Terrace
- Ballarat Health Services, Drummond St North
- Department of Gastroenterology, Eastern Health, ECRU, Level 2, 5 Arnold Street
- Department of Gastroenterology and Hepatology, Cabrini Medical Centre, 183 Wattletree Road
- MHAT "Sv. Karidad" EAD, Department of Internal Medicine / Gastroenterology, endocrinology and metabolic disorders, 23А, Nikola Vaptsarov Blvd
- MHAT "Hadzhi Dimitar" OOD, Department of Internal Medicine / Gastroenterology and Endocrinology, 5, Dimitar Pehlivanov str.
- UMHAT "Sv. Ivan Rilski" EAD; Clinic of Gastroenterology, 15, Akad. Ivan Geshov Blvd.,
- ACIBADEM CITY CLINIC UNIVERSITY HOSPITAL EOOD, Oncology Center, Clinic of Gastroenterology, 66 A, Tsarigradsko shosse Blvd
- DCC "Mladost-M Varna" OOD, office 528 V, 15, Republika Blvd.
- Discovery Clinical Services Ltd. 601 A Discovery St.
- Mount Sinai Hospital, 600 University Avenue, Suite 445
- Montreal General Hospital Digestive Lab Research Institute McGill University Health Center, 1650 Cedar Avenue C10.145
- University of Saskatchewan Royal University Hospital, 103 Hospital Drive IBD Clinical Trials Unit Rm 2658
- Nemocnice Horovice, NH Hospital, a.s., Chirurgicke oddeleni, K Nemocnici 1106
- Gastroenterologie s.r.o., Manesova 646,
- HEPATO-GASTROENTEROLOGIE HK, s.r.o., Trida Edvarda Benese 1549/34
- EGK s.r.o., Sanatorium sv. Anny, Gastroenterologicke oddeleni, Lucni 7a/2776,
- IBD centrum / ISCARE IVF a.s., Jankovcova 1569/2c
- ARTROSCAN, s.r.o., Gastroenterologicka ambulance, 5114 Trebovicka, Ostrava
- Krajska zdravotni, a.s., Masarykova nemocnice o.z. Gastroenterologie, Socialni pece 3316/12A
- Assaf HaRofeh Medical Center, Gastroenterology Department, Harofeh Medical Center
- Bnaizion Medical Center, Golomb 47
- The E. Wolfson Medical Center, 62 Halohamim Str.
- Shaare Zedek Medical Center, Beith Street
- Ein Karem Medical Center, Kiryat Hadassah
- Meir, 59 Tchemacovsky St
- Galilee Medical Center, P.O.B. 21
- Holy Family Hospital, Namsawi St. POB 8
- RMC Beilinson Hospital, 39 Jabotinsky Street
- Sourasky Medical Center, 6 Weizman Street
- Shakespeare Specialist Group, North Shore, Suite 3, 181 Shakespeare Road, Milford Takapuna
- Christchurch Hospital
- Gastroenterology Unit, Southern District Health Board, 201 Great King Street,
- Department of Gastroenterology,Waikato Hospital
- Clinical Trials Unit, Tauranga Hospital,
- NZOZ Specjalistyczne Centrum Gastrologii GASTROMED Wiejska 81
- SP ZOZ MSWiA w Gdańsku, Oddział Gastroenterologiczny, ul. Kartuska 4/6
- UNICARDIA Specjalistyczne Centrum Leczenia Chorob Serca i Naczyn & UNIMEDICA Specjalistyczne Centrum Medyczne Sp. z o.o. Kluczborska 15
- Wojewodzki Szpital Kliniczny w Olsztynie Oddzial Gastroenterologiczny Żołnierska 18
- ENDOSKOPIA sp. z o.o. B. Chrobrego 6/8
- EuroMedis sp. z.o.o., ul. Powstanców Wielkopolskich 33a
- "GASTROMED" Kopon, Zmudzinski i wspolnicy sp. j., Specjalistyczne Centrum Gastroskopii i Endoskopii, Specjalistyczne Gabinety Lekarskie Grudziadzka 11
- Centralny Szpital Kliniczny MSW w Warszawie Klinika Chorob Wewnetrznych i Gastroenterologii Woloska 137
- ARS MEDICA s.c. Rybak Maria, Rybak Zbigniew, Powstancow Slaskich 56A/2
- Centrum Medyczne Szpital Sw. Rodziny Sp. z o.o. Wigury 19
- : Clinic for Gastroenterology and Hepatology, Clinical Center of Serbia Koste Todorovica 2
- Clinical Department of Gastroenterology and Hepatology, Clinic for Internal Diseases, Clinical Hospital Center Zvezdara Dimitrija Tucovica 161
- Department of Gastroenterology and Hepatology, Clinical Hospital Center Zemun Vukova 9
- : Center for Gastroenterohepatology, Clinic for Internal Medicine, Clinical Center of Kragujevac Zmaj Jovina 30
- : Clinic of Gastroenterology and Hepatology, Clinical Center of Vojvodina Hajduk Veljkova 1
- Univerzitna nemocnica Bratislava - Nemocnica Ružinov, V. Interná klinika LFUK a UNB, Gastroenterologické a hepatologické oddelenie, Ruzinovska 6
- Univerzitná nemocnica Bratislava - Nemocnica sv. Cyrila a Metoda Gastroenterologická klinika SZU a UNB Antolská 11
- Breznianske centrum gastroenterologie, s.r.o. Banisko 1
- PIGEAS s.r.Prieložtek 1, o.,
- KM Management spol. s.r.o., Gastroenterologické a hepatologické centrum Nitra, Špitálska 13
Arms of the Study
Arm 1
Arm 2
Active Comparator
Placebo Comparator
RHB-104
Placebo
5 RHB-104 capsules administered orally BID
5 placebo capsules administered orally BID