search
Back to results

Dose Ranging Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of Budesonide Rectal Foam in Pediatric Patients Aged 5 to 17 Years With Active, Mild to Moderate Distal Ulcerative Colitis

Primary Purpose

Ulcerative Colitis

Status
Not yet recruiting
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
High dose budesonide rectal foam
Low dose budesonide rectal foam
Matching placebo rectal foam
Sponsored by
Bausch Health Americas, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ulcerative Colitis

Eligibility Criteria

5 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Male and Female (non-pregnant and non-lactating) 5 to ≤17 years of age at Screening. Established diagnosis of UC, based on clinical history, characteristic endoscopic findings, and histopathology results from biopsies. Disease limited to the distal colon and rectum, (disease involving only the first 15 centimeters or less proximal to the anal verge). Active, distal UC of mild or moderate severity, defined as a Modified Mayo Clinic Score (mMCS) between 4 and 8, inclusive, that includes an endoscopy subscore ≥ 2 and a rectal bleeding subscore ≥ 1. If on a background oral 5-ASA, the dose and formulation have remained unchanged for at least 6 weeks prior to Visit 2 (Run-In) and the subject is willing to remain on the same dosage form and regimen for the duration of the study. Exclusion Criteria: Current or prior diagnosis of Crohn's disease or indeterminate colitis. Ulcerative colitis involving the proximal colon - i.e, the sigmoid, left, transverse, and/or ascending colon and cecum; Severe UC, defined as an mMCS > 8. Infectious colitis (based on positive microbiologic tests at Screening) or any recent history of infectious colitis (within 30 days of Screening). Prior gastrointestinal surgery, except appendectomy or hernia (e.g., inguinal, umbilical). NOTE: Prior cholecystectomy is not exclusionary if more than 1 year prior to Screening. Evidence or history of toxic megacolon or bowel resection. Active proctologic pathology such as hemorrhoids, fistulas and fissures or other historical anatomic problems which would impair rectal administration (e.g., cloaca, imperforate anus history)

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    High dose budesonide rectal foam

    Low dose budesonide rectal foam

    Matching placebo rectal foam

    Arm Description

    Outcomes

    Primary Outcome Measures

    Proportion of participants with clinical remission
    Clinical remission based on the modified Mayo Clinic Score, defined as an endoscopy score ≤ 1 (excluding friability), a rectal bleeding subscore of 0, and at least a 1-point decrease in stool frequency subscore from Baseline to achieve a stool frequency subscore ≤ 1. Each component is scored from 0 to 3, with total scores ranging from 0 to 9, with higher scores indicating more severe disease.

    Secondary Outcome Measures

    Proportion of participants who achieve a rectal bleeding subscale score of 0 at the end of six weeks of treatment
    Scored from 0 to 3, with higher scores indicating more severe disease.
    Proportion of participants who achieve a stool frequency subscale score of 0 at the end of six weeks of treatment.
    Scored from 0 to 3, with higher scores indicating more severe disease.
    Proportion of subjects who achieve an endoscopy subscale score of 0 or 1 at the end of six weeks of treatment.
    Scored from 0 to 3, with higher scores indicating more severe disease.

    Full Information

    First Posted
    July 28, 2023
    Last Updated
    July 28, 2023
    Sponsor
    Bausch Health Americas, Inc.
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT05976802
    Brief Title
    Dose Ranging Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of Budesonide Rectal Foam in Pediatric Patients Aged 5 to 17 Years With Active, Mild to Moderate Distal Ulcerative Colitis
    Official Title
    A Randomized, Double-Blind, Placebo-Controlled, Multicenter, Dose Ranging Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of Budesonide Rectal Foam BID for 2 Weeks, Followed by QD for 4 Weeks, in Pediatric Patients Aged 5 to 17 Years With Active, Mild to Moderate Distal Ulcerative Colitis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    June 2024 (Anticipated)
    Primary Completion Date
    June 2025 (Anticipated)
    Study Completion Date
    June 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Bausch Health Americas, Inc.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The primary objective of this study is to evaluate the efficacy (as measured by induction of remission) of two dose levels (low and high) per age group (5 to <12 and 12 to ≤17 years) of budesonide rectal foam as compared to an equivalent volume of rectally administered placebo foam over the same dosing schedule, in pediatric subjects with active, mild to moderate distal ulcerative colitis (UC).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Ulcerative Colitis

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    100 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    High dose budesonide rectal foam
    Arm Type
    Experimental
    Arm Title
    Low dose budesonide rectal foam
    Arm Type
    Experimental
    Arm Title
    Matching placebo rectal foam
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    High dose budesonide rectal foam
    Intervention Description
    Twice a day for 2 weeks, then once a day for 4 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    Low dose budesonide rectal foam
    Intervention Description
    Twice a day for 2 weeks, then once a day for 4 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    Matching placebo rectal foam
    Intervention Description
    Twice a day for 2 weeks, then once a day for 4 weeks
    Primary Outcome Measure Information:
    Title
    Proportion of participants with clinical remission
    Description
    Clinical remission based on the modified Mayo Clinic Score, defined as an endoscopy score ≤ 1 (excluding friability), a rectal bleeding subscore of 0, and at least a 1-point decrease in stool frequency subscore from Baseline to achieve a stool frequency subscore ≤ 1. Each component is scored from 0 to 3, with total scores ranging from 0 to 9, with higher scores indicating more severe disease.
    Time Frame
    Day 42
    Secondary Outcome Measure Information:
    Title
    Proportion of participants who achieve a rectal bleeding subscale score of 0 at the end of six weeks of treatment
    Description
    Scored from 0 to 3, with higher scores indicating more severe disease.
    Time Frame
    Day 42
    Title
    Proportion of participants who achieve a stool frequency subscale score of 0 at the end of six weeks of treatment.
    Description
    Scored from 0 to 3, with higher scores indicating more severe disease.
    Time Frame
    Day 42
    Title
    Proportion of subjects who achieve an endoscopy subscale score of 0 or 1 at the end of six weeks of treatment.
    Description
    Scored from 0 to 3, with higher scores indicating more severe disease.
    Time Frame
    Day 42

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    5 Years
    Maximum Age & Unit of Time
    17 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Male and Female (non-pregnant and non-lactating) 5 to ≤17 years of age at Screening. Established diagnosis of UC, based on clinical history, characteristic endoscopic findings, and histopathology results from biopsies. Disease limited to the distal colon and rectum, (disease involving only the first 15 centimeters or less proximal to the anal verge). Active, distal UC of mild or moderate severity, defined as a Modified Mayo Clinic Score (mMCS) between 4 and 8, inclusive, that includes an endoscopy subscore ≥ 2 and a rectal bleeding subscore ≥ 1. If on a background oral 5-ASA, the dose and formulation have remained unchanged for at least 6 weeks prior to Visit 2 (Run-In) and the subject is willing to remain on the same dosage form and regimen for the duration of the study. Exclusion Criteria: Current or prior diagnosis of Crohn's disease or indeterminate colitis. Ulcerative colitis involving the proximal colon - i.e, the sigmoid, left, transverse, and/or ascending colon and cecum; Severe UC, defined as an mMCS > 8. Infectious colitis (based on positive microbiologic tests at Screening) or any recent history of infectious colitis (within 30 days of Screening). Prior gastrointestinal surgery, except appendectomy or hernia (e.g., inguinal, umbilical). NOTE: Prior cholecystectomy is not exclusionary if more than 1 year prior to Screening. Evidence or history of toxic megacolon or bowel resection. Active proctologic pathology such as hemorrhoids, fistulas and fissures or other historical anatomic problems which would impair rectal administration (e.g., cloaca, imperforate anus history)
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Varsha Bhatt
    Phone
    707-285-1528
    Email
    Varsha.Bhatt@bauschhealth.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Varsha Bhatt
    Organizational Affiliation
    Bausch Health
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    Undecided

    Learn more about this trial

    Dose Ranging Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of Budesonide Rectal Foam in Pediatric Patients Aged 5 to 17 Years With Active, Mild to Moderate Distal Ulcerative Colitis

    We'll reach out to this number within 24 hrs