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Randomized Placebo-Controlled Trial of Budesonide Multi-Matrix System (MMX®) 9 Milligrams (mg) in Participants With Ulcerative Colitis Currently on a 5-Aminosalicylic Acid (5-ASA)

Primary Purpose

Ulcerative Colitis

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Budesonide MMX®
Placebo
5-ASA
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 focused on measuring Ulcerative Colitis

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Age 18 to 75 years, inclusive.
  2. Established diagnosis of UC, based on clinical history, exclusion of infectious causes, and characteristic endoscopic and histologic findings.
  3. Active mild or moderate UC with an ulcerative colitis disease activity index (UCDAI) score ≥4 and ≤10, with a mucosal appearance score of ≥1, and physician's rating of disease activity of 1 or 2.
  4. Experiencing active UC (flare) despite a therapeutic dose of an oral 5-ASA (for example, mesalamine ≥2.4 g/day for ≥6 weeks prior to randomization, or equivalent). At screening, photographic evidence of active UC based on mucosal appearance must be obtained.
  5. Women of childbearing potential or men of reproductive potential must be willing to use an acceptable form of contraception.
  6. Able to comprehend the full nature and purpose of the study, including possible risks and side effects, and also able to comply with all requirements of the study. Must be able to understand and voluntarily sign an informed consent prior to any study procedures.

Exclusion Criteria:

  1. Limited distal proctitis (from anal verge to 15 centimeters [cm] above the pectineal line).
  2. Severe UC (UCDAI >10 or physician global assessment [PGA] >2), or non-active UC (UCDAI <4).
  3. Infectious colitis or any recent history of infectious colitis (within 30 days of Screening).
  4. Active malignancy or carcinoma in situ within the last 5 years (treated non-melanoma skin cancers are not exclusionary).
  5. Active ulcer or bleeding disorder that may affect evaluation of blood in the stool.
  6. Evidence or history of toxic megacolon or bowel resection.
  7. Crohn's disease or indeterminate colitis.
  8. Known hypersensitivity to budesonide or any ingredients of the budesonide MMX tablets.
  9. Active tuberculosis or other active systemic or local bacterial, fungal, or viral infection.
  10. Liver cirrhosis, evident hepatic or renal disease or insufficiency, or significant impairment of the biohumoral parameters (≥2.5*upper limit of normal [ULN] for alanine aminotransferase, aspartate aminotransferase, gamma-glutamyl transpeptidase, or ≥2*ULN for creatinine). Elevations in bilirubin due to benign conditions such as Gilbert's syndrome are not exclusionary.
  11. Severe diseases in other organs or systems.
  12. Local or systemic complications or other pathological states requiring therapy with corticosteroids and/or immunosuppressive agents.
  13. Type 1 diabetes.
  14. Glaucoma or with a family history of glaucoma in first-degree relatives.
  15. Known hepatitis B, hepatitis C, or human immunodeficiency virus (HIV), according to the local privacy policy.
  16. Severe anemia (<9 g/deciliter [dL] hemoglobin), leukopenia (<2.5*10^9 white blood cells [WBC]/liter [L]), or granulocytopenia (<1.2*10^9 cells/L).
  17. Participants with a history of pancolitis (disease that extends to the hepatic flexure or beyond) for ≥8 years or left-sided colitis (disease confined to the left colon [that is, distal to the splenic flexure]) ≥15 years who have not yet completed a surveillance colonoscopy for dysplasia/colorectal cancer screening within the past year.
  18. Prior budesonide MMX treatment.
  19. Use of oral corticosteroids including other budesonide formulations within the last 4 weeks prior to randomization.
  20. Use of any rectal 5-ASA or corticosteroid formulations within the last 2 weeks prior to randomization.
  21. Use of immunosuppressive agents within the last 8 weeks prior to randomization.
  22. Use of anti-tumor necrosis factor-alpha (TNFα) agents or other biologic therapies within the last 3 months prior to randomization.
  23. Participation in experimental therapeutic studies within 30 days of randomization (or within the last 3 months if in an anti-TNFα or biologic agent study). Note: participants who participated in observational-only studies (and who did not receive study therapy) are not excluded.
  24. 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 participant or obscure the interpretation of adverse events (AEs) by the appropriate independent ethics committee/institutional review board.

Sites / Locations

  • Santarus Clinical Investigational Site 1043
  • Santarus Clinical Investigational Site 1071
  • Santarus Clinical Investigational Site 1003
  • Santarus Clinical Investigational Site 1063
  • Santarus Clinical Investigational Site 1028
  • Santarus Clinical Investigational Site 1035
  • Santarus Clinical Investigational Site 1045
  • Santarus Clinical Investigational Site 1001
  • Santarus Clinical Investigational Site 1024
  • Santarus Clinical Investigational Site 1029
  • Santarus Clinical Investigational Site 1010
  • Santarus Clinical Investigational Site 1002
  • Santarus Clinical Investigational Site 1050
  • Santarus Clinical Investigational Site 1075
  • Santarus Clinical Investigational Site 1065
  • Santarus Clinical Investigational Site 1058
  • Santarus Clinical Investigational Site 1032
  • Santarus Clinical Investigational Site 1044
  • Santarus Clinical Investigational Site 1016
  • Santarus Clinical Investigational Site 1081
  • Santarus Clinical Investigational Site 1015
  • Santarus Clinical Investigational Site 1068
  • Santarus Clinical Investigational Site 1074
  • Santarus Clinical Investigational Site 1061
  • Santarus Clinical Investigational Site 1021
  • Santarus Clinical Investigational Site 1072
  • Santarus Clinical Investigational Site 1031
  • Santarus Clinical Investigational Site 1073
  • Santarus Clinical Investigational Site 1080
  • Santarus Clinical Investigational Site 1078
  • Santarus Clinical Investigational Site 1082
  • Santarus Clinical Investigational Site 1064
  • Santarus Clinical Investigational Site 1006
  • Santarus Clinical Investigational Site 1059
  • Santarus Clinical Investigational Site 1039
  • Santarus Clinical Investigational Site 1005
  • Santarus Clinical Investigational Site 1014
  • Santarus Clinical Investigational Site 1038
  • Santarus Clinical Investigational Site 1025
  • Santarus Clinical Investigational Site 4003
  • Santarus Clinical Investigational Site 4004
  • Santarus Clinical Investigational Site 4009
  • Santarus Clinical Investigational Site 4008
  • Santarus Clinical Investigational Site 4001
  • Santarus Clinical Investigational Site 4002
  • Santarus Clinical Investigational Site 4005
  • Santarus Clinical Investigational Site 4007
  • Santarus Clinical Investigational Site 4010
  • Santarus Clinical Investigational Site 4011
  • Santarus Clinical Investigational Site 2003
  • Santarus Clinical Investigational Site 2008
  • Santarus Clinical Investigational Site 2004
  • Santarus Clinical Investigational Site 2010
  • Santarus Clinical Investigational Site 2002
  • Santarus Clinical Investigational Site 2009
  • Santarus Clinical Investigational Site 2001
  • Santarus Clinical Investigational Site 2007
  • Santarus Clinical Investigational Site 2005
  • Santarus Clinical Investigational Site 2006
  • Santarus Clinical Investigational Site 3001
  • Santarus Clinical Investigational Site 3006
  • Santarus Clinical Investigational Site 3005
  • Santarus Clinical Investigational Site 3003
  • Santarus Clinical Investigational Site 3009
  • Santarus Clinical Investigational Site 3004
  • Santarus Clinical Investigational Site 3007
  • Santarus Clinical Investigational Site 3002
  • Santarus Clinical Investigational Site 3010
  • Santarus Clinical Investigational Site 3011
  • Santarus Clinical Investigational Site 8001
  • Santarus Clinical Investigational Site 5010
  • Santarus Clinical Investigational Site 5008
  • Santarus Clinical Investigational Site 5009
  • Santarus Clinical Investigational Site 5001
  • Santarus Clinical Investigational Site 5003
  • Santarus Clinical Investigational Site 5004
  • Santarus Clinical Investigational Site 5002
  • Santarus Clinical Investigational Site 5006
  • Santarus Clinical Investigational Site 5011
  • Santarus Clinical Investigational Site 5005
  • Santarus Clinical Investigational Site 5007
  • Santarus Clinical Investigational Site 8101
  • Santarus Clinical Investigational Site 8102
  • Santarus Clinical Investigational Site 8103
  • Santarus Clinical Investigational Site 8202
  • Santarus Clinical Investigational Site 8201
  • Santarus Clinical Investigational Site 8203
  • Santarus Clinical Investigational Site 6003
  • Santarus Clinical Investigational Site 6001
  • Santarus Clinical Investigational Site 6002
  • Santarus Clinical Investigational Site 6006
  • Santarus Clinical Investigational Site 6004
  • Santarus Clinical Investigational Site 6008
  • Santarus Clinical Investigational Site 6005
  • Santarus Clinical Investigational Site 9016
  • Santarus Clinical Investigational Site 9005
  • Santarus Clinical Investigational Site 9010
  • Santarus Clinical Investigational Site 9004
  • Santarus Clinical Investigational Site 9003
  • Santarus Clinical Investigational Site 9008
  • Santarus Clinical Investigational Site 9013
  • Santarus Clinical Investigational Site 9014
  • Santarus Clinical Investigational Site 9009
  • Santarus Clinical Investigational Site 9001
  • Santarus Clinical Investigational Site 9007
  • Santarus Clinical Investigational Site 9006
  • Santarus Clinical Investigational Site 9017
  • Santarus Clinical Investigational Site 7010
  • Santarus Clinical Investigational Site 7002
  • Santarus Clinical Investigational Site 7001
  • Santarus Clinical Investigational Site 7004
  • Santarus Clinical Investigational Site 7006
  • Santarus Clinical Investigational Site 7008
  • Santarus Clinical Investigational Site 7005

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Budesonide MMX

Placebo

Arm Description

Participants will receive 1 oral tablet of budesonide MMX 9 mg for 56 days. Additionally, participants will continue to receive the same dose of their existing oral 5-ASA medication from their treating physician.

Participants will receive 1 oral tablet of matching budesonide MMX placebo for 56 days. Additionally, participants will continue to receive the same dose of their existing oral 5-ASA medication from their treating physician.

Outcomes

Primary Outcome Measures

Number of Participants Who Achieved Clinical Remission at Day 56
Clinical remission defined as a score of 0 for rectal bleeding and 0 for stool frequency components from the Ulcerative Colitis Disease Activity Index (UCDAI). UCDAI is the sum (0 to 12) of 4 severity scores (0 to 3). Stool frequency and rectal bleeding were based on information recorded in daily participant diaries. The diary entries were averaged for rectal bleeding and stool frequency for 3 days prior to (and closest to) Day 56 with non-missing diary data, within 5 days prior to (and closest to) Day 56. The 5 days did not include any days of the flexible sigmoidoscopy (or colonoscopy) or the preparation for the flexible sigmoidoscopy (or colonoscopy). These averages were rounded to integer values. If either subscore could not be calculated because of missing data, the score for that UCDAI component was set to missing. Participants with insufficient data at Day 56 were excluded from the analysis. Participants who had clinical remission at Baseline were classified as non-responders.

Secondary Outcome Measures

Number of Participants of Who Achieved Clinical Response at Day 56
Clinical response defined as an improvement in UCDAI from Baseline of ≥3 points with a rectal bleeding score ≤1. UCDAI is the sum (0 to 12) of 4 severity scores (0 to 3). Rectal bleeding was based on information recorded in daily participant diaries. The diary entries were averaged for rectal bleeding for 3 days prior to (and closest to) Day 56 with non-missing diary data, within 5 days prior to (and closest to) Day 56. The 5 days did not include any days of the flexible sigmoidoscopy (or colonoscopy) or the preparation for the flexible sigmoidoscopy (or colonoscopy). These averages were rounded to integer values. If either subscore could not be calculated because of missing data, the score for that UCDAI component was set to missing. Participants with insufficient data at Day 56 were excluded from the analysis.
Number of Participants Who Achieved UCDAI Remission at Day 56
UCDAI remission was defined as a total UCDAI score ≤1 with subscores of 0 for rectal bleeding, stool frequency, and mucosal appearance of the colon. UCDAI is the sum (0 to 12) of 4 severity scores (0 to 3). Stool frequency and rectal bleeding were based on information recorded in daily participant diaries and mucosal appearance was based on endoscopy results. The diary entries were averaged for rectal bleeding and stool frequency for 3 days prior to (and closest to) Day 56 with non-missing diary data, within 5 days prior to (and closest to) Day 56. The 5 days did not include any days of the flexible sigmoidoscopy (or colonoscopy) or the preparation for the flexible sigmoidoscopy (or colonoscopy). These averages were rounded to integer values. If the subscore could not be calculated because of missing data, the score for that UCDAI component was set to missing. Participants with insufficient data at Day 56 were excluded from the analysis.
Number of Participants Who Achieved Endoscopic Remission at Day 56
Endoscopic remission was defined as a score of 0 in the mucosal appearance component subscore of the UCDAI at Day 56. UCDAI is the sum (0 to 12) of 4 severity scores (0 to 3). Mucosal appearance was based on endoscopy results. If the mucosal appearance subscore could not be calculated because of missing data, endoscopic remission was set to missing. Participants with insufficient data at Day 56 were excluded from the analysis.
Number of Participants Who Achieved Histologic Healing at Day 56
Participants achieved histologic healing if histologic assessments of all biopsy specimens were graded as 0 (normal mucosa). If the score for ≥1 sample was missing, the overall score at that visit was set to missing. Participants with insufficient data at Day 56 were excluded from analysis.
Number of Participants With Treatment Failure at Day 56
Treatment failure was defined as an unchanged, worsened, or missing UCDAI score at Day 56. UCDAI is the sum (0 to 12) of 4 severity scores (0 to 3). Stool frequency and rectal bleeding was based on information recorded in daily participant diaries and mucosal appearance was based on endoscopy results. The diary entries were averaged for rectal bleeding and stool frequency for 3 days prior to (and closest to) Day 56 with non-missing diary data, within 5 days prior to (and closest to) Day 56. The 5 days did not include any days of the flexible sigmoidoscopy (or colonoscopy) or the preparation for the flexible sigmoidoscopy (or colonoscopy). These averages were rounded to integer values. If the subscore could not be calculated because of missing data, the score for that UCDAI component was set to missing. Participants with insufficient data at Day 56 were excluded from the analysis.
Change From Baseline in Inflammatory Bowel Disease-Quality of Life (IBD-QoL) Questionnaire Scores
The IBD-QoL questionnaire was self-completed by the participant. The IBD-QoL is a disease-specific instrument to evaluate the quality of life of participants with UC. This 32-item questionnaire has 4 dimensions: bowel function, emotional function, systemic symptoms, and social function. The total score is presented, which ranges from 32 to 224, with higher scores indicating a better quality of life. The scores of participants in remission usually range from 170 to 190. If >50% of the questionnaire answers for a particular dimension were missing, this dimension score was set to missing. The total score for the IBD-QoL was the sum of the domain scores, however, if any dimension score was missing, the total IBD-QoL score was set to missing.

Full Information

First Posted
December 13, 2011
Last Updated
August 15, 2019
Sponsor
Bausch Health Americas, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01532648
Brief Title
Randomized Placebo-Controlled Trial of Budesonide Multi-Matrix System (MMX®) 9 Milligrams (mg) in Participants With Ulcerative Colitis Currently on a 5-Aminosalicylic Acid (5-ASA)
Official Title
A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Oral Budesonide MMX® 9 mg Extended-release Tablets as Add-on Therapy in Patients With Active, Mild or Moderate Ulcerative Colitis Not Adequately Controlled on a Background Oral 5-ASA Regimen
Study Type
Interventional

2. Study Status

Record Verification Date
August 2019
Overall Recruitment Status
Completed
Study Start Date
January 27, 2012 (Actual)
Primary Completion Date
October 2, 2013 (Actual)
Study Completion Date
October 2, 2013 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is to compare the efficacy and safety of budesonide MMX 9 mg versus placebo as add-on therapy to an existing oral 5-ASA regimen for the induction of remission in participants with active mild or moderate ulcerative colitis (UC).
Detailed Description
Eligible participants will be randomized to 1 of the following 2 treatment arms: Budesonide MMX 9 mg (1 tablet) Placebo (tablet indistinguishable from budesonide MMX 9 mg tablet) The assigned study drug will be taken as a single oral tablet each morning after breakfast. In addition to the study drug, all participants will continue their existing background oral 5-ASA regimen during the treatment period.

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 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
510 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Budesonide MMX
Arm Type
Experimental
Arm Description
Participants will receive 1 oral tablet of budesonide MMX 9 mg for 56 days. Additionally, participants will continue to receive the same dose of their existing oral 5-ASA medication from their treating physician.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive 1 oral tablet of matching budesonide MMX placebo for 56 days. Additionally, participants will continue to receive the same dose of their existing oral 5-ASA medication from their treating physician.
Intervention Type
Drug
Intervention Name(s)
Budesonide MMX®
Other Intervention Name(s)
Budesonide Multi-Matrix System
Intervention Description
Oral tablet taken daily in the morning after breakfast.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching budesonide MMX placebo oral tablet taken daily in the morning after breakfast.
Intervention Type
Drug
Intervention Name(s)
5-ASA
Intervention Description
Acceptable oral 5-ASA medications to be received during the study include: Asacol®, Asacol® HD, Lialda®, Pentasa® (generic: mesalamine), minimum daily dose ≥2.4 grams (g) Azulfidine® (generic: sulfasalazine), minimum daily dose ≥4.0 g Dipentum® (generic: olsalazine), minimum daily dose ≥2.0 g Colazal®, Colazide® (generic: balsalazide), minimum daily dose ≥6.75 g
Primary Outcome Measure Information:
Title
Number of Participants Who Achieved Clinical Remission at Day 56
Description
Clinical remission defined as a score of 0 for rectal bleeding and 0 for stool frequency components from the Ulcerative Colitis Disease Activity Index (UCDAI). UCDAI is the sum (0 to 12) of 4 severity scores (0 to 3). Stool frequency and rectal bleeding were based on information recorded in daily participant diaries. The diary entries were averaged for rectal bleeding and stool frequency for 3 days prior to (and closest to) Day 56 with non-missing diary data, within 5 days prior to (and closest to) Day 56. The 5 days did not include any days of the flexible sigmoidoscopy (or colonoscopy) or the preparation for the flexible sigmoidoscopy (or colonoscopy). These averages were rounded to integer values. If either subscore could not be calculated because of missing data, the score for that UCDAI component was set to missing. Participants with insufficient data at Day 56 were excluded from the analysis. Participants who had clinical remission at Baseline were classified as non-responders.
Time Frame
Baseline up to Day 56
Secondary Outcome Measure Information:
Title
Number of Participants of Who Achieved Clinical Response at Day 56
Description
Clinical response defined as an improvement in UCDAI from Baseline of ≥3 points with a rectal bleeding score ≤1. UCDAI is the sum (0 to 12) of 4 severity scores (0 to 3). Rectal bleeding was based on information recorded in daily participant diaries. The diary entries were averaged for rectal bleeding for 3 days prior to (and closest to) Day 56 with non-missing diary data, within 5 days prior to (and closest to) Day 56. The 5 days did not include any days of the flexible sigmoidoscopy (or colonoscopy) or the preparation for the flexible sigmoidoscopy (or colonoscopy). These averages were rounded to integer values. If either subscore could not be calculated because of missing data, the score for that UCDAI component was set to missing. Participants with insufficient data at Day 56 were excluded from the analysis.
Time Frame
Baseline up to Day 56
Title
Number of Participants Who Achieved UCDAI Remission at Day 56
Description
UCDAI remission was defined as a total UCDAI score ≤1 with subscores of 0 for rectal bleeding, stool frequency, and mucosal appearance of the colon. UCDAI is the sum (0 to 12) of 4 severity scores (0 to 3). Stool frequency and rectal bleeding were based on information recorded in daily participant diaries and mucosal appearance was based on endoscopy results. The diary entries were averaged for rectal bleeding and stool frequency for 3 days prior to (and closest to) Day 56 with non-missing diary data, within 5 days prior to (and closest to) Day 56. The 5 days did not include any days of the flexible sigmoidoscopy (or colonoscopy) or the preparation for the flexible sigmoidoscopy (or colonoscopy). These averages were rounded to integer values. If the subscore could not be calculated because of missing data, the score for that UCDAI component was set to missing. Participants with insufficient data at Day 56 were excluded from the analysis.
Time Frame
Baseline up to Day 56
Title
Number of Participants Who Achieved Endoscopic Remission at Day 56
Description
Endoscopic remission was defined as a score of 0 in the mucosal appearance component subscore of the UCDAI at Day 56. UCDAI is the sum (0 to 12) of 4 severity scores (0 to 3). Mucosal appearance was based on endoscopy results. If the mucosal appearance subscore could not be calculated because of missing data, endoscopic remission was set to missing. Participants with insufficient data at Day 56 were excluded from the analysis.
Time Frame
Screening and Day 56
Title
Number of Participants Who Achieved Histologic Healing at Day 56
Description
Participants achieved histologic healing if histologic assessments of all biopsy specimens were graded as 0 (normal mucosa). If the score for ≥1 sample was missing, the overall score at that visit was set to missing. Participants with insufficient data at Day 56 were excluded from analysis.
Time Frame
Baseline and Day 56
Title
Number of Participants With Treatment Failure at Day 56
Description
Treatment failure was defined as an unchanged, worsened, or missing UCDAI score at Day 56. UCDAI is the sum (0 to 12) of 4 severity scores (0 to 3). Stool frequency and rectal bleeding was based on information recorded in daily participant diaries and mucosal appearance was based on endoscopy results. The diary entries were averaged for rectal bleeding and stool frequency for 3 days prior to (and closest to) Day 56 with non-missing diary data, within 5 days prior to (and closest to) Day 56. The 5 days did not include any days of the flexible sigmoidoscopy (or colonoscopy) or the preparation for the flexible sigmoidoscopy (or colonoscopy). These averages were rounded to integer values. If the subscore could not be calculated because of missing data, the score for that UCDAI component was set to missing. Participants with insufficient data at Day 56 were excluded from the analysis.
Time Frame
Baseline up to Day 56
Title
Change From Baseline in Inflammatory Bowel Disease-Quality of Life (IBD-QoL) Questionnaire Scores
Description
The IBD-QoL questionnaire was self-completed by the participant. The IBD-QoL is a disease-specific instrument to evaluate the quality of life of participants with UC. This 32-item questionnaire has 4 dimensions: bowel function, emotional function, systemic symptoms, and social function. The total score is presented, which ranges from 32 to 224, with higher scores indicating a better quality of life. The scores of participants in remission usually range from 170 to 190. If >50% of the questionnaire answers for a particular dimension were missing, this dimension score was set to missing. The total score for the IBD-QoL was the sum of the domain scores, however, if any dimension score was missing, the total IBD-QoL score was set to missing.
Time Frame
Baseline, Days 14, 28, and 56

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age 18 to 75 years, inclusive. Established diagnosis of UC, based on clinical history, exclusion of infectious causes, and characteristic endoscopic and histologic findings. Active mild or moderate UC with an ulcerative colitis disease activity index (UCDAI) score ≥4 and ≤10, with a mucosal appearance score of ≥1, and physician's rating of disease activity of 1 or 2. Experiencing active UC (flare) despite a therapeutic dose of an oral 5-ASA (for example, mesalamine ≥2.4 g/day for ≥6 weeks prior to randomization, or equivalent). At screening, photographic evidence of active UC based on mucosal appearance must be obtained. Women of childbearing potential or men of reproductive potential must be willing to use an acceptable form of contraception. Able to comprehend the full nature and purpose of the study, including possible risks and side effects, and also able to comply with all requirements of the study. Must be able to understand and voluntarily sign an informed consent prior to any study procedures. Exclusion Criteria: Limited distal proctitis (from anal verge to 15 centimeters [cm] above the pectineal line). Severe UC (UCDAI >10 or physician global assessment [PGA] >2), or non-active UC (UCDAI <4). Infectious colitis or any recent history of infectious colitis (within 30 days of Screening). Active malignancy or carcinoma in situ within the last 5 years (treated non-melanoma skin cancers are not exclusionary). Active ulcer or bleeding disorder that may affect evaluation of blood in the stool. Evidence or history of toxic megacolon or bowel resection. Crohn's disease or indeterminate colitis. Known hypersensitivity to budesonide or any ingredients of the budesonide MMX tablets. Active tuberculosis or other active systemic or local bacterial, fungal, or viral infection. Liver cirrhosis, evident hepatic or renal disease or insufficiency, or significant impairment of the biohumoral parameters (≥2.5*upper limit of normal [ULN] for alanine aminotransferase, aspartate aminotransferase, gamma-glutamyl transpeptidase, or ≥2*ULN for creatinine). Elevations in bilirubin due to benign conditions such as Gilbert's syndrome are not exclusionary. Severe diseases in other organs or systems. Local or systemic complications or other pathological states requiring therapy with corticosteroids and/or immunosuppressive agents. Type 1 diabetes. Glaucoma or with a family history of glaucoma in first-degree relatives. Known hepatitis B, hepatitis C, or human immunodeficiency virus (HIV), according to the local privacy policy. Severe anemia (<9 g/deciliter [dL] hemoglobin), leukopenia (<2.5*10^9 white blood cells [WBC]/liter [L]), or granulocytopenia (<1.2*10^9 cells/L). Participants with a history of pancolitis (disease that extends to the hepatic flexure or beyond) for ≥8 years or left-sided colitis (disease confined to the left colon [that is, distal to the splenic flexure]) ≥15 years who have not yet completed a surveillance colonoscopy for dysplasia/colorectal cancer screening within the past year. Prior budesonide MMX treatment. Use of oral corticosteroids including other budesonide formulations within the last 4 weeks prior to randomization. Use of any rectal 5-ASA or corticosteroid formulations within the last 2 weeks prior to randomization. Use of immunosuppressive agents within the last 8 weeks prior to randomization. Use of anti-tumor necrosis factor-alpha (TNFα) agents or other biologic therapies within the last 3 months prior to randomization. Participation in experimental therapeutic studies within 30 days of randomization (or within the last 3 months if in an anti-TNFα or biologic agent study). Note: participants who participated in observational-only studies (and who did not receive study therapy) 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 participant or obscure the interpretation of adverse events (AEs) by the appropriate independent ethics committee/institutional review board.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lindsey Mathew
Organizational Affiliation
Bausch Health Companies
Official's Role
Study Director
Facility Information:
Facility Name
Santarus Clinical Investigational Site 1043
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
Facility Name
Santarus Clinical Investigational Site 1071
City
Lakewood
State/Province
California
ZIP/Postal Code
90712
Country
United States
Facility Name
Santarus Clinical Investigational Site 1003
City
San Diego
State/Province
California
ZIP/Postal Code
92114
Country
United States
Facility Name
Santarus Clinical Investigational Site 1063
City
Littleton
State/Province
Colorado
ZIP/Postal Code
80120
Country
United States
Facility Name
Santarus Clinical Investigational Site 1028
City
Bristol
State/Province
Connecticut
ZIP/Postal Code
06010
Country
United States
Facility Name
Santarus Clinical Investigational Site 1035
City
Boynton Beach
State/Province
Florida
ZIP/Postal Code
33426
Country
United States
Facility Name
Santarus Clinical Investigational Site 1045
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32256
Country
United States
Facility Name
Santarus Clinical Investigational Site 1001
City
Largo
State/Province
Florida
ZIP/Postal Code
33777
Country
United States
Facility Name
Santarus Clinical Investigational Site 1024
City
Maitland
State/Province
Florida
ZIP/Postal Code
32751
Country
United States
Facility Name
Santarus Clinical Investigational Site 1029
City
Port Orange
State/Province
Florida
ZIP/Postal Code
32127
Country
United States
Facility Name
Santarus Clinical Investigational Site 1010
City
Winter Park
State/Province
Florida
ZIP/Postal Code
32789
Country
United States
Facility Name
Santarus Clinical Investigational Site 1002
City
Zephyrhills
State/Province
Florida
ZIP/Postal Code
33613
Country
United States
Facility Name
Santarus Clinical Investigational Site 1050
City
Decatur
State/Province
Georgia
ZIP/Postal Code
30033
Country
United States
Facility Name
Santarus Clinical Investigational Site 1075
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637
Country
United States
Facility Name
Santarus Clinical Investigational Site 1065
City
Oak Lawn
State/Province
Illinois
ZIP/Postal Code
60453
Country
United States
Facility Name
Santarus Clinical Investigational Site 1058
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
Santarus Clinical Investigational Site 1032
City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71103
Country
United States
Facility Name
Santarus Clinical Investigational Site 1044
City
Annapolis
State/Province
Maryland
ZIP/Postal Code
21401
Country
United States
Facility Name
Santarus Clinical Investigational Site 1016
City
Chesterfield
State/Province
Michigan
ZIP/Postal Code
48047
Country
United States
Facility Name
Santarus Clinical Investigational Site 1081
City
Novi
State/Province
Michigan
ZIP/Postal Code
48377
Country
United States
Facility Name
Santarus Clinical Investigational Site 1015
City
Wyoming
State/Province
Michigan
ZIP/Postal Code
49159
Country
United States
Facility Name
Santarus Clinical Investigational Site 1068
City
Ypsilanti
State/Province
Michigan
ZIP/Postal Code
48197
Country
United States
Facility Name
Santarus Clinical Investigational Site 1074
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States
Facility Name
Santarus Clinical Investigational Site 1061
City
Lebanon
State/Province
New Hampshire
ZIP/Postal Code
03756
Country
United States
Facility Name
Santarus Clinical Investigational Site 1021
City
Cheektowaga
State/Province
New York
ZIP/Postal Code
14225
Country
United States
Facility Name
Santarus Clinical Investigational Site 1072
City
Great Neck
State/Province
New York
ZIP/Postal Code
11023
Country
United States
Facility Name
Santarus Clinical Investigational Site 1031
City
New York
State/Province
New York
ZIP/Postal Code
10028
Country
United States
Facility Name
Santarus Clinical Investigational Site 1073
City
Wilmington
State/Province
North Carolina
ZIP/Postal Code
28403
Country
United States
Facility Name
Santarus Clinical Investigational Site 1080
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45267
Country
United States
Facility Name
Santarus Clinical Investigational Site 1078
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
Santarus Clinical Investigational Site 1082
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45415
Country
United States
Facility Name
Santarus Clinical Investigational Site 1064
City
Lancaster
State/Province
Pennsylvania
ZIP/Postal Code
17604
Country
United States
Facility Name
Santarus Clinical Investigational Site 1006
City
Sayre
State/Province
Pennsylvania
ZIP/Postal Code
18840
Country
United States
Facility Name
Santarus Clinical Investigational Site 1059
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Facility Name
Santarus Clinical Investigational Site 1039
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Santarus Clinical Investigational Site 1005
City
Pasadena
State/Province
Texas
ZIP/Postal Code
77505
Country
United States
Facility Name
Santarus Clinical Investigational Site 1014
City
Lancaster
State/Province
Utah
ZIP/Postal Code
84341
Country
United States
Facility Name
Santarus Clinical Investigational Site 1038
City
Chesapeake
State/Province
Virginia
ZIP/Postal Code
23320
Country
United States
Facility Name
Santarus Clinical Investigational Site 1025
City
Christiansburg
State/Province
Virginia
ZIP/Postal Code
24073
Country
United States
Facility Name
Santarus Clinical Investigational Site 4003
City
Pleven
Country
Bulgaria
Facility Name
Santarus Clinical Investigational Site 4004
City
Plovdiv
Country
Bulgaria
Facility Name
Santarus Clinical Investigational Site 4009
City
Plovdiv
Country
Bulgaria
Facility Name
Santarus Clinical Investigational Site 4008
City
Ruse
Country
Bulgaria
Facility Name
Santarus Clinical Investigational Site 4001
City
Sofia
Country
Bulgaria
Facility Name
Santarus Clinical Investigational Site 4002
City
Sofia
Country
Bulgaria
Facility Name
Santarus Clinical Investigational Site 4005
City
Sofia
Country
Bulgaria
Facility Name
Santarus Clinical Investigational Site 4007
City
Sofia
Country
Bulgaria
Facility Name
Santarus Clinical Investigational Site 4010
City
Sofia
Country
Bulgaria
Facility Name
Santarus Clinical Investigational Site 4011
City
Sofia
Country
Bulgaria
Facility Name
Santarus Clinical Investigational Site 2003
City
Winnipeg
State/Province
Manitoba
ZIP/Postal Code
R3A1R9
Country
Canada
Facility Name
Santarus Clinical Investigational Site 2008
City
Halifax
State/Province
Nova Scotia
Country
Canada
Facility Name
Santarus Clinical Investigational Site 2004
City
London
State/Province
Ontario
Country
Canada
Facility Name
Santarus Clinical Investigational Site 2010
City
Ottawa
State/Province
Ontario
Country
Canada
Facility Name
Santarus Clinical Investigational Site 2002
City
Vaughan
State/Province
Ontario
ZIP/Postal Code
L4L4Y7
Country
Canada
Facility Name
Santarus Clinical Investigational Site 2009
City
Montreal
State/Province
Quebec
Country
Canada
Facility Name
Santarus Clinical Investigational Site 2001
City
Sherbrooke
State/Province
Quebec
ZIP/Postal Code
J1G2E8
Country
Canada
Facility Name
Santarus Clinical Investigational Site 2007
City
Calgary
Country
Canada
Facility Name
Santarus Clinical Investigational Site 2005
City
London
Country
Canada
Facility Name
Santarus Clinical Investigational Site 2006
City
Quebec
Country
Canada
Facility Name
Santarus Clinical Investigational Site 3001
City
Hradec Kralove
Country
Czechia
Facility Name
Santarus Clinical Investigational Site 3006
City
Hradec Kralove
Country
Czechia
Facility Name
Santarus Clinical Investigational Site 3005
City
Labem
Country
Czechia
Facility Name
Santarus Clinical Investigational Site 3003
City
Olomouc
Country
Czechia
Facility Name
Santarus Clinical Investigational Site 3009
City
Prague
Country
Czechia
Facility Name
Santarus Clinical Investigational Site 3004
City
Praha
Country
Czechia
Facility Name
Santarus Clinical Investigational Site 3007
City
Praha
Country
Czechia
Facility Name
Santarus Clinical Investigational Site 3002
City
Tabor
Country
Czechia
Facility Name
Santarus Clinical Investigational Site 3010
City
Usti nad Orlici
Country
Czechia
Facility Name
Santarus Clinical Investigational Site 3011
City
Valasske Mezirici
Country
Czechia
Facility Name
Santarus Clinical Investigational Site 8001
City
Tallinn
Country
Estonia
Facility Name
Santarus Clinical Investigational Site 5010
City
Bekescsaba
Country
Hungary
Facility Name
Santarus Clinical Investigational Site 5008
City
Budapest
Country
Hungary
Facility Name
Santarus Clinical Investigational Site 5009
City
Budapest
Country
Hungary
Facility Name
Santarus Clinical Investigational Site 5001
City
Debrecen
Country
Hungary
Facility Name
Santarus Clinical Investigational Site 5003
City
Gyula
Country
Hungary
Facility Name
Santarus Clinical Investigational Site 5004
City
Kaposvar
Country
Hungary
Facility Name
Santarus Clinical Investigational Site 5002
City
Miskolc
Country
Hungary
Facility Name
Santarus Clinical Investigational Site 5006
City
Mosonmagyarovar
Country
Hungary
Facility Name
Santarus Clinical Investigational Site 5011
City
Pecs
Country
Hungary
Facility Name
Santarus Clinical Investigational Site 5005
City
Szeged
Country
Hungary
Facility Name
Santarus Clinical Investigational Site 5007
City
Vac
Country
Hungary
Facility Name
Santarus Clinical Investigational Site 8101
City
Riga
Country
Latvia
Facility Name
Santarus Clinical Investigational Site 8102
City
Riga
Country
Latvia
Facility Name
Santarus Clinical Investigational Site 8103
City
Riga
Country
Latvia
Facility Name
Santarus Clinical Investigational Site 8202
City
Kaunas
Country
Lithuania
Facility Name
Santarus Clinical Investigational Site 8201
City
Vilnius
Country
Lithuania
Facility Name
Santarus Clinical Investigational Site 8203
City
Vilnius
Country
Lithuania
Facility Name
Santarus Clinical Investigational Site 6003
City
Elblag
Country
Poland
Facility Name
Santarus Clinical Investigational Site 6001
City
Krakow
Country
Poland
Facility Name
Santarus Clinical Investigational Site 6002
City
Sopot
Country
Poland
Facility Name
Santarus Clinical Investigational Site 6006
City
Szczecin
Country
Poland
Facility Name
Santarus Clinical Investigational Site 6004
City
Warszawa
Country
Poland
Facility Name
Santarus Clinical Investigational Site 6008
City
Warszawa
Country
Poland
Facility Name
Santarus Clinical Investigational Site 6005
City
Warszawy
Country
Poland
Facility Name
Santarus Clinical Investigational Site 9016
City
Lipetsk
Country
Russian Federation
Facility Name
Santarus Clinical Investigational Site 9005
City
Moscow
Country
Russian Federation
Facility Name
Santarus Clinical Investigational Site 9010
City
Moscow
Country
Russian Federation
Facility Name
Santarus Clinical Investigational Site 9004
City
Nizhny Novgorod
Country
Russian Federation
Facility Name
Santarus Clinical Investigational Site 9003
City
Ryazan
Country
Russian Federation
Facility Name
Santarus Clinical Investigational Site 9008
City
Saint Petersburg
Country
Russian Federation
Facility Name
Santarus Clinical Investigational Site 9013
City
Saint Petersburg
Country
Russian Federation
Facility Name
Santarus Clinical Investigational Site 9014
City
Saint Petersburg
Country
Russian Federation
Facility Name
Santarus Clinical Investigational Site 9009
City
Saratov
Country
Russian Federation
Facility Name
Santarus Clinical Investigational Site 9001
City
St Petersburg
Country
Russian Federation
Facility Name
Santarus Clinical Investigational Site 9007
City
Stavropol
Country
Russian Federation
Facility Name
Santarus Clinical Investigational Site 9006
City
Ufa
Country
Russian Federation
Facility Name
Santarus Clinical Investigational Site 9017
City
Volgograd
Country
Russian Federation
Facility Name
Santarus Clinical Investigational Site 7010
City
Crimea
Country
Ukraine
Facility Name
Santarus Clinical Investigational Site 7002
City
Donetsk
Country
Ukraine
Facility Name
Santarus Clinical Investigational Site 7001
City
Kharkiv
Country
Ukraine
Facility Name
Santarus Clinical Investigational Site 7004
City
Kharkiv
Country
Ukraine
Facility Name
Santarus Clinical Investigational Site 7006
City
Kyiv
Country
Ukraine
Facility Name
Santarus Clinical Investigational Site 7008
City
Kyiv
Country
Ukraine
Facility Name
Santarus Clinical Investigational Site 7005
City
Vinnytsia
Country
Ukraine

12. IPD Sharing Statement

Citations:
PubMed Identifier
28333362
Citation
Rubin DT, Cohen RD, Sandborn WJ, Lichtenstein GR, Axler J, Riddell RH, Zhu C, Barrett AC, Bortey E, Forbes WP. Budesonide Multimatrix Is Efficacious for Mesalamine-refractory, Mild to Moderate Ulcerative Colitis: A Randomised, Placebo-controlled Trial. J Crohns Colitis. 2017 Jul 1;11(7):785-791. doi: 10.1093/ecco-jcc/jjx032. Erratum In: J Crohns Colitis. 2017 Dec 4;11(12):1510.
Results Reference
derived

Learn more about this trial

Randomized Placebo-Controlled Trial of Budesonide Multi-Matrix System (MMX®) 9 Milligrams (mg) in Participants With Ulcerative Colitis Currently on a 5-Aminosalicylic Acid (5-ASA)

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