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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
Telsar Pharma 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 - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

    First Posted
    June 1, 2012
    Last Updated
    September 26, 2016
    Sponsor
    Telsar Pharma Inc.
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    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

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