Budesonide Capsules Versus Mesalazine Granules in Active Ulcerative Colitis (UC)
Double-blind, Double-dummy, Randomised, Multi-centre, Comparative Phase III Clinical Study on the Efficacy and Tolerability of an 8 Week Oral Treatment With 9 mg Budesonide or 3 g Mesalazine in Patients With Active Ulcerative Colitis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Amberg, Germany, 92224
- Klinikum St. Marien
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Signed informed consent,
- Men or women aged 18 to 75 years,
- Active ulcerative colitis, except proctitis limited to 15 cm ab ano, confirmed by endoscopy and histology,
- Established disease (presence of blood or mucus in the stools) or new diagnosis (bloody stools occurring at least during 14 days prior to baseline visit),
- Clinical Activity Index (CAI) >= 6 and Endoscopical Index (EI) >= 4,
- Women of child-bearing potential, if heterosexually active, have to apply a highly effective method of birth control, which is defined as those which result in a low failure rate (i.e., less than 1% per year) when used consistently and correctly such as implants, injectables, combined oral contraceptive method, some intrauterine devices (IUDs), sexual abstinence, or vasectomised partner. The investigator is responsible for determining whether the subject has adequate birth control for study participation.
Exclusion Criteria:
- Crohn's disease, indeterminate colitis, ischaemic colitis, radiation colitis, microscopic colitis (i.e., collagenous colitis and lymphocytic colitis),
- Toxic megacolon,
- Baseline stool positive for germs causing bowel disease,
- Diarrhoea as a result of the presence of other symptomatic organic disease(s) of the gastrointestinal tract,
- Active peptic ulcer disease,
- Haemorrhagic diathesis,
- Asthma, diabetes mellitus, infection, osteoporosis, glaucoma, cataract, or cardiovascular disease if careful medical monitoring is not ensured,
- Severe co-morbidity substantially reducing life expectancy,
- Active colorectal cancer or a history of colorectal cancer,
- Active malignancy other than colorectal cancer or treatment with anticancer drugs during the last 5 years. Patients with a history of cancer other than colorectal cancer and at least five years of uneventful follow up and no signs of recurrence may be eligible,
- Immunosuppressants within 3 months and/or corticosteroids (oral, intravenous [IV] or topical rectal) within 4 weeks prior to baseline,
- Current relapse occurred under maintenance treatment with > 2.4 g mesalazine per day,
- Abnormal renal function (Serum Cystatin C > upper limit of normal [ULN]),
- Abnormal hepatic function (ALT, AST or AP >= 2 x ULN) or liver cirrhosis,
- Known intolerance/hypersensitivity/resistance to study drugs or drugs of similar chemical structure or pharmacological profile, or to any of the other constituents of the study drugs,
- Doubt about the patient's cooperation, e.g., because of addiction to alcohol or drugs,
- Existing or intended pregnancy or breast-feeding,
- Participation in another clinical trial within the last 30 days, simultaneous participation in another clinical trial, or previous participation in this trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: A
9mg budesonide OD
|
3x 3mg budesonide capsules once daily
Other Names:
|
|
Active Comparator: B
3g mesalazine OD
|
3x 1000mg mesalazine onc daily
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Rate of clinical remission (defined by CAI <= 4, with stool frequency and rectal bleeding subscores of ´0´) at week 8 (LOCF)
Time Frame: week 8 (LOCF)
|
week 8 (LOCF)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Time to first resolution of clinical symptoms
Time Frame: within 8 weeks
|
within 8 weeks
|
|
CAI in the course of the study
Time Frame: week 0, 2, 4, 6, 8
|
week 0, 2, 4, 6, 8
|
|
Disease Activity Index (DAI)in the course of the study
Time Frame: week 0 and 8 (LOCF)
|
week 0 and 8 (LOCF)
|
|
Endoscopical Index (EI)in the course of the study
Time Frame: week 0 and 8 (LOCF)
|
week 0 and 8 (LOCF)
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Ralph Mueller, Dr, Dr. Falk Pharma GmbH
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Pathologic Processes
- Gastrointestinal Diseases
- Gastroenteritis
- Colonic Diseases
- Intestinal Diseases
- Inflammatory Bowel Diseases
- Ulcer
- Colitis
- Colitis, Ulcerative
- Physiological Effects of Drugs
- Autonomic Agents
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Bronchodilator Agents
- Anti-Asthmatic Agents
- Respiratory System Agents
- Budesonide
- Mesalamine
Other Study ID Numbers
Other Study ID Numbers
- BUC-57/UCA
- 2006-005377-22 (EudraCT Number)
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