SOIBD Collagenous Colitis Maintenance Study (SCCMS)
Double-blind, Randomised, Placebo-controlled, Multi-centre Phase III Clinical Study on the Efficacy and Tolerability of Budesonide Capsules Versus Placebo for Maintenance of Remission in Patients With Collagenous 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
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Signed informed consent,
- Patients aged >= 18 years,
Histologically established diagnosis of collagenous colitis (CC) defined as:
- Thickened sub-epithelial collagen layer >= 10 µm on well-orientated sections,
- Increased amount of inflammatory cells indicating chronic inflammation in the lamina propria,
- History of non-bloody, watery diarrhoea for more than 2 weeks prior screening in patients with newly diagnosed collagenous colitis, or history of clinical relapse for more than 1 week prior screening in patients with previously established collagenous colitis,
- A mean of >= 3 stools/day, thereof a mean of >= 1 watery stools/day, during the week prior baseline,
- Women of child-bearing potential and being heterosexually active have to apply appropriate contraceptive methods, e.g., hormonal contraception, intrauterine device (IUD), double-barrier method of contraception (e.g., use of a condom and spermicide), or partner has undergone vasectomy. The investigator is responsible for determining whether the subject has adequate birth control for study participation.
Exclusion Criteria:
- Other significant abnormalities at colonoscopy that may have been the cause of diarrhoea, with the exception of colonic diverticulosis and polyps < 2 cm,
- Infectious cause of diarrhoea,
- Untreated active celiac disease,
- Clinical suspicion of drug-induced collagenous colitis,
- Any severe concomitant cardiovascular, renal, endocrine, or psychiatric disorder,
- Abnormal hepatic function (ALT or ALP > 2.5 x upper limit of normal [ULN]), liver cirrhosis, or portal hypertension,
- Local intestinal infection,
- Radiation therapy towards the abdominal or pelvic region,
- Diabetes mellitus, infection, glaucoma, tuberculosis, peptic ulcer disease, or hypertension if careful medical monitoring is not ensured,
- Known established cataract,
- Known hereditary problems of galactose or fructose intolerance, glucose-galactose malabsorption, sucrase-isomaltase insufficiency, Lapp lactase deficiency, or congenital lactase deficiency,
- Established osteoporosis with T-score < -2.5,
- Pregnancy or lactation,
- History of cancer in the last five years,
- History of significant bowel resection,
- Therapy with immunomodulators (azathioprine, 6-mercaptopurine, or methotrexate) in the last 3 months,
- Treatment with oral, rectal, or intravenous corticosteroids including budesonide in the last month,
- Known intolerance/hypersensitivity to study drug or drugs of similar chemical structure or pharmacological profile,
- Patients who are unable to adhere to the study visit schedule and other protocol requirements according to the judgement of the investigator,
- 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
Alternating daily dosing with 2 x 3 mg budesonide capsules OD and 1 x 3 mg budesonide capsule OD every second day
|
Alternating daily dosing with 2 x 3 mg budesonide capsules OD and 1 x 3 mg budesonide capsule OD every second day
Other Names:
|
|
Placebo Comparator: B
Alternating daily dosing with 2 placebo capsules OD and 1 placebo capsule OD every second day.
|
Alternating daily dosing with 2 placebo capsules OD and 1 placebo capsule OD every second day.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Proportion of patients being in remission over 52 weeks.
Time Frame: 52 weeks
|
Remission is defined as a mean of < 3 stools/day, thereof a mean of < 1 watery stools/day
|
52 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Proportion of patients in remission at wk 4, 13, 26, and 39.
Time Frame: 39 weeks
|
Remission is defined as a mean of < 3 stools/day, thereof a mean of < 1 watery stools/day
|
39 weeks
|
|
Adverse events (AEs)
Time Frame: 52 weeks
|
52 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Ralph Müller, 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
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- Gastrointestinal Diseases
- Gastroenteritis
- Colonic Diseases
- Intestinal Diseases
- Colitis, Microscopic
- Colitis
- Colitis, Collagenous
- Physiological Effects of Drugs
- Autonomic Agents
- Peripheral Nervous System Agents
- Anti-Inflammatory Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Bronchodilator Agents
- Anti-Asthmatic Agents
- Respiratory System Agents
- Budesonide
Other Study ID Numbers
Other Study ID Numbers
- BUC-63/COC
- 2007-001315-31 (EudraCT Number)
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