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A CONTROLLED, RANDOMISED,DOUBLE-BLIND, MULTICENTER STUDY, COMPARING METHOTREXATE VS PLACEBO IN STEROID-REFRACTORY ULCERATIVE COLITIS - METEOR

Conditions
Steroid-dependent ulcerative colitis
Registration Number
EUCTR2006-003607-40-AT
Lead Sponsor
Besancon University Hospitaö
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

- Between 18 and 75 years of age.
- UC diagnosed according to the Lennard-Jones criteria (Appendix 1) with endoscopic colorectal lesions, whatever their extension may be.
- Active or inactive disease, but the patient be treated with prednisone at a dose between 10 and 40mg, and clinically improved with this treatment
- Steroid-dependence defined by at least 1 unsuccessfull attempt to stop stystemic steroid therapy during the last 12 weeks (cf. ECCO Sonsensus for Crohn). Steroid therapy might have been completely stopped if it has been restarted within the last 30 days.
- Under an adequate contraception for male or female subjects of childbearing potential: barrier methods of contraception (condom, female condom, diaphragm, spermicidal gel) and oral contraception started at least 15 days before inclusion. This contraception will be continued throughout the study duration and at least 3 months after study termination.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

-Patients refractory to oral steroids (no improvement after 2 weeks of 10 - 40mg of prednisone)
- Indication to a colectomy.
-Pregnant or breast-feeding female subjects.
-No efficacious contraception.
-NSAIDS or cotrimoxazole intake upon inclusion, or probenecide intake within 1 month prior to inclusion.
- Anti-TNF treatment within 2 months prior to inclusion.
- Azathioprine, mercaptopurine, cyclosporin or thalidomide within 1 month prior to inclusion.
- Chronic (broncho) pneumopathy.
- Renal failure (creatininaemia >upper limit of normal laboratory values limit).
- Liver disease apart from primary sclerosing cholangitis.
- Unexplained rise higher than twice the normal level for transaminases, alkaline phosphatases and/or bilirubin.
- Folate level - Infection by HIV, HBV (except in case of positive antibodies anti-HBs), HCV with serologies not older than 3 months.
- Past history of malignant condition (including leukaemia, lymphoma and myelodysplasia) except for base-cellular cutaneous cancers.
- Obesity (BMI >30)

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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