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An Efficacy and Safety Evaluation of Inflabloc Cap in the Treatment of Patients With Crohn's Disease

Phase 2
Completed
Conditions
Crohn's Disease
Registration Number
NCT00106314
Lead Sponsor
Inflabloc Pharmaceuticals
Brief Summary

The purpose of this study is to evaluate the efficacy and safety of Inflabloc Cap (Dehydroepiandrosterone \[DHEA\]) in the treatment of patients with moderately active Crohn's disease.

Detailed Description

This is a randomized, double-blind, multi-center, dose response, efficacy and safety study of Inflabloc Cap in patients with moderately active Crohn's disease. The primary objectives of the study are to evaluate the efficacy and safety of Inflabloc Cap in the treatment of patients with moderately active Crohn's disease who also have elevated CRP.

The study will be conducted at approximately 20 centers. Each patient will undergo screening followed by 8 weeks of treatment with Inflabloc Cap. Eligible male and female patients will be randomized in a 1:1:1 ratio to placebo, 30 mg, or 60 mg of DHEA administered twice daily via Inflabloc Cap so that approximately 60 patients complete the study. Following the Screening evaluations, consenting patients will self-administer 2 doses/day of study medication (placebo, 30 mg, or 60 mg of DHEA via Inflabloc Cap) for a total of 8 weeks (approximately 56 days). Patients will be required to complete a daily diary containing evaluations for number of liquid and soft stools, abdominal pain, fever and general well-being. Patients will also record use of study drug, concomitant medications and adverse events on the daily diary. Patients will be required to visit the study center at Screening, Baseline and at Weeks 1, 2, 4 and 8 following the initiation of treatment to turn in their diaries and any unused study medication, receive a physical exam and submit blood samples for chemistry, hematology and specialty laboratory measurements, and a urine sample for urinalysis. A stool sample is also required at Screening for culture and assay for C. difficile toxin. In addition, at the 8-week visit, patients will receive an exit exam including a physical exam (with ECG and vitals) and submit blood samples for chemistry, hematology and specialty laboratory measurements and a urine sample for urinalysis.

The primary efficacy endpoint for this study is defined as achieving a CDAI of 150 or less after 8 weeks of treatment. Secondary and exploratory efficacy endpoints at Weeks 4 and 8 will include achieving a CDAI of 150 or less (at 4 weeks), a change in CDAI from baseline of at least 100 points, a change from baseline in CRP, change from baseline in diarrhea and abdominal pain sub-scores, and change from baseline in IBDQ. Additionally, the safety of Inflabloc Cap when administered to patients with moderately active Crohn's disease with elevated CRP will be monitored through clinical evaluation, clinical laboratory data, collection of Adverse Events and other relevant safety evaluations.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
75
Inclusion Criteria
  • Diagnosis of Crohn's disease made at least 3 months prior to study entry.
  • C-reactive protein above the upper limit of normal.
  • Currently have moderately active Crohn's disease.
Exclusion Criteria
  • Women who are pregnant or lactating or of childbearing potential.
  • History of colostomy, ileostomy, intestinal resection resulting in short bowel syndrome or symptomatic strictures.
  • Symptoms (abdominal pain, vomiting) and radiographic evidence of mechanical bowel obstruction within the previous 6 months.
  • Fistulizing disease.
  • Positive stool culture for enteric pathogens and/or C. difficile toxin.
  • History of significant disease.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Achieving CDAI (Crohn's Disease Activity Index) of 150 or less after 8 weeks of treatment
Secondary Outcome Measures
NameTimeMethod
Achieving a CDAI score of 150 or less at 4 weeks
Change in CDAI from baseline of at least 100 points at 4 and 8 weeks
Change in CRP (C-Reactive Protein) from baseline at 4 and 8 weeks
Change in health-related quality of life from baseline at 8 weeks as measured by the Inflammatory Bowel Disease Questionnaire (IBDQ)
Change from baseline in diarrhea and abdominal pain sub-scores from CDAI

Trial Locations

Locations (38)

Northwest Gastroenterologists

πŸ‡ΊπŸ‡Έ

Arlington Heights, Illinois, United States

Gastrointestinal Research Institute

πŸ‡¨πŸ‡¦

Vancouver, British Columbia, Canada

IBD Clinical and Research Centre

πŸ‡¨πŸ‡¦

Winnipeg, New Brunswick, Canada

Atlanta Gastroenterology Associates

πŸ‡ΊπŸ‡Έ

Atlanta, Georgia, United States

The University of Chicago Hospital

πŸ‡ΊπŸ‡Έ

Chicago, Illinois, United States

The Cleveland Clinic Foundation, Dept. of Gastroenterology

πŸ‡ΊπŸ‡Έ

Cleveland, Ohio, United States

Allegheny Center for Digestive Health

πŸ‡ΊπŸ‡Έ

Pittsburgh, Pennsylvania, United States

Atilla Ertan, MD

πŸ‡ΊπŸ‡Έ

Houston, Texas, United States

University of Washington Medical Center, Department of Gastroenterology

πŸ‡ΊπŸ‡Έ

Seattle, Washington, United States

GILDR Group

πŸ‡¨πŸ‡¦

Edmonton, Alberta, Canada

The Medical University of South Carolina

πŸ‡ΊπŸ‡Έ

Charleston, South Carolina, United States

Philip Hassard, MD

πŸ‡¨πŸ‡¦

Ottawa, Ontario, Canada

AGA Clinical Research Associates

πŸ‡ΊπŸ‡Έ

Egg Harbor Township, New Jersey, United States

Jason Bodzin, MD

πŸ‡ΊπŸ‡Έ

Farmington Hills, Michigan, United States

Advanced Clinical Research Institute

πŸ‡ΊπŸ‡Έ

Anaheim, California, United States

Clinical Research Associates

πŸ‡ΊπŸ‡Έ

Huntsville, Alabama, United States

Maryland Clinical Trials

πŸ‡ΊπŸ‡Έ

Severna Park, Maryland, United States

Clinical Research of West Florida

πŸ‡ΊπŸ‡Έ

Clearwater, Florida, United States

Credit Valley Digestive Disease Group

πŸ‡¨πŸ‡¦

Mississauga, Ontario, Canada

New York Center for Clinical Research

πŸ‡ΊπŸ‡Έ

Lake Success, New York, United States

Tacoma Digestive Disease Research Center

πŸ‡ΊπŸ‡Έ

Tacoma, Washington, United States

University of Vermont College of Medicine / Fletcher Allen Health Care

πŸ‡ΊπŸ‡Έ

Burlington, Vermont, United States

Doug Hemphill, MD

πŸ‡¨πŸ‡¦

Barrie, Ontario, Canada

Saskatoon Medical Specialists

πŸ‡¨πŸ‡¦

Saskatoon, Saskatchewan, Canada

Penn State Milton S. Hershey Medical Center

πŸ‡ΊπŸ‡Έ

Hershey, Pennsylvania, United States

Sharp Rees-Stealy Medical Group

πŸ‡ΊπŸ‡Έ

San Diego, California, United States

Consultants for Clinical Research

πŸ‡ΊπŸ‡Έ

Cincinnati, Ohio, United States

Nashville Medical Research Institute

πŸ‡ΊπŸ‡Έ

Nashville, Tennessee, United States

SMG Reseach

πŸ‡ΊπŸ‡Έ

Salt Lake City, Utah, United States

Wisconsin Center for Advanced Research

πŸ‡ΊπŸ‡Έ

Milwaukee, Wisconsin, United States

University of Louisville, Department of Internal Medicine

πŸ‡ΊπŸ‡Έ

Louisville, Kentucky, United States

Borland-Groover Clinic

πŸ‡ΊπŸ‡Έ

Jacksonville, Florida, United States

Ochsner Clinic Foundation

πŸ‡ΊπŸ‡Έ

New Orleans, Louisiana, United States

Charlotte Gastroenterology and Hepatology

πŸ‡ΊπŸ‡Έ

Charlotte, North Carolina, United States

McGuire DVAMC GI (111N)

πŸ‡ΊπŸ‡Έ

Richmond, Virginia, United States

Mountain West Gastroenterology

πŸ‡ΊπŸ‡Έ

Salt Lake City, Utah, United States

Alan Cockeram, MD

πŸ‡¨πŸ‡¦

Saint John, New Brunswick, Canada

Queen Elizabeth II Health Sciences Centre

πŸ‡¨πŸ‡¦

Halifax, Nova Scotia, Canada

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