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ovel budenosid suppository in addition to basic therapy with oral mesalazine compared to basic therapy alone for treatment of ulcerative colitis

Phase 1
Conditions
acute ulcerative colitis
MedDRA version: 20.1Level: LLTClassification code 10066678Term: Acute ulcerative colitisSystem Organ Class: 100000004856
Therapeutic area: Diseases [C] - Digestive System Diseases [C06]
Registration Number
EUCTR2019-003334-16-DE
Lead Sponsor
Dr. Falk Pharma GmbH
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
360
Inclusion Criteria

Signed informed consent,

Man or woman between 18 and 75 years of age,

Acute ulcerative colitis,

New diagnosis or established disease,

diagnosis confirmed by total colonoscopy and biopsy

Mildly to moderately active ulcerative colitis (3 < modified UC-DAI < 11), with rectal bleeding subscore of = 1, and endoscopic subscore of = 2 at the most active site in the segment of the rectum
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 282
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range 78

Exclusion Criteria

Crohn’s disease, indeterminate colitis, ischemic colitis, diverticular disease-associated colitis, microscopic colitis

Presence of colitis of a different origin (e.g. infectious or parasitic, drug-induced),

Previous colonic surgery (except appendectomy, haemorrhoidectomy, and endoscopic removal of polyps),

Abnormal laboratory values, presence of or suspected concomitant disease(s) that could affect study-specific assessments and/or their evaluation, or might compromise patients' safety and/or compliance (e.g. organic diseases or infections of the gastrointestinal tract (with exceptions), certain malignancies or cancers, certain metabolic disorders)

Regular oral treatment with more than 2.4 g/d mesalazine (or therapeutic equivalent, i.e., either > 2.4 g/d olsalazine, > 5.6 g/d balsalazide, or > 6.2 g/d sulfasalazine) within the last 4 weeks prior to baseline,

Regular rectal treatment with more than 0.5 g/d mesalazine, olsalazine or more than 1 g/d sulfasalazine within the last 4 weeks prior to baseline,

Oral/rectal/intravenous corticosteroids therapy within the last 4 weeks priorto screening endoscopy,

For Germany only: diagnosis of active COVID-19

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To prove the superiority of combined treatment of oral mesalazine and novel budesonide suppositories vs. oral mesalazine monotherapy in regard to early response after 4 weeks of treatment in patients with acute ulcerative colitis (UC).;Secondary Objective: - To assess the efficacy in terms of relief of clinical signs and symptoms and relief of mucosal inflammation after 8-weeks of combined treatment of oral mesalazine and novel budesonide suppositories vs. oral mesalazine monotherapy in patients with UC,<br>- To assess safety and tolerability in the form of adverse events and laboratory parameters,<br>- To assess patients’ acceptance of the investigational medicinal products,<br>- To assess patients’ quality of life.;Primary end point(s): Co-primary efficacy endpoints:<br>- Proportion of patients with clinical remission<br>- Proportion of patients with endoscopic remission;Timepoint(s) of evaluation of this end point: after 4 weeks of treatment (both endpoints)
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): 1. Proportion of patients with clinical remission<br><br>2. Proportion of patients with endoscopic remission<br><br>3. Proportion of patients with clinical remission and endoscopic remission<br><br>4. Proportion of patients with clinical remission<br><br>5. Proportion of patients with clinical remission and endoscopic remission<br><br>6. Time to resolution of clinical symptoms;Timepoint(s) of evaluation of this end point: Secondary endpoints 1. and 2.: end of treatment (week 8) or withdrwal visit<br>Secondary endpoints 3. - 5.: after 4 weeks of treatment<br>Secondary endpoint 6.: first day of disease resolution of three consecutive days
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