CTRI/2010/091/000519已完成3 期
A multicentric, prospective, double-blind, randomized, parallel group study to compare the efficacy, tolerability and safety of Mesalamine suppositories, 1000 mg (Zydus, CHL) Versus a reference arm evaluating Canasa®1000 mg (Mesalamine) suppositories (Axcan Pharma), in the treatment of mild to moderate active Ulcerative Proctitis. - NA
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 500
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
入选标准
- •1. Subjects must provide the written informed consent prior to any study related activity/procedure being performed.
- •2. Subjects must be 18 years of age or older with no known medical conditions that, in the investigator?s opinion, may interfere with study participation.
- •3. Newly diagnosed or relapsing (relapsed ≤ 6 weeks prior to randomisation) active Ulcerative proctitis (score of 4?10 on a modified UC?DAI score). Diagnosis and scoring shall be based on the results of sigmoidoscopy/colonoscopy and biopsy, which shall be done within 2 weeks prior to randomization, and recall of symptoms of rectal bleeding and stool frequency of last 3 days before screening of the subjects.
- •4. Inflammation extending at least 5 cm and no more than 15 cm above the anal margin confirmed by sigmoidoscopy or colonoscopy.
- •5. The sigmoidoscopy / colonoscopy score should be ≥ 1 for inclusion of subject.
- •6. Physician?s Global Assessment (PGA) score of 1 or 2.
- •7. Subject must understand and be able, willing and likely to fully comply with the study procedures and restrictions.
排除标准
- •1. Subject is contraindicated to the use of 5-ASA or having known or suspected allergy to 5-ASA or salicylic acid (i.e. aspirin).
- •2. Non-response to rectal 5-ASA therapy or to oral 5-ASA therapy at a dose > 2.4g/day for induction of remission within the previous year.
- •3. Previously failed to respond to steroids within the previous year.
- •4. Current relapse lasting more than 6 weeks prior to randomization.
- •5. Crohn?s disease, any active peptic ulcer disease, bleeding disorders, short bowel syndrome or history of bowel surgery in the past, except appendectomy.
- •6. In the opinion of investigator if subject has immediate or significant risk of toxic megacolon.
- •7. Impaired renal function (creatinine > 1.2 mg %) or impaired hepatic function (AST/ALT > 2 times UNL).
- •8. Subjects known to be HBsAg or Hepatitis C antibody positive.
- •9. Severe UC defined by the following criteria:6 bloody stools daily with one or more of the following:
- •a)Oral temperature > 37.8°C
- •b)Pulse rate > 90/min
- •c)Hemoglobin < 10 g/dL
- •10. Stools showing positive culture for enteric pathogens (Salmonella, Shigella, Yersinia, Aeromonas, Plesiomonas or Campylobacter) or those with Clostridium difficile toxin present or with ova or parasites as detected by microscopy.
- •11. The following treatment will be forbidden during the study (if present at selection, a wash-out will be necessary):
- •a)Loperamide and other antidiarrhoeal agents, mucilages, antibiotics: 1 week wash-out.
- •b)Oral or rectal steroids: 4 weeks wash-out.
- •c)Repeated treatment (> 3days of use) of non steroidal anti-inflammatory drugs (NSAID) oral or rectal route: 1 week wash-out (aspirin ≤ 325 mg/day used for cardioprotection is allowed).
- •d)Sulfasalazine > 2.4g/day or mesalazine or 4-ASA at a higher dose than what is permitted in the local formulary or standard care for maintenance treatment: 4 weeks wash-out
- •e)Immunomodulating/suppressing drugs: 6 weeks wash out.
- •f)Probiotics: 1 Week
- •12. Pregnant, nursing mothers or any subject planning a pregnancy within the next 2 months or judged to be using inadequate contraceptive measures (adequate contraceptive measures include: sterilisation, Intrauterine device [IUD], oral contraceptives or double barrier methods).
- •13.Participation in another clinical trial or having taken an experimental drug within last 30 days prior to the study entry.
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