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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00545740
Registration number
NCT00545740
Ethics application status
Date submitted
16/10/2007
Date registered
17/10/2007
Date last updated
14/06/2021
Titles & IDs
Public title
Prevention of Recurrence of Diverticulitis
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Scientific title
A Phase III, Randomised, Double-Blind, Dose-Response, Stratified, Placebo-Controlled Study Evaluating the Safety and Efficacy of SPD476 Versus Placebo Over 104 Weeks in the Prevention of Recurrence of Diverticulitis.
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Secondary ID [1]
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2007-004895-37
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Secondary ID [2]
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SPD476-313
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Universal Trial Number (UTN)
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Trial acronym
PREVENT1
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Diverticulitis
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Condition category
Condition code
Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - SPD476 (1.2g)
Treatment: Drugs - SPD476 (2.4 g)
Treatment: Drugs - SPD476 (4.8 g)
Treatment: Drugs - Placebo
Experimental: SPD476 (1.2 g) -
Experimental: SPD476 (2.4 g) -
Experimental: SPD476 (4.8 g) -
Placebo comparator: Placebo -
Treatment: Drugs: SPD476 (1.2g)
1.2g SPD476 once daily (QD) orally
Treatment: Drugs: SPD476 (2.4 g)
2.4g SPD476 QD orally
Treatment: Drugs: SPD476 (4.8 g)
4.8g SPD476 QD orally
Treatment: Drugs: Placebo
QD orally
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Percent of Subjects Without Recurrence of Diverticulitis
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Assessment method [1]
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Recurrence of diverticulitis is defined as the presence of each and all of the following 3 items: 1) abdominal pain, 2) a 15% increase in white blood cell count from baseline, 3) bowel wall thickening (\>5 mm) and/or fat stranding as evidenced by spiral computerized axial tomography (CT) scan; OR surgical intervention for diverticular disease. Withdrawals are considered as recurrences.
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Timepoint [1]
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Up to 104 weeks
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Secondary outcome [1]
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Percent of Subjects Who Were CT-Recurrence Free of Diverticulitis
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Assessment method [1]
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CT-recurrence of diverticulitis is defined as: a positive spiral CT scan for diverticulitis showing, at a minimum, fat stranding with or without bowel wall thickening \>5 mm or surgical intervention for diverticular disease. Withdrawals considered as CT-recurrences.
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Timepoint [1]
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Up to 104 weeks
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Secondary outcome [2]
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Number of CT Scans Performed Within 7 Days of Suspected Recurrence of Diverticulitis That Were Positive
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Assessment method [2]
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A positive CT scan was defined as a CT scan that showed bowel wall thickening (\>5 mm) and/or fat stranding as read by the central reader.
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Timepoint [2]
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Up to 104 weeks
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Secondary outcome [3]
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Number of CT Scans Performed Within 7 Days of Suspected Recurrence of Diverticulitis That Were Negative
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Assessment method [3]
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A negative CT scan was defined as a CT scan that did not show bowel wall thickening (\>5 mm) and/or fat stranding as read by the central reader.
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Timepoint [3]
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Up to 104 weeks
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Secondary outcome [4]
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Number of CT Scans Performed More Than 7 Days From Suspected Recurrence of Diverticulitis That Were Positive
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Assessment method [4]
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A positive CT scan was defined as a CT scan that showed bowel wall thickening (\>5 mm) and/or fat stranding as read by the central reader.
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Timepoint [4]
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Up to 104 weeks
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Secondary outcome [5]
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Number of CT Scans Performed More Than 7 Days From Suspected Recurrence of Diverticulitis That Were Negative
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Assessment method [5]
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A negative CT scan was defined as a CT scan that did not show bowel wall thickening (\>5 mm) and/or fat stranding as read by the central reader.
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Timepoint [5]
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Up to 104 weeks
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Secondary outcome [6]
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Percent of Subjects Requiring Surgery for Diverticulitis
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Assessment method [6]
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Timepoint [6]
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Up to 104 weeks
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Eligibility
Key inclusion criteria
1. Males and females =>18yrs of age.
2. If female of childbearing potential (FOCP), has demonstrated a negative beta HCG (human chorionic gonadotropin) serum pregnancy test, and agrees to comply with any applicable contraceptive requirements of the protocol.
3. An episode of acute diverticulitis that resolved without colonic resection.
4. Confirmation of diverticulosis via endoscopic evaluation of the sigmoid colon with at least three diverticula noted.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Previous colorectal surgery, including surgical intervention for diverticular disease (with the exception of haemorrhoidectomy, colonic removal of polyps, and appendectomy)
2. Active peptic ulcer disease
3. History of or current presence of inflammatory bowel disease (IBD)
4. Subjects with active irritable bowel syndrome (IBS) requiring ongoing medication
5. Allergy or hypersensitivity to aspirin or related compounds
6. Allergy to radiologic contrast agents
7. Use of another Investigational product within 30 days of Baseline
8. Use of antibiotic therapy within 4 weeks of Baseline
9. Within 14 days of Baseline, use of prebiotic, probiotic or 5-ASA medications, as well as drugs active at the 5HT-receptor or anti-spasmodic agents
10. Use of systemic or rectal steroids within 6 weeks of Baseline. Use of inhaled or nasal steroids is acceptable
11. Use of anti-inflammatory drugs, (NSIADs, COX-2 inhibitors) including aspirin (except for cardiac prophylaxis) and ibuprofen, on a regular and ongoing basis
12. History of alcohol or other substance abuse within the previous year
13. Active or recent history of endometriosis or dysmenorrhoea within 6 months prior to Baseline
14. Females who are lactating
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
28/11/2007
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
5/03/2012
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Sample size
Target
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Accrual to date
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Final
590
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Recruitment in Australia
Recruitment state(s)
ACT,VIC
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Recruitment hospital [1]
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The Canberra Hospital - Garran
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Ballarat Base Hospital - Ballarat
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St Vincent's Hospital (Melb) LTD - Melbourne
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Royal Adelaide Hospital - Adelaide
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Royal Prince Albert Hospital - Camperdown
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Frankston Private - Frankston
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Bayside Gastroenterology - Frankston
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Fremantle Hospital - Fremantle
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2605 - Garran
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3350 - Ballarat
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3065 - Melbourne
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Recruitment postcode(s) [4]
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5000 - Adelaide
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2050 - Camperdown
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Recruitment postcode(s) [6]
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3199 - Frankston
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Recruitment postcode(s) [7]
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VIC 3199 - Frankston
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Recruitment postcode(s) [8]
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6160 - Fremantle
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Recruitment outside Australia
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Shire
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to determine whether SPD476 is effective in reducing recurrence of diverticulitis.
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Trial website
https://clinicaltrials.gov/study/NCT00545740
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Trial related presentations / publications
Raskin JB, Kamm MA, Jamal MM, Marquez J, Melzer E, Schoen RE, Szaloki T, Barrett K, Streck P. Mesalamine did not prevent recurrent diverticulitis in phase 3 controlled trials. Gastroenterology. 2014 Oct;147(4):793-802. doi: 10.1053/j.gastro.2014.07.004. Epub 2014 Jul 16.
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Public notes
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Contacts
Principal investigator
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Study Director
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Address
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Takeda
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT00545740
Download to PDF