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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00679380
Registration number
NCT00679380
Ethics application status
Date submitted
14/05/2008
Date registered
16/05/2008
Date last updated
10/12/2019
Titles & IDs
Public title
(CB-01-02/02) Randomized Placebo Controlled Trial of Budesonide-multi-matrix System (MMX™) 6 mg and 9 mg in Patients With Ulcerative Colitis
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Scientific title
Efficacy and Safety of Oral Budesonide-MMX™ (CB-01-02) 6 mg and 9 mg Extended Release Tablets in Patients With Mild or Moderate Active Ulcerative Colitis. A Multicentre, Randomised, Double-Blind, Double-Dummy, Comparative Study Versus Placebo With an Additional Reference Arm Evaluating Entocort®EC
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Secondary ID [1]
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CB-01-02/02
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Ulcerative Colitis
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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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Oral and Gastrointestinal
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Inflammatory bowel disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Surgery - Blood sampling, endoscopy
Treatment: Drugs - Budesonide MMX® 6 mg
Treatment: Drugs - Budesonide MMX® 9 mg
Treatment: Drugs - Entocort EC® 3 mg
Treatment: Drugs - Placebo
Experimental: 1: budesonide-MMX® 6 mg - One budesonide-MMX® 6 mg plus three placebo Entocort EC® overencapsulated capsules daily in the morning after breakfast.
Experimental: 2: budesonide-MMX® 9 mg - One budesonide-MMX® 9 mg plus three placebo Entocort EC® overencapsulated capsules daily in the morning after breakfast.
Active comparator: 3: Entocort EC® 3 mg - Three Entocort EC® 3 mg overencapsulated capsules plus one placebo budesonide MMX® tablet daily in the morning after breakfast.
Placebo comparator: 4: Placebo - Three placebo Entocort EC® overencapsulated capsules plus one placebo Budesonide MMX® tablet daily in the morning after breakfast.
Treatment: Surgery: Blood sampling, endoscopy
Blood sampling for hematology and biochemistry and endoscopy with biopsy for histological and endoscopic assessment scores
Treatment: Drugs: Budesonide MMX® 6 mg
6 mg/day, 6 mg tablets
Treatment: Drugs: Budesonide MMX® 9 mg
9 mg/day, 9 mg tablets
Treatment: Drugs: Entocort EC® 3 mg
9 mg/day, 3 mg tablets
Treatment: Drugs: Placebo
Placebo
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Intervention code [1]
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Treatment: Surgery
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Intervention code [2]
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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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Clinical and Endoscopic Remission.
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Assessment method [1]
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Clinical and endoscopic remission defined as an Ulcerative Colitis Disease Activity Index (UCDAI) score = 1, with subscores of 0 for rectal bleeding, stool frequency, and mucosal appearance and with a = 1 point reduction in the endoscopic index score.
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Timepoint [1]
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8 weeks
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Secondary outcome [1]
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Clinical Improvement.
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Assessment method [1]
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Clinical improvement, defined as a = 3-point improvement in UCDAI from baseline to the end of Week 8.
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Timepoint [1]
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8 weeks
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Secondary outcome [2]
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Endoscopic Improvement.
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Assessment method [2]
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Greater or equal to a 1 point improvement in the mucosal appearance subscore of the UCDAI, from baseline to week 8.
As per the hierarchical testing procedure for secondary endpoints, because clinical improvement was not statistically significant in the ITT population, formal statistical comparisons for endoscopic improvement between the 2 budesonide MMX groups and placebo were not conducted.
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Timepoint [2]
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8 weeks
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Eligibility
Key inclusion criteria
* Patients fulfilling the following criteria at the screening visit are eligible for participation in the study:
* Male and female patients, 18-75 years old, suffering from ulcerative colitis for at least 6 months.
* Diagnosis of ulcerative colitis in active phase, of mild or moderate entity with Ulcerative Colitis Disease Activity Index (UCDAI) = 4 and = 10 according to Sutherland.
* All females of child-bearing potential must have a negative serum pregnancy test immediately prior to enrollment. In addition, all females of child-bearing potential must agree to be completely abstinent or be using an accepted form of contraception throughout the entire study period. Accepted forms of contraception are defined as those with a failure rate <1% when properly applied and include: combination oral pill, some intra-uterine devices, and a sterilised partner in a stable relationship. Female subjects must also not be actively breast-feeding through the entire study period.
* Ability to comprehend the full nature and purpose of the study, including possible risks and side effects.
* Ability to co-operate with the investigator and to comply with the requirements of the entire study.
* Must be able to understand and voluntarily sign written informed consent prior to inclusion in the study.
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Minimum age
18
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Maximum age
75
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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
* Patients who meet any of the following criteria at screening visit are to be excluded from study participation:
* Patients with limited distal proctitis (from anal verge up to 15 cm above the pectineal line).
* Patients with severe ulcerative colitis (UCDAI >10).
* Patients with infectious colitis.
* Evidence or history of toxic megacolon.
* Severe anaemia, leucopaenia or granulocytopaenia.
* Use of oral or rectal steroids in the last 4 weeks.
* Use of immuno-suppressive agents in the last 8 weeks before the study.
* Use of anti tumour necrosis factor alpha (anti-TNFa) agents in the last 3 months.
* Concomitant use of any rectal preparation.
* Concomitant use of antibiotics.
* Concurrent use of cytochrome P450 3A4 (CYP3A4) inducers or CYP3A4 inhibitors.
* Patients with verified, presumed or expected pregnancy or ongoing lactation.
* Patients with liver cirrhosis, or evident hepatic or renal disease or insufficiency, and/or severe impairment of the bio-humoural parameters (i.e. 2 x upper limit of normal for alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyl transpeptidase (GGT) or creatinine).
* Patient with severe diseases in other organs and systems.
* Patients with local or systemic complications or other pathological states requiring a therapy with corticosteroids and/or immuno-suppressive agents.
* Patients diagnosed with type 1 diabetes.
* Patients diagnosed with, or with a family history of, glaucoma.
* All patients with known hepatitis B, hepatitis C or with human immunodeficiency virus (HIV), according to the local privacy policy.
* Participation in experimental therapeutic studies in the last 3 months. (Note: patients who participated in observational only studies are not excluded).
* Any other medical condition that in the principal investigator's opinion would make the administration of the study drug or study procedures hazardous to the subject or obscure the interpretation of adverse events (AEs).
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Study design
Purpose of the study
Treatment
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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
1/06/2008
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Date of last participant enrolment
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Actual
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Date of last data collection
Anticipated
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Actual
1/04/2010
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Sample size
Target
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Accrual to date
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Final
514
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Centre for Digestive Diseases - Sydney
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Royal Adelaide Hospital - Adelaide
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Box Hill Hospital, Department of Gastroenterology Clive Ward Centre, - Box Hill
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The Alfred Hospital - Melbourne
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Monash Medical Centre - Melbourne
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2046 - Sydney
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5000 - Adelaide
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VIC 3128 - Box Hill
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Recruitment postcode(s) [4]
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3004 - Melbourne
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Recruitment postcode(s) [5]
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3168 - Melbourne
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Recruitment outside Australia
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Belgium
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Bonheiden
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Estonia
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France
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Bausch Health Americas, Inc.
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Commercial sector/industry
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Cosmo Technologies Ltd
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Ethics approval
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Summary
Brief summary
This will be a multicentre, randomised, double-blind, double-dummy, parallel group comparative study in patients with mild or moderate, active ulcerative colitis. The study will compare budesonide-MMX™ 6 mg and budesonide-MMX™ 9 mg tablets to placebo and to Entocort® 3 x 3 mg capsules, in four parallel groups of patients over an 8 week treatment period. After the screening visit, patients will enter a washout period of 2 days, then they will be randomised to the following four treatment groups: budesonide-MMX™ tablets (6 mg), budesonide-MMX™ tablets (9 mg), Entocort® capsules (3 x 3 mg) and placebo (tablets and capsules), all administered once a day after breakfast. Hence, each patient will receive, in the morning after breakfast, either one budesonide-MMX™ 6 mg or budesonide MMX™ 9 mg tablet and 3 placebo Entocort® matching capsules, or three Entocort® 3 mg capsules and one placebo budesonide-MMX™ matching tablet, or one placebo budesonide-MMX™ matching tablet and three placebo Entocort® matching capsules.
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Trial website
https://clinicaltrials.gov/study/NCT00679380
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Trial related presentations / publications
Travis SP, Danese S, Kupcinskas L, Alexeeva O, D'Haens G, Gibson PR, Moro L, Jones R, Ballard ED, Masure J, Rossini M, Sandborn WJ. Once-daily budesonide MMX in active, mild-to-moderate ulcerative colitis: results from the randomised CORE II study. Gut. 2014 Mar;63(3):433-41. doi: 10.1136/gutjnl-2012-304258. Epub 2013 Feb 22.
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Public notes
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Contacts
Principal investigator
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Simon Travis
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Oxford University Hospitals NHS Trust
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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/NCT00679380
Download to PDF