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Trial registered on ANZCTR
Registration number
ACTRN12609001010280
Ethics application status
Approved
Date submitted
17/11/2009
Date registered
23/11/2009
Date last updated
23/11/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
Efficacy and safety of Beclomethasone dipropionate, gastro-resistant, prolonged release tablets (CHF1514) compared to oral prednisone, in a 8-week treatment period, in patients with active ulcerative colitis.
An international, multicentre, randomized, double blind, parallel group study.
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Scientific title
Efficacy and safety of Beclomethasone dipropionate, gastro-resistant, prolonged release tablets (CHF1514) compared to oral prednisone, in a 8-week treatment period, in patients with active ulcerative colitis.
An international, multicentre, randomized, double blind, parallel group study.
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Universal Trial Number (UTN)
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Trial acronym
BETA study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Mild to moderate Ulcerative colitis
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Condition category
Condition code
Oral and Gastrointestinal
252379
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0
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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
Beclomethasone Dipropionate (BDP) 5mg once daily (o.d.), oral tablets for first 4 weeks (from week 1 to week 4)
BDP 5mg once daily (o.d.)/every other day (eod) oral tablets for second 4 weeks (from week 5 to week 8)
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Intervention code [1]
241540
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Treatment: Drugs
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Comparator / control treatment
Prednisone 40mg once daily (o.d.) oral tablets for 2 weeks (week 1 to week 2)
Prednisone 30mg once daily (o.d.) oral tablets for 2 weeks (week 3 to week 4)
Prednisone 20mg once daily (o.d.) oral tablets for 2 weeks (week 5 to week 6)
Prednisone 10mg once daily (o.d.) oral tablets for 2 weeks (week 7 to week 8)
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Control group
Active
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Outcomes
Primary outcome [1]
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Percentage of patients with clinical response, defined as a Disease Activity Index (DAI) score < 3 or reduced of at least 3 points for patients with a baseline DAI less or equal to 7
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Assessment method [1]
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Timepoint [1]
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after 4 weeks of treatment with test drugs.
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Primary outcome [2]
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Percentage of patients with Adverse Events (AEs) related to steroidal treatment
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Assessment method [2]
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Timepoint [2]
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during the first 4 weeks of treatment (from Visit 2 to Visit 4)
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Secondary outcome [1]
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Percentage of patients with clinical response after 4 weeks of treatment without steroid-related adverse events (AEs)
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Assessment method [1]
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Timepoint [1]
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after 8 weeks of treatment with test drugs
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Secondary outcome [2]
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Percentage of patients with a Disease Activity Index (DAI) score less than or equal to 1
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Assessment method [2]
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Timepoint [2]
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after 4 weeks of treatment with test drugs.
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Secondary outcome [3]
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Change in Disease Activity Index (DAI) total score after 4 weeks of treatment;
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Assessment method [3]
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Timepoint [3]
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after 4 weeks of treatment with test drugs.
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Secondary outcome [4]
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Change in endoscopic score
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Assessment method [4]
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Timepoint [4]
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after 4 weeks of treatment with test drugs.
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Secondary outcome [5]
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Change in Clinical Activity Index (CAI) total score
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Assessment method [5]
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Timepoint [5]
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after 4 and 8 weeks of treatment with test drugs.
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Secondary outcome [6]
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Change in bleeding score as defined in the DAI (rectal bleeding) and CAI (blood in stools) score questionnaire
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Assessment method [6]
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Timepoint [6]
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after 4 and 8 weeks of treatment with test drugs.
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Secondary outcome [7]
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Changes in C-reactive protein (CRP) and Erythrocytes Sedimentation Rate (ESR)
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Assessment method [7]
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Timepoint [7]
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after 4 and 8 weeks of treatment with test drugs.
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Secondary outcome [8]
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Percentage of patients with Adverse Events (AEs) related to steroid treatment
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Assessment method [8]
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Timepoint [8]
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during the second 4 weeks of treatment (after Visit 4 to Visit 6)
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Secondary outcome [9]
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Changes from baseline to visits in morning cortisol level (blood sample for centralized laboratory analysis)
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Assessment method [9]
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Timepoint [9]
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after 4 and 8 weeks of treatment
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Secondary outcome [10]
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Changes from baseline to visits in laboratory test parameters (HAEMATOLOGY, BLOOD CHEMISTRY AND URINE CHEMISTRY);
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Assessment method [10]
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Timepoint [10]
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after 4 and 8 weeks of treatment
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Secondary outcome [11]
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Change from baseline to visit 4 and 6 in vital signs (SITTING BLOOD PRESSURE, SITTING HEART RATE, Body temperature (C) assessments);
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Assessment method [11]
262234
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Timepoint [11]
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after 4 and 8 weeks of treatment
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Eligibility
Key inclusion criteria
Patients with active ulcerative colitis, extending proximally beyond the rectum (as verified by endoscopic examination) and with bleeding
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Minimum age
18
Years
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Maximum age
70
Years
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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
Severe ulcerative colitis
Patients receiving immunomodulating and immunodepressant drugs (azathioprine, 6-mercaptopurine, methotrexate, cyclosporine), Tumor Necrosis Factor (TNF) therapy
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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
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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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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Date of first participant enrolment
Anticipated
22/09/2007
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Actual
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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
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Sample size
Target
244
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Italy
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State/province [1]
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Country [2]
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Spain
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State/province [2]
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Country [3]
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Belgium
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State/province [3]
2326
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Country [4]
2327
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Romania
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State/province [4]
2327
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Country [5]
2328
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Russian Federation
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State/province [5]
2328
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Country [6]
2329
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Poland
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State/province [6]
2329
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Country [7]
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Ukraine
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State/province [7]
2330
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Chiesi Farmaceutici S.p.A.
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Address [1]
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Via Palermo, 26/A
43122 Parma
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Country [1]
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Italy
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Primary sponsor type
Commercial sector/Industry
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Name
Chiesi Farmaceutici S.p.A.
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Address
Via Palermo, 26/A
43122 Parma
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Country
Italy
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Secondary sponsor category [1]
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None
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Name [1]
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NA
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Address [1]
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NA
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Country [1]
251360
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
There are two primary objectives in this study: The primary efficacy objective is to demonstrate that the response to the treatment, measured in terms of Disease Activity Index (DAI) after 4 weeks of treatment, is not inferior in Beclomethasone Dipropionate (BDP) group, compared to the one detected in the Prednisone group. The primary safety objective is to demonstrate a better safety profile in terms of steroid toxicity and reduction of endogenous cortisol production of BDP treatment compared to Prednisone treatment.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Marco Zibellini
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Address
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Via Palermo, 26/A
43122 Parma
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Country
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Italy
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Phone
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+ 39 0521 279713
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Fax
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+ 39 0521 279333
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Email
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[email protected]
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Contact person for scientific queries
Name
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Marco Zibellini
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Address
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Via Palermo, 26/A
43122 Parma
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Country
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Italy
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Phone
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+ 39 0521 279713
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Fax
4676
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+ 39 0521 279333
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Email
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[email protected]
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Oral prolonged release beclomethasone dipropionate and prednisone in the treatment of active ulcerative colitis: Results from a double-blind, randomized, parallel group study.
2015
https://dx.doi.org/10.1038/ajg.2015.114
N.B. These documents automatically identified may not have been verified by the study sponsor.
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