Ulcerative ColitisPhase 3NCT01532648
Randomized Placebo-Controlled Trial of Budesonide Multi-Matrix System (MMX®) 9 Milligrams (mg) in Participants With Ulcerative Colitis Currently on a 5-Aminosalicylic Acid (5-ASA)
A Phase 3 study testing Budesonide MMX® and 5-ASA in people with Ulcerative Colitis, run by Bausch Health Americas, Inc. at 114 sites in 11 countries.
Trial summary
This study is to compare the efficacy and safety of budesonide MMX 9 mg versus placebo as add-on therapy to an existing oral 5-ASA regimen for the induction of remission in participants with active mild or moderate ulcerative colitis (UC). Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Ulcerative Colitis
- What is being tested?
- Budesonide MMX® and 5-ASA
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 510 participants
- Where
- 114 sitesin 11 countries
- Study dates
- 27 Jan 2012to 2 Oct 2013
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age 18 to 75 years, inclusive.
- Established diagnosis of UC, based on clinical history, exclusion of infectious causes, and characteristic endoscopic and histologic findings.
- Active mild or moderate UC with an ulcerative colitis disease activity index (UCDAI) score ≥4 and ≤10, with a mucosal appearance score of ≥1, and physician's rating of disease activity of 1 or 2.
- Experiencing active UC (flare) despite a therapeutic dose of an oral 5-ASA (for example, mesalamine ≥2.4 g/day for ≥6 weeks prior to randomization, or equivalent). At screening, photographic evidence of active UC based on mucosal appearance must be obtained.
- Women of childbearing potential or men of reproductive potential must be willing to use an acceptable form of contraception.
- Able to comprehend the full nature and purpose of the study, including possible risks and side effects, and also able to comply with all requirements of the study. Must be able to understand and voluntarily sign an informed consent prior to any study procedures.
Who cannot join
- Limited distal proctitis (from anal verge to 15 centimeters [cm] above the pectineal line).
- Severe UC (UCDAI >10 or physician global assessment [PGA] >2), or non-active UC (UCDAI <4).
- Infectious colitis or any recent history of infectious colitis (within 30 days of Screening).
- Active malignancy or carcinoma in situ within the last 5 years (treated non-melanoma skin cancers are not exclusionary).
- Active ulcer or bleeding disorder that may affect evaluation of blood in the stool.
- Evidence or history of toxic megacolon or bowel resection.
Show all 24Show fewer
- Crohn's disease or indeterminate colitis.
- Known hypersensitivity to budesonide or any ingredients of the budesonide MMX tablets.
- Active tuberculosis or other active systemic or local bacterial, fungal, or viral infection.
- Liver cirrhosis, evident hepatic or renal disease or insufficiency, or significant impairment of the biohumoral parameters (≥2.5*upper limit of normal [ULN] for alanine aminotransferase, aspartate aminotransferase, gamma-glutamyl transpeptidase, or ≥2*ULN for creatinine). Elevations in bilirubin due to benign conditions such as Gilbert's syndrome are not exclusionary.
- Severe diseases in other organs or systems.
- Local or systemic complications or other pathological states requiring therapy with corticosteroids and/or immunosuppressive agents.
- Type 1 diabetes.
- Glaucoma or with a family history of glaucoma in first-degree relatives.
- Known hepatitis B, hepatitis C, or human immunodeficiency virus (HIV), according to the local privacy policy.
- Severe anemia (<9 g/deciliter [dL] hemoglobin), leukopenia (<2.5*10^9 white blood cells [WBC]/liter [L]), or granulocytopenia (<1.2*10^9 cells/L).
- Participants with a history of pancolitis (disease that extends to the hepatic flexure or beyond) for ≥8 years or left-sided colitis (disease confined to the left colon [that is, distal to the splenic flexure]) ≥15 years who have not yet completed a surveillance colonoscopy for dysplasia/colorectal cancer screening within the past year.
- Prior budesonide MMX treatment.
- Use of oral corticosteroids including other budesonide formulations within the last 4 weeks prior to randomization.
- Use of any rectal 5-ASA or corticosteroid formulations within the last 2 weeks prior to randomization.
- Use of immunosuppressive agents within the last 8 weeks prior to randomization.
- Use of anti-tumor necrosis factor-alpha (TNFα) agents or other biologic therapies within the last 3 months prior to randomization.
- Participation in experimental therapeutic studies within 30 days of randomization (or within the last 3 months if in an anti-TNFα or biologic agent study). Note: participants who participated in observational-only studies (and who did not receive study therapy) 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 participant or obscure the interpretation of adverse events (AEs) by the appropriate independent ethics committee/institutional review board.
Trial locations and contacts
114 sites in 11 countries.
114 sites in 11 countries
United States39 sites
Santarus Clinical Investigational Site 1043
Anaheim, California, 92801
Santarus Clinical Investigational Site 1044
Annapolis, Maryland, 21401
Santarus Clinical Investigational Site 1059
Austin, Texas, 78705
Santarus Clinical Investigational Site 1035
Boynton Beach, Florida, 33426
Santarus Clinical Investigational Site 1028
Bristol, Connecticut, 06010
Santarus Clinical Investigational Site 1021
Cheektowaga, New York, 14225
Santarus Clinical Investigational Site 1038
Chesapeake, Virginia, 23320
Santarus Clinical Investigational Site 1016
Chesterfield, Michigan, 48047
Santarus Clinical Investigational Site 1075
Chicago, Illinois, 60637
Santarus Clinical Investigational Site 1025
Christiansburg, Virginia, 24073
Santarus Clinical Investigational Site 1080
Cincinnati, Ohio, 45267
Santarus Clinical Investigational Site 1078
Cleveland, Ohio, 44195
Santarus Clinical Investigational Site 1082
Dayton, Ohio, 45415
Santarus Clinical Investigational Site 1050
Decatur, Georgia, 30033
Santarus Clinical Investigational Site 1072
Great Neck, New York, 11023
Santarus Clinical Investigational Site 1039
Houston, Texas, 77030
Santarus Clinical Investigational Site 1058
Indianapolis, Indiana, 46202
Santarus Clinical Investigational Site 1045
Jacksonville, Florida, 32256
Santarus Clinical Investigational Site 1071
Lakewood, California, 90712
Santarus Clinical Investigational Site 1064
Lancaster, Pennsylvania, 17604
Santarus Clinical Investigational Site 1014
Lancaster, Utah, 84341
Santarus Clinical Investigational Site 1001
Largo, Florida, 33777
Santarus Clinical Investigational Site 1061
Lebanon, New Hampshire, 03756
Santarus Clinical Investigational Site 1063
Littleton, Colorado, 80120
Santarus Clinical Investigational Site 1024
Maitland, Florida, 32751
Santarus Clinical Investigational Site 1031
New York, New York, 10028
Santarus Clinical Investigational Site 1081
Novi, Michigan, 48377
Santarus Clinical Investigational Site 1065
Oak Lawn, Illinois, 60453
Santarus Clinical Investigational Site 1005
Pasadena, Texas, 77505
Santarus Clinical Investigational Site 1029
Port Orange, Florida, 32127
Santarus Clinical Investigational Site 1074
Rochester, Minnesota, 55905
Santarus Clinical Investigational Site 1003
San Diego, California, 92114
Santarus Clinical Investigational Site 1006
Sayre, Pennsylvania, 18840
Santarus Clinical Investigational Site 1032
Shreveport, Louisiana, 71103
Santarus Clinical Investigational Site 1073
Wilmington, North Carolina, 28403
Santarus Clinical Investigational Site 1010
Winter Park, Florida, 32789
Santarus Clinical Investigational Site 1015
Wyoming, Michigan, 49159
Santarus Clinical Investigational Site 1068
Ypsilanti, Michigan, 48197
Santarus Clinical Investigational Site 1002
Zephyrhills, Florida, 33613
Russia13 sites
Santarus Clinical Investigational Site 9016
Lipetsk
Santarus Clinical Investigational Site 9005
Moscow
Santarus Clinical Investigational Site 9010
Moscow
Santarus Clinical Investigational Site 9004
Nizhny Novgorod
Santarus Clinical Investigational Site 9003
Ryazan
Santarus Clinical Investigational Site 9001
Saint Petersburg
Santarus Clinical Investigational Site 9008
Saint Petersburg
Santarus Clinical Investigational Site 9013
Saint Petersburg
Santarus Clinical Investigational Site 9014
Saint Petersburg
Santarus Clinical Investigational Site 9009
Saratov
Santarus Clinical Investigational Site 9007
Stavropol
Santarus Clinical Investigational Site 9006
Ufa
Santarus Clinical Investigational Site 9017
Volgograd
Hungary11 sites
Santarus Clinical Investigational Site 5010
Békéscsaba
Santarus Clinical Investigational Site 5008
Budapest
Santarus Clinical Investigational Site 5009
Budapest
Santarus Clinical Investigational Site 5001
Debrecen
Santarus Clinical Investigational Site 5003
Gyula
Santarus Clinical Investigational Site 5004
Kaposvár
Santarus Clinical Investigational Site 5002
Miskolc
Santarus Clinical Investigational Site 5006
Mosonmagyaróvár
Santarus Clinical Investigational Site 5011
Pécs
Santarus Clinical Investigational Site 5005
Szeged
Santarus Clinical Investigational Site 5007
Vác
Bulgaria10 sites
Santarus Clinical Investigational Site 4003
Pleven
Santarus Clinical Investigational Site 4004
Plovdiv
Santarus Clinical Investigational Site 4009
Plovdiv
Santarus Clinical Investigational Site 4008
Rousse
Santarus Clinical Investigational Site 4001
Sofia
Santarus Clinical Investigational Site 4002
Sofia
Santarus Clinical Investigational Site 4005
Sofia
Santarus Clinical Investigational Site 4007
Sofia
Santarus Clinical Investigational Site 4010
Sofia
Santarus Clinical Investigational Site 4011
Sofia
Canada10 sites
Santarus Clinical Investigational Site 2007
Calgary
Santarus Clinical Investigational Site 2008
Halifax, Nova Scotia
Santarus Clinical Investigational Site 2004
London, Ontario
Santarus Clinical Investigational Site 2005
London
Santarus Clinical Investigational Site 2009
Montreal, Quebec
Santarus Clinical Investigational Site 2010
Ottawa, Ontario
Santarus Clinical Investigational Site 2006
Québec
Santarus Clinical Investigational Site 2001
Sherbrooke, Quebec, J1G2E8
Santarus Clinical Investigational Site 2002
Vaughan, Ontario, L4L4Y7
Santarus Clinical Investigational Site 2003
Winnipeg, Manitoba, R3A1R9
Czechia10 sites
Santarus Clinical Investigational Site 3001
Hradec Králové
Santarus Clinical Investigational Site 3006
Hradec Králové
Santarus Clinical Investigational Site 3005
Labem
Santarus Clinical Investigational Site 3003
Olomouc
Santarus Clinical Investigational Site 3004
Prague
Santarus Clinical Investigational Site 3007
Prague
Santarus Clinical Investigational Site 3009
Prague
Santarus Clinical Investigational Site 3002
Tábor
Santarus Clinical Investigational Site 3010
Ústí nad Orlicí
Santarus Clinical Investigational Site 3011
Valašské Meziříčí
Poland7 sites
Santarus Clinical Investigational Site 6003
Elblag
Santarus Clinical Investigational Site 6001
Krakow
Santarus Clinical Investigational Site 6002
Sopot
Santarus Clinical Investigational Site 6006
Szczecin
Santarus Clinical Investigational Site 6004
Warsaw
Santarus Clinical Investigational Site 6008
Warsaw
Santarus Clinical Investigational Site 6005
Warszawy
Ukraine7 sites
Santarus Clinical Investigational Site 7010
Crimea
Santarus Clinical Investigational Site 7002
Donetsk
Santarus Clinical Investigational Site 7001
Kharkiv
Santarus Clinical Investigational Site 7004
Kharkiv
Santarus Clinical Investigational Site 7006
Kyiv
Santarus Clinical Investigational Site 7008
Kyiv
Santarus Clinical Investigational Site 7005
Vinnytsia
Latvia3 sites
Santarus Clinical Investigational Site 8101
Riga
Santarus Clinical Investigational Site 8102
Riga
Santarus Clinical Investigational Site 8103
Riga
Lithuania3 sites
Santarus Clinical Investigational Site 8202
Kaunas
Santarus Clinical Investigational Site 8201
Vilnius
Santarus Clinical Investigational Site 8203
Vilnius
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Oral Budesonide MMX® 9 mg Extended-release Tablets as Add-on Therapy in Patients With Active, Mild or Moderate Ulcerative Colitis Not Adequately Controlled on a Background Oral 5-ASA Regimen
This study is to compare the efficacy and safety of budesonide MMX 9 mg versus placebo as add-on therapy to an existing oral 5-ASA regimen for the induction of remission in participants with active mild or moderate ulcerative colitis (UC).
Read the detailed description
Eligible participants will be randomized to 1 of the following 2 treatment arms:
- Budesonide MMX 9 mg (1 tablet)
- Placebo (tablet indistinguishable from budesonide MMX 9 mg tablet)
The assigned study drug will be taken as a single oral tablet each morning after breakfast. In addition to the study drug, all participants will continue their existing background oral 5-ASA regimen during the treatment period.
- Conditions
- Ulcerative Colitis
- Being tested
- Budesonide MMX®, Placebo, 5-ASA
- Keywords
- Ulcerative Colitis
- Medical subject headings
- Colitis, Ulcerative
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Budesonide MMX®Drug
Also called Budesonide Multi-Matrix System
Oral tablet taken daily in the morning after breakfast.
PlaceboDrug
Matching budesonide MMX placebo oral tablet taken daily in the morning after breakfast.
5-ASADrug
Acceptable oral 5-ASA medications to be received during the study include:
- Asacol®, Asacol® HD, Lialda®, Pentasa® (generic: mesalamine), minimum daily dose ≥2.4 grams (g)
- Azulfidine® (generic: sulfasalazine), minimum daily dose ≥4.0 g
- Dipentum® (generic: olsalazine), minimum daily dose ≥2.0 g
- Colazal®, Colazide® (generic: balsalazide), minimum daily dose ≥6.75 g
| Study group | Role | What they receive |
|---|---|---|
| Budesonide MMX | Experimental | Participants will receive 1 oral tablet of budesonide MMX 9 mg for 56 days. Additionally, participants will continue to receive the same dose of their existing oral 5-ASA medication from their treating physician. Receives: Drug: Budesonide MMX®; Drug: 5-ASA |
| Placebo | Placebo comparator | Participants will receive 1 oral tablet of matching budesonide MMX placebo for 56 days. Additionally, participants will continue to receive the same dose of their existing oral 5-ASA medication from their treating physician. Receives: Drug: Placebo; Drug: 5-ASA |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants Who Achieved Clinical Remission at Day 56
Clinical remission defined as a score of 0 for rectal bleeding and 0 for stool frequency components from the Ulcerative Colitis Disease Activity Index (UCDAI). UCDAI is the sum (0 to 12) of 4 severity scores (0 to 3). Stool frequency and rectal bleeding were based on information recorded in daily participant diaries. The diary entries were averaged for rectal bleeding and stool frequency for 3 days prior to (and closest to) Day 56 with non-missing diary data, within 5 days prior to (and closest to) Day 56. The 5 days did not include any days of the flexible sigmoidoscopy (or colonoscopy) or the preparation for the flexible sigmoidoscopy (or colonoscopy). These averages were rounded to integer values. If either subscore could not be calculated because of missing data, the score for that UCDAI component was set to missing. Participants with insufficient data at Day 56 were excluded from the analysis. Participants who had clinical remission at Baseline were classified as non-responders.
Measured: Baseline up to Day 56
Secondary outcomes (6)
Number of Participants of Who Achieved Clinical Response at Day 56
Clinical response defined as an improvement in UCDAI from Baseline of ≥3 points with a rectal bleeding score ≤1. UCDAI is the sum (0 to 12) of 4 severity scores (0 to 3). Rectal bleeding was based on information recorded in daily participant diaries. The diary entries were averaged for rectal bleeding for 3 days prior to (and closest to) Day 56 with non-missing diary data, within 5 days prior to (and closest to) Day 56. The 5 days did not include any days of the flexible sigmoidoscopy (or colonoscopy) or the preparation for the flexible sigmoidoscopy (or colonoscopy). These averages were rounded to integer values. If either subscore could not be calculated because of missing data, the score for that UCDAI component was set to missing. Participants with insufficient data at Day 56 were excluded from the analysis.
Measured: Baseline up to Day 56
Number of Participants Who Achieved UCDAI Remission at Day 56
UCDAI remission was defined as a total UCDAI score ≤1 with subscores of 0 for rectal bleeding, stool frequency, and mucosal appearance of the colon. UCDAI is the sum (0 to 12) of 4 severity scores (0 to 3). Stool frequency and rectal bleeding were based on information recorded in daily participant diaries and mucosal appearance was based on endoscopy results. The diary entries were averaged for rectal bleeding and stool frequency for 3 days prior to (and closest to) Day 56 with non-missing diary data, within 5 days prior to (and closest to) Day 56. The 5 days did not include any days of the flexible sigmoidoscopy (or colonoscopy) or the preparation for the flexible sigmoidoscopy (or colonoscopy). These averages were rounded to integer values. If the subscore could not be calculated because of missing data, the score for that UCDAI component was set to missing. Participants with insufficient data at Day 56 were excluded from the analysis.
Measured: Baseline up to Day 56
Number of Participants Who Achieved Endoscopic Remission at Day 56
Endoscopic remission was defined as a score of 0 in the mucosal appearance component subscore of the UCDAI at Day 56. UCDAI is the sum (0 to 12) of 4 severity scores (0 to 3). Mucosal appearance was based on endoscopy results. If the mucosal appearance subscore could not be calculated because of missing data, endoscopic remission was set to missing. Participants with insufficient data at Day 56 were excluded from the analysis.
Measured: Screening and Day 56
Number of Participants Who Achieved Histologic Healing at Day 56
Participants achieved histologic healing if histologic assessments of all biopsy specimens were graded as 0 (normal mucosa). If the score for ≥1 sample was missing, the overall score at that visit was set to missing. Participants with insufficient data at Day 56 were excluded from analysis.
Measured: Baseline and Day 56
Number of Participants With Treatment Failure at Day 56
Treatment failure was defined as an unchanged, worsened, or missing UCDAI score at Day 56. UCDAI is the sum (0 to 12) of 4 severity scores (0 to 3). Stool frequency and rectal bleeding was based on information recorded in daily participant diaries and mucosal appearance was based on endoscopy results. The diary entries were averaged for rectal bleeding and stool frequency for 3 days prior to (and closest to) Day 56 with non-missing diary data, within 5 days prior to (and closest to) Day 56. The 5 days did not include any days of the flexible sigmoidoscopy (or colonoscopy) or the preparation for the flexible sigmoidoscopy (or colonoscopy). These averages were rounded to integer values. If the subscore could not be calculated because of missing data, the score for that UCDAI component was set to missing. Participants with insufficient data at Day 56 were excluded from the analysis.
Measured: Baseline up to Day 56
Change From Baseline in Inflammatory Bowel Disease-Quality of Life (IBD-QoL) Questionnaire Scores
The IBD-QoL questionnaire was self-completed by the participant. The IBD-QoL is a disease-specific instrument to evaluate the quality of life of participants with UC. This 32-item questionnaire has 4 dimensions: bowel function, emotional function, systemic symptoms, and social function. The total score is presented, which ranges from 32 to 224, with higher scores indicating a better quality of life. The scores of participants in remission usually range from 170 to 190. If >50% of the questionnaire answers for a particular dimension were missing, this dimension score was set to missing. The total score for the IBD-QoL was the sum of the domain scores, however, if any dimension score was missing, the total IBD-QoL score was set to missing.
Measured: Baseline, Days 14, 28, and 56
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Feb 2012 (estimated)
- Study start27 Jan 2012
- Primary completion2 Oct 2013
- Study completion2 Oct 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Ulcerative ColitisStudies of the same condition, open and under way.
- More trials run by Bausch Health Americas, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 510 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bausch Health Americas, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Lindsey Mathew, Study director, Bausch Health Companies
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01532648
- Sponsor's protocol ID
- C2011-0401
- Status last verified
- Aug 2019
- First submitted
- 13 Dec 2011
- Last updated
- 6 Sep 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Rubin DT, Cohen RD, Sandborn WJ, Lichtenstein GR, Axler J, Riddell RH, Zhu C, Barrett AC, Bortey E, Forbes WP. Budesonide Multimatrix Is Efficacious for Mesalamine-refractory, Mild to Moderate Ulcerative Colitis: A Randomised, Placebo-controlled Trial. J Crohns Colitis. 2017 Jul 1;11(7):785-791. doi: 10.1093/ecco-jcc/jjx032.
PubMed 28333362
Study at a glance
From the registry record, last updated by the sponsor on 6 Sep 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Oral Budesonide MMX® 9 mg Extended-release Tablets as Add-on Therapy in Patients With Active, Mild or Moderate Ulcerative Colitis Not Adequately Controlled on a Background Oral 5-ASA Regimen
- ClinicalTrials.gov ID
- NCT01532648
- Acronym / sponsor ID
- C2011-0401
- Conditions
- Ulcerative Colitis
- Keywords
- Ulcerative Colitis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 510 participants (actual)
- Lead sponsor
- Bausch Health Americas, Inc.Industry (pharma, biotech, devices)
- Study start
- 27 Jan 2012 (actual)
- Primary completion
- 2 Oct 2013 (actual)
- Study completion
- 2 Oct 2013 (actual)
- First posted
- 14 Feb 2012 (estimated)
- Results
- Posted 6 Sep 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is to compare the efficacy and safety of budesonide MMX 9 mg versus placebo as add-on therapy to an existing oral 5-ASA regimen for the induction of remission in participants with active mild or moderate ulcerative colitis (UC).
Detailed description
Eligible participants will be randomized to 1 of the following 2 treatment arms:
- Budesonide MMX 9 mg (1 tablet)
- Placebo (tablet indistinguishable from budesonide MMX 9 mg tablet)
The assigned study drug will be taken as a single oral tablet each morning after breakfast. In addition to the study drug, all participants will continue their existing background oral 5-ASA regimen during the treatment period.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Budesonide MMX | Experimental | Drug: Budesonide MMX®, Drug: 5-ASAParticipants will receive 1 oral tablet of budesonide MMX 9 mg for 56 days. Additionally, participants will continue to receive the same dose of their existing oral 5-ASA medication from their treating physician. |
| Placebo | Placebo comparator | Drug: Placebo, Drug: 5-ASAParticipants will receive 1 oral tablet of matching budesonide MMX placebo for 56 days. Additionally, participants will continue to receive the same dose of their existing oral 5-ASA medication from their treating physician. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Age 18 to 75 years, inclusive.
- Established diagnosis of UC, based on clinical history, exclusion of infectious causes, and characteristic endoscopic and histologic findings.
- Active mild or moderate UC with an ulcerative colitis disease activity index (UCDAI) score ≥4 and ≤10, with a mucosal appearance score of ≥1, and physician's rating of disease activity of 1 or 2.
- Experiencing active UC (flare) despite a therapeutic dose of an oral 5-ASA (for example, mesalamine ≥2.4 g/day for ≥6 weeks prior to randomization, or equivalent). At screening, photographic evidence of active UC based on mucosal appearance must be obtained.
- Women of childbearing potential or men of reproductive potential must be willing to use an acceptable form of contraception.
Key exclusion criteria (24 listed)
- Limited distal proctitis (from anal verge to 15 centimeters [cm] above the pectineal line).
- Severe UC (UCDAI >10 or physician global assessment [PGA] >2), or non-active UC (UCDAI <4).
- Infectious colitis or any recent history of infectious colitis (within 30 days of Screening).
- Active malignancy or carcinoma in situ within the last 5 years (treated non-melanoma skin cancers are not exclusionary).
- Active ulcer or bleeding disorder that may affect evaluation of blood in the stool.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Budesonide MMX®Also: Budesonide Multi-Matrix SystemOral tablet taken daily in the morning after breakfast. | Drug | Budesonide MMX |
| PlaceboMatching budesonide MMX placebo oral tablet taken daily in the morning after breakfast. | Drug | Placebo |
| 5-ASAAcceptable oral 5-ASA medications to be received during the study include: * Asacol®, Asacol® HD, Lialda®, Pentasa® (generic: mesalamine), minimum daily dose ≥2.4 grams (g) * Azulfidine® (generic: sulfasalazine), minimum daily dose ≥4.0 g * Dipentum® (generic: olsalazine), minimum daily dose ≥2.0 g * Colazal®, Colazide® (generic: balsalazide), minimum daily dose ≥6.75 g | Drug | Budesonide MMX, Placebo |
Primary outcome
Number of Participants Who Achieved Clinical Remission at Day 56
Time frame: Baseline up to Day 56
Clinical remission defined as a score of 0 for rectal bleeding and 0 for stool frequency components from the Ulcerative Colitis Disease Activity Index (UCDAI). UCDAI is the sum (0 to 12) of 4 severity scores (0 to 3). Stool frequency and rectal bleeding were based on information recorded in daily participant diaries. The diary entries were averaged for rectal bleeding and stool frequency for 3 days prior to (and closest to) Day 56 with non-missing diary data, within 5 days prior to (and closest to) Day 56. The 5 days did not include any days of the flexible sigmoidoscopy (or colonoscopy) or the preparation for the flexible sigmoidoscopy (or colonoscopy). These averages were rounded to integer values. If either subscore could not be calculated because of missing data, the score for that UCDAI component was set to missing. Participants with insufficient data at Day 56 were excluded from the analysis. Participants who had clinical remission at Baseline were classified as non-responders.
6 secondary outcomes
Number of Participants of Who Achieved Clinical Response at Day 56
Time frame: Baseline up to Day 56
Number of Participants Who Achieved UCDAI Remission at Day 56
Time frame: Baseline up to Day 56
Number of Participants Who Achieved Endoscopic Remission at Day 56
Time frame: Screening and Day 56
Number of Participants Who Achieved Histologic Healing at Day 56
Time frame: Baseline and Day 56
Number of Participants With Treatment Failure at Day 56
Time frame: Baseline up to Day 56
Change From Baseline in Inflammatory Bowel Disease-Quality of Life (IBD-QoL) Questionnaire Scores
Time frame: Baseline, Days 14, 28, and 56
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Sep 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 28333362Rubin DT, Cohen RD, Sandborn WJ, Lichtenstein GR, Axler J, Riddell RH, Zhu C, Barrett AC, Bortey E, Forbes WP. Budesonide Multimatrix Is Efficacious for Mesalamine-refractory, Mild to Moderate Ulcerative Colitis: A Randomised, Placebo-controlled Trial. J Crohns Colitis. 2017 Jul 1;11(7):785-791. doi: 10.1093/ecco-jcc/jjx032.
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IBD, Ulcerative Colitis
RecruitingObservational study
Characterization of Colorectal Dysplasic Lesions and Stratification of Their Evolving Risk in Inflammatory Bowel Disease Patients: a Prospective, Observational and Multicenter Study
Crohn Disease (CD), Colitis Ulcerative
Enrolling by invitationPhase 4
MOdel-Informed Precision Dosing of Ustekinumab and VEdolizumab in Inflammatory Bowel Disease
Inflammatory Bowel Diseases, Crohn Disease
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Lindsey Mathew study director
Bausch Health Companies
114 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Budesonide MMX® and 5-ASA in people with Ulcerative Colitis, run by Bausch Health Americas, Inc. at 114 sites in 11 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 24 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 Sep 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 114 sites in United States, Russia, Hungary, Bulgaria, Canada and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 6 Sep 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants Who Achieved Clinical Remission at Day 56 (time frame: Baseline up to Day 56). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01532648, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Sep 2019.