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| Name | Class |
|---|---|
| Cosmo Technologies Ltd | INDUSTRY |
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Open-label, 8 week study, to assess the efficacy and safety of oral Budesonide-MMX 9 mg Extended-release Tablets in patients with mild to moderate, active ulcerative colitis who are not in remission based on the Ulcerative Colitis Disease Activity Index in study CB-01-02/01 (parent study [NCT00679432]).
Patients who complete the parent study and who do not achieve clinical remission will be eligible to receive 8 weeks of open-label treatment with Budesonide-MMX 9mg if they satisfy the entry criteria for this study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Budesonide | Experimental | Budesonide-MMX 9 mg tablet |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Budesonide | Drug | One Budesonide-MMX 9 mg tablet will be taken in the morning after breakfast for 8 weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The Percentage of Patients Achieving Clinical Remission | The primary efficacy endpoint is clinical remission at 8 weeks, defined as a Ulcerative Colitis Disease Activity Index score of < or = 1 with a score of 0 for both rectal bleeding and stool frequency, and > or = 1 point reduction from baseline in endoscopy score, without any sign of mucosal friability (a score of 0 for mucosal appearance). The UCDAI has 4 components. Each component is scored on scale of 0 to 3 (total maximum [worst] score = 12). Definitions of component scores are as follows: stool frequency: 0 = normal frequency, 1 = 1 - 2 stools per day greater than normal frequency, 2 = 3 - 4 stools per day greater than normal frequency, and 3 = > 4 stools per day greater than normal frequency; rectal bleeding: 0 = none, 1 = streaks of blood, 2 = obvious blood, 3 = mostly blood; physician's rating of disease activity: 0 = normal, 1 = mild, 2 = moderate, 3 = severe; mucosal appearance: 0 = normal, 1 = mild friability, 2 = moderate friability, 3 = exudation, spontaneous bleeding. | At the end of the 8 week treatment period |
| Measure | Description | Time Frame |
|---|---|---|
| The Secondary Efficacy Endpoint is Clinical Improvement | The secondary efficacy endpoint is clinical improvement, defined as a drop in the Ulcerative Colitis Disease Activity Index score of > or = 3 points from baseline. | After 8 weeks treatment period |
| Safety Evaluations: the Numbers of Patients Who Experience Serious Adverse Events (SAEs) or Other Nonserious Adverse Events (AEs) During the Course of the Study. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Santarus Clinical Investigational Site 9001 | Andhra Pradesh | India | ||||
| Santarus Clinical Investigational Site 9009 |
Patient had to have failed to achieve clinical remission in parent study CB-01-02/01. One of the 61 enrolled patients did not receive study drug. Therefore, 60 patients were evaluable for safety and efficacy analyses.
Recruited from February 2010 to July 2010
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| ID | Title | Description |
|---|---|---|
| FG000 | Budesonide | Budesonide-multi-matrix system (MMX) 9 mg tablet Budesonide : One Budesonide-MMX 9 mg tablet will be taken in the morning after breakfast for 8 weeks. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
All patients who received at least 1 dose of study drug were considered Evaluable patients. Total evaluable population was 60.
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| ID | Title | Description |
|---|---|---|
| BG000 | Budesonide | Budesonide-MMX 9 mg tablet Budesonide : One Budesonide-MMX 9 mg tablet will be taken in the morning after breakfast for 8 weeks. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | The Percentage of Patients Achieving Clinical Remission | The primary efficacy endpoint is clinical remission at 8 weeks, defined as a Ulcerative Colitis Disease Activity Index score of < or = 1 with a score of 0 for both rectal bleeding and stool frequency, and > or = 1 point reduction from baseline in endoscopy score, without any sign of mucosal friability (a score of 0 for mucosal appearance). The UCDAI has 4 components. Each component is scored on scale of 0 to 3 (total maximum [worst] score = 12). Definitions of component scores are as follows: stool frequency: 0 = normal frequency, 1 = 1 - 2 stools per day greater than normal frequency, 2 = 3 - 4 stools per day greater than normal frequency, and 3 = > 4 stools per day greater than normal frequency; rectal bleeding: 0 = none, 1 = streaks of blood, 2 = obvious blood, 3 = mostly blood; physician's rating of disease activity: 0 = normal, 1 = mild, 2 = moderate, 3 = severe; mucosal appearance: 0 = normal, 1 = mild friability, 2 = moderate friability, 3 = exudation, spontaneous bleeding. | All patients who received at least 1 dose of study drug. | Posted | Number | percentage of patients | At the end of the 8 week treatment period |
56 day ± 2 day (study duration) + 30 day safety followup period.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Budesonide | Budesonide-MMX 9 mg tablet Budesonide : One Budesonide-MMX 9 mg tablet will be taken in the morning after breakfast for 8 weeks. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Colitis ulcerative | Gastrointestinal disorders | MedDRA V11.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cushingoid | Endocrine disorders | MedDRA V11.0 | Systematic Assessment |
This was an open label study. There was no reference therapy for statistical analysis.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Michael Huang, MD, Senior Medical Director, Clinical Research | Santarus, Inc. | 8583145700 | contact@santarus.com |
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| ID | Term |
|---|---|
| D003093 | Colitis, Ulcerative |
| ID | Term |
|---|---|
| D003092 | Colitis |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D019819 | Budesonide |
| ID | Term |
|---|---|
| D011282 | Pregnenediones |
| D011283 | Pregnenes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 |
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Safety will be assessed by evaluating SAEs and AEs. The outcome measure data are the numbers of patients who experienced SAEs or other nonserious AEs. |
| Throughout the 8 week treatment period |
| Endoscopic Improvement | Greater or equal to a 1 point improvement in the mucosal appearance subscore of the ulcerative colitis disease activity index (UCDAI), from baseline to week 8. The UCDAI mucosal appearance subscore is graded as follows: 0 = normal, 1 = mild friability, 2 = moderate friability, 3 = exudation, spontaneous bleeding. | 8 weeks |
| Andhra Pradesh |
| India |
| Santarus Clinical Investigational Site 9012 | Andhra Pradesh | India |
| Santarus Clinical Investigational Site 9016 | Andhra Pradesh | India |
| Santarus Clinical Investigational Site 9006 | Assam | India |
| Santarus Clinical Investigational Site 9007 | Gujarat | India |
| Santarus Clinical Investigational Site 9004 | Karnataka | India |
| Santarus Clinical Investigational Site 9015 | Karnataka | India |
| Santarus Clinical Investigational Site 9003 | Kerala | India |
| Santarus Clinical Investigational Site 9002 | Maharashtra | India |
| Santarus Clinical Investigational Site 9008 | Maharashtra | India |
| Santarus Clinical Investigational Site 9013 | Maharashtra | India |
| Santarus Clinical Investigational Site 9018 | Rajasthan | India |
| Santarus Clinical Investigational Site 9005 | Tamil Nadu | India |
| Santarus Clinical Investigational Site 9014 | Uttar Pradesh | India |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| ID |
|---|
| Title |
|---|
| Description |
|---|
| OG000 | Budesonide | Budesonide-MMX 9 mg tablet Budesonide : One Budesonide-MMX 9 mg tablet will be taken in the morning after breakfast for 8 weeks. |
|
|
| Secondary | The Secondary Efficacy Endpoint is Clinical Improvement | The secondary efficacy endpoint is clinical improvement, defined as a drop in the Ulcerative Colitis Disease Activity Index score of > or = 3 points from baseline. | All patients who received at least 1 dose of study drug. | Posted | Number | percentage of patients | After 8 weeks treatment period |
|
|
|
| Secondary | Safety Evaluations: the Numbers of Patients Who Experience Serious Adverse Events (SAEs) or Other Nonserious Adverse Events (AEs) During the Course of the Study. | Safety will be assessed by evaluating SAEs and AEs. The outcome measure data are the numbers of patients who experienced SAEs or other nonserious AEs. | All patients who received at least 1 dose of study drug. | Posted | Number | participants | Throughout the 8 week treatment period |
|
|
|
| Secondary | Endoscopic Improvement | Greater or equal to a 1 point improvement in the mucosal appearance subscore of the ulcerative colitis disease activity index (UCDAI), from baseline to week 8. The UCDAI mucosal appearance subscore is graded as follows: 0 = normal, 1 = mild friability, 2 = moderate friability, 3 = exudation, spontaneous bleeding. | All patients who received at least one dose of study drug. | Posted | Number | percentage of patients | 8 weeks |
|
|
|
| 2 |
| 60 |
| 29 |
| 60 |
| Endometrial hyperplasia | Reproductive system and breast disorders | MedDRA V11.0 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA V11.0 | Systematic Assessment |
|
| Asthenia | General disorders | MedDRA V11.0 | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA V11.0 | Systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA V11.0 | Systematic Assessment |
|
| Blood cortisol decreased | Investigations | MedDRA V11.0 | Systematic Assessment |
|
| Blood glucose decreased | Investigations | MedDRA V11.0 | Systematic Assessment |
|
| Blood potassium increased | Investigations | MedDRA V11.0 | Systematic Assessment |
|
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| D015212 |
| Inflammatory Bowel Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |