The purpose of this study is to compare Budesonide MMX™ 6 mg and Budesonide MMX™ 9 mg tablets to placebo and to Asacol 6x 400 mg tablets over an 8-week treatment period to determine if Budesonide MMX™ is effective in the treatment of ulcerative colitis.
Each patient will receive one of the following regimens in the morning after breakfast: 1. one budesonide-MMX™ 6 mg tablet plus two placebo Asacol® over encapsulated tablets, or 2. one budesonide-MMX™ 9 mg tablet plus two placebo Asacol® over encapsulated tablets, or 3. two placebo Asacol® over encapsulated tablets plus one placebo budesonide tablet, or 4. two Asacol® 400 mg over encapsulated tablets plus one placebo budesonide tablet, daily for 8 weeks. Each patient will also receive on each day after the midday meal and after the evening meal either: * two Asacol® 400 mg over-encapsulated tablets (Group 4), or * the equivalent placebo Asacol® over-encapsulated tablets, (Groups 1, 2 and 3) Hence, each patient is to take seven tablets per day of active or placebo study medication as per the randomization schedule. Placebo tablets of budesonide-MMX™ and placebo over-encapsulated tablets of Asacol® will be used to maintain the study blind using a double-dummy technique. During the study, five visits to the clinical center are scheduled: one at Screening and three in the double-blind treatment period (Day 1, Day 14, Day 28 and Day 56). A safety follow up visit will take place about 2 weeks after the final study visit. If a patient is withdrawn from the study before Day 56, they will be asked to attend the study center as soon as possible thereafter so that the Final visit assessments can be conducted.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
510
Blood sampling for hematology and biochemistry and endoscopy with biopsy for histological and endoscopic assessment scores
6 mg/day, 6 mg tablets
9 mg/day, 9 mg tablets
Clinical and Endoscopic Remission.
Clinical and endoscopic remission defined as a 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.
Time frame: 8 weeks
Clinical Improvement.
Clinical improvement, defined as a ≥ 3-point improvement in UCDAI from baseline to the end of Week 8.
Time frame: 8 weeks
Endoscopic Improvement
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.
Time frame: 8 weeks
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Placebo
2400 mg/day, 400 mg tablets
Santarus Clinical Investigational Site 5051
Huntsville, Alabama, United States
Santarus Clinical Investigational Site 5102
Mobile, Alabama, United States
Santarus Clinical Investigational Site 5014
Sylacauga, Alabama, United States
Santarus Clinical Investigational Site 5088
Tucson, Arizona, United States
Santarus Clinical Investigational Site 5044
Anaheim, California, United States
Santarus Clinical Investigational Site 5099
Encinitas, California, United States
Santarus Clinical Investigational Site 5075
Fremont, California, United States
Santarus Clinical Investigational Site 5087
Lakewood, California, United States
Santarus Clinical Investigational Site 5033
Los Angeles, California, United States
Santarus Clinical Investigational Site 5070
Palm Springs, California, United States
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