Overview

Efficacy and Safety of Budesonide Foam for Participants With Active Mild to Moderate Ulcerative Proctitis or Proctosigmoiditis

Status:
Completed
Trial end date:
2013-03-18
Target enrollment:
0
Participant gender:
All
Summary
The purpose of this study is to establish the efficacy profile of rectally administered budesonide foam, as compared to an equivalent volume of rectally administered placebo foam over the same dosing schedule, in participants who present with a diagnosis of active, mild to moderate, ulcerative proctitis (UP) or ulcerative proctosigmoiditis (UPS). During the study, eligible participants will be allowed to maintain previously established oral 5-aminosalicylic acid (5-ASA) treatment at doses up to 4.8 grams/day (g/day).
Phase:
Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Bausch Health Americas, Inc.
Valeant Pharmaceuticals International, Inc.
Treatments:
Budesonide
Hormones, Hormone Substitutes, and Hormone Antagonists
Peripheral Nervous System Agents
Criteria
Inclusion Criteria:

- Voluntarily sign written informed consent.

- Male or non-pregnant and non-lactating females.

- Confirmed diagnosis (by endoscopy procedure) of active, mild to moderate UP or UPS,
with disease extending at least 5 centimeters (cm) but no further than 40 cm from the
anal verge.

- Must possess a baseline MMDAI score between 5 and 10.

Exclusion Criteria:

- History or current diagnosis of Crohn's disease and indeterminate colitis.

- Prior gastrointestinal surgery except appendectomy and hernia.

- Concomitant active gastrointestinal disease or distortion of intestinal anatomy.

- History of diverticulitis, collagenous colitis, celiac disease, recurrent pancreatic
or known gallbladder disease.

- Uncontrolled, previously diagnosed type 1 or 2 diabetes mellitus.

- Uncontrolled abnormal thyroid function.

- Unstable significant cardiovascular, endocrine, neurologic or pulmonary disease.

- Hemoglobin levels less than (<) 7.5 grams /deciliter (g/dL).

- History of sclerosing cholangitis, cirrhosis, or hepatic impairment.

- Renal disease manifested by greater than (>) 2.0 milligrams/deciliter (mg/dL) serum
creatinine.

- History of avascular hip necrosis, active tuberculosis, ocular herpes simplex or
ocular varicella zoster, malignant disease, and HIV or hepatitis B or C.

- Adrenal insufficiency.

- Active systemic or cutaneous infection or toxic megacolon, fistula, perforation or
abscess.

- History of uncontrolled psychiatric disorders or seizure disorders.

- History of asthma requiring ongoing use of inhaled steroids.

- Recent history of drug or alcohol abuse.

- Positive stool test for bacterial pathogens, Clostridium difficile toxin, or ovum and
parasites.

- Vaccination within 28 days prior to randomization.

- Allergies to budesonide or to any other items used in its preparation.

- Participation in another clinical trial in the past 30 days.

- Pregnant or at risk of pregnancy.

- Taking a prohibited medication. Some medications to treat UP/UPS are prohibited during
participation in the study, including laxatives and anti-diarrhea medications;
however, oral 5-ASA agents at doses up to 4.8 g/day and daily fiber supplements are
allowed. Other medications (e.g., antibiotics, anti-seizure and anti-coagulant
medicines) are also prohibited.