Ulcerative Colitis Clinical Trial
Official title:
Phase 3 Study to Establish the Efficacy and Safety of a New Tablet Formulation and Dosing Regimen of Balsalazide Disodium Dosed Twice Daily in Achieving Clinical Improvement in Subjects With Mildly to Moderately Active Ulcerative Colitis After 8 Weeks of Therapy
The purpose of this study is to establish the efficacy and safety of a new tablet formulation and dosing regimen of balsalazide disodium dosed twice daily in achieving clinical improvement in subjects with mildly to moderately active ulcerative colitis after 8 weeks of therapy.
The primary efficacy endpoint is the proportion of subjects that achieve clinical improvement
and improvement in the rectal bleeding subscale of the MMDAI at the end of eight weeks of
therapy, where clinical improvement is defined as a greater than or equal to 3 point
improvement from baseline in the MMDAI.
The secondary endpoints are as follows:
1. The change from baseline over the duration of treatment in total MMDAI score and in the
individual MMDAI subscales.
2. The change from baseline to Weeks 1, 2, 4 and 8 in total MMDAI score and in each
individual MMDAI subscale (endoscopy/sigmoidoscopy at Weeks 2 and 8 only).
3. The proportion of subjects with treatment failure, defined as withdrawal due to
significant disease progression or lack of significant improvement, as determined by the
Investigator.
4. The proportion of subjects with mucosal healing at Weeks 2 and 8, where mucosal healing
is defined as an endoscopy/sigmoidoscopy score of 0 or 1
5. The proportion of subjects achieving complete remission at Week 2 and Week 8, where
complete remission is defined as a MMDAI score of less than or equal to 1.
6. The proportion of subjects with improvement from baseline to Weeks 1, 2, 4 and 8 in
total MMDAI score and in each individual MMDAI subscale (endoscopy/sigmoidoscopy at
Weeks 2 and 8 only).
7. Change from baseline to Weeks 1, 2, 4 and 8 in diarrhea, abdominal discomfort, and
subjective sense of well being, as recorded in the subjects' diaries.
8. The proportion of subjects achieving clinical remission at Weeks 1, 2, 4 and 8, where
clinical remission is defined as a score of 0 for rectal bleeding and a combined score
of less than or equal to 2 for bowel frequency and physician assessment using the MMDAI.
9. Time to clinical remission, where clinical remission is defined as in secondary endpoint
number eight.
Safety endpoints are as follows:
- incidence of treatment-emergent AEs grouped by body system and evaluated by treatment
group;
- changes from baseline in clinical laboratory parameters at each treatment visit by
treatment group; and
- changes from baseline in vital sign measurements at each treatment visit by treatment
group.
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