Crohn's Disease Clinical Trial
Official title:
Clinical Efficacy and Safety of Delayed Release 6-Mercaptopurine (DR-6MP) for Targeted Ileal Delivery in Patients With Moderately Active Crohn's Disease - Open Label Extension Study
The open label extension study (Protocol C2/13/DR-6MP-02 EXT) is designed to evaluate the
clinical efficacy and safety of 80 mg DR-6MP test formulation for an additional 12 weeks in
subjects who already completed 12 weeks of Protocol C2/13/DR-6MP-02. Crohn's disease (CD)
therapy is aimed at reducing inflammation via induction of remission after a flare-up and
maintenance of the remission for as long as possible. The questions being asked in this
extension study are:
1. For subjects who received 80 mg DR-6MP for 12 weeks: Can the clinical efficacy and
safety status achieved following 12 weeks of treatment be maintained or improved
following an additional 12 weeks of DR-6MP treatment?
2. For subjects who received oral Purinethol (1-1.5 mg/kg daily) for 12 weeks: Can the
clinical efficacy and safety at 12 weeks be maintained or improved following the
introduction of 12 weeks of 80 mg DR-6MP treatment?
By following the 2 groups of subjects, i.e, those who originally received the test
formulation (80 mg DR-6MP) and are now continuing for another 12 weeks on test drug vs.
those who received the reference drug (Purinethol, 1-1.5 mg/kg daily) and are now being
introduced to 12 weeks of 80 mg DR6MP test drug, and monitoring the CDAI scores, immunology
parameters (ex. ESR and CRP) and safety assessments (i.e., adverse events occurrences,
weight changes, laboratory test results) and comparing to the parameters at extension study
start, the study will effectively answer the following questions:
1. Does an additional 12 weeks of 80 mg DR6MP test drug treatment maintain or improve CDAI
scores?
2. Is an additional 12 weeks of 80 mg DR6MP test drug treatment safer due to negligible
drug availability systemically?
3. Can an additional 12 weeks of 80 mg DR6MP test drug treatment evoke a more effective
immunological systemic response?
4. In the subset of subjects willing to undergo colonoscopy/ileoscopy, does an additional
12 weeks of 80 mg DR6MP test drug induce effective mucosal healing?
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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