Internal Hemorrhoids Clinical Trial
— VEN309Official title:
A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Parallel-Treatment Group, Multicenter Efficacy and Safety Study of Intra-Anal Application of Iferanserin (10 mg) as a 0.5% Ointment in Subjects With Symptomatic Internal Hemorrhoids
Verified date | July 2012 |
Source | Ventrus Biosciences, Inc |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Primary Objective:
To evaluate the effect of iferanserin ointment on cessation of bleeding when administered
intra-anally twice daily (BID) for 7 or 14 days in subjects with symptomatic internal
hemorrhoids.
Methodology:
Double-Blind: Phase 3, multicenter, double-blind, randomized, parallel group,
placebo-controlled part of the study. Extension: Multicenter, open-label part of the study.
Study Treatment Duration:
Double-Blind: 28 days (14-day treatment period and a 14-day follow-up period). Extension: 12
months (open-label part of the study in which there will be a scheduled visit every three
months. Subjects who have recurrence(s) of their symptomatic internal hemorrhoids will be
treated with open-label iferanserin for 7 days followed by a 21-day follow-up period).
Criteria for Evaluation:
Primary Endpoint:
The primary endpoint is the cessation of bleeding by the end of Day 7 that persists for the
remainder of the treatment period (through Day 14).
Status | Terminated |
Enrollment | 403 |
Est. completion date | June 2012 |
Est. primary completion date | June 2012 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 75 Years |
Eligibility |
1.1 Inclusion Criteria for Double-Blind and Recurrence 1. Males or non-pregnant females, aged = 18 to = 75 years. 2. Symptomatic internal hemorrhoids, Grades I-III by direct anoscopic visualization (anoscopic visualization not required if Grade determined by colonoscopy within 28 days prior to Day 1). 3. Bleeding from hemorrhoids for two consecutive days prior to randomization (Day 1). • For females experiencing menses, on the two days prior to randomization they must confirm that blood is from the anus and not from their menses by gently inserting a cotton swab into the anus after attempting a bowel movement; and they must see blood on the cotton swab for the two consecutive days prior to randomization to meet the inclusion criteria. 4. Itching OR pain for two consecutive days prior to randomization (Day 1). 5. Able to attempt bowel movements daily (defined as trying to have a bowel movement while sitting on the toilet for at least a few minutes, at least once daily, whether or not you feel the need to have a bowel movement that day). 6. Body mass index of = 18.5 to = 36 kg/m2. 7. Female of non-childbearing potential, including any female who: a) has had a hysterectomy, b) has had a bilateral oophorectomy, c) has had a bilateral tubal ligation or d) is post menopausal (demonstration of total cessation of menses for = 1 year from the date of the screening visit). 8. Females of child bearing potential who agree to use two forms of contraception, one of which must be a barrier method, during the full duration of the study. 9. Able to communicate adequately with the investigator and to comply with the requirements for the entire study. 10. Capable of using the IVRS and adequately communicate comprehension of IVRS questions to the investigator. 11. Capable of and freely willing to provide written informed consent prior to participating in the study. 1. 1.2 Exclusion Criteria for Double-Blind and Recurrence 1. Grade IV internal hemorrhoids. 2. Age = 40 years, with no complete colon evaluation within three years. 3. Age < 40 years, with no sigmoidoscopy or complete colon evaluation within three years. 4. Age < 40 years, with any of the following and no complete colon evaluation within two years; or age = 40 years, with any of the following and no complete colon evaluation within one year: - History of adenomatous polyps. - Family history of either colorectal cancer or colorectal adenomas diagnosed in a first-degree relative before age 60. - Family history or genetic testing indicating the presence of one of two hereditary syndromes. 5. Malignancy within 5 years prior to Day 1(with the exception of treated basal cell/squamous cell carcinoma of the skin). 6. History of inflammatory bowel disease. 7. History of irritable bowel syndrome with constipation or diarrhea. 8. Previous surgical or instrumental treatment of internal hemorrhoids. 9. Clinical evidence or history of fecal incontinence. 10. Current thrombosed internal or external hemorrhoid(s). 11. Clinical evidence or history of anal fissure. 12. Clinical evidence or history of anal fistula. 13. AST/ALT > 3x ULN. 14. Hemoglobin < 10.0 g/dL. 15. Selective serotonin reuptake inhibitors within 28 days prior to Day 1. 16. Tamoxifen within 28 days prior to Day 1. 17. Laxatives (unless maintained on a stable dose of the medication for = 60 days prior to Day 1). 18. Anticoagulants (e.g., coumadin, heparinoids, dabigatran) within 90 days prior to Day 1. 19. Anti-platelet agents or low dose aspirin (unless maintained on the medication for = 90 days prior to Day 1). 20. Over the counter or prescription anti-hemorrhoid agents (including herbal supplements) within 14 days prior to Day 1. 21. Topical anesthetics within 14 days prior to Day 1. 22. Chronic use of analgesics (e.g., opioids, acetaminophen, aspirin, NSAIDS, cox-2 inhibitors, etc). 23. Any investigational agents within 28 days prior to Day 1 (with the exception of iferanserin for recurrence). 24. Anti-TNF agents within 6 months prior to Day 1. 25. Oral or parenteral steroids within 28 days prior to Day 1. 26. Use of anal, intra-anal, or intra-rectal steroids within 28 days prior to Day 1. 27. Expected to have a planned interventional and/or surgical procedure that requires hospitalization, colonoscopy, or sigmoidoscopy (colonoscopy or sigmoidoscopy during the screening period is acceptable). 28. Following concomitant disease state: - Clinical evidence or history of significant cardiovascular disease including arrhythmias, clinically significant ECG abnormalities, myocardial infarction, stroke, congestive heart failure (greater than class II), and valve disease or abnormalities. - Asthma currently requiring treatment (with the exception of infrequent use of rescue inhaler). - Clinical evidence or history of chronic renal failure (greater than Stage III). - Clinical evidence or history of gastric ulcer, duodenal ulcer, or pancreatitis. - Clinical evidence or history of hematological disease. - Clinical evidence or history of neurological disease. - Acute infection currently requiring treatment. - Clinical evidence or history of chronic infectious disease. 29. Major organ transplant. 30. Any disease or prior surgery that may interfere with the subject successfully completing the study. 31. History of any prior anal or rectal surgery (hemorrhoid banding with the 5 years of Day 1). 32. Psychosis, schizophrenia, mania, depressive disorders, history of suicide attempt or suicidal ideation, or any other psychiatric illness (with the exception of intermittent anxiety). 33. Known sensitivity to investigational product(s) or class of investigational product(s). 34. Drug or alcohol abuse within 12 months of Day 1. 35. Currently using narcotic(s) chronically. 36. Breast-feeding females. 37. Females on their menstrual cycle who cannot discern whether the bleeding is rectal bleeding or vaginal bleeding from menstruation. 38. Employees, family members, or students of the investigator or clinical site. |
Country | Name | City | State |
---|---|---|---|
United States | ACRI | Anaheim | California |
United States | Ashville Gastro | Asheville | North Carolina |
United States | Providence Clin Res | Burbank | California |
United States | Med Center | Carmichael | California |
United States | Clinsearch | Chattanooga | Tennessee |
United States | Capital Digestive | Chevy Chase | Maryland |
United States | New River Valley Res | Christianburg | Virginia |
United States | Hightop Med Res | Cincinnati | Ohio |
United States | Innovative | Clearwater | Florida |
United States | Southeast REgional Research Group | Columbus | Georgia |
United States | Carolinas Res Ass | Davidson | North Carolina |
United States | Dayton Gastro | Dayton | Ohio |
United States | Avail Clin Res | DeLand | Florida |
United States | Digestive Health | Dothan | Alabama |
United States | Texas Health Research | Fort Worth | Texas |
United States | Memphis Gastro | Germantown | Tennessee |
United States | Long Island GI Group | Great Neck | New York |
United States | Vital | Greenboro | North Carolina |
United States | Meritus Center for Clin Res | Hagerstown | Maryland |
United States | Carolinas Research | Harrisburg | North Carolina |
United States | Tri County | Hartwell | Georgia |
United States | Assoc of Gastro | Hermitage | Tennessee |
United States | Eastern | Hilieah | Florida |
United States | Center for GI Disorders | Hollywood | Florida |
United States | Mid Atlantic Res Center | Hollywood | Maryland |
United States | Amcare Research | Houston | Texas |
United States | Houston Gastro | Houston | Texas |
United States | Clinical Research Associates | Huntsville | Alabama |
United States | Nature Coast Clin Res | Inverness | Florida |
United States | Gastrointestinal Associates | Jackson | Mississippi |
United States | Jupiter Research | Jupiter | Florida |
United States | South Orange County Surgical Group | Laguna Hills | California |
United States | Clin Res Nevada | Las Vegas | Nevada |
United States | Midwest Center for Clin Res | Lee's Summitt | Missouri |
United States | Kentucy med Center | Lexington | Kentucky |
United States | Torrence C. R. | Lomita | California |
United States | Premiere Clin Res | Long Beach | California |
United States | Blue Ridge Medical Center | Lyncburg | Virginia |
United States | S. Jersey Gastro | Marlton | New Jersey |
United States | Praetorian Pharmaceutical Res | Marrerro | Louisiana |
United States | Great Lakes Gastro | Mentor | Ohio |
United States | Clinical Trials Mgmt | Metarie | Louisiana |
United States | Center for Digestive & Liver Diseases | Mexico | Missouri |
United States | Aplusresearch | Miami | Florida |
United States | Kendall | Miami | Florida |
United States | MRA | Miami | Florida |
United States | Facey Med Foundation | Mission Hills | California |
United States | Delta Research | Monroe | Louisiana |
United States | Futura Research | Montebello | California |
United States | Dial Research | Nashville | Tennessee |
United States | First Clinic | Nashville | Tennessee |
United States | Women Under Study | New Orleans | Louisiana |
United States | MRA NY | New York | New York |
United States | Central Sooner | Norman | Oklahoma |
United States | Permian | Odessa | Texas |
United States | ARI | Ogden | Utah |
United States | Community Clin Trials | Orange | California |
United States | Pinnacle Med Inst | Overland | Kansas |
United States | Advanced Gastro Assoc | Palm Harbor | Florida |
United States | Comprehensive Health Services | Phoenix | Arizona |
United States | Wake Res | Raleigh | North Carolina |
United States | Del Carmen Med Center | Reseda | California |
United States | Saginaw Med Res | Saginaw | Michigan |
United States | Colorado Research | Salida | Colorado |
United States | MARG | San Diego | California |
United States | Med Center for Clinical Research | San Diego | California |
United States | ARI | Sandy | Utah |
United States | ICR | Sanford | Florida |
United States | Southeast Regional Research Group | Savannah | Georgia |
United States | AR Gastro | Sherwood | Arkansas |
United States | Pioneer Research | Sugarland | Texas |
United States | Adobe | Tucson | Arizona |
United States | Desert Sun Clin Res | Tucson | Arizona |
United States | Westlake Res | Westlake Village | California |
United States | Cleveland Clinic Florida | Weston | Florida |
United States | Trial Management Associates | Wilmington | North Carolina |
United States | Gastro Assoc Western Michigan | Wyoming | Michigan |
Lead Sponsor | Collaborator |
---|---|
Ventrus Biosciences, Inc |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Proportion of subjects with cessation of bleeding by the end of Day 7 that persists for the remainder of the treatment period (through Day 14) will be analyzed as the primary endpoint | 7 days | ||
Secondary | Proportion of subjects with cessation of pain by the end of Day 7 that persists for the remainder of the treatment period (through Day 14). | 7 days |
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