Clinical Trials Logo

Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT05341401
Other study ID # Budesonide in UC
Secondary ID
Status Not yet recruiting
Phase Phase 2/Phase 3
First received
Last updated
Start date June 2022
Est. completion date June 2024

Study information

Verified date April 2022
Source Assiut University
Contact Ghada M.Kamal Ali, PHD
Phone 01008800296
Email Ghada.Elefaai@gmail.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

My study aims to directly compare the efficacy and safety of Budesonide MMX versus Prednisolone in the management of mild to moderate cases of ulcerative colitis.


Description:

It is a randomized clinical trial where patients with mild to moderate ulcerative colitis who failed to respond to conventional therapy with mesalazine will randomly be divided into two groups one of them will be given prednisone and the other will be given budesonide MMX. The efficacy of Budesonide MMX and Prednisolone will be measured by the rate of clinical, laboratory, endoscopic, and histological improvement 8 weeks after randomization. Clinical assessment (the rate of bowel movements and rectal bleeding) and laboratory investigations ( complete blood count [CBC], C reactive protein[CRP], and fecal calprotectin) will be done after 4 and 8 weeks from treatment initiation. Endoscopic and histological assessments will be done at week 8.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 100
Est. completion date June 2024
Est. primary completion date June 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years to 60 Years
Eligibility Inclusion Criteria: - This study will include patients with confirmed mild to moderate ulcerative colitis according to the Mayo score activity index with ages ranging between 18-60 years old. Exclusion Criteria: - Patients < 18 years old. - Pregnant females. - Patients with proven infection with any enteric pathogens (e.g., Shigella species, Clostridium species, Salmonella species, ova, parasites, Clostridium difficile toxins A or B, or HIV infection). - Patients who received oral or rectal steroids in the last 4 weeks, immunosuppressive agents in the last 8 weeks, or anti-tumor necrosis factor agents in the last 3 months. - Patients with severe colitis (Mayo score >11); Patients with evidence or history of toxic megacolon. - Severe anemia (hemoglobin <10.5 g/dl), leucopenia, or granulocytopenia. - Patients using any cytochrome P450 inducers or inhibitors (e.g., ketoconazole, phenytoin) or antibiotics. - Patients with renal disease/insufficiency. - Patients with type I diabetes. - Patients with glaucoma. - Patients with malignancies. - Patients with decompensated liver cirrhosis (Child-Pugh score B and C). - Patients with COVID 19 infection.

Study Design


Intervention

Drug:
Budesonide MMX
Budesonide MMX is a second generator corticosteroid with prolonged colonic release used for management of ulcerative colitis
Prednisolone
It is a corticosteroid used as a standard therapy for management of ulcerative colitis

Locations

Country Name City State
n/a

Sponsors (1)

Lead Sponsor Collaborator
Assiut University

Outcome

Type Measure Description Time frame Safety issue
Primary comparison of the efficacy of both budesonide MMX and prednisolone. To compare:
- the clinical out come(by number of bowel movement, presence or absence of blood and abdominal pain) assessment will be done at 0 ,4 weeks and after 8 weeks from treatment initiation in both groups.
8 weeks
Primary comparison of the efficacy of both budesonide MMX and prednisolone. To compare:
- laboratory out come ( CBC,CRP and fecal calprotectin) will be done at 0,4 and 8 weeks of treatment initiation
8 weeks
Primary comparison of the efficacy of both budesonide MMX and prednisolone. -to compare the : endoscopic out come using mayo scoring system. 8 weeks
Primary comparison of the efficacy of both budesonide MMX and prednisolone. to compare the histological remission 8 weeks
Secondary incidence of side effects reported after using budesonide in mild to moderate cases of ulcerative colitis to detect the side effects reported by the patients in each group and compare them to each other. 12 months
Secondary Types of side effects reported after using budesonide in mild to moderate cases of ulcerative colitis 12 months
See also
  Status Clinical Trial Phase
Recruiting NCT05519904 - Prevalence of Encephalopathy in Patients With Inflammatory Bowel Diseases
Recruiting NCT04844606 - A Master Protocol (AMAZ): A Study of Mirikizumab (LY3074828) in Pediatric Participants With Ulcerative Colitis or Crohn's Disease (SHINE-ON) Phase 3
Recruiting NCT05767021 - A Study of Mirikizumab (LY3074828) in Participants With Moderately to Severely Active Ulcerative Colitis Phase 3
Recruiting NCT04148274 - A Non-Interventional Pilot Study to Explore the Role of Gut Flora in Ulcerative Colitis
Recruiting NCT05666960 - R-3750 in Patients With Mild to Moderate Ulcerative Colitis Phase 1
Recruiting NCT04695964 - Objective Perfusion Rate Assessment by Near-infrared Fluorescence in Ileal Pouch Formation and Ileal-pouch-anal Anastomosis N/A
Recruiting NCT05189327 - Noninterventional Observational Prospective Longitudinal Study of the Incidence of Ulcerative Colitis and Crohn's Disease Among the Adult Population of the Republic of Kazakhstan
Withdrawn NCT05578508 - Stem Cells for the Treatment of Pouchitis Phase 1