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Budesonide

Phase 3

Colitis, Ulcerative | Small molecule | Gastrointestinal |Bausch Health Companies Inc.|Last Updated: Nov 29, 2019

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment61

FDA Designations

No designations recorded

Clinical trial landscape

Budesonide · 3 trials · 3 indications

Phase 3 3
NCT01100112(CB-01-02/06) Oral Budesonide-Multi-Matrix System (MMX) 9mg Extended Release TabletsColitis, Ulcerative
COMPLETED61 Analytics
NCT01008423Efficacy and Safety of Budesonide Foam for Participants With Active Mild to Moderate Ulcerative Proctitis or ProctosigmoiditisProctitis
COMPLETED281 Analytics
NCT01008410Efficacy and Safety of Budesonide Foam for Participants With Active Mild to Moderate Ulcerative Proctitis or ProctosigmoiditisProctitis
COMPLETED265 Analytics
PHASE3COMPLETED
(CB-01-02/06) Oral Budesonide-Multi-Matrix System (MMX) 9mg Extended Release Tablets
Colitis, UlcerativeUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Budesonide Foam for Participants With Active Mild to Moderate Ulcerative Proctitis or Proctosigmoiditis
ProctitisUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Budesonide Foam for Participants With Active Mild to Moderate Ulcerative Proctitis or Proctosigmoiditis
ProctitisUnlock trial analytics

Study Endpoints

Primary Endpoints

The Percentage of Patients Achieving Clinical Remission
At the end of the 8 week treatment period

The primary efficacy endpoint is clinical remission at 8 weeks, defined as a Ulcerative Colitis Disease Activity Index score of \< or = 1 with a score of 0 for both rectal bleeding and stool frequency, and \> or = 1 point reduction from baseline in endoscopy score, without any sign of mucosal friability (a score of 0 for mucosal appearance). The UCDAI has 4 components. Each component is scored on scale of 0 to 3 (total maximum \[worst\] score = 12). Definitions of component scores are as follows: stool frequency: 0 = normal frequency, 1 = 1 - 2 stools per day greater than normal frequency, 2 = 3 - 4 stools per day greater than normal frequency, and 3 = \> 4 stools per day greater than normal frequency; rectal bleeding: 0 = none, 1 = streaks of blood, 2 = obvious blood, 3 = mostly blood; physician's rating of disease activity: 0 = normal, 1 = mild, 2 = moderate, 3 = severe; mucosal appearance: 0 = normal, 1 = mild friability, 2 = moderate friability, 3 = exudation, spontaneous bleeding.

Percentage of Participants Who Achieved Remission
Week 6

Remission was a combined assessment of clinical and endoscopic variables, defined as an endoscopy score of less than or equal to (\<=) 1, a rectal bleeding score of 0, and an improvement or no change from baseline in stool frequency subscales of the Modified Mayo Disease Activity Index (MMDAI) at the end of 6 weeks of treatment. MMDAI was used to assess the overall disease activity for each participant. MMDAI evaluated 4 indices: stool frequency, rectal bleeding, physician's global assessment (PGA) and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Stool frequency MMDAI subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. Rectal bleeding MMDAI subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. Endoscopy MMDAI subscore ranged from 0-3, where 0 indicated normal or inactive disease and 3 indicated severe disease (spontaneous bleeding, ulceration).

Secondary Endpoints

The Secondary Efficacy Endpoint is Clinical Improvement
After 8 weeks treatment period
Safety Evaluations: the Numbers of Patients Who Experience Serious Adverse Events (SAEs) or Other Nonserious Adverse Events (AEs) During the Course of the Study.
Throughout the 8 week treatment period
Endoscopic Improvement
8 weeks
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
BudesonideEXPERIMENTALBudesonide-MMX 9 mg tablet
PlaceboPLACEBO_COMPARATORParticipants who were diagnosed with active mild to moderate UP or UPS will receive 25 mL of placebo matching to budesonide foam twice daily for a period of 2 weeks followed by once daily for a period of 4 weeks.

Interventions

NameTypeDescription
BudesonideDRUGOne Budesonide-MMX 9 mg tablet will be taken in the morning after breakfast for 8 weeks.
PlaceboDRUGPlacebo matching to budesonide will be administered as per the dose and schedule specified in the respective arm.
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites15

Inclusion Criteria: * Male and female patients 18 to 74 years of age, who are able to understand and voluntarily provide written informed consent * Completed all Final Visit assessments for study CB-01-02/01 (NCT00679432) and are not in clinical remission * Diagnosis of ulcerative colitis of mild t...

Countries:IndiaUnited States
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