Ulcerative Colitis
Conditions
Keywords
Ulcerative colitis
Brief summary
The purpose of this study is to investigate whether a novel dosage form of a prednisolone ester, called COLAL-PRED®, is useful in the treatment of ulcerative colitis.
Detailed description
Ulcerative colitis is a disease that causes inflammation of the large bowel, causing fever, diarrhoea, dehydration and other symptoms. Standard treatment for ulcerative colitis includes general medical treatments such as fluid and salt replacement and attention to diet. Anti-inflammatory medicines such as steroids (e.g. prednisolone) and aminosalicylates (e.g. mesalazine) are the main drug treatments. This study will investigate whether COLAL-PRED®, a novel dosage form of a prednisolone ester, is safe and effective in the treatment of ulcerative colitis, compared with the standard treatment (conventional prednisolone) and also to determine which dose which will work best for future patients.
Interventions
COLAL-PRED 40, 60 or 80mg oral capsule, once daily for 8 weeks.
Prednisolone 40mg oral tablets, once daily, dose tapering weekly (40,40,30,20,15,10,5,0mg) over 8 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Endoscopically confirmed diagnosis of ulcerative colitis * Score of 6-10 on the Disease Activity Index (DAI) * Moderate to severe mucosal appearance
Exclusion criteria
* Previous colonic surgery * Other treatments for ulcerative colitis that have not been stabilised * Clinically significant diabetes, heart failure, unstable angina, cirrhosis, renal failure * History of tuberculosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Disease activity index | After 4 and 8 weeks of treatment |
| Cortisol levels | After 4 and 8 weeks of treatment |
Secondary
| Measure | Time frame |
|---|---|
| Simple clinical colitis activity index | 8 weeks |
| Endoscopy | 8 weeks |
| Adverse events | 12 weeks |
| Laboratory tests | 12 weeks |
Countries
Australia, Belgium, Czechia, Denmark, France, Germany, Hungary, Israel, Italy, Poland, Russia, South Africa, Spain, Sweden, United Kingdom