Ulcerative Colitis
Conditions
Keywords
Ulcerative colitis, tacrolimus, FK506, treatment outcome
Brief summary
This study consists of a 2-week placebo-controlled double-blind inter-group efficacy study in moderate to severe refractory ulcerative colitis (UC) patients followed by a maximum of 12-week open-label efficacy and safety study in responders.
Interventions
oral
oral
Sponsors
Study design
Eligibility
Inclusion criteria
* Moderate to severe refractory UC patients * Disease activity: more than 4 times of stool a day, bloody stool, moderate to severe endoscopic finding * Steroid resistance or dependence to meet at least one of the following condition:no efficacy with more than 40mg/day or 1mg/kg/day of steroid over at least 1 week, no efficacy with 30-40mg/day of steroid over at least 2 weeks,exacerbation along with steroid reduction
Exclusion criteria
* Mild or fulminant type * Renal failure patients, hepatic failure patients * Patients taking 6-mercaptopurine, cyclosporin or other immunosuppressants within 12 weeks prior to entry * Patients who received LCAP or GCAP within 2 weeks prior to entry * Patients who changed the dose of steroid or started steroid within 2 weeks prior to entry. * Patients who changed the dose of steroid or started steroid within 1 week prior to entry in case they received more than 40 mg/ day or 1mg/kg/day of steroid just before the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of Disease activity index score (DAI score) | 2 Weeks |
Secondary
| Measure | Time frame |
|---|---|
| Changes of DAI score ( Total & each item) | 2 Weeks |
| Changes of clinical severity and symptom | 2 Weeks |
| Endoscopic finding | 2 Weeks |
| Patients impression | 2 Weeks |
| Amount of steroid | 2 Weeks |
Countries
Japan