Budesonide Versus Placebo for the Treatment of Lymphocytic Colitis

NCT ID: NCT00217022

Last Updated: 2021-11-02

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

16 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-06-30

Study Completion Date

2008-02-29

Brief Summary

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Patients will receive budesonide or placebo for the treatment of active lymphocytic colitis. This study includes stool collections, blood draws, weekly questionnaires and a sigmoidoscopy. The study hypothesis is that budesonide will be safe and effective compared with placebo for the treatment of diarrhea in lymphocytic colitis.

Detailed Description

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Microscopic colitis is an increasingly diagnosed cause of chronic diarrhea, with two main subtypes: collagenous and lymphocytic colitis. Uncontrolled reports have suggested that various drugs can be beneficial in treating microscopic colitis, but few treatments have been evaluated in randomized controlled trials. Thus, treatment is guided mostly by anecdotal reports, case series, and physicians' experience. In our uncontrolled experience, corticosteroids are one of the most effective therapies for microscopic colitis, but are not typically used as a first line therapy because of toxicity. Budesonide has been reported to be of clinical benefit in small, uncontrolled series of patients with microscopic colitis, and recent controlled trials showed that it is superior to placebo in collagenous colitis. We propose a study of budesonide in patients with the lymphocytic type of microscopic colitis.

Patients will have stool specimen and blood drawn at the start of the study. Patient will take either Budesonide or placebo for 8 weeks. At the end of treatment, patient will have stool collection and sigmoidoscopy.

Conditions

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Lymphocytic Colitis Diarrhea

Keywords

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Lymphocytic Colitis diarrhea budesonide

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Budesonide

9 mg daily

Group Type ACTIVE_COMPARATOR

Budesonide

Intervention Type DRUG

9 mg daily (three tablets)

Placebo

three tablets daily

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo, 3 tablets daily

Interventions

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Placebo

Placebo, 3 tablets daily

Intervention Type OTHER

Budesonide

9 mg daily (three tablets)

Intervention Type DRUG

Other Intervention Names

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Entocort EC

Eligibility Criteria

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Inclusion Criteria

* Diarrhea, defined as greater than 4 bowel movements per day and greater than "mild"; currently on no treatment or active despite treatment.
* Lymphocytic colitis confirmed histologically within one year of enrollment

Exclusion Criteria

* Previous unsuccessful treatment with corticosteroids or immunosuppressive drugs
* History of severe corticosteroid side effects
* Corticosteroid, ticlopidine, or flutamide use within the previous 4 weeks
* Antibiotic, mesalamine or bismuth subsalicylate use within two weeks
* Current use of anticholinergics, cholestyramine, narcotics, ketoconazole, itraconazole, ritonavir, indinavir, saquinavir, erythromycin, or grapefruit juice
* Known active medical conditions, including cancer, infection, uncontrolled hypertension or diabetes, osteoporosis, peptic ulcer disease, glaucoma, cataracts, liver cirrhosis or history of tuberculosis
* Other diarrheal conditions (sprue, infection, hyperthyroidism, lactose intolerance)
* Pregnant or nursing females
* Patients without a telephone or unable to communicate in English over the telephone, or unable or unwilling to give consent
* Known hypersensitivity to or intolerance of budesonide.
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role collaborator

National Center for Research Resources (NCRR)

NIH

Sponsor Role collaborator

Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Darrell S. Pardi, M.D.

Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Darrell S. Pardi, M.D.

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Mayo Clinic

Rochester, Minnesota, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form

View Document

Other Identifiers

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IRUSBUEN0002

Identifier Type: OTHER

Identifier Source: secondary_id

UL1RR024150

Identifier Type: NIH

Identifier Source: secondary_id

View Link

1132-03

Identifier Type: -

Identifier Source: org_study_id