High Dose Oral 4-Aminosalicylic Acid (PASER®) to Control Acute Flares of Mild to Moderate Crohn's Disease

NCT ID: NCT00417690

Last Updated: 2008-10-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-01-31

Study Completion Date

2008-10-31

Brief Summary

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The purpose of this 4 week study is to determine whether PASER®, an approved delayed-release oral formulation of 4-aminosalicylic acid, in doses of 4 grams three times daily for 2 weeks followed by 4 grams twice daily for 2 weeks, will resolve an acute flare of ileocecal Crohn's disease.

Detailed Description

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Conditions

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Crohn's Disease

Keywords

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Crohn's Disease Acute Flare Mild to moderate Crohn's Disease Ileocecal distribution

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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A

Oral granules administered as one 4 g packet three times daily for two weeks followed by one 4 g packet two times daily for two weeks

Group Type EXPERIMENTAL

4-Aminosalicylic acid

Intervention Type DRUG

Oral granules administered as one 4 g packet three times daily for two weeks followed by one 4 g packet two times daily for two weeks

P

One packet of oral granules administered three times daily for 2 weeks followed by one packet two times daily for two weeks

Group Type PLACEBO_COMPARATOR

PASER placebo granules

Intervention Type DRUG

Oral granules administered administered as one packet three times daily for two weeks followed by one packet two times daily for two weeks

Interventions

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4-Aminosalicylic acid

Oral granules administered as one 4 g packet three times daily for two weeks followed by one 4 g packet two times daily for two weeks

Intervention Type DRUG

PASER placebo granules

Oral granules administered administered as one packet three times daily for two weeks followed by one packet two times daily for two weeks

Intervention Type DRUG

Other Intervention Names

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PASER Granules NDC 49938-107-04

Eligibility Criteria

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Inclusion Criteria

* Age 18-65
* Crohn's disease involving predominantly the ileum and/or cecum. The diagnosis must have been established by radiography, endoscopy and/or biopsy (at least 2 of the 3 modalities) with at least one confirmatory test having been performed no more than 36 months before entry. The diagnosis must have been confirmed by at least one gastroenterologist.
* Harvey Bradshaw Index of at least 7
* The onset of the acute flare should have been abrupt, declaring itself over 72 hours, and should have started no more than 4 weeks before study entry. Symptoms relating to the flare should not have diminished or started to improve prior to entry.
* Written informed consent

Exclusion Criteria

* Concomitant corticosteroids, including budesonide
* Corticosteroids within the previous 2 months
* Cyclosporine, mycophenolate mofetil or experimental drugs during the last three months
* Maintenance infliximab, or infliximab or other biologics in the preceding 3 months
* Change in dose during previous 4 weeks in 5-aminosalicylate, probiotic and/or antibiotic, or in chronic azathioprine, 6-mercaptopurine, or methotrexate
* If currently using azathioprine, 6-mercaptopurine or methotrexate, these must have been used steadily for at least 4 months
* Current experimental drugs or experimental drugs within the last 3 months
* If the severity of the flare has started to decrease spontaneously
* Coexisting diagnosis of primary sclerosing cholangitis,
* Infectious diarrhea,
* Signs of intestinal obstruction or perforation or abscess,
* New fistulization as part of the acute flare or increased activity in chronic fistula(e) as part of the acute flare,
* Increased activity of pre-existing anal or rectal Crohn's disease as part of the flare
* Allergy or sensitivity to salicylates
* Pregnancy or breast-feeding
* Failure of a woman of child-bearing age to agree to use adequate contraception for the 4 week period of the trial, if sexually active
* Severe renal or hepatic disease
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Jacobus Pharmaceutical

INDUSTRY

Sponsor Role lead

Responsible Party

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Jacobus Pharmaceutical Company, Inc.

Principal Investigators

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David P. Jacobus, MD

Role: STUDY_CHAIR

Jacobus Pharmaceutical

Kathy L. Ales, MD

Role: STUDY_DIRECTOR

Jacobus Pharmaceutical

Daniel Present, MD

Role: PRINCIPAL_INVESTIGATOR

Icahn School of Medicine at Mount Sinai

Stephen B. Hanauer, MD

Role: PRINCIPAL_INVESTIGATOR

University of Chicago Hospitals

John Hanson, MD

Role: PRINCIPAL_INVESTIGATOR

Charlotte Gastroenterology & Hepatology, PLLC

Iris Dotan, MD

Role: PRINCIPAL_INVESTIGATOR

Tel-Aviv Sourasky Medical Center

Rami Eliakim, MD

Role: PRINCIPAL_INVESTIGATOR

Rambam Health Care Campus

Locations

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The University of Chicago

Chicago, Illinois, United States

Site Status

Mount Sinai School of Medicine IBD Research Center

New York, New York, United States

Site Status

Charlotte Gastroenterology and Hepatology, PLLC

Charlotte, North Carolina, United States

Site Status

Rambam Medical Center

Haifa, , Israel

Site Status

Tel-Aviv Sourasky Medical Center

Tel Aviv, , Israel

Site Status

Countries

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United States Israel

Other Identifiers

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PASER-AFC.001

Identifier Type: -

Identifier Source: org_study_id