Oral Ciclosporin for Colonic Release in Ulcerative Colitis (CyCol™)

NCT ID: NCT01033305

Last Updated: 2012-04-19

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

118 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-03-31

Study Completion Date

2011-09-30

Brief Summary

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This is a multi-center study in Ireland and United Kingdom to determine the effects, safety and tolerability of a drug called CyCol™ in improving mild to moderate ulcerative colitis (UC).

Informed consent will be obtained and following confirmation of eligibility and disease assessment, study participants will be randomised (allocated by chance) to take either CyCol™, or placebo, orally once every day for four weeks. Study visit assessments will include blood and stool tests, physical examinations and flexible sigmoidoscopies (inspection of the bowel wall using a flexible camera).

Half the participants will receive CyCol™ and half will receive placebo. At the end of treatment (4 weeks) study participants will be reassessed again and the findings in those who received CyCol™ will be compared with those who received placebo. Any side effects experienced during the study and the safety of treatment with CyCol™ will also be evaluated.

Detailed Description

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Conditions

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Mild to Moderate Ulcerative Colitis

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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Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Orally, once per day for 4 weeks

CyCol™

Group Type EXPERIMENTAL

CyCol™

Intervention Type DRUG

Orally, once per day for 4 weeks

Interventions

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CyCol™

Orally, once per day for 4 weeks

Intervention Type DRUG

Placebo

Orally, once per day for 4 weeks

Intervention Type DRUG

Other Intervention Names

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Ciclosporin Sugar Pill

Eligibility Criteria

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Inclusion Criteria

* Male or female aged \> 18 years
* Diagnosis of mild to moderate diagnosis of UC involving at least the rectum and sigmoid colon
* Clinical severity assessed at screening using the Disease Activity Index (DAI)
* Clinical severity documented and confirmed by flexible sigmoidoscopy, within 7 days of starting study treatment
* Signed and dated written informed consent.
* Willing to maintain current UC medication dosing regimen from screening until the end of the 4-week treatment period.
* Able and willing to refrain from intake of St. Johns Wort or any other prescription, over-the-counter, or herbal preparation that is known to affect cytochrome P450 metabolism throughout the 4-week treatment period.
* Able and willing to refrain from intake of grapefruit or grapefruit juice or any other food or drink that is known to affect cytochrome P450 metabolism throughout the 4 week treatment period of the study.

Exclusion Criteria

* Severe or fulminant UC.
* UC limited to rectum only.
* Any previous colonic surgery.
* Any histological evidence of dysplasia on colonoscopic biopsy.
* Women of childbearing potential who are unable or unwilling to use adequate contraceptive methods to avoid pregnancy.
* Previous unsuccessful ciclosporin therapy.
* Biologic therapy within the past 2 months prior to study treatment.
* Methotrexate therapy within 4 weeks of study treatment.
* A steroid treatment dose of greater than 10 mg/day prednisolone (or equivalent) within 4 weeks of study treatment.
* Use of topical treatment (e.g. enemas) within 4 weeks of study treatment and unwilling to refrain from use of topical treatments from the screening visit until the end of the 4-week treatment period.
* Significant renal impairment, hepatic impairment, uncontrolled hypertension, premalignant skin lesions or current malignancies, or any other severe co-morbid condition.
* Known hypersensitivity to ciclosporin or any of its excipients.
* Positive screening stool assay for Clostridium difficile, hemorrhagic E.coli 0157:H7, Salmonella or Shigella
* Diagnosis of Crohn's colitis, ischemic colitis, NSAID-induced colitis, or radiation colitis.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sigmoid Pharma

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Diarmuid O'Donoghue, Prof

Role: PRINCIPAL_INVESTIGATOR

St Vincent's University Hospital

Stuart Bloom, M.D.

Role: PRINCIPAL_INVESTIGATOR

University College Hospital NHS Trust

Locations

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Cork University Hospital

Cork, Co. Cork, Ireland

Site Status

Mater Misercordiae University Hospital

Dublin, Co. Dublin, Ireland

Site Status

St. James's Hospital

Dublin, Co. Dublin, Ireland

Site Status

Clinical Science Institute

Galway, Co. Galway, Ireland

Site Status

The Adelaide and The Meath Hospital (Tallaght)

Tallaght, Dublin, Ireland

Site Status

Beaumont Hospital

Dublin, , Ireland

Site Status

St. Vincent's University Hospital

Dublin, , Ireland

Site Status

MidWestern Regional Hospital

Limerick, , Ireland

Site Status

University College Hospital London

London, London, United Kingdom

Site Status

Queen Elizabeth Hospital

Birmingham, , United Kingdom

Site Status

Sandwell and West MidlandsHospitals NHS Trust

Birmingham, , United Kingdom

Site Status

Bristol Royal Infirmary

Bristol, , United Kingdom

Site Status

Conventry university Hospital

Coventry, , United Kingdom

Site Status

Leeds General infirmary

Leeds, , United Kingdom

Site Status

Royal Liverpool and Broadgreen University Hospitals NHS Trust

Liverpool, , United Kingdom

Site Status

Kings College London

London, , United Kingdom

Site Status

St. Mark's Hospital

London, , United Kingdom

Site Status

Manchester Royal Infirmary

Manchester, , United Kingdom

Site Status

George Elliot hospital

Nuneaton, , United Kingdom

Site Status

John Radcliff Hospital

Oxford, , United Kingdom

Site Status

Royal Shrewsbury Hospital

Shrewsbury, , United Kingdom

Site Status

New Cross Hospital

Wolverhampton, , United Kingdom

Site Status

Countries

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Ireland United Kingdom

Related Links

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Other Identifiers

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CYC-201

Identifier Type: -

Identifier Source: org_study_id

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