RecruitingPhase 4NCT04314375

Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of Budesonide Extended-release Tablets in Pediatric Subjects Aged 5 to 17 Years With Active, Mild to Moderate Ulcerative Colitis

A Randomized, Double-blind, Placebo-controlled, Multicenter Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of Budesonide Extended-release Tablets n Pediatric Subjects Aged 5 to 17 Years With Active, Mild to Moderate Ulcerative Colitis


Sponsor

Bausch Health Americas, Inc.

Enrollment

70 participants

Start Date

Sep 29, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This is a randomized, double-blind, placebo-controlled, multicenter, study to evaluate the efficacy, safety, and pharmacokinetics (PK) of budesonide extended-release tablets for the induction of remission in pediatric subjects, with active, mild to moderate ulcerative colitis (UC). Subjects will be permitted to continue taking background oral or rectal 5-aminosalicylate (5-ASA) products.


Eligibility

Min Age: 5 YearsMax Age: 17 Years

Inclusion Criteria7

  • Established diagnosis of UC is based on:
  • Clinical history
  • Characteristic endoscopic findings
  • Histopathology results from biopsies
  • Age 5 to 17 years, inclusive, at Screening. Subjects should weigh greater than 13.6 kg at Baseline.
  • Active UC of mild or moderate severity, defined as a total Mayo score between 4 and 10, inclusive, with rectal bleeding subscore of ≥ 1, stool frequency subscore of ≥1 and an endoscopy subscore of ≥ 1.
  • If on a background oral or rectal 5-ASA, the dose and formulation have remained unchanged for at least 6 weeks prior to Visit 2 (randomization), Baseline and the subject is willing to remain on the same formulation and dose for the duration of the study.

Exclusion Criteria8

  • Current or prior diagnosis of Crohn's disease or indeterminate colitis.
  • Limited distal proctitis (disease involving only the first 15 centimeters or less proximal to the anal verge.
  • Severe UC, defined as total Mayo score \>10.
  • Not currently in an active phase or flare, defined as a total Mayo score \<4, or Mayo score between 4 and 10, but Mayo subscore of 0 for rectal bleeding, stool frequency or endoscopy.
  • Infectious colitis (based on positive microbiologic tests at Screening) or any recent history of infectious colitis (within 30 days prior to Screening).
  • Prior gastrointestinal surgery, except appendectomy or hernia (e.g., inguinal, umbilical).
  • NOTE: Prior cholecystectomy is not exclusionary if more than 1 year prior to Screening.
  • Evidence or history of toxic megacolon or bowel resection.

Interventions

DRUGLow Dose Budesonide

3 milligrams once daily for ages 5 to 11 years 11 months. 6 milligrams once daily for ages 12 to 17 years.

DRUGHigh Dose Budesonide

6 milligrams once daily for ages 5 to 11 years 11 months. 9 milligrams once daily for ages 12 to 17 years.

DRUGPlacebo

Matching placebo once daily.


Locations(4)

Bausch Health Site 008

Garden Grove, California, United States

Bausch Health Site 003

Indianapolis, Indiana, United States

Bausch Health Site 006

The Bronx, New York, United States

Bausch Health Site 010

Greenville, North Carolina, United States

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NCT04314375


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