RecruitingPhase 2NCT06420375

Treatment of UC With Novel Therapeutics

Treatment of Ulcerative Colitis With Novel Therapeutics


Sponsor

Brigham and Women's Hospital

Enrollment

20 participants

Start Date

May 27, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This study is a clinical trial being done to investigate the efficacy of drug BRS201 as a treatment in patients with active mild ulcerative colitis. Participation in this study will take 12 weeks long and the study is structured as a crossover study in which participants will take the study drug for 4 weeks and a placebo drug for 4 weeks in a randomized order in the form of an oral medication. Participation may also involve receiving an IV dose of the medication. The study will require participants to attend 7 study visits, all of which will be conducted at a study site. Participation will involve taking an oral medication twice daily, tracking the medication in a log, and getting blood drawn and giving a stool and urine sample for a few lab tests throughout the study.


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria6

  • Ability to give consent
  • Patients with a confirmed diagnosis of UC for \> 3 months
  • History of ≥ 15 cm of colonic involvement as confirmed by colonoscopy
  • Disease activity based on calprotectin \> 200
  • Allowed medications: mesalamine and sulfasalazine
  • Patients with primary sclerosing cholangitis are eligible to enroll

Exclusion Criteria16

  • History of uncontrolled hypertension with systolic BP \> 140 and systolic BP \> 90
  • Chronic kidney disease as defined by GFR \<55mL/min
  • Impaired hepatic function (transaminases elevated \> 2.5 x ULN) unless due to PSC
  • Evidence of C. difficile (Negative test result within 1 month is acceptable)
  • Infectious Colitis or drug induced colitis
  • Crohn's Disease or Indeterminate colitis
  • Decompensated liver disease
  • Patients who are pregnant or breastfeeding
  • Use of rectal therapies
  • Patients who have a confirmed malignancy or cancer within 5 years
  • Congenital or acquired immunodeficiencies
  • Other comorbidities including: Diabetes mellitus, systemic lupus
  • High likelihood of colectomy in the next 2 months
  • Participation in a therapeutic clinical trial in the preceding 30 days or simultaneously during this trial
  • Patients with a history or risk of cardiovascular conditions, including arrhythmia, long QT syndrome, congestive heart failure, stroke, or coronary artery disease
  • Prohibited medications: Vitamin C, prednisone, immune modulators (including but not limited to azathioprine, 6-mercaptopurine, mycophenolate mofetil, tacrolimus, cyclosporine, thalidomide, interleukin-10, interleukin-11, and Omvoh or mirikizumab-mrkz) and biologics within the past six weeks including anti-TNF agents within the past six weeks, vedolizumab within the past six weeks, ustekinumab Risankizumab), a JAKi (tofacitinib or upadacitinib), or Velsipity (etrasimod) within the past 6 weeks. (The aim is to treat people who are having disease activity and just on mesalamine.)

Interventions

DRUGBRS201

Groups 1, 2, 3, and 4 will all contain 5 subjects each, with each subject receiving active study drug and placebo in a 3:2 randomized order; 3 will receive active treatment for the first for four weeks followed by placebo for four weeks, while the remaining 2 will receive placebo for four weeks followed by active treatment for four weeks.

DRUGPlacebo

Groups 1, 2, 3, and 4 will all contain 5 subjects each, with each subject receiving active study drug and placebo in a 3:2 randomized order; 3 will receive active treatment for the first for four weeks followed by placebo for four weeks, while the remaining 2 will receive placebo for four weeks followed by active treatment for four weeks.


Locations(1)

Brigham and Women's Hospital

Chestnut Hill, Massachusetts, United States

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NCT06420375


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