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Ulcerative ColitisNCT00366925

CESA 5.10 Investigation to Compare the Efficacy and Safety of the Adacolumn® Apheresis Device in Patients With Active Ulcerative Colitis

A study testing Adacolumn® in people with Ulcerative Colitis, run by Otsuka Frankfurt Research Institute GmbH at 1 site in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to compare the safety and efficacy of 5 Adacolumn® treatments over 5 weeks to 10 treatments (two Adacolumn® apheresis treatments during the first 2 weeks, followed by 6 weeks with one Adacolumn® apheresis treatment) in patients with active ulcerative colitis. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Ulcerative Colitis
What is being tested?
Adacolumn®
Type of treatment
Medical device
How many people
174 participants
Where
1 siteGermany
Study dates
Apr 2006to Jul 2008
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • Adult, Older adult

Who may be able to join

  • 18-75 years old
  • Active ulcerative colitis documented by clinical symptoms, endoscopic findings and histology (in patient history)
  • Moderate to severe active ulcerative colitis at baseline evaluation, defined as follows:
  • Clinical activity idex (CAI) score > 6; and
  • Stool frequency score of 2 or 3
  • Colonic involvement with ulcerative colitis beyond 15 cm of the anal verge
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  • Ulcerative colitis for at least 3 months
  • Adequate peripheral venous access to allow for completion of the apheresis treatments, as demonstrated by the ability to successfully undergo a brief venous access procedure
  • Receiving one or more of the following medical therapies:
  • Sulfasalazine, mesalamine and other 5-aminosalicylic acid (5-ASA) agents for 4 weeks or more with a stable dose for the last 2 weeks
  • A maximum of 20 mg per day of prednisone with a stable dose for the last 2 weeks, or
  • 6-mercaptopurine or azathioprine for 12 weeks or more with a stable dose for the last 4 weeks; OR
  • Have not received the above medical therapies due to intolerance or demonstrated non-response for the time periods specified below:
  • Sulfasalazine, mesalamine and other 5-ASA agents for 2 weeks
  • Prednisone for 2 weeks, or
  • 6-mercaptopurine or azathioprine for 4 weeks
  • For female subjects of child-bearing potential, a negative pregnancy test and agreement to use an effective contraceptive method or abstain from sexual intercourse during the course of the clinical investigation
  • Agree to participate in the required follow-up visits
  • Able to complete the diary
  • Signed written informed consent document

Who cannot join

  • Febrile (> 38ºC)
  • Evidence of toxic megacolon
  • Anticipated need for surgery within 12 weeks
  • Known obstructive diseases of the gastrointestinal system
  • Proctocolectomy, total colectomy, ileostomy, stoma or ileal pouch-anal anastomosis
  • A history of allergic reaction to heparin or heparin-induced thrombocytopenia
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  • A history of hypersensitivity reaction associated with an apheresis procedure or intolerance of apheresis procedures
  • Requires a central venous access catheter for the apheresis treatments
  • Known infection with enteric pathogens, pathogenic ova or parasites, or a positive assay for C. difficile toxin
  • Hypotension (systolic blood pressure < 90 mmHg and/or diastolic blood pressure < 65 mmHg) at screening visit only
  • Uncontrolled hypertension (systolic blood pressure > 180 mmHg or diastolic blood pressure > 120 mmHg) despite medical therapy at screening visit only
  • A history of myocardial infarction or unstable angina within the past 6 months
  • A history of coronary artery bypass grafting surgery or angioplasty within the past 6 months
  • A history of physical findings compatible with a cerebrovascular accident
  • Congestive heart failure (New York Heart Association Class III or IV)
  • Prosthetic heart valve, pacemaker or other permanent implant
  • Severe cardiovascular or peripheral vascular disease
  • Liver disease defined as levels of SGOT [AST], SGPT [ALT] or alkaline phosphatase > 2.5x the upper limit of the normal range for the laboratory performing test
  • History of cirrhosis
  • Renal insufficiency, defined as serum creatinine > 150% of the upper limit of the normal range for the laboratory performing the test
  • Insulin-dependent type I or type II diabetes. (Patients receiving oral antidiabetic treatment can be included.)
  • Known bleeding disorder (PT or PTT > 1.5x the upper limit of the normal range for the laboratory performing the test), or concomitant anticoagulant therapy for purposes other than apheresis treatment
  • Prior history suggestive of a hypercoagulable disorder, including 1 or more episodes of pulmonary embolism or deep vein thrombosis
  • Known infection with hepatitis B or C, or HIV
  • Abnormal hematology parameters defined as severe anemia with hemoglobin < 8.5 g/dL, white blood cell count of < 3,500/ul and a granulocyte count < 2,000/μl
  • Fibrinogen level > 700 mg/dL
  • Major surgery within the past 6 weeks
  • Infection:
  • Active infections less than 4 weeks from successful completion of antibiotic treatment for routine bacterial infection
  • Febrile viral infection within 4 weeks of entry into the clinical investigation
  • Less than 12 weeks from conclusion of therapy for systemic fungal infections
  • Malignancy within the past 2 years other than surgically cured skin carcinoma or cervical dysplasia (CIN I-II)
  • History of dysplasia or carcinoma of the colon
  • Current drug or alcohol abuse
  • Pregnant, lactating or planning to become pregnant during the course of the clinical investigation
  • Used within the last 30 days, an investigational drug, biologic or device or 5 half lives, if known, for any investigational drug or biologic
  • Received cyclosporine or tacrolimus within the last 4 weeks
  • Received infliximab within the last 8 weeks
  • Received oral budesonide within the last 2 weeks
  • Used topical therapy for ulcerative colitis within the last 2 weeks
  • Previously received Adacolumn® treatments

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Markus-Krankenhaus

    Frankfurt am Main, Hesse, 60431

Other trials in Germany

About this study

Official title: Randomized Controlled Multicenter Investigation to Compare the Efficacy and Safety of Adacolumn® Granulocytes, Monocytes/Macrophage Apheresis Device, 5 Versus 10 Treatments, in Patients With Active Ulcerative Colitis

The purpose of this study is to compare the safety and efficacy of 5 Adacolumn® treatments over 5 weeks to 10 treatments (two Adacolumn® apheresis treatments during the first 2 weeks, followed by 6 weeks with one Adacolumn® apheresis treatment) in patients with active ulcerative colitis.

Being tested
Adacolumn®
Medical subject headings
Colitis, Ulcerative

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Adacolumn®Device

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Aug 2006 (estimated)
  2. Study startApr 2006
  3. Primary completionFeb 2008
  4. Study completionJul 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
174 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00366925
Sponsor's protocol ID
Ada-UC-05-102
Status last verified
Apr 2009
First submitted
21 Aug 2006
Last updated
28 Apr 2009
Results posted
No

Questions about this trial

What is this clinical trial studying?

A study testing Adacolumn® in people with Ulcerative Colitis, run by Otsuka Frankfurt Research Institute GmbH at 1 site in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 20 inclusion and 41 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Apr 2009. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Apr 2009.

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