UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000003785
Receipt number R000004579
Scientific Title Remission maintenance treatment of ulcerative colitis with tacrolimus in azathioprine-intolerant patients: a randomized comparative trial of 5-aminosalicylic acid (5-ASA) monotherapy versus 5-ASA and tacrolimus combination therapy.
Date of disclosure of the study information 2010/07/01
Last modified on 2014/05/08 15:08:43

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Basic information

Public title

Remission maintenance treatment of ulcerative colitis with tacrolimus in azathioprine-intolerant patients: a randomized comparative trial of 5-aminosalicylic acid (5-ASA) monotherapy versus 5-ASA and tacrolimus combination therapy.

Acronym

A randomized trial of 5-ASA vs. 5-ASA and tacrolimus in maintenance of ulcerative colitis.

Scientific Title

Remission maintenance treatment of ulcerative colitis with tacrolimus in azathioprine-intolerant patients: a randomized comparative trial of 5-aminosalicylic acid (5-ASA) monotherapy versus 5-ASA and tacrolimus combination therapy.

Scientific Title:Acronym

A randomized trial of 5-ASA vs. 5-ASA and tacrolimus in maintenance of ulcerative colitis.

Region

Japan


Condition

Condition

Ulcerative colitis

Classification by specialty

Medicine in general Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In order to evaluate efficacy and safety of tacrolimus on remission maintenance in ulcerative colitis patients who are intolerant of azathioprine.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

Remission rate at 12 weeks after the start of protocol treatment
(Full Analysis Set; Discontinuation of protocol treatment is accounted to be non-remission.)

Key secondary outcomes

Evaluation of efficiency: Remission ratios at 24 and 48 weeks after start of protocol treatment, Ratio of the protocol continuation, Clinical activity in both the Lichtiger's CAI and the Mayo's DAI, Dosage of concomitant steroid, etc.
Evaluation of safety: Occurrences of adverse event, abnormal values in blood test, and so on.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

5-aminosalicylic acid monotherapy arm:
5-aminosalicylic acid is administered to subjects during the study period (for 48 weeks).

Interventions/Control_2

5-aminosalicylic acid monotherapy and tacrolimus arm:
5-aminosalicylic acid is administered to subjects during the study period (for 48 weeks). Tacrolimus is administered to subjects for 12 weeks after the start of protocol treatment as a rule.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

16 years-old <=

Age-upper limit

65 years-old >

Gender

Male and Female

Key inclusion criteria

1. A patient who is diagnosed as ulcerative colitis.
2. A patient who has been induced to remission with tacrolimus and has been administered tacrolimus about 3 months.
3. A patient who is expected to suffer from severe adverse effect of azathioprine by reason of his (her) past history or other. (judged by a doctor in charge)
4. A patient who is 16 to 64 years old and has written his (her) signature to a document for agreement. (If a patient is under 20 years old, a signature of his (her) legal representative is necessary.)

Key exclusion criteria

1. A patient who has had hypersensitivity to tacrolimus or ingredients of tacrolimus formulation.
2. A patient who is in treatment of cyclosporine or bozentan.
3. A patient who is in treatment of potassium sparing diuretics.
4. A patient who is pregnant, may be pregnant, breast-feeds or hopes to be pregnant in the study period.
5. A patient who is determined as ineligible for a subject in this study by a doctor in charge or others.

Target sample size

80


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shiro Nakamura

Organization

Hyogo College of Medicine

Division name

Department of Internal medicine, Division of Lower Gastroenterology

Zip code


Address

1-1 Mukogawa, Nishinomiya, Hyogo Pref.

TEL

0798-45-6660

Email

shiro@hyo-med.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Ken Fukunaga

Organization

Hyogo College of Medicine

Division name

Department of Internal medicine, Division of Lower Gastroenterology

Zip code


Address

1-1 Mukogawa, Nishinomiya, Hyogo Pref.

TEL

0798-45-6662

Homepage URL


Email

kebe@hyo-med.ac.jp


Sponsor or person

Institute

Department of Internal medicine, Division of Lower Gastroenterology, Hyogo College of Medicine

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2010 Year 07 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2010 Year 06 Month 19 Day

Date of IRB


Anticipated trial start date

2010 Year 07 Month 01 Day

Last follow-up date

2013 Year 06 Month 01 Day

Date of closure to data entry

2013 Year 06 Month 01 Day

Date trial data considered complete

2013 Year 06 Month 01 Day

Date analysis concluded

2014 Year 06 Month 30 Day


Other

Other related information



Management information

Registered date

2010 Year 06 Month 19 Day

Last modified on

2014 Year 05 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004579


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name