E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Active Crohn's disease affecting the ileum |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10011406 |
E.1.2 | Term | Crohn's ileitis |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10058815 |
E.1.2 | Term | Crohn's disease acute episode |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To investigate the clinical benefit - in terms of mucosal healing and symptomatic improvement - of treatment with a combination of statins and cholestyramine (to reduce bile acid concentration) in patients with mild to moderately active ileal Crohn’s disease. |
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E.2.2 | Secondary objectives of the trial |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1) Able to give informed consent 2) Above or equal to 18 years of age 3) Diagnosis of ileal Crohn's disease (but may involve the ileocaecal valve and / or the upper GI tract if the Principle Investigator confirms such disease will not affect the CDAI score). Non-active perianal disease is also permissible. 4) Mild to moderate disease activity, defined as a Crohn's Disease Activity Index (CDAI) score of 151-400 5) Confirmation of normal bile salt aborption by either a negative SeHCAT scan or plasma lathosterol test within 6 months of enrolment into the study 6) a) Patients on no medication, or b) Patients who have received aminosalicylates or nutritional supplements for at least 8 weeks prior to screening with no clinically relevant change in dose (as determined by the investigator) within 4 weeks and / or c) are receiving immunosuppressants (except steroids) commenced at least 12 weeks prior to screening and been on a stable dose for at least 4 weeks 7) Able to comply with trial requirements (drug taking and visits) 9) Negative serum pregnancy test in females of child-bearing potential, who must agree to use an adequate method of contraception for the duration of trial 10)Stool sample negative for pathogenic bacteria and C. difficile toxin (if clinically indicated) during current episode of disease flare
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E.4 | Principal exclusion criteria |
1) Fasting triglyceride level greater than 3.4 mmol/L 2) Use of oral or parenteral steroids within four weeks or infliximab within eight weeks of start of trial medication; use of any investigational medication within the preceding 3 months 3) Use of antibiotics as treatment for the Crohn’s disease within 4 weeks of screening 4) Current use of a HMG CoA reductase inhibitor or bile acid sequestrants, or use within 12 weeks of screening 5) Known intolerance to either HMG CoA reductase inhibitors or bile acid sequestrants 6) Taking any of the prohibited medications listed in section 11.3 7) Existing colostomy or ileostomy or any other severe concurrent morbidity including bleeding disorders or active upper gastrointestinal peptic ulceration; likely need for hospitalisation during the period of the study 8) Significant hepatic or renal dysfunction (ALT > twice ULN; creatinine 150 mol/L) 9) Women who are currently or attempting to become pregnant, or those who are breast-feeding
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E.5 End points |
E.5.1 | Primary end point(s) |
The proportion of patients experiencing a response, as defined by a 100 point fall in the Crohn's Disease Activity Index score, at Week 6 (end of treatment) compared to baseline. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | Information not present in EudraCT |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Last visit of last subject undergoing the trial |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 5 |
E.8.9.1 | In the Member State concerned days | 0 |