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    Clinical Trial Results:
    A randomised, double-blind, placebo-controlled multi-centre study to investigate the effectiveness and safety of STW5-II as add-on treatment for induction of remission in patients with mild to moderate ulcerative colitits

    Summary
    EudraCT number
    2013-000891-13
    Trial protocol
    DE  
    Global end of trial date
    17 Feb 2015

    Results information
    Results version number
    v1(current)
    This version publication date
    10 Dec 2016
    First version publication date
    10 Dec 2016
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    BAY98-7410/17155
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02246686
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Bayer AG
    Sponsor organisation address
    Kaiser-Wilhelm-Allee, D-51368 Leverkusen, Germany,
    Public contact
    Therapeutic Area Head, Bayer AG, clinical-trials-contact@bayer.com
    Scientific contact
    Therapeutic Area Head, Bayer AG, clinical-trials-contact@bayer.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    02 Dec 2015
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    17 Feb 2015
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    The objective of the present study was to assess the efficacy and safety of STW5-II as add-on treatment for induction of remission in subjects with mild to moderate ulcerative colitis (UC) in an acute flare, including remission rate, time to remission, quality of life.
    Protection of trial subjects
    The conduct of this clinical study met all local legal and regulatory requirements. The study was conducted in accordance with the ethical principles that have their origin in the Declaration of Helsinki and the International Conference on Harmonization guideline E6: Good Clinical Practice. Before entering the study, the informed consent form was read by and explained to all subjects. Participating subjects signed informed consent form and could withdraw from the study at any time without any disadvantage and without having to provide a reason for this decision. Only investigators qualified by training and experience were selected as appropriate experts to investigate the study drug.
    Background therapy
    Subjects received mesalazine oral dosing taken according to guideline recommendations for the treatment of an acute flare for 12 weeks for induction of remission. Mesalazine was not provided by sponsor.
    Evidence for comparator
    -
    Actual start date of recruitment
    03 Nov 2014
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Germany: 3
    Worldwide total number of subjects
    3
    EEA total number of subjects
    3
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    3
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    The study was conducted at multiple centers in Germany between 03 November 2014 (first subject first visit) and 17 February 2015 (last subject last visit).

    Pre-assignment
    Screening details
    A total of 3 subjects were screened. Of them all the 3 were randomized and treated. Two subjects completed the study and 1 subject dropped out.

    Period 1
    Period 1 title
    Overall Trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    STW5-II (BAY98-7410)
    Arm description
    Subject received STW5-II orally 20 drops liquid 3 times daily (3*20 drops liquid per day) for 12 weeks as add-on treatment to mesalazine oral dosing taken according to guideline recommendations for the treatment of an acute flare for 12 weeks for induction of remission.
    Arm type
    Experimental

    Investigational medicinal product name
    STW5-II
    Investigational medicinal product code
    BAY98-7410
    Other name
    Iberogast N
    Pharmaceutical forms
    Oral drops, liquid
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received STW5-II orally 20 drops liquid 3 times daily (3*20 drops liquid per day) for 12 weeks.

    Arm title
    Placebo
    Arm description
    Subjects received placebo of STW5-II orally 20 drops liquid 3 times daily (3*20 drops liquid per day) for 12 weeks as add-on treatment to mesalazine oral dosing taken according to guideline recommendations for the treatment of an acute flare for 12 weeks and 58 days respectively for induction of remission.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral drops, liquid
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received placebo of STW5-II orally 20 drops liquid 3 times daily (3*20 drops liquid per day) for 12 weeks.

    Number of subjects in period 1
    STW5-II (BAY98-7410) Placebo
    Started
    1
    2
    Completed
    1
    1
    Not completed
    0
    1
         Terminated the study prematurely
    -
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    STW5-II (BAY98-7410)
    Reporting group description
    Subject received STW5-II orally 20 drops liquid 3 times daily (3*20 drops liquid per day) for 12 weeks as add-on treatment to mesalazine oral dosing taken according to guideline recommendations for the treatment of an acute flare for 12 weeks for induction of remission.

    Reporting group title
    Placebo
    Reporting group description
    Subjects received placebo of STW5-II orally 20 drops liquid 3 times daily (3*20 drops liquid per day) for 12 weeks as add-on treatment to mesalazine oral dosing taken according to guideline recommendations for the treatment of an acute flare for 12 weeks and 58 days respectively for induction of remission.

    Reporting group values
    STW5-II (BAY98-7410) Placebo Total
    Number of subjects
    1 2 3
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    1 2 3
    Gender categorical
    Units: Subjects
        Female
    1 2 3

    End points

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    End points reporting groups
    Reporting group title
    STW5-II (BAY98-7410)
    Reporting group description
    Subject received STW5-II orally 20 drops liquid 3 times daily (3*20 drops liquid per day) for 12 weeks as add-on treatment to mesalazine oral dosing taken according to guideline recommendations for the treatment of an acute flare for 12 weeks for induction of remission.

    Reporting group title
    Placebo
    Reporting group description
    Subjects received placebo of STW5-II orally 20 drops liquid 3 times daily (3*20 drops liquid per day) for 12 weeks as add-on treatment to mesalazine oral dosing taken according to guideline recommendations for the treatment of an acute flare for 12 weeks and 58 days respectively for induction of remission.

    Subject analysis set title
    Full Analysis Set (FAS)
    Subject analysis set type
    Full analysis
    Subject analysis set description
    FAS (N= 3) included all the randomized subjects who received study medication.

    Subject analysis set title
    Safety Analysis Set (SAF)
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    SAF (N= 3) included all the randomised subjects who received at least one dose of study medication. It is not possible to calculate an "arithmetic mean" for the verum group (only 1 patient). This only applies to the placebo group (as long as data of at least data 2 patients are involved).

    Primary: Percentage of Subjects With Remission at Final Visit (Week 12) Investigated With Clinical Activity Index (CAI)

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    End point title
    Percentage of Subjects With Remission at Final Visit (Week 12) Investigated With Clinical Activity Index (CAI) [1]
    End point description
    Remission is defined as CAI less than or equal to (<=) 4. The CAI is a well-established and internationally used tool for assessment of remission and active ulcerative colitis (UC). The total index score ranges from 0 to 29 points. A mild or moderate UC can be defined as a CAI value ranging from 5 to 10 points.
    End point type
    Primary
    End point timeframe
    Final visit (up to week 12)
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Inferential analysis were not performed due to early termination of the study because of less number of subjects involved.
    End point values
    STW5-II (BAY98-7410) Placebo
    Number of subjects analysed
    1 [2]
    2 [3]
    Units: percentage of subjects
        number (not applicable)
    100
    0
    Notes
    [2] - FAS
    [3] - FAS
    No statistical analyses for this end point

    Primary: Change in Endoscopic Index [EI]

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    End point title
    Change in Endoscopic Index [EI] [4]
    End point description
    Endoscopic Index is used to evaluate UC severity. The Endoscopic index uses scores are based on granulation, vascular pattern, mucosal vulnerability, and mucosal damage. Based on granulation, the score ranges from 0 to 2. If granulation tissue is not present, a score of 0 is given, while its presence results in a score of 2. Vascular pattern: characterized as normal (0), faded (1), or absent (2). Vulnerability of mucosa: scored as having no bleeding (0), having contact bleeding (2), and having spontaneous bleeding (4). Mucosal damage: such as erosions and ulcers, mucus, and fibrin is characterized as none (0), slight(2) or pronounced (4). Total score was calculated as the sum of all the sub-scores, score range from 0-12, higher the score is higher the disease severity. Here, "99999" denotes that data was not calculated because standard deviation cannot be calculated as there was only one subject per arm.
    End point type
    Primary
    End point timeframe
    Baseline and Final visit (up to week 12)
    Notes
    [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Inferential analysis were not performed due to early termination of the study because of less number of subjects involved.
    End point values
    STW5-II (BAY98-7410) Placebo
    Number of subjects analysed
    1 [5]
    1 [6]
    Units: units on a scale
        arithmetic mean (standard deviation)
    -3 ± 99999
    -1 ± 99999
    Notes
    [5] - FAS
    [6] - FAS and number of subjects evaluable for this end point.
    No statistical analyses for this end point

    Primary: Change in Histological Index [HI] Based on Riley

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    End point title
    Change in Histological Index [HI] Based on Riley [7]
    End point description
    HI was determined centrally based on Riley. Six histological features were assessed: acute inflammatory cell infiltration (polymorphonuclear cells in the lamina propria), chronic inflammatory cell infiltrate (round cells in the lamina propria), crypt abscesses, mucin depletion, surface epithelial integrity, crypt architectural irregularities. Each parameter was graded on a four point scale (0= none, 1= mild, 2= moderate, or 3= severe). Total score was calculated as the sum of all the sub-scores, score range: 0-18, higher score is higher disease severity. Here, "99999" denotes that data was not calculated because standard deviation cannot be calculated as there was only one subject per arm.
    End point type
    Primary
    End point timeframe
    Baseline and Final visit (up to week 12)
    Notes
    [7] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Inferential analysis were not performed due to early termination of the study because of less number of subjects involved.
    End point values
    STW5-II (BAY98-7410) Placebo
    Number of subjects analysed
    1 [8]
    1 [9]
    Units: units on a scale
        arithmetic mean (standard deviation)
    -1 ± 99999
    7 ± 99999
    Notes
    [8] - FAS
    [9] - FAS and number of subjects evaluable for this end point.
    No statistical analyses for this end point

    Primary: Percentage of Subjects With Sustained Remission at Week 12

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    End point title
    Percentage of Subjects With Sustained Remission at Week 12 [10]
    End point description
    Sustained Remission was defined as CAI <= 2. The CAI is a well-established and internationally used tool for assessment of remission and active UC. The total index score ranges from 0 to 29 points. A mild or moderate UC can be defined as a CAI value ranging from 5 to 10 points.
    End point type
    Primary
    End point timeframe
    Final visit (up to week 12)
    Notes
    [10] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Inferential analysis were not performed due to early termination of the study because of less number of subjects involved.
    End point values
    STW5-II (BAY98-7410) Placebo
    Number of subjects analysed
    1 [11]
    2 [12]
    Units: percentage of subjects
        number (not applicable)
    100
    0
    Notes
    [11] - FAS
    [12] - FAS
    No statistical analyses for this end point

    Primary: Time to Remission (Clinical Activity Index [CAI] Less Than or Equal to 4 Points)

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    End point title
    Time to Remission (Clinical Activity Index [CAI] Less Than or Equal to 4 Points) [13]
    End point description
    Time to remission was the time in days from day 0 until first remission was reached. Remission was defined as CAI <= 4. The CAI is a well-established and internationally used tool for assessment of remission and active UC. The total index score ranges from 0 to 29 points. A mild or moderate UC can be defined as a CAI value ranging from 5 to 10 points. ‘99999’ here indicates that data was not calculated. 95 percent (%) confidence intervals could not be estimated for STW5-II arm because only 1 subject was evaluable for this arm and in the Placebo arm none of the subjects experienced remission.
    End point type
    Primary
    End point timeframe
    From baseline to Final visit (up to week 12)
    Notes
    [13] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Inferential analysis were not performed due to early termination of the study because of less number of subjects involved.
    End point values
    STW5-II (BAY98-7410) Placebo
    Number of subjects analysed
    1 [14]
    2 [15]
    Units: days
        arithmetic mean (confidence interval 95%)
    11 (-99999 to 99999)
    99999 (-99999 to 99999)
    Notes
    [14] - FAS
    [15] - FAS
    No statistical analyses for this end point

    Primary: Time to Sustained Remission (Clinical Activity Index [CAI] Less Than or Equal to 2 Points)

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    End point title
    Time to Sustained Remission (Clinical Activity Index [CAI] Less Than or Equal to 2 Points) [16]
    End point description
    Time to sustained remission was the time in days from day 0 until first sustained remission was reached. Sustained Remission was defined as CAI <= 2. The CAI is a well-established and internationally used tool for assessment of remission and active UC. The total index score ranges from 0 to 29 points. A mild or moderate UC can be defined as a CAI value ranging from 5 to 10 points. ‘99999’ here indicates that data was not calculated. 95 % confidence intervals could not be estimated for STW5-II arm because only 1 subject was evaluable for this arm and in the Placebo arm none of the subjects experienced remission.
    End point type
    Primary
    End point timeframe
    From baseline to Final visit (up to week 12)
    Notes
    [16] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Inferential analysis were not performed due to early termination of the study because of less number of subjects involved.
    End point values
    STW5-II (BAY98-7410) Placebo
    Number of subjects analysed
    1 [17]
    2 [18]
    Units: days
        arithmetic mean (confidence interval 95%)
    11 (-99999 to 99999)
    99999 (-99999 to 99999)
    Notes
    [17] - FAS
    [18] - FAS
    No statistical analyses for this end point

    Primary: Number of Subjects Who Reached a Remission at Least Once During the Course of the Study

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    End point title
    Number of Subjects Who Reached a Remission at Least Once During the Course of the Study [19]
    End point description
    Remission is defined as CAI <= 4. The CAI is a well-established and internationally used tool for assessment of remission and active UC. The total index score ranges from 0 to 29 points. A mild or moderate UC can be defined as a CAI value ranging from 5 to 10 points.
    End point type
    Primary
    End point timeframe
    From baseline to Final visit (up to week 12)
    Notes
    [19] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Inferential analysis were not performed due to early termination of the study because of less number of subjects involved.
    End point values
    STW5-II (BAY98-7410) Placebo
    Number of subjects analysed
    1 [20]
    2 [21]
    Units: subjects
    1
    0
    Notes
    [20] - FAS
    [21] - FAS
    No statistical analyses for this end point

    Primary: Number of Subjects Who Reached a Sustained Remission at Least Once During the Course of the Study

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    End point title
    Number of Subjects Who Reached a Sustained Remission at Least Once During the Course of the Study [22]
    End point description
    Sustained Remission is defined as CAI <= 2. The CAI is a well-established and internationally used tool for assessment of remission and active UC. The total index score ranges from 0 to 29 points. A mild or moderate UC can be defined as a CAI value ranging from 5 to 10 points.
    End point type
    Primary
    End point timeframe
    From baseline to Final visit (up to week 12)
    Notes
    [22] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Inferential analysis were not performed due to early termination of the study because of less number of subjects involved.
    End point values
    STW5-II (BAY98-7410) Placebo
    Number of subjects analysed
    1 [23]
    2 [24]
    Units: subjects
    1
    0
    Notes
    [23] - FAS
    [24] - FAS
    No statistical analyses for this end point

    Primary: Change From Baseline to Final Visit of Absolute Clinical Activity Index (CAI) Values

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    End point title
    Change From Baseline to Final Visit of Absolute Clinical Activity Index (CAI) Values [25]
    End point description
    The CAI is a well-established and internationally used tool for assessment of remission and active UC. The total index score ranges from 0 to 29 points. A mild or moderate UC can be defined as a CAI value ranging from 5 to 10 points. Here, ‘99999’ indicates that data was not calculated. Standard deviation could not be estimated for STW5-II arm because only 1 subject was evaluable for this arm. For Placebo arm, as there were less than 3 subjects, standard deviation was not calculated because 2 or less collected values were not sufficient to give a reliable estimation.
    End point type
    Primary
    End point timeframe
    Baseline and Final visit (up to week 12)
    Notes
    [25] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Inferential analysis were not performed due to early termination of the study because of less number of subjects involved.
    End point values
    STW5-II (BAY98-7410) Placebo
    Number of subjects analysed
    1 [26]
    2 [27]
    Units: units on a scale
        arithmetic mean (standard deviation)
    -5 ± 99999
    -0.5 ± 99999
    Notes
    [26] - FAS
    [27] - FAS
    No statistical analyses for this end point

    Primary: Change From Baseline to Final Visit in Inflammatory Bowel Disease Questionnaire (IBDQ-D)

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    End point title
    Change From Baseline to Final Visit in Inflammatory Bowel Disease Questionnaire (IBDQ-D) [28]
    End point description
    IBDQ is an instrument that assesses quality of life in patients with inflammatory bowel disease. The four dimensions bowel, systemic, emotion and social are determined. Questionnaire comprises 32 questions divided into four health subscales: bowel symptoms (10 questions); systemic symptoms (5 questions); emotional function (12 questions); and social function (5 questions). Item scores range from 1 to 7 for each area evaluated. To calculate the total IBDQ score, add up scores for all 32 questions. Total IBDQ score ranges from 32 to 224. A higher score indicates better quality of life. Here, ‘99999’ indicates that data was not calculated. Standard deviation could not be estimated for STW5-II arm because only 1 subject was evaluable for this arm. For Placebo arm, as there were less than 3 subjects, standard deviation was not calculated because 2 or less collected values were not sufficient to give a reliable estimation.
    End point type
    Primary
    End point timeframe
    Baseline and Final visit (up to week 12)
    Notes
    [28] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Inferential analysis were not performed due to early termination of the study because of less number of subjects involved.
    End point values
    STW5-II (BAY98-7410) Placebo
    Number of subjects analysed
    1 [29]
    2 [30]
    Units: units on a scale
        arithmetic mean (standard deviation)
    16 ± 99999
    -10.5 ± 99999
    Notes
    [29] - FAS
    [30] - FAS
    No statistical analyses for this end point

    Primary: Change From Baseline to Final Visit in Irritable Bowel Severity Score (IBSS)

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    End point title
    Change From Baseline to Final Visit in Irritable Bowel Severity Score (IBSS) [31]
    End point description
    Associated irritable bowel syndrome symptoms were investigated with IBSS. The IBSS contains 9 questions for estimation of symptoms of irritable bowel syndrome. The first five questions use a visual analogue scale. The scales were to evaluate severity of symptoms ranging from 0 to 100%. The total sum indicates the differentiation between mild, moderate and severe forms of IBS (less than [<] 75: control; 75-175: mild; 175-300: moderate; > 300: severe). The last four questions provide additional information regarding the symptoms of irritable bowel syndrome. Here, ‘99999’ indicates that data was not calculated. Standard deviation could not be estimated for STW5-II arm because only 1 subject was evaluable for this arm. For Placebo arm, as there were less than 3 subjects, standard deviation was not calculated because 2 or less collected values were not sufficient to give a reliable estimation.
    End point type
    Primary
    End point timeframe
    Baseline and Final visit (up to week 12)
    Notes
    [31] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Inferential analysis were not performed due to early termination of the study because of less number of subjects involved.
    End point values
    STW5-II (BAY98-7410) Placebo
    Number of subjects analysed
    1 [32]
    2 [33]
    Units: units on a scale
        arithmetic mean (standard deviation)
    -93 ± 99999
    26.5 ± 99999
    Notes
    [32] - FAS
    [33] - FAS
    No statistical analyses for this end point

    Primary: Change From Baseline to Final Visit in EuroQol 5 Dimensions Questionnaire (EQ-5D)

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    End point title
    Change From Baseline to Final Visit in EuroQol 5 Dimensions Questionnaire (EQ-5D) [34]
    End point description
    EQ-5D investigated the overall quality of life. The EQ-5D is approved for its validity and reliability in patients with UC. It comprises of a first part with five questions determining the dimensions: mobility, selfcare, usual activities, pain/discomfort, anxiety/depression in a three point sensitivity. For the first part (Question score) the score was calculated from index values based on TTO (Time Trade-Off) models for Germany according to Szende et al., 2007. The second score represents the patients’ markings on the visual analogue scale (VAS). Here, ‘99999’ indicates that data was not calculated. Standard deviation could not be estimated for STW5-II arm because only 1 subject was evaluable for this arm. For Placebo arm, as there were less than 3 subjects, standard deviation was not calculated because 2 or less collected values were not sufficient to give a reliable estimation.
    End point type
    Primary
    End point timeframe
    Baseline and Final visit (up to week 12)
    Notes
    [34] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Inferential analysis were not performed due to early termination of the study because of less number of subjects involved.
    End point values
    STW5-II (BAY98-7410) Placebo
    Number of subjects analysed
    1 [35]
    2 [36]
    Units: units on a scale
    arithmetic mean (standard deviation)
        EQ-5D Question score
    0 ± 99999
    -0.057 ± 99999
        EQ-5D Visual Analogue Scale score
    -2 ± 99999
    -19.5 ± 99999
    Notes
    [35] - FAS
    [36] - FAS
    No statistical analyses for this end point

    Primary: Change in Partial Mayo Score

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    End point title
    Change in Partial Mayo Score [37]
    End point description
    The Mayo disease activity index consists of four components: bleeding, stool frequency (defined as fecal passage), physician assessment, and endoscopic appearance and are rated from 0-3. A partial Mayo score is the Mayo score minus the endoscopic subscore. The partial Mayo score could discriminate responders from non-responders relatively well. Score ranges from 0-9. Higher the score is, higher the disease severity. Here, ‘99999’ indicates that data was not calculated. Standard deviation could not be estimated for STW5-II arm because only 1 subject was evaluable for this arm. For Placebo arm, as there were less than 3 subjects, standard deviation was not calculated because 2 or less collected values were not sufficient to give a reliable estimation.
    End point type
    Primary
    End point timeframe
    Baseline and Final visit (up to week 12)
    Notes
    [37] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Inferential analysis were not performed due to early termination of the study because of less number of subjects involved.
    End point values
    STW5-II (BAY98-7410) Placebo
    Number of subjects analysed
    1 [38]
    2 [39]
    Units: units on a scale
        arithmetic mean (standard deviation)
    -4 ± 99999
    0 ± 99999
    Notes
    [38] - FAS
    [39] - FAS
    No statistical analyses for this end point

    Primary: Change in Mayo Score

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    End point title
    Change in Mayo Score [40]
    End point description
    The Mayo disease activity index consists of four components: bleeding, stool frequency (defined as fecal passage), physician assessment, and endoscopic appearance and are rated from 0-3. Score ranges from 0-12. Higher the score is, higher the disease severity. Here, ‘99999’ indicates that data was not calculated. Standard deviation could not be estimated for STW5-II arm because only 1 subject was evaluable for this arm. For Placebo arm, as there were less than 3 subjects, standard deviation was not calculated because 1 collected value was not sufficient to give a reliable estimation.
    End point type
    Primary
    End point timeframe
    Baseline and Final visit (up to week 12)
    Notes
    [40] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Inferential analysis were not performed due to early termination of the study because of less number of subjects involved.
    End point values
    STW5-II (BAY98-7410) Placebo
    Number of subjects analysed
    1 [41]
    1 [42]
    Units: units on a scale
        arithmetic mean (standard deviation)
    -5 ± 99999
    -1 ± 99999
    Notes
    [41] - FAS
    [42] - FAS and number of subjects evaluable for this end point.
    No statistical analyses for this end point

    Primary: Change in Ulcerative Colitis Markers (Calprotectin, Lactoferrin, Polymorphonuclear [PMN]-Elastase)

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    End point title
    Change in Ulcerative Colitis Markers (Calprotectin, Lactoferrin, Polymorphonuclear [PMN]-Elastase) [43]
    End point description
    Changes in the UC markers (calprotectin, lactoferrin, PMN-elastase) were determined for determination of parameters associated with acute flare of UC subjects. The combination of these parameters and C-reactive protein (reported below in the next end point) is able to differentiate between subjects with and without inflammation without using endoscopic measurements. The cutoffs for acute flare were: calprotectine > 48 microgram per gram (mcg/g); lactoferrin > 7.05 mcg/g; PMN elastase > 0.062 mcg/g. Here, ‘99999’ indicates that data was not calculated. Standard deviation could not be estimated for STW5-II arm because only 1 subject was evaluable for this arm. For Placebo arm, as there were less than 3 subjects, standard deviation was not calculated because 2 or less collected values were not sufficient to give a reliable estimation.
    End point type
    Primary
    End point timeframe
    Baseline and Final visit (up to week 12)
    Notes
    [43] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Inferential analysis were not performed due to early termination of the study because of less number of subjects involved.
    End point values
    STW5-II (BAY98-7410) Placebo
    Number of subjects analysed
    1 [44]
    2 [45]
    Units: mcg/g
    arithmetic mean (standard deviation)
        Calprotectin
    15.02 ± 99999
    -163.23 ± 99999
        Lactoferrin
    -7.44 ± 99999
    -11.18 ± 99999
        PMN-Elastase
    -0.02 ± 99999
    -0.18 ± 99999
    Notes
    [44] - FAS
    [45] - FAS
    No statistical analyses for this end point

    Primary: Change in Ulcerative Colitis Marker (C-reactive Protein)

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    End point title
    Change in Ulcerative Colitis Marker (C-reactive Protein) [46]
    End point description
    Changes in UC markers were determined for determination of parameters associated with acute flare of UC subjects. The combination of C-reactive protein and other parameters (calprotectin, lactoferrin, polymorphonuclear [PMN]-elastase reported in the above end point) is able to differentiate between subjects with and without inflammation without using endoscopic measurements. The cutoff for acute flare of C-reactive Protein was > 0.7 milligram per deciliter (mg/dL). Here, ‘99999’ indicates that data was not calculated. Standard deviation could not be estimated for STW5-II arm because only 1 subject was evaluable for this arm. For Placebo arm, as there were less than 3 subjects, standard deviation was not calculated because 2 or less collected values were not sufficient to give a reliable estimation.
    End point type
    Primary
    End point timeframe
    Baseline and Final visit (up to week 12)
    Notes
    [46] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Inferential analysis were not performed due to early termination of the study because of less number of subjects involved.
    End point values
    STW5-II (BAY98-7410) Placebo
    Number of subjects analysed
    1 [47]
    2 [48]
    Units: mg/dL
        arithmetic mean (standard deviation)
    0 ± 99999
    0.28 ± 99999
    Notes
    [47] - FAS
    [48] - FAS
    No statistical analyses for this end point

    Primary: Change of Mesalazine Dose

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    End point title
    Change of Mesalazine Dose [49]
    End point description
    Mesalazine was used as standard medication in acute flare of UC, dose and mode of administration according to guidelines in this study. Change of mesalazine dosage should had followed for medical reasons only. Here, ‘99999’ indicates that data was not calculated. Standard deviation could not be estimated for STW5-II arm because only 1 subject was evaluable for this arm. For Placebo arm, as there were less than 3 subjects, standard deviation was not calculated because 2 or less collected values were not sufficient to give a reliable estimation.
    End point type
    Primary
    End point timeframe
    Baseline and Final visit (up to week 12)
    Notes
    [49] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Inferential analysis were not performed due to early termination of the study because of less number of subjects involved.
    End point values
    STW5-II (BAY98-7410) Placebo
    Number of subjects analysed
    1 [50]
    2 [51]
    Units: gram per day
        arithmetic mean (standard deviation)
    0 ± 99999
    0 ± 99999
    Notes
    [50] - FAS
    [51] - FAS
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From baseline up to week 12
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    18.0
    Reporting groups
    Reporting group title
    STW5-II (BAY98-7410)
    Reporting group description
    Subject received STW5-II orally 20 drops liquid 3 times daily (3*20 drops liquid per day) for 12 weeks as add-on treatment to mesalazine oral dosing taken according to guideline recommendations for the treatment of an acute flare for 12 weeks for induction of remission.

    Reporting group title
    Placebo
    Reporting group description
    Subjects received placebo of STW5-II orally 20 drops liquid 3 times daily (3*20 drops liquid per day) for 12 weeks as add-on treatment to mesalazine oral dosing taken according to guideline recommendations for the treatment of an acute flare for 12 weeks and 58 days respectively for induction of remission.

    Serious adverse events
    STW5-II (BAY98-7410) Placebo
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 1 (0.00%)
    0 / 2 (0.00%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    STW5-II (BAY98-7410) Placebo
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    1 / 1 (100.00%)
    1 / 2 (50.00%)
    Respiratory, thoracic and mediastinal disorders
    Rhinitis
    alternative dictionary used: MedDRA 18.0
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 1 (100.00%)
    0 / 2 (0.00%)
         occurrences all number
    1
    0
    Influenza-like illness
    alternative dictionary used: MedDRA 18.0
    alternative assessment type: Systematic
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 2 (50.00%)
         occurrences all number
    0
    1
    Sinusitis
    alternative dictionary used: MedDRA 18.0
    alternative assessment type: Systematic
         subjects affected / exposed
    0 / 1 (0.00%)
    1 / 2 (50.00%)
         occurrences all number
    0
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    ‘99999’ in the posting indicates that data was not calculated due to very less number of subjects evaluable per arm. Due to premature termination of this study, data sets were not analysed.
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