Clinical Trial Results:
Effect of Beclometasone dipropionate (BDP) on faecal Calprotectin levels in patients with clinically inactive Ulcerative Colitis at risk of relapse. BeCalCU study
Summary
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EudraCT number |
2017-000330-61 |
Trial protocol |
ES |
Global end of trial date |
01 Jun 2021
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Results information
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Results version number |
v1(current) |
This version publication date |
19 Oct 2022
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First version publication date |
19 Oct 2022
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
CHI-DIP-2016-01
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Chiesi España S.A.U.
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Sponsor organisation address |
Torre Realia BCN - Plaça d'Europa, 41-43, planta 10, Barcelona, Spain, 08908
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Public contact |
Chiesi España, Chiesi España S.A.U., 0034 934 94 80 00,
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Scientific contact |
Medical Advisor - Special Care, Marta López Sanromà , 0034 934 948 000,
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
15 Sep 2021
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
01 Jun 2021
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
To evaluate the superiority of oral BDP over placebo in reducing FCP levels below 100 μg/g after 4 weeks of treatment in patients with clinical remission and at risk of relapse* who are receiving 5-ASA therapy.)
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Protection of trial subjects |
This clinical trial was conducted in accordance with the protocol, the principles established in the revised version of the Declaration of Helsinki regarding medical research in humans (64 General Assembly, Fortaleza, Brazil, 2013), and the Harmonized Tripartite Guidelines of the International Conference on Harmonisation (ICH) for Good Clinical Practice 1996. Likewise, it was carried out in accordance with the applicable regulatory requirements, in particular Royal Decree 1090/2015 and Regulation (EU) 536/2014, regulating clinical trials with medicinal products in Spain and the European Union, respectively, and Law 14/2007, on biomedical research. The study started once approval was available from the CREC, as well as from the Spanish Agency for Medicinal Products and Medical Devices (AEMPS).
Each patient invited to participate in the study was given a written document called the “Patient Information Sheet”, which contained the relevant and necessary information about the nature of the study, its objectives and procedures, the potential benefits and risks for the patient, as well as the guarantee of personal data protection. This document reflected the voluntary nature of patient participation in the study, and fully and unequivocally indicated the possibility of refusing to participate and of withdrawing consent at any time and for any reason, without having to justify the decision, and without the decision affecting his/her subsequent medical treatment and follow-up, or his/her relationship with the treating physician.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
15 Jun 2017
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Spain: 43
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Worldwide total number of subjects |
43
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EEA total number of subjects |
43
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
37
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From 65 to 84 years |
6
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85 years and over |
0
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Recruitment
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Recruitment details |
91 patients recruited from 12 Spanish sites since 15 July 2017 | |||||||||||||||
Pre-assignment
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Screening details |
Patients with 18 years old diagnosed with left-side or extended ulcerative colitis at least one year before, in clinical remission at the screening visit, with central laboratory confirmed FCP levels > 250 ug/g and treated with 5-ASA for at least 4 weeks prior to the screening visit. Patients without presence of a stoma or prior colon resection. | |||||||||||||||
Period 1
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Period 1 title |
Part I
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Is this the baseline period? |
Yes | |||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | |||||||||||||||
Roles blinded |
Investigator, Subject | |||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Group A | |||||||||||||||
Arm description |
Patients were treated for 4 weeks with 5 mg/day of BDP orally. | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
Beclomethasone dipropionate (BDP)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Coated tablet
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Routes of administration |
Oral use
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Dosage and administration details |
BDP dose is 5 mg/day and it was administrated orally.
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Arm title
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Group B | |||||||||||||||
Arm description |
Patients will be treated for 4 weeks with placebo orally. | |||||||||||||||
Arm type |
Placebo | |||||||||||||||
Investigational medicinal product name |
Placebo
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Coated tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Placebo dose is 5 mg/day and was administrated orally.
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Period 2
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Period 2 title |
Part II
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Is this the baseline period? |
No | |||||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | |||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Single arm (group A) | |||||||||||||||
Arm description |
During part II, patients were also treated for 4 weeks with 5 mg/day of BDP, administered orally. Patients with fecal calprotectin values > 100 ug/g after 4 weeks of treatment who came from group A of part I (BDP treated) of the study. | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
Beclomethasone dipropionate (BDP)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Coated tablet
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Routes of administration |
Oral use
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Dosage and administration details |
BDP dose is 5 mg/day and it was administrated orally.
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Arm title
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Single arm (group B) | |||||||||||||||
Arm description |
During part II, patients were also treated for 4 weeks with 5 mg/day of BDP, administered orally. Patients with fecal calprotectin values > 100 ug/g after 4 weeks of treatment who came from group B of part I (placebo treated) of the study. | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
Beclomethasone dipropionate (BDP)
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Investigational medicinal product code |
||||||||||||||||
Other name |
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Pharmaceutical forms |
Coated tablet
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Routes of administration |
Oral use
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Dosage and administration details |
BDP dose is 5 mg/day and it was administrated orally.
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Notes [1] - The number of subjects starting the period is not consistent with the number completing the preceding period. It is expected the number of subjects starting the subsequent period will be the same as the number completing the preceding period. Justification: According to the protocol, 16 patients obtained fecal calprotectin values < 100 ug/g after 4 weeks of treatment and therefore completed the study and did not initiate part II. |
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Baseline characteristics reporting groups
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Reporting group title |
Group A
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Reporting group description |
Patients were treated for 4 weeks with 5 mg/day of BDP orally. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Group B
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Reporting group description |
Patients will be treated for 4 weeks with placebo orally. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Group A
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Reporting group description |
Patients were treated for 4 weeks with 5 mg/day of BDP orally. | ||
Reporting group title |
Group B
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Reporting group description |
Patients will be treated for 4 weeks with placebo orally. | ||
Reporting group title |
Single arm (group A)
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Reporting group description |
During part II, patients were also treated for 4 weeks with 5 mg/day of BDP, administered orally. Patients with fecal calprotectin values > 100 ug/g after 4 weeks of treatment who came from group A of part I (BDP treated) of the study. | ||
Reporting group title |
Single arm (group B)
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Reporting group description |
During part II, patients were also treated for 4 weeks with 5 mg/day of BDP, administered orally. Patients with fecal calprotectin values > 100 ug/g after 4 weeks of treatment who came from group B of part I (placebo treated) of the study. |
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End point title |
Patients with FCP levels < 100 μg/g after 4 weeks | |||||||||
End point description |
To evaluate the superiority of oral BDP over placebo in reducing FCP levels below 100 μg/g after 4 weeks of treatment in patients with clinical remission and at risk of relapse* who are receiving 5-ASA therapy.
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End point type |
Primary
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End point timeframe |
After 4 weeks of treatment (at week 5)
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Notes [1] - 4 patients were prematurely withdrawn |
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Statistical analysis title |
Fisher's exact test | |||||||||
Comparison groups |
Group A v Group B
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Number of subjects included in analysis |
39
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
= 0.02 | |||||||||
Method |
Fisher exact | |||||||||
Confidence interval |
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End point title |
FCP values at week 5 | ||||||||||||
End point description |
To evaluate the superiority of oral BDP over placebo in reducing FCP levels below 100 μg/g after 4 weeks of treatment in patients with clinical remission and at risk of relapse* who are receiving 5-ASA therapy.
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End point type |
Primary
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End point timeframe |
After 4 weeks of treatment (at week 5)
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Notes [2] - 4 patients were prematurely withdrawn |
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Statistical analysis title |
Wilcoxon rank-sum test | ||||||||||||
Comparison groups |
Group A v Group B
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Number of subjects included in analysis |
39
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
= 0.004 | ||||||||||||
Method |
Wilcoxon (Mann-Whitney) | ||||||||||||
Confidence interval |
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End point title |
Patients with FCP levels < 100 μg/g after 8 weeks | |||||||||
End point description |
To evaluate the effect of oral BDP on the reduction of FCP levels to below 100 μg/g after 8 weeks of treatment.
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End point type |
Secondary
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End point timeframe |
After 8 weeks of treatment (at week 9)
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Notes [3] - One missing data [4] - One missing data |
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Statistical analysis title |
Fisher's exact test | |||||||||
Comparison groups |
Single arm (group A) v Single arm (group B)
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Number of subjects included in analysis |
21
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
= 0.656 | |||||||||
Method |
Fisher exact | |||||||||
Confidence interval |
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End point title |
FCP values at week 9 | ||||||||||||
End point description |
To evaluate the effect of oral BDP on the reduction of FCP levels to below 100 μg/g after 8 weeks of treatment.
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End point type |
Secondary
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End point timeframe |
After 8 weeks of treatment (week 9)
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Statistical analysis title |
Wilcoxon rank-sum test | ||||||||||||
Comparison groups |
Single arm (group A) v Single arm (group B)
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Number of subjects included in analysis |
21
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
= 0.491 | ||||||||||||
Method |
Wilcoxon (Mann-Whitney) | ||||||||||||
Confidence interval |
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End point title |
FCP values at week 9 (LOFCP) | ||||||||||||
End point description |
To evaluate the effect of oral BDP on the reduction of FCP levels to below 100 μg/g after 8 weeks of treatment. Data referred to the last observation of FCP (LOFCP) values for each patient.
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End point type |
Secondary
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End point timeframe |
After 8 weeks of treatment (at week 9)
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Notes [5] - 4 patients were prematurely withdrawal |
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Statistical analysis title |
Wilcoxon rank-sum test | ||||||||||||
Comparison groups |
Group B v Group A
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Number of subjects included in analysis |
39
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
= 0.327 | ||||||||||||
Method |
Wilcoxon (Mann-Whitney) | ||||||||||||
Confidence interval |
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End point title |
Patients with FCP levels < 100 μg/g after 8 weeks (LOFCP) | |||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
After 8 weeks of treatment (at week 9)
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Notes [6] - 4 patients prematurely withdrawn |
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Statistical analysis title |
Fisher's exact test | |||||||||
Comparison groups |
Group B v Group A
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Number of subjects included in analysis |
39
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
= 0.209 | |||||||||
Method |
Fisher exact | |||||||||
Confidence interval |
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End point title |
Patients with FCP levels < 150 μg/g after 4 weeks | |||||||||
End point description |
Effect of BPD in reducing FCP levels below 150 µg/g versus placebo.
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End point type |
Secondary
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End point timeframe |
After 4 weeks of treatment (week 5)
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Notes [7] - 4 patients prematurely withdrawn |
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Statistical analysis title |
Fisher's exact test | |||||||||
Comparison groups |
Group A v Group B
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Number of subjects included in analysis |
39
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
= 0.023 | |||||||||
Method |
Fisher exact | |||||||||
Confidence interval |
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End point title |
Patients with FCP levels < 150 μg/g after 8 weeks | |||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
After 8 weeks of treatment (week 9)
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Notes [8] - One missing data [9] - One missing data |
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Statistical analysis title |
Fisher's exact test | |||||||||
Comparison groups |
Single arm (group A) v Single arm (group B)
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Number of subjects included in analysis |
21
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
> 0.999 | |||||||||
Method |
Fisher exact | |||||||||
Confidence interval |
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End point title |
Patients with FCP levels < 150 μg/g after 8 weeks (LOFCP) | |||||||||
End point description |
Data referred to the last observation of FCP (LOFCP) values for each patient
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End point type |
Secondary
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End point timeframe |
After 8 weeks of treatment (week 9)
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Statistical analysis title |
Fisher's exact test | |||||||||
Comparison groups |
Group A v Group B
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Number of subjects included in analysis |
39
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
= 0.314 | |||||||||
Method |
Fisher exact | |||||||||
Confidence interval |
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End point title |
Patients with FCP levels < 50 μg/g after 4 weeks | |||||||||
End point description |
Effect of BPD in reducing FCP levels to below 50µg/g versus placebo was studied.
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End point type |
Secondary
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End point timeframe |
After 4 weeks of treatment (week 5)
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Notes [10] - 4 patients prematurely withdrawn |
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Statistical analysis title |
Fisher's exact test | |||||||||
Comparison groups |
Group A v Group B
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Number of subjects included in analysis |
39
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
= 0.426 | |||||||||
Method |
Fisher exact | |||||||||
Confidence interval |
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End point title |
Patients with FCP levels < 50 μg/g after 8 weeks | |||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
After 8 weeks of treatment (week 9)
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Notes [11] - One missing data [12] - One missing data |
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Statistical analysis title |
Fisher's exact test | |||||||||
Comparison groups |
Single arm (group B) v Single arm (group A)
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Number of subjects included in analysis |
21
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
> 0.999 | |||||||||
Method |
Fisher exact | |||||||||
Confidence interval |
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End point title |
Patients with FCP levels < 50 μg/g after 8 weeks (LOFCP) | |||||||||
End point description |
Data referred to the last observation of FCP (LOFCP) values for each patient
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End point type |
Secondary
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End point timeframe |
After 8 weeks of treatment (week 9)
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Statistical analysis title |
Fisher's exact test | |||||||||
Comparison groups |
Group A v Group B
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Number of subjects included in analysis |
39
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||
P-value |
> 0.999 | |||||||||
Method |
Fisher exact | |||||||||
Confidence interval |
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End point title |
FCP reduction | |||||||||||||||||||||
End point description |
Differences between treatment groups in FCP reduction between week 5 and baseline and between week 9 and baseline. Na and Nb are the number of patients analyse in groups A and B, respectively.
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End point type |
Secondary
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End point timeframe |
Different timepoints
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Notes [13] - Na y Nb indicates number of patients analyse in group A and group B, respectively. [14] - Na y Nb indicates number of patients analyse in group A and group B, respectively. |
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Statistical analysis title |
Wilcoxon rank-sum test | |||||||||||||||||||||
Comparison groups |
Group A v Group B
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Number of subjects included in analysis |
39
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||||||||||||||
P-value |
= 0.003 | |||||||||||||||||||||
Method |
Wilcoxon (Mann-Whitney) | |||||||||||||||||||||
Confidence interval |
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End point title |
Partial Mayo Score at week 5 | |||||||||||||||
End point description |
Categorised score (< 4 and ≥ 4 points) obtained from the Partial Mayo Score after 5 weeks of treatment.
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End point type |
Secondary
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End point timeframe |
After 4 weeks of treatment
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Notes [15] - 4 patients prematurely withdrawn |
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No statistical analyses for this end point |
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End point title |
Partial Mayo Score at week 9 | |||||||||||||||
End point description |
Categorised score (< 4 and ≥ 4 points) obtained from the Partial Mayo Score after 9 weeks of treatment.
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End point type |
Secondary
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End point timeframe |
After 8 weeks of treatment
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Notes [16] - One missing data |
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No statistical analyses for this end point |
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End point title |
Partial Mayo Score at week 16 or 21 | |||||||||||||||
End point description |
Categorised score (< 4 and ≥ 4 points) obtained from the Partial Mayo Score 3 months after the end of treatment (week 16 or week 21).
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End point type |
Secondary
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End point timeframe |
3 month after the end of treatment
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No statistical analyses for this end point |
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End point title |
FCP reduction three months after the end of the treatment | ||||||||||||||||||
End point description |
Effect of BDP in modifying the FCP levels three months after the end of the treatment.
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End point type |
Secondary
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End point timeframe |
3 months after the end of the treatment (weeks 16 or 21)
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Notes [17] - Na and Nb indicates patients analysed in groups A and B respectively in each population [18] - Na and Nb indicates patients analysed in groups A and B respectively in each population |
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
Parts I and II of the study
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Assessment type |
Systematic | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
24.1
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Reporting groups
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Reporting group title |
Safety population: group A
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Reporting group description |
- | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Safety population: group B
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Reporting group description |
- | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 1% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
||
07 Nov 2017 |
Extension of 3 months in the follow-up of patients in order to assess whether the clinical benefit is maintained over time, as well as to determine disease relapses (if any). |
||
12 Feb 2018 |
In order to facilitate patient recruitment, the decision is made to:
- Remove inclusion criterion 4.
- Extend the time period between Visits 1 and 2, adjusting more realistically to the times required to obtain the results of the FCP test.
- Modify inclusion criterion 5 by extending the time period in which an available FCP value is required in the patient clinical history to 60 days.
|
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19 Nov 2018 |
Addition of 4 sites:
- Hospital Universitario Josep Trueta de Girona
- Complejo Hospitalario de Ferrol
- Hospital Clínico Universitario de Valencia
- Hospital Parc Taulí
|
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03 Mar 2020 |
The following modifications are made to facilitate recruitment and to better adapt to clinical practice at the sites:
- Only the FCP levels of the central laboratory are considered.
- Patients receiving thiopurines (azathioprine and mercaptopurine) are accepted.
- Addition of sites.
In addition, corrections of errata and administrative changes are made
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |