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TerminatedNCT00296556Updated Apr 28, 2009

Therapeutic Study of ONO-4819CD for Ulcerative Colitis

A Phase 2 interventional study of Rivenprost (drug) in Ulcerative Colitis, sponsored by Kyoto University, Graduate School of Medicine. Terminated at 1 site in Japan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2009-04-28.

Sponsored by Kyoto University, Graduate School of Medicine · Phase 2, Interventional, and Treatment

Why this study was terminated
terminated
Phase
Phase 2
Study type
Interventional
Enrollment
7
Allocation
Randomized
Ages
20 Years and older
Sex
All
01

Study summary

The purpose of this study is to investigate whether ONO-4819CD is safe and effective in the treatment of mild to moderate ulcerative colitis.

Read the detailed description

Ulcerative colitis is a relapsing disease of unknown cause characterized by bloody diarrhea. Therapy usually involves 5-aminosalicylates, corticosteroids and immunosuppressants. However, steroid resistance and dependency can become problematic. Immunosuppressive drugs, such as azathioprine, are beneficial but may have serious side effects. Therefore, new therapeutic approach is needed.

Prostaglandin E2 is one of the prostanoids, which is involved with innate immunity. PGE2 induces oral tolerance to specific antigen in the small intestine and downregulates the production and release of proinflammatory cytokines by macrophages and neutrophils. Accordingly, PGE2 is considered to be the mediator of mucosal protection.

Recently, it was elucidated that disruption of EP4 gene, which is one of PGE receptors, caused severe colitis in mice. Moreover, EP4-selective agonist (AE1-734) was also revealed to ameliorate severe dextran sodium sulfate-induced colitis in mice. We therefore examined the effects of 2 weeks intravenous EP4-selective agonist therapy for patients with mild to moderate ulcerative colitis.

02

Conditions studied

  • Ulcerative Colitis

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Keywords

  • Ulcerative colitis
  • EP4 agonist
  • PGE2
03

In context

Colitis, Ulcerative

1,530 studies on the registry are indexed under Colitis, Ulcerative; 407 are open to participants now.

This study's enrollment of 7 is below the median of 70 across 1,069 interventional studies indexed under Colitis, Ulcerative.

Browse Colitis, Ulcerative studies →

Lead sponsor

Kyoto University, Graduate School of Medicine is the lead sponsor of 22 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Clinical diagnosis of ulcerative colitis
  2. Mild to moderate ulcerative colitis refractory to 5-aminosalicylates therapy.
  3. 20 years and above
  4. Must obtain written informed consent

Exclusion criteria

Exclusion Criteria:

  1. Corticosteroids therapy within two weeks before enrollment
  2. Immunosuppressive therapy within three months before enrollment
  3. Leukocytapheresis therapy within one month before enrollment
  4. Blood transfusion within two weeks before enrollment
  5. Impaired renal function
  6. Impaired hepatic function
  7. Uncontrolled hypertension/hypotension
  8. Uncontrolled arrhythmia
  9. Impaired cardiac function
  10. Cancer
  11. Uncontrolled diabetes
  12. Interstitial pneumonia
  13. Glaucoma
  14. History of colon resection
  15. Infectious diseases needing medical treatments
  16. Drug allergy
  17. Pregnancy
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
7 participants (actual)

Interventions

  • DrugRivenprost (drug)
06

What researchers measure

Primary outcomes

  1. Remission evaluated by DAI scores at 14 and 28 days

Secondary outcomes

  1. Improvement by DAI scores; Change in DAI scores; CAI scores at 3, 7, 14 and 28 days; Colonoscopic and histopathological scores at 14 and 28 days; Clinical severity and symptom scores at 7, 14 and 28 days; Cytokines at 7, 14 and 28 days; Adverse effects.

07

Study locations

1 site
  • Kyoto University, Graduate School of Medicine
    Kyoto, 606-8501, Japan
08

References and documents

Publications

  • Kabashima K, Saji T, Murata T, Nagamachi M, Matsuoka T, Segi E, Tsuboi K, Sugimoto Y, Kobayashi T, Miyachi Y, Ichikawa A, Narumiya S. The prostaglandin receptor EP4 suppresses colitis, mucosal damage and CD4 cell activation in the gut. J Clin Invest. 2002 Apr;109(7):883-93. doi: 10.1172/JCI14459. PubMed 11927615 ↗
  • Morimoto K, Sugimoto Y, Katsuyama M, Oida H, Tsuboi K, Kishi K, Kinoshita Y, Negishi M, Chiba T, Narumiya S, Ichikawa A. Cellular localization of mRNAs for prostaglandin E receptor subtypes in mouse gastrointestinal tract. Am J Physiol. 1997 Mar;272(3 Pt 1):G681-7. doi: 10.1152/ajpgi.1997.272.3.G681. PubMed 9124591 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 28, 2009, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00296556
Lead sponsor
Kyoto University, Graduate School of Medicine
Collaborators
National Institute of Biomedical Innovation
First posted
Feb 27, 2006
Start date
Feb 2006
Primary completion
Dec 2007 (estimated)
Completion
Mar 2008
Last update
Apr 28, 2009

Study contacts

Shuh Narumiya, MD, PhD
study chair · Kyoto University, Graduate School of Medicine
Tsutomu Chiba, MD, PhD
principal investigator · Kyoto University, Graduate School of Medicine

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Apr 2009. You cannot join it, but the record below documents what was studied.

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