ClinicalTrials.gg
CompletedNCT01008423Updated Aug 14, 2019Results posted

Efficacy and Safety of Budesonide Foam for Participants With Active Mild to Moderate Ulcerative Proctitis or Proctosigmoiditis

A Phase 3 interventional study of Budesonide and Placebo in Proctitis and Proctosigmoiditis, sponsored by Bausch Health Americas, Inc.. Completed at 62 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-08-14.

Sponsored by Bausch Health Americas, Inc. (part of Bausch Health Companies Inc.) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
281
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to establish the efficacy profile of rectally administered budesonide foam, as compared to an equivalent volume of rectally administered placebo foam over the same dosing schedule, in participants who present with a diagnosis of active, mild to moderate, ulcerative proctitis (UP) or ulcerative proctosigmoiditis (UPS). During the study, eligible participants will be allowed to maintain previously established oral 5-aminosalicylic acid (5-ASA) treatment at doses up to 4.8 grams/day (g/day).

02

Conditions studied

  • Proctitis
  • Proctosigmoiditis

Keywords

  • Proctitis
  • Proctosigmoiditis
  • Ulcerative
  • Salix
  • Budesonide foam
  • Budesonide
  • Rectal
  • Gastrointestinal
  • Colitis
  • UC
  • UP
  • UPS
  • Additional relevant MeSH terms:
  • Proctocolitis
  • Ulcer
  • Colitis, Ulcerative
  • Gastroenteritis
  • Gastrointestinal Diseases
  • Digestive System Diseases
  • Rectal Diseases
  • Intestinal Diseases
  • Colonic Diseases
  • Sigmoid Diseases
  • Pathologic Processes
  • Inflammatory Bowel Diseases
  • Bronchodilator Agents
  • Autonomic Agents
  • Peripheral Nervous System Agents
  • Physiological Effects of Drugs
  • Pharmacologic Actions
  • Anti-Asthmatic Agents
  • Respiratory System Agents
  • Therapeutic Uses
  • Glucocorticoids
  • Hormones
  • Hormones, Hormone Substitutes, and Hormone Antagonists
  • Anti-Inflammatory Agents
03

In context

Proctitis

27 studies on the registry are indexed under Proctitis; 6 are open to participants now.

This study's enrollment of 281 is above the median of 122 across 23 interventional studies indexed under Proctitis.

Browse Proctitis studies →

Lead sponsor

Bausch Health Americas, Inc. is the lead sponsor of 213 studies on the registry; 7 are open to participants now.

Of its 25 completed or terminated interventional studies of FDA-regulated products, 18 (72%) have results posted.

First submitted before Bausch Health Americas, Inc. became part of Bausch Health Companies Inc..

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

04

Who can participate

Ages eligible
18 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

  • Voluntarily sign written .
  • Male or non-pregnant and non-lactating females.
  • Confirmed diagnosis (by endoscopy procedure) of active, mild to moderate UP or UPS, with disease extending at least 5 centimeters (cm) but no further than 40 cm from the anal verge.
  • Must possess a baseline MMDAI score between 5 and 10.

Exclusion criteria

Exclusion Criteria:

  • History or current diagnosis of Crohn's disease and indeterminate colitis.
  • Prior gastrointestinal surgery except appendectomy and hernia.
  • Concomitant active gastrointestinal disease or distortion of intestinal anatomy.
  • History of diverticulitis, collagenous colitis, celiac disease, recurrent pancreatic or known gallbladder disease.
  • Uncontrolled, previously diagnosed type 1 or 2 diabetes mellitus.
  • Uncontrolled abnormal thyroid function.
  • Unstable significant cardiovascular, endocrine, neurologic or pulmonary disease.
  • levels less than (\<) 7.5 grams /deciliter (g/dL).
  • History of sclerosing cholangitis, cirrhosis, or hepatic impairment.
  • Renal disease manifested by greater than (>) 2.0 milligrams/deciliter (mg/dL) serum creatinine.
  • History of avascular hip necrosis, active tuberculosis, ocular herpes simplex or ocular varicella zoster, malignant disease, and or or C.
  • Adrenal insufficiency.
  • Active systemic or cutaneous infection or toxic megacolon, fistula, perforation or abscess.
  • History of uncontrolled psychiatric disorders or seizure disorders.
  • History of asthma requiring ongoing use of inhaled .
  • Recent history of drug or alcohol abuse.
  • Positive stool test for bacterial pathogens, Clostridium difficile toxin, or ovum and parasites.
  • Vaccination within 28 days prior to randomization.
  • Allergies to budesonide or to any other items used in its preparation.
  • Participation in another clinical trial in the past 30 days.
  • Pregnant or at risk of pregnancy.
  • Taking a prohibited medication. Some medications to treat UP/UPS are prohibited during participation in the study, including laxatives and anti-diarrhea medications; however, oral 5-ASA agents at doses up to 4.8 g/day and daily fiber supplements are allowed. Other medications (e.g., antibiotics, anti-seizure and anti-coagulant medicines) are also prohibited.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
281 participants (actual)

Study arms

  • Experimental
    Budesonide

    Participants who were diagnosed with active mild to moderate UP or UPS, will receive 2 milligrams (mg)/25 milliliter (mL) of budesonide foam, rectally twice daily for a period of 2 weeks followed by 2 mg/25 mL of budesonide foam, rectally once daily for a period of 4 weeks.

    Drug: Budesonide

  • Placebo comparator
    Placebo

    Participants who were diagnosed with active mild to moderate UP or UPS will receive 25 mL of placebo matching to budesonide foam twice daily for a period of 2 weeks followed by once daily for a period of 4 weeks.

    Drug: Placebo

Interventions

  • Budesonide will be administered as per the dose and schedule specified in the respective arm.

  • DrugPlacebo

    Placebo matching to budesonide will be administered as per the dose and schedule specified in the respective arm.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Who Achieved Remission

    Remission was a combined assessment of clinical and endoscopic variables, defined as an endoscopy score of less than or equal to (\<=) 1, a rectal bleeding score of 0, and an improvement or no change from baseline in stool frequency subscales of the Modified Mayo Disease Activity Index (MMDAI) at the end of 6 weeks of treatment. MMDAI was used to assess the overall disease activity for each participant. MMDAI evaluated 4 indices: stool frequency, rectal bleeding, physician's global assessment (PGA) and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Stool frequency MMDAI subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. Rectal bleeding MMDAI subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. Endoscopy MMDAI subscore ranged from 0-3, where 0 indicated normal or inactive disease and 3 indicated severe disease (spontaneous bleeding, ulceration).

    Time frame: Week 6

Secondary outcomes

  1. Percentage of Participants Who Achieved a Rectal Bleeding MMDAI Subscale Score of 0 at End of Week 6

    The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices:stool frequency, rectal bleeding, physician's global assessment and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding MMDAI subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. Missing data was imputed using LOCF method.

    Time frame: Week 6

  2. Number of Scheduled Assessments With Rectal Bleeding Responder Classification

    The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding MMDAI subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. Percentage of participants who were rectal bleeding responder at scheduled assessments were reported. Rectal bleeding responders were defined as those participants who achieved a rectal bleeding MMDAI subscale score of 0 during the treatment period. Missing data was imputed using LOCF method.

    Time frame: Weeks 1, 2, 4, and 6

  3. Percentage of Participants Who Achieved an Endoscopy MMDAI Subscale Score of 0 or 1 at End of Week 6

    The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, physician's global assessment and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Endoscopy subscale ranged from 0-3, where 0 = normal or inactive disease, 1 = mild disease, 2 = moderate disease and 3 = severe disease (spontaneous bleeding, ulceration). Percentage of participants with normal or mild disease have been presented in this outcome measure. Missing data was imputed using LOCF method.

    Time frame: Week 6

  4. Percentage of Participants Who Achieved a Score of 0 for Rectal Bleeding Subscale and a Combined Score of <=2 for Bowel Frequency (BF) and Physician's Global Assessment (PGA) in the MMDAI Subscales at End of Week 6

    The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. BF subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. PGA subscore ranged from 0-3, where 0 indicated normal disease and 3 indicated severe disease. Missing data was imputed using LOCF method.

    Time frame: Week 6

  5. Percentage of Participants Who Achieved an MMDAI Total Score of <= 3 With Greater Than or Equal to (>=2) Points of Improvement From Baseline at the End of Week 6

    The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. BF subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. PGA subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. Endoscopy subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. MMDAI total score ranged from 0-12, where higher score indicated severe disease. Missing data was imputed using LOCF method.

    Time frame: Week 6

  6. Percentage of Participants Who Achieved Improvement of >=1 Point From Baseline in the MMDAI Endoscopy Subscale Score at End of Week 6

    The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Endoscopy subscore ranged from 0-3, where 0 = normal or inactive disease, 1 = mild disease (erythema, decreased vascular pattern), 2 = moderate disease (marked erythema, absent vascular pattern, friability, erosions), and 3 = severe disease (spontaneous bleeding, ulceration). Missing data was imputed using LOCF method.

    Time frame: Week 6

  7. Percentage of Participants Who Achieved Improvement of >=1 Point From Baseline in the MMDAI Rectal Bleeding Subscale Score at End of Week 6

    The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding MMDAI subscore ranged from 0-3, where 0 = no blood seen, 1 = streaks of blood with stool less than half the time, 2 = obvious blood with stool most of the time, and 3 indicated blood alone passed. Missing data was imputed using LOCF method.

    Time frame: Week 6

  8. Percentage of Participants Who Achieved >=3 Point Improvement From Baseline in the MMDAI Total Score Including Improvement of >=1 Point From Baseline in the MMDAI Rectal Bleeding Subscale Score and MMDAI Endoscopy Subscale at End of Week 6

    The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. BF subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. PGA subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. Endoscopy subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. MMDAI total score ranged from 0-12, where higher score indicated severe disease. Missing data was imputed using LOCF method.

    Time frame: Week 6

  9. Mean Change From Baseline to Week 6 in MMDAI Total Score and Subscale Scores

    The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. BF subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. PGA subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. Endoscopy subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. MMDAI total score ranged from 0-12, where higher score indicated severe disease. Missing data was imputed using LOCF method.

    Time frame: Baseline, Week 6

07

Results

Posted Aug 14, 2019

Participant flow

Participant flow — Overall Study
MilestoneBudesonidePlacebo
Started134147
Received at least 1 dose of study drug134147
Completed115125
Not completed1922
Withdrew: Adverse event136
Withdrew: Withdrawal by subject47
Withdrew: Lost to follow-up02
Withdrew: Low cortisol01
Withdrew: Lack of efficacy05
Withdrew: Disease extent 70 centimeters (cm)10
Withdrew: Personal conflict10
Withdrew: Other01

Outcome measures

PrimaryPercentage of Participants Who Achieved Remission

Remission was a combined assessment of clinical and endoscopic variables, defined as an endoscopy score of less than or equal to (\<=) 1, a rectal bleeding score of 0, and an improvement or no change from baseline in stool frequency subscales of the Modified Mayo Disease Activity Index (MMDAI) at the end of 6 weeks of treatment. MMDAI was used to assess the overall disease activity for each participant. MMDAI evaluated 4 indices: stool frequency, rectal bleeding, physician's global assessment (PGA) and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Stool frequency MMDAI subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. Rectal bleeding MMDAI subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. Endoscopy MMDAI subscore ranged from 0-3, where 0 indicated normal or inactive disease and 3 indicated severe disease (spontaneous bleeding, ulceration).

Time frame:
Week 6
Reported as:
Number · percentage of participants
Percentage of Participants Who Achieved Remission
percentage of participantsBudesonidePlacebo
Percentage of Participants Who Achieved Remission44.022.4
Statistical analysis
  • Budesonide vs Placebo · Regression, Logistic · p = <0.0001 (Threshold for significance at 0.05 level.)
SecondaryPercentage of Participants Who Achieved a Rectal Bleeding MMDAI Subscale Score of 0 at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices:stool frequency, rectal bleeding, physician's global assessment and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding MMDAI subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. Missing data was imputed using LOCF method.

Time frame:
Week 6
Reported as:
Number · percentage of participants
Percentage of Participants Who Achieved a Rectal Bleeding MMDAI Subscale Score of 0 at End of Week 6
percentage of participantsBudesonidePlacebo
Percentage of Participants Who Achieved a Rectal Bleeding MMDAI Subscale Score of 0 at End of Week 650.028.6
SecondaryNumber of Scheduled Assessments With Rectal Bleeding Responder Classification

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding MMDAI subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. Percentage of participants who were rectal bleeding responder at scheduled assessments were reported. Rectal bleeding responders were defined as those participants who achieved a rectal bleeding MMDAI subscale score of 0 during the treatment period. Missing data was imputed using LOCF method.

Time frame:
Weeks 1, 2, 4, and 6
Reported as:
Number · percentage of participants
Number of Scheduled Assessments With Rectal Bleeding Responder Classification
percentage of participantsBudesonidePlacebo
Responder at 1 assessment8.218.4
Responder at 2 assessment16.417.0
Responder at 3 assessment21.67.5
Responder at 4 assessment13.42.0
SecondaryPercentage of Participants Who Achieved an Endoscopy MMDAI Subscale Score of 0 or 1 at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, physician's global assessment and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Endoscopy subscale ranged from 0-3, where 0 = normal or inactive disease, 1 = mild disease, 2 = moderate disease and 3 = severe disease (spontaneous bleeding, ulceration). Percentage of participants with normal or mild disease have been presented in this outcome measure. Missing data was imputed using LOCF method.

Time frame:
Week 6
Reported as:
Number · percentage of participants
Percentage of Participants Who Achieved an Endoscopy MMDAI Subscale Score of 0 or 1 at End of Week 6
percentage of participantsBudesonidePlacebo
Percentage of Participants Who Achieved an Endoscopy MMDAI Subscale Score of 0 or 1 at End of Week 656.036.7
SecondaryPercentage of Participants Who Achieved a Score of 0 for Rectal Bleeding Subscale and a Combined Score of <=2 for Bowel Frequency (BF) and Physician's Global Assessment (PGA) in the MMDAI Subscales at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. BF subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. PGA subscore ranged from 0-3, where 0 indicated normal disease and 3 indicated severe disease. Missing data was imputed using LOCF method.

Time frame:
Week 6
Reported as:
Number · percentage of participants
Percentage of Participants Who Achieved a Score of 0 for Rectal Bleeding Subscale and a Combined Score of <=2 for Bowel Frequency (BF) and Physician's Global Assessment (PGA) in the MMDAI Subscales at End of Week 6
percentage of participantsBudesonidePlacebo
Percentage of Participants Who Achieved a Score of 0 for Rectal Bleeding Subscale and a Combined Score of <=2 for Bowel Frequency (BF) and Physician's Global Assessment (PGA) in the MMDAI Subscales at End of Week 646.323.8
SecondaryPercentage of Participants Who Achieved an MMDAI Total Score of <= 3 With Greater Than or Equal to (>=2) Points of Improvement From Baseline at the End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. BF subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. PGA subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. Endoscopy subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. MMDAI total score ranged from 0-12, where higher score indicated severe disease. Missing data was imputed using LOCF method.

Time frame:
Week 6
Reported as:
Number · percentage of participants
Percentage of Participants Who Achieved an MMDAI Total Score of <= 3 With Greater Than or Equal to (>=2) Points of Improvement From Baseline at the End of Week 6
percentage of participantsBudesonidePlacebo
Percentage of Participants Who Achieved an MMDAI Total Score of <= 3 With Greater Than or Equal to (>=2) Points of Improvement From Baseline at the End of Week 649.328.6
SecondaryPercentage of Participants Who Achieved Improvement of >=1 Point From Baseline in the MMDAI Endoscopy Subscale Score at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Endoscopy subscore ranged from 0-3, where 0 = normal or inactive disease, 1 = mild disease (erythema, decreased vascular pattern), 2 = moderate disease (marked erythema, absent vascular pattern, friability, erosions), and 3 = severe disease (spontaneous bleeding, ulceration). Missing data was imputed using LOCF method.

Time frame:
Week 6
Reported as:
Number · percentage of participants
Percentage of Participants Who Achieved Improvement of >=1 Point From Baseline in the MMDAI Endoscopy Subscale Score at End of Week 6
percentage of participantsBudesonidePlacebo
Percentage of Participants Who Achieved Improvement of >=1 Point From Baseline in the MMDAI Endoscopy Subscale Score at End of Week 657.538.8
SecondaryPercentage of Participants Who Achieved Improvement of >=1 Point From Baseline in the MMDAI Rectal Bleeding Subscale Score at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding MMDAI subscore ranged from 0-3, where 0 = no blood seen, 1 = streaks of blood with stool less than half the time, 2 = obvious blood with stool most of the time, and 3 indicated blood alone passed. Missing data was imputed using LOCF method.

Time frame:
Week 6
Reported as:
Number · percentage of participants
Percentage of Participants Who Achieved Improvement of >=1 Point From Baseline in the MMDAI Rectal Bleeding Subscale Score at End of Week 6
percentage of participantsBudesonidePlacebo
Percentage of Participants Who Achieved Improvement of >=1 Point From Baseline in the MMDAI Rectal Bleeding Subscale Score at End of Week 672.456.5
SecondaryPercentage of Participants Who Achieved >=3 Point Improvement From Baseline in the MMDAI Total Score Including Improvement of >=1 Point From Baseline in the MMDAI Rectal Bleeding Subscale Score and MMDAI Endoscopy Subscale at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. BF subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. PGA subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. Endoscopy subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. MMDAI total score ranged from 0-12, where higher score indicated severe disease. Missing data was imputed using LOCF method.

Time frame:
Week 6
Reported as:
Number · percentage of participants
Percentage of Participants Who Achieved >=3 Point Improvement From Baseline in the MMDAI Total Score Including Improvement of >=1 Point From Baseline in the MMDAI Rectal Bleeding Subscale Score and MMDAI Endoscopy Subscale at End of Week 6
percentage of participantsBudesonidePlacebo
Percentage of Participants Who Achieved >=3 Point Improvement From Baseline in the MMDAI Total Score Including Improvement of >=1 Point From Baseline in the MMDAI Rectal Bleeding Subscale Score and MMDAI Endoscopy Subscale at End of Week 653.734.0
SecondaryMean Change From Baseline to Week 6 in MMDAI Total Score and Subscale Scores

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. BF subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. PGA subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. Endoscopy subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. MMDAI total score ranged from 0-12, where higher score indicated severe disease. Missing data was imputed using LOCF method.

Time frame:
Baseline, Week 6
Reported as:
Mean · unit on a scale
Mean Change From Baseline to Week 6 in MMDAI Total Score and Subscale Scores
unit on a scaleBudesonidePlacebo
Bowel frequency score: Baseline1.7 ± 0.951.8 ± 0.89
Bowel frequency score: Change at Week 6-0.8 ± 0.99-0.5 ± 0.92
Rectal Bleeding score:Baseline2.1 ± 0.392.1 ± 0.38
Rectal Bleeding score: Change at Week 6-1.3 ± 0.97-0.9 ± 0.93
PGA score:Baseline2.0 ± 0.262.0 ± 0.31
PGA score: Change at Week 6-0.9 ± 0.91-0.6 ± 0.76
Endoscopy score:Baseline2.1 ± 0.332.1 ± 0.28
Endoscopy score: Change at Week 6-0.9 ± 0.92-0.5 ± 0.79
Total score:Baseline7.9 ± 1.258.0 ± 1.17
Total score: Change at Week 6-3.8 ± 3.20-2.5 ± 2.72

Adverse events

Collected over From start of study drug up to Week 8. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Budesonide0/134 (0%)3/134 (2.2%)57/134 (42.5%)
Placebo0/147 (0%)0/147 (0%)54/147 (36.7%)
Most frequent serious events
Most frequent serious events
EventBudesonidePlacebo
Abdominal painGastrointestinal disorders1/1340/147
Colitis ulcerativeGastrointestinal disorders1/1340/147
Acute generalised exanthematous pustulosisSkin and subcutaneous tissue disorders1/1340/147
Most frequent other events
Showing 10 of 103
Most frequent other events
EventBudesonidePlacebo
Blood cortisol decreasedInvestigations21/1346/147
HeadacheNervous system disorders2/1346/147
ThrombocytosisBlood and lymphatic system disorders0/1344/147
AnaemiaBlood and lymphatic system disorders1/1344/147
Urinary tract infectionInfections and infestations3/1343/147
Abdominal painGastrointestinal disorders3/1342/147
Adrenal insufficiencyEndocrine disorders3/1340/147
FlatulenceGastrointestinal disorders0/1343/147
NasopharyngitisInfections and infestations2/1343/147
Aspartate aminotransferase increasedInvestigations2/1343/147

Baseline characteristics

Intent-to-treat (ITT) population included all randomized participants.

Age, Continuous
Age, Continuous(years)BudesonidePlaceboTotal
Mean44.3 ± 13.4741.9 ± 13.2743.0 ± 13.40
Sex: Female, Male
Sex: Female, Male(Participants)BudesonidePlaceboTotal
Female7284156
Male6263125
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)BudesonidePlaceboTotal
Hispanic or Latino151732
Not Hispanic or Latino119130249
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)BudesonidePlaceboTotal
American Indian or Alaska Native000
Asian336
Native Hawaiian or Other Pacific Islander011
Black or African American11819
White119135254
More than one race101
Unknown or Not Reported000
08

Study locations

62 sites
  • Dothan, Alabama, United States
  • Mesa, Arizona, United States
  • Tucson, Arizona, United States
  • Little Rock, Arkansas, United States
  • Chula Vista, California, United States
  • Garden Grove, California, United States
  • Mission Hills, California, United States
  • Monterey, California, United States
  • Roseville, California, United States
  • San Francisco, California, United States
  • Lafayette, Colorado, United States
  • Bristol, Connecticut, United States
  • Hamden, Connecticut, United States
  • Altamonte Springs, Florida, United States
  • Cape Coral, Florida, United States
  • Hialeah, Florida, United States
  • North Miami Beach, Florida, United States
  • Winter Park, Florida, United States
  • Macon, Georgia, United States
  • Marietta, Georgia, United States
  • Suwanee, Georgia, United States
  • Moline, Illinois, United States
  • Davenport, Iowa, United States
  • Topeka, Kansas, United States
  • Metairie, Louisiana, United States
  • Annapolis, Maryland, United States
  • Hagerstown, Maryland, United States
  • Prince Frederick, Maryland, United States
  • Silver Springs, Maryland, United States
  • Chesterfield, Michigan, United States
  • Rochester, Michigan, United States
  • Tupelo, Mississippi, United States
  • Saint Louis, Missouri, United States
  • Egg Harbor Township, New Jersey, United States
  • Marlton, New Jersey, United States
  • Great Neck, New York, United States
  • Mineola, New York, United States
  • New York, New York, United States
  • North Massapequa, New York, United States
  • Stony Brook, New York, United States
  • Asheville, North Carolina, United States
  • Fayetteville, North Carolina, United States
  • Greensboro, North Carolina, United States
  • Jacksonville, North Carolina, United States
  • New Bern, North Carolina, United States
  • Raleigh, North Carolina, United States
  • Rocky Mount, North Carolina, United States
  • Wilmington, North Carolina, United States
  • Beachwood, Ohio, United States
  • Tulsa, Oklahoma, United States
  • Portland, Oregon, United States
  • Germantown, Tennessee, United States
  • Houston, Texas, United States
  • La Porte, Texas, United States
  • Pasadena, Texas, United States
  • Plano, Texas, United States
  • San Antonio, Texas, United States
  • Ogden, Utah, United States
  • West Valley City, Utah, United States
  • Chesapeake, Virginia, United States
  • Lynchburg, Virginia, United States
  • Monroe, Wisconsin, United States
09

References and documents

Publications

  • Bosworth BP, Sandborn WJ, Rubin DT, Harper JR. Baseline Oral 5-ASA Use and Efficacy and Safety of Budesonide Foam in Patients with Ulcerative Proctitis and Ulcerative Proctosigmoiditis: Analysis of 2 Phase 3 Studies. Inflamm Bowel Dis. 2016 Aug;22(8):1881-6. doi: 10.1097/MIB.0000000000000860. PubMed 27416045 ↗
  • Sandborn WJ, Bosworth B, Zakko S, Gordon GL, Clemmons DR, Golden PL, Rolleri RL, Yu J, Barrett AC, Bortey E, Paterson C, Forbes WP. Budesonide foam induces remission in patients with mild to moderate ulcerative proctitis and ulcerative proctosigmoiditis. Gastroenterology. 2015 Apr;148(4):740-750.e2. doi: 10.1053/j.gastro.2015.01.037. Epub 2015 Jan 30. PubMed 25644096 ↗
10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2009 to primary completion in Mar 2013, 39 months.

Results were first posted in Aug 2019, 6 years 4 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 4, 2009
First posted
Nov 5, 2009
StartActual
Nov 20, 2009
Primary completionActual
Mar 18, 2013
CompletionActual
Mar 18, 2013
Results first posted
Aug 14, 2019
Last update
Aug 14, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 14, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01008423
Responsible party
Sponsor
First posted
Nov 5, 2009
Start date
Nov 20, 2009
Primary completion
Mar 18, 2013
Completion
Mar 18, 2013
Results posted
Aug 14, 2019
Last update
Aug 14, 2019

Study contacts

Study Director
Bausch Health Companies

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2019. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Budesonide

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