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A Randomized Trial of Rosiglitazone for Ulcerative Colitis



A Randomized Trial of Rosiglitazone for Ulcerative Colitis

For Condition: Inflammatory Bowel Disease,Ulcerative Colitis
Status: Recruiting
Sponsor(s): National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) , GlaxoSmithKline
Synopsis: This is a multicenter, randomized, double-blind, placebo-controlled study evaluating rosiglitazone: 4 mg tablets or placebo tablets administered orally twice daily for 12 weeks. The purpose of the study is to evaluate the efficacy and safety of rosiglitazone in the treatment of mild to moderately active ulcerative colitis. Disease activity will be measured using a standard disease activity index. Calculation of the index requires patients to undergo flexible sigmoidoscopy at the start of the study and at week 12.
Details:
Eligibility:
Study Type:
  Interventional, Treatment, Randomized, Double-Blind, Placebo Control, Efficacy Study
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: INCLUSION CRITERIA: Participants must meet the following criteria for inclusion in the trial: - Must sign and date the informed consent form - At least 18 years of age - Documented diagnosis (endoscopic, surgical or x-ray) of ulcerative colitis - Mild to moderate ulcerative colitis indicated by Disease Activity Index score of greater than or equal to 4 and less than or equal to 10 - Unless the patient is intolerant of oral 5-ASA therapy, patient must be treated with a minimum of 2 gm daily of an oral 5-ASA agent for a minimum of 4 weeks during the current exacerbation of ulcerative colitis or immediately prior to study entry - If treated with oral corticosteroids, dose must not exceed 20 mg per day of Prednisone or equivalent - If treated with corticosteroids, dose must be stable for 4 weeks prior to study entry and remain on same dose throughout - If treated with 6-mercaptopurine or azathioprine, must have been on medication for 4 months and a stable dose for 2 months prior to study entry - If a female of childbearing age, the participant must have a negative serum pregnancy test and have been using a medically approved form of contraceptive birth control for 3 months prior to enrollment. Participants, both male and female, must also be willing to use medically approved contraceptive birth control (at least one barrier method) throughout the study - If treated with rectal therapy, dose must be stable for 2 weeks prior to study entry and remain on same dose throughout EXCLUSION CRITERIA: Participants will be ineligible for participation in the trial if they meet any of the following criteria: - Severe ulcerative colitis indicated by Disease Activity Index score of greater than 10 - Class III or IV congestive heart failure by NYHA classification system - Allergy to thiozolidinediones - Presence of any medical condition with an expected survival of less than 1 year - Participants receiving therapy with cyclosporin, anti-TNF therapy, or methotrexate within the last 2 months of screening - Positive stool culture for enteric pathogens (salmonella, shigella, and campylobacter), positive C.difficil toxin, or positive stool ova and parasite exam - Positive proteinuria by urine dipstick - History of chronic liver disease or baseline liver chemistries greater than the upper limit of normal - Diabetes mellitus requiring hypoglycemic agents - Participation in study of experimental therapy within 2 months of first screening visit - Has any of the following laboratory abnormalities: WBC < 3,000 per uL, Neutrophil < 1,000 cell/cu.mm, Platelets <75,000 per uL, INR > 1.2 - Participant is female and is pregnant or currently breastfeeding
Total Enrollment: 176

Location and Contact Information:

The Cleveland Clinic Foundation *Recruiting*
Cleveland,  Ohio,  44195
United States
Recruiting Amy  Knesebeck 216-444-8539

Massachusetts General Hospital *Recruiting*
Boston,  Massachusetts,  02114
United States
Recruiting Marie  Marcucci 617-724-7559

Maryland Digestive Diseases Research *Recruiting*
Laurel,  Maryland,  20707
United States
Recruiting Meg  Gordon 301-498-5500

Metropolitan Gastroenterology Group Practice/Chevy Chase Clinical Research *Recruiting*
Chevy Chase,  Maryland,  20815
United States
Recruiting Tricia  Reyes 301-652-5520

University of Chicago Hospitals *Recruiting*
Chicago,  Illinois,  60637
United States
Recruiting JoAnna  Hitchcock 773-702-1935

University of Pennsylvania - Presbyterian Medical Center *Recruiting*
Philadelphia,  Pennsylvania,  19104
United States
Recruiting Susan  Parrott 215-662-8919

University Hospitals of Cleveland *Recruiting*
Cleveland,  Ohio,  44106
United States
Recruiting Laurie  Logan 216-844-3878

Atlantic Gastroenterology Associates *Recruiting*
Egg Harbor Twp,  New Jersey,  08234
United States
Recruiting Theresa  Stevens 609-407-1220


Additional Information:
Study ID Numbers:
  ROSIE; 
Study Start Date: 
Record last reviewed: March 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00065065

Other Ulcerative Colitis Studies:
1. A pharmacokinetic study to determine the oral bioavailability of methotrexate in patients with inflammatory bowel disease

2. Clotrimazole Enemas for Pouchitis in Children and Adults

3. Humanized anti-IL-2 receptor monoclonal antibody in moderate-to-severe ulcerative colitis

4. Immune Regulation in Ulcerative Colitis or Crohn's Disease

5. A Randomized Trial of Rosiglitazone for Ulcerative Colitis

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