Budesonide 3x3mg/d Versus Prednisone in Active Autoimmune Hepatitis
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Purpose
This is a multicentre, multinational clinical study. It comprised two consecutive segments (A and B). Segment A was designed as a randomized, double-blind, double-dummy, active-controlled, two-arm parallel-group study. The patients received either budesonide or prednisone for 6 months. During segment B all patients received budesonide as an open treatment for additional 6 months.
In this confirmatory study the proportion of patients with complete response was compared between the two treatment groups. Complete response was defined as biochemical remission (=serum levels of ASAT and ALAT within normal ranges) at the individual last visit of segment A and lack of steroid specific side effects throughout segment A.
| Condition | Intervention | Phase |
|---|---|---|
|
Autoimmune Hepatitis |
Drug: budesonide Drug: prednisone |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Efficacy and Safety of Budesonide Capsules (3x3mg/d)Versus Prednisone in Patients With a Diagnose of Active Autoimmune Hepatitis. A Double-Blind, Randomized, Active-Controlled, Multicentre Study |
- Biochemical remission (=serum levels of ASAT and ALAT within normal ranges) at the individual last visit of Segment A and lack of steroid specific side effects [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
- incidence of biochemical remission [ Time Frame: 6 months ] [ Designated as safety issue: No ]
| Enrollment: | 208 |
| Study Start Date: | March 2001 |
| Study Completion Date: | December 2008 |
| Primary Completion Date: | December 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: budesonide
3mg capsules 3x/day for 6 months
|
Drug: budesonide
3mg capsule, 3x per day for 6 months
|
|
Active Comparator: prednisone
5mg tablet, 40mg starting dose titrated to 10mg over 3 months
|
Drug: prednisone
5mg tablet, 40mg starting dose per day, titration to 10mg per day within 3 months
|
Eligibility| Ages Eligible for Study: | 10 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- age 10 to 70 years
- Diagnosis of acute AIH according to Alvarez score
- normal range of TPMT activity
- normal ACTH test
- negative pregnancy test at screening for females of childbearing potential
- written informed consent
Exclusion Criteria:
- presence of Hepatitis A, B, C, E or G virus infection
- liver cirrhosis or clinical signs of portal hypertension
- PBC
- PSC
- history of hypersensitivity to the study medication
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Markus Proels, Dr. Falk Pharma, Germany |
| ClinicalTrials.gov Identifier: | NCT00838214 History of Changes |
| Other Study ID Numbers: | BUC-38/AIH |
| Study First Received: | February 5, 2009 |
| Last Updated: | February 5, 2009 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices Poland: Ministry of Health Israel: Ministry of Health |
Additional relevant MeSH terms:
|
Hepatitis Hepatitis A Hepatitis, Autoimmune Liver Diseases Digestive System Diseases Hepatitis, Viral, Human Virus Diseases Enterovirus Infections Picornaviridae Infections RNA Virus Infections Hepatitis, Chronic Autoimmune Diseases Immune System Diseases Prednisone Budesonide |
Glucocorticoids Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions Antineoplastic Agents, Hormonal Antineoplastic Agents Therapeutic Uses Anti-Inflammatory Agents Bronchodilator Agents Autonomic Agents Peripheral Nervous System Agents Anti-Asthmatic Agents Respiratory System Agents |
ClinicalTrials.gov processed this record on May 21, 2013