A Pilot Study of GWP42003 in the Symptomatic Treatment of Ulcerative Colitis (GWID10160)

This study is currently recruiting participants.
Verified March 2012 by GW Pharmaceuticals Ltd.
Sponsor:
Information provided by (Responsible Party):
GW Pharmaceuticals Ltd.
ClinicalTrials.gov Identifier:
NCT01562314
First received: March 21, 2012
Last updated: March 22, 2012
Last verified: March 2012
  Purpose

Ulcerative Colitis is an inflammatory bowel disease effecting large amounts of the population. The most common treatment for this condition is 5-ASA, however patients failing to respond to this and incurring a flare up are often escalated to steroidal treatments.

This study is being conducted by GW Pharma Ltd as a pilot study in order to determine the efficacy and safety of GW42003 (150mg - 250mg twice daily), compared with placebo, by the percentage of participants achieving remission quantified as a MAYO score of 2 or less (with no subscore > 1) after 10 weeks treatment.

This is the first study to determine whether the study medication has a positive benefit for subjects on their ulcerative colitis symptom control,as well as effects on inflammatory marker cytokines (plasma TNFα, Il-2, Il-6), CRP, faecal inflammatory marker (calprotectin), stool frequency (NRS), rectal bleeding (NRS), pain (NRS). In addition, various IBD questionnaires are being implemented in the study to observe further benefits on the study medication, compared with placebo.

This study will be a multi-centre, randomised, double-blind, placebo-controlled, parallel-group pilot study. There will be two parallel groups of participants (150mg-250mg GWP42003 and placebo, twice daily), with a treatment duration of 10 weeks as well as a 7 day baseline period and one week follow-up. The two treatment groups of 150mg-250mg GWP42003 and placebo will be randomised equally into a 1:1 ratio, with 31 participants in the active IMP group and 31 participants allocated placebo treatment.

In order to be eligible for enrollment in this study, subjects will need to be aged 18 years and above and be clinically diagnosed with with mild or moderate ulcerative colitis and on a fixed dose of 5-ASA treatment and have been on a stable dose for at least 2 weeks prior to screening.

Eligible subjects will enter the study at a screening visit (Visit 1) and commence a baseline period. Each subject will have a MAYO (including endoscopy) assessment conducted to confirm eligibility. If eligible, the subject will be randomised into the 10-week treatment phase. There are a total of 6 visits in the study.


Condition Intervention Phase
Ulcerative Colitis
Drug: GWP42003
Drug: Placebo
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Randomised, Double-blind, Placebo-controlled Parallel Group, Pilot Study of GWP42003 in the Symptomatic Treatment of Ulcerative Colitis.

Resource links provided by NLM:


Further study details as provided by GW Pharmaceuticals Ltd.:

Primary Outcome Measures:
  • To evaluate the efficacy of GWP42003 compared with placebo by the percentage of participants achieving remission quantified as a MAYO score of 2 or less (with no subscore>1). [ Time Frame: Baseline to end of treatment (10 weeks treatment period) ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Clinical Efficacy Blood Sample Measurements [ Time Frame: Baseline to end of treatment (10 weeks treatment period) ] [ Designated as safety issue: No ]
    Serum C-Reactive protein (CRP) Serum Cytokines (IL-6, IL-2 & TNF-α)

  • Clinical Efficacy Stool Sample Measurements [ Time Frame: Baseline to end of treatment (10 weeks treatment period) ] [ Designated as safety issue: No ]
    Stool sample for faecal inflammatory marker calprotectin

  • Clinical Body Weight Assessment [ Time Frame: Baseline to end of treatment (10 weeks treatment period) ] [ Designated as safety issue: No ]
    Body weight measurement

  • Clinical Assessments [ Time Frame: Baseline to end of treatment (10 weeks treatment period) ] [ Designated as safety issue: No ]
    • IBDQ
    • SGIC
    • PGAS
    • MAYO Score

  • Ulcerative Colitis symptom measures [ Time Frame: Baseline to end of treatment (10 weeks treatment period) ] [ Designated as safety issue: No ]
    • Pain (NRS)
    • Rectal bleeding (NRS)
    • Stool frequency (NRS)


Estimated Enrollment: 62
Study Start Date: February 2012
Estimated Study Completion Date: November 2012
Estimated Primary Completion Date: August 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: GWP42003
(150-250mg, BD)
Drug: GWP42003
1-5 capsules taken twice daily, 10 week treatment period.
Placebo Comparator: Placebo Drug: Placebo
1-5 capsules taken, twice daily. 10 week treatment period.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male or female participants aged 18 years or above;
  • Participant diagnosed with mild to moderate ulcerative colitis and on a fixed dose of 5-ASA treatment and have been on a stable dose for at least 2 weeks prior to screening;
  • Participants at screening (Visit 1) and baseline (Visit 2) with a MAYO assessment score of greater than or equal to 4 (≥ 4) but less than or equal to 10 (≤ 10) and with an endoscopy score of at least 1 (≥ 1) , following an adequate exposure to oral and/ or topical 5-ASA, in the opinion of the investigator;
  • In the opinion of the investigator, capable of complying with the study requirements and completing the study;
  • Willing and able to give informed consent;
  • Willing to allow his or her primary care practitioner and consultant, if appropriate, to be notified of participation in the study;

Exclusion Criteria:

  • Severe ulcerative colitis (MAYO score of greater than 10 (> 10));
  • Ulcerative colitis only affecting the rectum i.e. Proctitis
  • Gastrointestinal infection evident from stool culture and testing for clostridium difficile toxin (in the opinion of the investigator);
  • Previous non-responders to mono or polyclonal anti-Tumour Necrosis Factor antibodies;
  • Female participant who is pregnant, lactating or planning pregnancy during the course of the study and for 3 months from the date of last dose;
  • Female participants of child bearing potential, unless willing to use two forms of contraception, one of which must be a barrier contraception (e.g. female condom or occlusive cap (diaphragm or cervical vault/caps) with spermicide) during the study and for 3 months from the date of last dose (however a male condom should not be used in conjunction with the female condom);
  • Male participants whose partner is of child bearing potential, unless willing to use an appropriate barrier method of contraception (condom and spermicide) in addition to having their female partner use another form of barrier contraception (e.g. occlusive cap (diaphragm or cervical vault/caps) with spermicide) during the study and for 3 months from date of last dose (however a male condom should not be used in conjunction with a female condom);
  • Travel outside the country of residence planned during the treatment phase of the study;
  • Received an Investigational Medicinal Product (IMP) within 30 days prior to the screening visit;
  • In the opinion of the investigator, is not considered to be suitable for the study;
  • Any other significant disease or disorder which, in the opinion of the investigator, may either put the participant at risk because of participation in the study, may influence the result of the study, or the participant's ability to participate in the study;
  • Following a physical examination, the participant has any abnormalities that, in the opinion of the investigator would prevent the participant from safe participation in the study;
  • Unwilling to abstain from donation of blood during the study;
  • Participants previously randomised into this study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01562314

Contacts
Contact: GW Pharma Ltd +44 (0) 1980 557000 info@gwpharm.com

Locations
United Kingdom
Recruiting
Birmingham, United Kingdom
Recruiting
Coventry, United Kingdom
Recruiting
Liverpool, United Kingdom
Not yet recruiting
London, United Kingdom
Recruiting
Wigan, United Kingdom
Sponsors and Collaborators
GW Pharmaceuticals Ltd.
Investigators
Study Chair: Study Cheif Investigator London
Principal Investigator: P I Birmingham
Principal Investigator: P I Liverpool
Principal Investigator: P I Coventry
Principal Investigator: P I Wigan
  More Information

No publications provided

Responsible Party: GW Pharmaceuticals Ltd.
ClinicalTrials.gov Identifier: NCT01562314     History of Changes
Other Study ID Numbers: GWID10160
Study First Received: March 21, 2012
Last Updated: March 22, 2012
Health Authority: United Kingdom: Medicines and Healthcare Products Regulatory Agency

Keywords provided by GW Pharmaceuticals Ltd.:
Mild to Moderate Ulcerative Colitis

Additional relevant MeSH terms:
Colitis
Colitis, Ulcerative
Ulcer
Gastroenteritis
Gastrointestinal Diseases
Digestive System Diseases
Colonic Diseases
Intestinal Diseases
Inflammatory Bowel Diseases
Pathologic Processes

ClinicalTrials.gov processed this record on May 16, 2013