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Budesonide Foam Versus Placebo for Prevention of Acute Radiation Proctitis

This study has been terminated.
(Study was prematurely stopped due to slow recruitment after 17 of 32 anticipated patients were recruited.)
Information provided by (Responsible Party):
Dr. Falk Pharma GmbH Identifier:
First received: January 22, 2009
Last updated: January 26, 2012
Last verified: January 2012
To proof the superiority of an 8-week rectal treatment with once-daily 2 mg budesonide versus placebo for the prevention of acute radiation proctitis, and to evaluate the occurrence of chronic radiation proctitis 1 year after start of radiation therapy.

Condition Intervention Phase
Radiation Proctitis Drug: budesonide Drug: Placebo foam Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Randomised, Double-blind, Placebo-controlled, Multicentre, Comparative Phase II Pilot Study on the Efficacy and Tolerability of an 8-week Rectal Treatment With 2 mg Budesonide or Placebo for the Prevention of Acute Radiation Proctitis

Resource links provided by NLM:

Further study details as provided by Dr. Falk Pharma GmbH:

Primary Outcome Measures:
  • Proportion of patients developing radiation proctitis during treatment or need rescue medication [ Time Frame: within 8 weeks ]

Secondary Outcome Measures:
  • Time to occurrence of acute radiation proctitis [ Time Frame: During 8 weeks ]
  • Time to occurrence of chronic radiation proctitis [ Time Frame: Within 1 year ]
  • Adverse Events (AEs) [ Time Frame: During 8 weeks of treatment ]

Enrollment: 17
Study Start Date: September 2008
Study Completion Date: October 2011
Primary Completion Date: August 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
2mg rectal budesonide per day for 8 weeks
Drug: budesonide
One application of 2mg budesonide once daily for 8 weeks
Other Name: Budenofalk rectal foam
Placebo Comparator: 2
One application of placebo foam once daily for 8 weeks
Drug: Placebo foam
One application of placebo foam once daily for 8 weeks
Other Name: placebo


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   Male
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Signed informed consent,
  • Men aged at least 18 years,
  • Patients with ECOG performance status <= 2 or Karnofsky Performance Status Scale >= 70%,
  • Estimated life expectancy more than 3 years,
  • Diagnosis of prostate carcinoma,
  • Indication for local RT in patients with prostatic cancer.

Exclusion Criteria:

  • Crohn's disease, indeterminate colitis, ulcerative colitis, microscopic colitis (i.e., collagenous colitis and lymphocytic colitis),
  • Severe or symptomatic ischaemic colitis at baseline,
  • Grade III internal haemorrhoids at baseline,
  • High risk patients needing extended radiation therapy,
  • Acute EORTC/RTOG lower GI toxicity score of >=1 at baseline,
  • Bacterial, amoebic, fungal, or viral infections of the gut,
  • Tuberculosis, hypertension, infection, diabetes mellitus (included familiarly predisposition), active peptic ulcer, osteoporosis, glaucoma, or cataract, if careful medical monitoring is not ensured,
  • Portal hypertension or liver cirrhosis,
  • Abnormal hepatic function (ALT, AST or AP > 2.5 x ULN),
  • Known intolerance/hypersensitivity/resistance to study drug or drugs of similar chemical structure or pharmacological profile, or to any of the other constituents of the study drug,
  • Participation in another clinical trial within the last 30 days, simultaneous participation in another clinical trial, or previous participation in this trial
  Contacts and Locations
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Please refer to this study by its identifier: NCT00828230

Klinik für Radioonkologie und Strahlentherapie - Klinikum Braunschweig
Braunschweig, Germany, 38114
Strahlentherapie, St. Vincentius-Kliniken gAG
Karlsruhe, Germany, 76135
Strahlentherapie, Klinikum Mutterhaus der Borromäerinnen
Trier, Germany, 54290
Sponsors and Collaborators
Dr. Falk Pharma GmbH
Study Director: Ralph Mueller, Dr Dr. Falk Pharma GmbH
  More Information

Responsible Party: Dr. Falk Pharma GmbH Identifier: NCT00828230     History of Changes
Other Study ID Numbers: BUF-17/RAP
EudraCT No.: 2007-002082-13
Study First Received: January 22, 2009
Last Updated: January 26, 2012

Keywords provided by Dr. Falk Pharma GmbH:
acute radiation proctitis
late radiation proctitis
Prevention of acute radiation proctitis
Prevention of late radiation proctitis

Additional relevant MeSH terms:
Gastrointestinal Diseases
Digestive System Diseases
Rectal Diseases
Intestinal Diseases
Anti-Inflammatory Agents
Bronchodilator Agents
Autonomic Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Anti-Asthmatic Agents
Respiratory System Agents
Hormones, Hormone Substitutes, and Hormone Antagonists processed this record on September 21, 2017