Evaluation of the Response of Itraconazole and Terbinafine Therapy in Subjects With Crohn's Disease

Last updated: May 29, 2024
Sponsor: Montreal Heart Institute
Overall Status: Terminated

Phase

2

Condition

Inflammatory Bowel Disease

Colic

Crohn's Disease

Treatment

Itraconazole's matching placebo 400 mg/day and terbinafine's matching placebo 500 mg/day administered orally.

Itraconazole 400 mg/day and terbinafine 500 mg/day administered orally.

Clinical Study ID

NCT05049525
MHICC-2019-001
  • Ages 18-65
  • All Genders

Study Summary

This study will evaluate the response of itraconazole and terbinafine therapy compared to placebo in patients with mild to moderate Crohn's disease (CD).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Subjects with endoscopy/radiology confirmation of active disease within 6 monthsprior to enrolment;

  • Mild to moderate active CD defined by the HBI score of ≥ 5 to ≤ 16 at baseline;

  • Female of childbearing potential must have a negative urine pregnancy test atscreening and at randomization baseline Visit 2. Women are considered not ofchildbearing potential if they either:

  • Have had a hysterectomy or tubal ligation prior to baseline visit or;

  • Are postmenopausal defined as no menses for 12 months or a FSH level (if available)in the menopausal range.

  • Women of childbearing potential must agree to use an effective double method ofbirth control throughout the study: barrier method (e.g. male or female condoms,spermicides, sponges, foams, jellies, and diaphragm) in combination with othermethods of contraception including implantable contraceptives, injectablecontraceptives, oral contraceptives, transdermal contraceptives, intrauterinedevices, abstinence, or a sterile sexual partner.

  • Subjects with the capacity to provide informed consent.

Exclusion

Exclusion Criteria:

  • Subject with a current diagnosis of ulcerative colitis (UC);

  • Contraindication to the use of itraconazole including congestive heart failure,ventricular dysfunction, ventricular arrhythmia, or negative inotropic state;

  • Subjects with elevated or abnormal liver enzymes (ALT/AST>3 ULN) or patients withpre-existing chronic or active liver disease at screening;

  • Female subject who is pregnant, planning to become pregnant during the study, orbreastfeeding;

  • Subject with renal impairment (creatinine clearance ≤ 50 mL/min usingCockcroft-Gault equation);

  • Subject with a known hypersensitivity to itraconazole, terbinafine, or any of theirexcipients;

  • Subjects on medications which interact with itraconazole: methadone, pimozide,quinidine or other CYP3A4 inhibitors;

  • Positive C. difficile toxin test at screening;

  • Use of steroid greater than 20 mg/day;

  • Change of steroid dosage in the 2 weeks prior to enrolment;

  • Change in CD therapy:

  • The Anti-TNFs, anti-integrins, anti-IL12/23 in the 4 months prior to enrolment;

  • Thiopurines or methotrexate (MTX), in the 2 months prior to enrolment;

  • Participation in other clinical trial within 30 days of signing the Information andConsent Form (ICF).

Study Design

Total Participants: 16
Treatment Group(s): 2
Primary Treatment: Itraconazole's matching placebo 400 mg/day and terbinafine's matching placebo 500 mg/day administered orally.
Phase: 2
Study Start date:
February 22, 2022
Estimated Completion Date:
February 28, 2024

Study Description

This multicenter, randomized, double-blind, placebocontrolled, phase II, proof of concept study will randomize 68 subjects at 2 to 5 clinical sites in Canada. Following signature of informed consent, subjects who meet entry criteria will be randomized in a 1:1 ratio to receive either itraconazole and terbinafine, or matching placebos. During the first 4 weeks subjects will receive itraconazole 200 mg twice daily or matching placebo, followed by itraconazole 200 mg twice daily and terbinafine 250 mg twice daily or matching placebos for the remaining 16 weeks. The 2 drugs will be administered orally.

Connect with a study center

  • CIUSSS de l'Est-de-l'Île-de-Montréal, Hôpital Maisonneuve-Rosemont

    Montréal, Quebec H1T2M4
    Canada

    Site Not Available

  • Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM)

    Montréal, Quebec H2X0A9
    Canada

    Site Not Available

  • McGill University Health Center

    Montréal, Quebec H3G1A4
    Canada

    Site Not Available

  • Centre intégré universitaire de santé et de services sociaux de l'Estrie - CHUS

    Sherbrooke, Quebec J1G 2E8
    Canada

    Site Not Available

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