Drug ID:Drug89
Drug Name:Budesonide
CID:5281004
DrugBank ID:DB01222
Modality:Small Molecule
Groups:approved
US Approved:YES
Other Approved:YES
Identifier: NCT03412682, , NCT01100112, , NCT02550418, , NCT01008423, , NCT01008410, , NCT05341401, , NCT00801723, , NCT01532648, , NCT00747110, , NCT04314375, , NCT05976802
Molecular Formula:C25H34O6
Molecular Weight:430.5 g/mol
Isomeric SMILES:CCCC1O[C@@H]2C[C@H]3[C@@H]4CCC5=CC(=O)C=C[C@@]5([C@H]4[C@H](C[C@@]3([C@@]2(O1)C(=O)CO)C)O)C
Synonyms:budesonide; 51333-22-3; Entocort; Preferid; Budeson; Rhinocort Aqua; Entocort EC; Cortivent; Micronyl; Respules
Phase 0: 5
Phase 1: 119
Phase 2: 134
Phase 3: 275
Phase 4: 155
Description:Budesonide is a glucocorticoid used in the management of asthma, the treatment of various skin disorders, and allergic rhinitis. [PubChem] The extended release oral tablet, marketed as Uceris, was FDA approved on January 14, 2013 for the management of ulcerative colitis. Budesonide is provided as a mixture of two epimers (22R and 22S). Interestingly, the 22R form is two times more active than the 22S epimer. The two forms do not interconvert.

Molecular Structure

2D Molecular Structure

Knowledge Graph

dtIDCIDCompound NameGene IDGene NameSpeciesPubMed IDsAction
dt746 5281004 Budesonide 1544 CYP1A2 Homo sapiens (human) None
dt747 5281004 Budesonide 1576 CYP3A4 Homo sapiens (human) None
dt748 5281004 Budesonide 1565 CYP2D6 Homo sapiens (human) None
dt749 5281004 Budesonide 627 BDNF Homo sapiens (human) Agonist
dt750 5281004 Budesonide 2908 NR3C1 Homo sapiens (human) None
dt751 5281004 Budesonide 1559 CYP2C9 Homo sapiens (human) None
dt752 5281004 Budesonide 2908 NR3C1 Homo sapiens (human) Glucocorticoid receptor agonist
dt753 5281004 Budesonide 3458 IFNG Homo sapiens (human) 7621058 Budesonide results in decreased secretion of IFNG protein
dt754 5281004 Budesonide 3458 IFNG Homo sapiens (human) 16160912 [zafirlukast co-treated with prednisone co-treated with budesonide] inhibits the reaction [antigens results in increased secretion of IFNG protein]

  • No data available

Phase Distribution
Phase Description
  • Phase 0: Exploratory trials to assess drug behavior in humans
  • Phase 1: Safety trials to determine safe dosage range
  • Phase 2: Efficacy trials to evaluate therapeutic effects
  • Phase 3: Large-scale trials to confirm efficacy and safety
  • Phase 4: Post-marketing surveillance for long-term safety and efficacy

Trial IDTitlePhaseStatusSponsorIndicationsInterventions
NCT01100112 (CB-01-02/06) Oral Budesonide-Multi-Matrix System (MMX) 9mg Extended Release Tablets PHASE3 COMPLETED Bausch Health Americas, Inc. Colitis, Ulcerative DRUG: Budesonide Details
NCT01532648 Randomized Placebo-Controlled Trial of Budesonide Multi-Matrix System (MMX) 9 Milligrams (mg) in Participants With Ulcerative Colitis Currently on a 5-Aminosalicylic Acid (5-ASA) PHASE3 COMPLETED Bausch Health Americas, Inc. Ulcerative Colitis DRUG: Budesonide MMX|DRUG: Placebo|DRUG: 5-ASA Details
NCT02586259 Effectiveness of Cortiment in Patients With Ulcerative Colitis None COMPLETED Ferring Pharmaceuticals Ulcerative Colitis DRUG: budesonide MMX Details
NCT00747110 Budesonide Capsules Versus Mesalazine Granules in Active Ulcerative Colitis (UC) PHASE3 COMPLETED Dr. Falk Pharma GmbH Colitis, Ulcerative DRUG: budesonide|DRUG: mesalazine Details
NCT05976802 Dose Ranging Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of Budesonide Rectal Foam in Pediatric Patients Aged 5 to 17 Years With Active, Mild to Moderate Distal Ulcerative Colitis PHASE4 NOT_YET_RECRUITING Bausch Health Americas, Inc. Ulcerative Colitis DRUG: High dose budesonide rectal foam|DRUG: Low … Details
NCT04314375 Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of Budesonide Extended-release Tablets in Pediatric Subjects Aged 5 to 17 Years With Active, Mild to Moderate Ulcerative Colitis PHASE4 RECRUITING Bausch Health Americas, Inc. Ulcerative Colitis DRUG: Low Dose Budesonide|DRUG: High Dose Budeson… Details
NCT00801723 (CB-01-02/04) Extension Study of Budesonide Multi-Matrix System (MMX) 6 mg in Maintenance Of Remission In Patients With Ulcerative Colitis. PHASE3 COMPLETED Bausch Health Americas, Inc. Ulcerative Colitis DRUG: Budesonide MMX 6 mg Tablet|DRUG: Placebo Ta… Details
NCT02550418 Budesonide 9 mg Capsules in Active UC PHASE2 COMPLETED Dr. Falk Pharma GmbH Colitis, Ulcerative DRUG: Budesonide Details
NCT01349673 The Safety and Tolerability of Budesonide Foam in Participants With Active Ulcerative Proctitis or Proctosigmoiditis PHASE3 TERMINATED Bausch Health Americas, Inc. Proctitis|Proctosigmoiditis DRUG: Budesonide Foam Details
NCT01008423 Efficacy and Safety of Budesonide Foam for Participants With Active Mild to Moderate Ulcerative Proctitis or Proctosigmoiditis PHASE3 COMPLETED Bausch Health Americas, Inc. Proctitis|Proctosigmoiditis DRUG: Budesonide|DRUG: Placebo Details
NCT01008410 Efficacy and Safety of Budesonide Foam for Participants With Active Mild to Moderate Ulcerative Proctitis or Proctosigmoiditis PHASE3 COMPLETED Bausch Health Americas, Inc. Proctitis|Proctosigmoiditis DRUG: Budesonide|DRUG: Placebo Details
NL-OMON25521 Microbiota targeted therapy as alternative for prednisolone and biologicals in IBD patients during the current COVID-19 threat: a prospective study addressing the safety of Budesonide in combination with rifaximin or the Crohns Disease Exclusion Diet (CDED) Not Available No Nestlé 23/08/2021 None The results of this prospective study may result … Details
NL-OMON49003 A randomised controlled trial comparing FMT (fecal microbiota transplantation) after budesonide or placebo in patients with active ulcerative colitis: ;Acronym: the FECBUD trial __ - FMT for ulcerative colitis after initiation of budesonide Not Available Not Recruiting Leids Universitair Medisch Centrum inflammatory bowel disease ulcerative colitis;10… Intervention Patients with active ulcerative coli… Details
JPRN-UMIN000031016 Efficacy and safety of local budesonide for pouchitis - Efficacy of budesonide for pouchitis PHASE1 Not Recruiting Hyogo College of Medicine Department of Inflammatory Bowel Disease ulcerative colitis pouchitis None Details
NL-OMON44482 A randomised controlled trial comparing FECal Microbiota Transplantation after BUDesonide or placebo induction in patients with ulcerative colitis; the FECBUD trial__ - FMT for ulcerative colitis after initiation of budesonide Not Available None Haaglanden Medisch Centrum inflammatory bowel disease ulcerative colitis;10… Intervention Patients with active ulcerative coli… Details
NCT05791487 Combination of Diet and Oral Budesonide for Ulcerative Colitis None RECRUITING Wolfson Medical Center Ulcerative Colitis|Ulcerative Colitis Chronic Mil… OTHER: Ulcerative colitis Exclusion Diet|OTHER: P… Details
NCT05341401 Budesonide Multimatrix(MMX) Versus Prednisolone in Management of Mild to Moderate Ulcerative Colitis PHASE2|PHASE3 UNKNOWN Assiut University Ulcerative Colitis Chronic DRUG: Budesonide MMX|DRUG: Prednisolone Details
NCT00805285 The Use of Oral Budesonide and Rectal Hydrocortisone for the Treatment of Active Ulcerative Colitis PHASE2 TERMINATED University of Maryland, Baltimore Inflammatory Bowel Disease|Ulcerative Colitis DRUG: Combination Oral Budesonide and Rectal Hydr… Details
NCT03412682 To Evaluate the Efficacy and Safety of FE 999315 in Japanese Subjects With Mild to Moderate Active Ulcerative Colitis PHASE3 COMPLETED Ferring Pharmaceuticals Colitis, Ulcerative DRUG: Budesonide (6 mg)|DRUG: Budesonide (9 mg)|D… Details
JPRN-UMIN000030000 The efficacy and safety of topical budezonide for pouchitis after restorative proctocolectomy in patients with ulcerative colitis. - The efficacy and safety of topical budezonide for pouchitis. PHASE1 Not Recruiting Department of Inflammatory Bowel Disease Hyogo College of Medicine ulcerative colitis pouchitis Topical budesonido 2weeks of 2mg daily Topical … Details

Disease IDDisease NameDefinitionCategoryRelated DrugsMechanism
No data available

Strategy IDTherapeutic StrategySynonymsRelated DrugsMechanism
S08 Strengthening barrier function Modulation of barrier function phosphatidylcholine (lecithin); imiquimod; mongersen Escherichia coli Nissle (EcN) is a nonpathogenic Gram-negat… Details
S11 Improveming Intestinal Microecology the intestinal microbiota antibiotics; probiotics; prebiotics; postbiotics; synbiotics; fecal microbiota transplantation (FMT) The imbalance between beneficial bacteria and harmful patho… Details

Screening of budesonide nanoformulations for treatment of inflammatory bowel di…

PMID: 22847255
Year: 2012
Relationship Type: Treatment Score: 6.1

BACKGROUND: Patients with Inflammatory Bowel disease (IBD) are frequently exposed to diagnostic medical radiation for the diagnosis and evaluation o…

Budesonide use in pediatric Crohn disease

PMID: 22258289
Year: 2012
Relationship Type: Association Score: 6.1

The human microbiome plays a key role in a wide range of host-related processes and has a profound effect on human health. Comparative analyses of t…

Infliximab-induced autoimmune hepatitis in Crohn's disease treated with budeson…

PMID: 21987301
Year: 2011
Relationship Type: Association Score: 6.1

Severe adrenal insufficiency complicating budesonide therapy for Crohn's disease

PMID: 20629105
Year: 2011
Relationship Type: Treatment Score: 6.1

Budesonide for maintenance of remission in Crohn's disease

PMID: 19160212
Year: 2009
Relationship Type: Association Score: 6.1

We have recently proposed a two-dimensional Wavelet Encoding-Spectroscopic Imaging (WE-SI) technique as an alternative to Chemical Shift Imaging (CS…

Budesonide induction and maintenance therapy for Crohn's disease during pregnan…

PMID: 18680195
Year: 2009
Relationship Type: Treatment Score: 6.1

BACKGROUND: Portal-mesenteric vein thrombosis, pylephlebitis and liver abscesses are rare complications of inflammatory bowel disease (IBD). The pur…

Budesonide for induction of remission in Crohn's disease

PMID: 18646064
Year: 2008
Relationship Type: Association Score: 6.1

OBJECTIVES: Multiple established Crohn's disease (CD) and ulcerative colitis (UC) risk factors including family history, tobacco use, Jewish ethnici…

Oral budesonide for the therapy of post-liver transplant de novo inflammatory b…

PMID: 18618676
Year: 2008
Relationship Type: Treatment Score: 6.1

Immunosuppressors used in inflammatory bowel disease (IBD) are useful in refractory, chronic, active, steroid-dependent, or steroid-resistant IBD, b…

Budesonide for ulcerative colitis

PMID: 16944997
Year: 2006
Relationship Type: Treatment Score: 6.1

Crohn's disease (CD) and ulcerative colitis (UC) are chronic inflammatory bowel diseases (IBD) that often involve organs other than those of the ga…

Budesonide versus prednisolone for the treatment of active Crohn's disease in c…

PMID: 15095852
Year: 2004
Relationship Type: Treatment Score: 6.1

Not found

Budesonide in collagenous colitis: a double-blind placebo-controlled trial with…

PMID: 11781276
Year: 2002
Relationship Type: Mechanism Score: 6.1

In this review, I hope to have highlighted that cytokines are of crucial importance in the normal homeostasis of the gut immune system, the interact…

Association of HLA-DR genotypes and IL-1ra gene polymorphism with treatment fai…

PMID: 11742191
Year: 2001
Relationship Type: Treatment Score: 6.1

Comment in J Pediatr Gastroenterol Nutr. 2001 Jul;33(1):11-3. BACKGROUND: Calprotectin is an abundant neutrophil protein, which is extremely st…

Effects of local budesonide treatment on the cell-mediated immune response in a…

PMID: 9824145
Year: 1998
Relationship Type: Treatment Score: 6.1

We describe an extension of Risch's [(1990a,b) Am J Hum Genet 46:222-228, 229-241] method of linkage detection and exclusion for complex genetic tra…

Combination Immunotherapy Use and Withdrawal in Pediatric Inflammatory Bowel Di…

PMID: 34621712
Year: 2021
Relationship Type: Treatment Score: 5.5

Ulcerative colitis (UC) is a global, chronic, and refractory disease. Corticosteroids are first-line drugs for the treatment of UC but also cause a…

MicroRNA-146b improves intestinal injury in mouse colitis by activating nuclear…

PMID: 23813877
Year: 2013
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OBJECTIVE: Budesonide MMX is a novel oral formulation of budesonide that uses Multi-Matrix System (MMX) technology to extend release to the colon. T…

Serologic investigations in children with inflammatory bowel disease and food a…

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Year: 2009
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BACKGROUND: There is no standard approach for the medical management of Crohn's disease (CD) during pregnancy and there is limited data regarding sa…

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