Asacol Acute Diverticulitis(DIVA)Study

NCT ID: NCT00554099

Last Updated: 2013-04-22

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

117 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-11-30

Study Completion Date

2010-03-31

Brief Summary

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The purpose of this study is to determine whether Asacol® 2.4 g/day (400 mg Mesalamine) is safe and effective in the treatment of diverticulitis.

Detailed Description

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This study is designed to evaluate the safety and efficacy of Asacol® 2.4 g/day in generally healthy, adult patients who have had an attack of acute diverticulitis. The study will evaluate the safety and efficacy of a 12 week treatment with Asacol® followed a 9 month non-treatment observation period in approximately 180 patients with acute diverticulitis.

Conditions

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Diverticulitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Mesalamine

Days 1 thru 10-14 (Visit 2): daily antibiotic therapy, dietary advice and 6 - 400 mg mesalamine tablets once a day. Visit 2 thru Week 12: 1 placebo capsule (matching probiotic) and 6 - 400 mg mesalamine tablets daily.

Group Type ACTIVE_COMPARATOR

Mesalamine

Intervention Type DRUG

6 - 400 mg tablets once daily

Dietary Advice

Intervention Type OTHER

Dietary advice

Antibiotic for Diverticulitis

Intervention Type DRUG

Physician recommended antibiotic for Diverticulitis taken for 10-14 days. Antibiotic not specified for study.

Mesalamine & Probiotic

Days 1 thru 10-14 (Visit 2): daily antibiotic therapy, dietary advice and 6 - 400 mg mesalamine tablets once daily. Visit 2 thru Week 12: 1- Bifidobacterium infantis 35624 capsule and 6 - 400 mg mesalamine tablets daily

Group Type ACTIVE_COMPARATOR

Probiotic

Intervention Type DRUG

Once capsule daily Bifidobacterium infantis 35624 added at Visit 2 (Day 10 + 4 days)

Dietary Advice

Intervention Type OTHER

Dietary advice

Antibiotic for Diverticulitis

Intervention Type DRUG

Physician recommended antibiotic for Diverticulitis taken for 10-14 days. Antibiotic not specified for study.

Placebo

Days 1 thru Days 10 to 14 (Visit 2): daily antibiotic therapy, dietary advice, and 6 placebo tablets (matching mesalamine) once a day. Visit 2 thru Week 12 : 1 placebo capsule (matching probiotic) and 6 placebo tablets (matching mesalamine) daily.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

6 placebo tablets for first 10 (+4) days followed by once daily placebo tablets.

Dietary Advice

Intervention Type OTHER

Dietary advice

Antibiotic for Diverticulitis

Intervention Type DRUG

Physician recommended antibiotic for Diverticulitis taken for 10-14 days. Antibiotic not specified for study.

Interventions

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Mesalamine

6 - 400 mg tablets once daily

Intervention Type DRUG

Probiotic

Once capsule daily Bifidobacterium infantis 35624 added at Visit 2 (Day 10 + 4 days)

Intervention Type DRUG

Placebo

6 placebo tablets for first 10 (+4) days followed by once daily placebo tablets.

Intervention Type DRUG

Dietary Advice

Dietary advice

Intervention Type OTHER

Antibiotic for Diverticulitis

Physician recommended antibiotic for Diverticulitis taken for 10-14 days. Antibiotic not specified for study.

Intervention Type DRUG

Other Intervention Names

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Align

Eligibility Criteria

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Inclusion Criteria

* A clinical diagnosis of acute diverticulitis
* Female patients must be postmenopausal (at least 1 year without spontaneous menses) or surgically sterile or have a negative urine pregnancy test and practice acceptable contraception (e.g., abstinence; oral, intramuscular, or implanted hormonal contraception \[at least 3 months prior to enrollment\]; 2-barrier methods \[e.g., condom, diaphragm, or spermicide\]; intrauterine device or verbal report of partner with history of non-reversed vasectomy)
* Willing and able to participate in the study and provide a signed informed consent

Exclusion Criteria

* Presence of diverticular complications (e.g., fistula, abscess, obstruction, stenosis);
* Active or recent history (within 6 months) of a peptic ulcer;
* Prior history of irritable bowel syndrome (IBS), as determined by the Investigator;
* History of major abdominal surgery (as determined by the Investigator);
* History of GI surgery within 3 months of diagnosis of acute diverticulitis;
* History of immunocompromising disease, human immunodeficiency virus (HIV) infection, or acquired immunodeficiency syndrome (AIDS);
* If female patient, active or recent history of endometriosis or dysmenorrhea;
* Received a dose of a product that contains, or is metabolized to, mesalamine by any route within 4 weeks before the screening visit;
Minimum Eligible Age

35 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Warner Chilcott

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ana Balske, MD, PhD

Role: STUDY_DIRECTOR

Procter and Gamble

Locations

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Research Site

Tucson, Arizona, United States

Site Status

Research Facility

Los Angeles, California, United States

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Merced, California, United States

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Oakland, California, United States

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Orange, California, United States

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Palm Springs, California, United States

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Pasadena, California, United States

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Lafayette, Colorado, United States

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Littleton, Colorado, United States

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Boynton Beach, Florida, United States

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Jacksonsville, Florida, United States

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Jacksonville, Florida, United States

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Winter Park, Florida, United States

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Zephyrhills, Florida, United States

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Pratt, Kansas, United States

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Monroe, Louisiana, United States

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Shreveport, Louisiana, United States

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Chesterfield, Michigan, United States

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Tupelo, Mississippi, United States

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Mexico, Missouri, United States

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Cedar Knolls, New Jersey, United States

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Great Neck, New York, United States

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Lake Success, New York, United States

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Setauket, New York, United States

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Asheville, North Carolina, United States

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Greenville, North Carolina, United States

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Harrisburg, North Carolina, United States

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Morganton, North Carolina, United States

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Wilmington, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Cincinnati, Ohio, United States

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Cranston, Rhode Island, United States

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Longview, Texas, United States

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Odessa, Texas, United States

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Chesapeake, Virginia, United States

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Research Facility

Monroe, Wisconsin, United States

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Countries

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United States

References

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Stollman N, Magowan S, Shanahan F, Quigley EM; DIVA Investigator Group. A randomized controlled study of mesalamine after acute diverticulitis: results of the DIVA trial. J Clin Gastroenterol. 2013 Aug;47(7):621-9. doi: 10.1097/MCG.0b013e31828003f6.

Reference Type DERIVED
PMID: 23426454 (View on PubMed)

Other Identifiers

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2007020

Identifier Type: -

Identifier Source: org_study_id

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