Ability to Maintain or Achieve Clinical and Endoscopic Remission With MMX Mesalamine Once Daily in Adults With Ulcerative Colitis

NCT ID: NCT01124149

Last Updated: 2021-06-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

759 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-06-29

Study Completion Date

2012-12-07

Brief Summary

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This study was designed to evaluate if subjects who achieve complete remission after 8 weeks of acute therapy with MMX mesalamine/mesalazine 4.8g/day given QD have better long-term outcomes and remain in remission longer compared with subjects who demonstrate only partial remission after acute therapy with MMX mesalamine/mesalazine 4.8g/day given QD. Therefore, subjects who achieve either complete or partial remission will enter into a 12-month maintenance phase, during which they will receive MMX mesalamine/mesalazine 2.4g/day given QD. Remission status for the 2 groups will be evaluated and compared at the end of this 12-month maintenance period. The data obtained from this study will provide scientifically meaningful information to demonstrate that achieving complete remission (clinical and endoscopic remission) is important for a better long-term prognosis, or that the current paradigm of symptomatic treatment is appropriate.

Detailed Description

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Conditions

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Ulcerative Colitis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MMX mesalamine/ mesalazine

Group Type EXPERIMENTAL

MMX mesalamine/ mesalazine

Intervention Type DRUG

4.8g/day given QD (four 1.2g tablets) for 8 weeks, 2.4g/day given QD (two 1.2g tablets) for 12 months

Interventions

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MMX mesalamine/ mesalazine

4.8g/day given QD (four 1.2g tablets) for 8 weeks, 2.4g/day given QD (two 1.2g tablets) for 12 months

Intervention Type DRUG

Other Intervention Names

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Lialda Mezavant Mezavant XL Mezavant LP

Eligibility Criteria

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Inclusion Criteria

1. Adults aged 18 or older
2. Male, or non-pregnant, non-lactating female who agrees to comply with any applicable contraceptive requirements of the protocol
3. Diagnosis of active mild to moderate UC (acute flare or newly diagnosed)
4. Stable maintenance therapy of 5-ASA less than or equal to 3.2 g/day (excluding MMX mesalamine/mesalazine), if 5-ASA is being taken at the onset of acute flare.

Exclusion Criteria

1. Severe UC
2. Acute flare with onset greater than \>6 weeks prior to baseline while on maintenance therapy. There is no limit to the onset of flare prior to baseline if the flare is untreated.
3. Acute flare while on maintenance MMX mesalamine/mesalazine (Lialda, Mezavant, Mezavant XL, Mezavant LP)
4. Unsuccessfully treated current acute flare using steroids or 5-ASA doses \>3.2 g/day
5. Acute flare on a 5-ASA maintenance therapy of \>3.2 g/day
6. Systemic or rectal steroids use within the 4 weeks prior to screening or immunosuppressants within the last 6 weeks prior to screening
7. History of biologic (anti-TNF agent) use
8. Antibiotic use or repeated use (\>3 consecutive days of use at doses above the prescribed over-the-counter dose) of any anti-inflammatory drugs, including non-steroidal anti-inflammatory drugs such as aspirin, COX-2 inhibitors or ibuprofen, within 7 days prior to screening. However, prophylactic use of a stable dose of aspirin up to 325mg/day for cardiac disease is permitted
9. Current or recurrent disease, other than UC, that could affect the colon, the action, absorption, or disposition of the IMP, or clinical or laboratory assessments
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shire

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Takeda

Locations

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Birmingham Gastroenterology Associates, PC

Birmingham, Alabama, United States

Site Status

Advanced Clinical Research Institute

Anaheim, California, United States

Site Status

Digestive & Liver Disease Specialists

Garden Grove, California, United States

Site Status

Long Beach VA Medical Center

Long Beach, California, United States

Site Status

Clinical Applications Laboratories, Inc.

San Diego, California, United States

Site Status

Conneticut Gastroenterolgy Institute

Bristol, Connecticut, United States

Site Status

Borland-Groover Clinic

Jacksonville, Florida, United States

Site Status

United Medical Research

New Smyrna Beach, Florida, United States

Site Status

Advances Gastroenterology Associates

Palm Harbor, Florida, United States

Site Status

Atlanta Gastroenterology Associates, LLC

Atlanta, Georgia, United States

Site Status

Atlanta Gastroenterology Associates

Marietta, Georgia, United States

Site Status

University of Chicago Medical Center

Chicago, Illinois, United States

Site Status

Midwest Clinical Research Associates

Moline, Illinois, United States

Site Status

Gastrointestinal Clinic of Quad Cities

Davenport, Iowa, United States

Site Status

New Orleans Research Institute

Metairie, Louisiana, United States

Site Status

Delta Research Partners

Monroe, Louisiana, United States

Site Status

Louisiana Research Center, LLC

Shreveport, Louisiana, United States

Site Status

Digestive Disorders Associates

Annapolis, Maryland, United States

Site Status

Digestive Disease Associates

Baltimore, Maryland, United States

Site Status

Center for Digestive Health

Troy, Michigan, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Center for Digestive & Liver Disease, Inc.

Mexico, Missouri, United States

Site Status

Long Island Clinical Research Associates, LLP

Great Neck, New York, United States

Site Status

Gastrointestinal Research Associates

Setauket, New York, United States

Site Status

LeBauer Research Associates

Greensboro, North Carolina, United States

Site Status

Ohio Gastroenterolgy and Liver Intstitute

Cincinnati, Ohio, United States

Site Status

Regional Gastroenterology Associates of Lancaster, Ltd.

Lancaster, Pennsylvania, United States

Site Status

Gastroenterology Associates, LLC

Kingsport, Tennessee, United States

Site Status

S.D. Khan

Houston, Texas, United States

Site Status

Gastroenterology Clinic of San Antonio, PA

San Antonio, Texas, United States

Site Status

Colon and Rectal Disease Center

Sandy City, Utah, United States

Site Status

Physicians Research Option, LLC

Sandy City, Utah, United States

Site Status

Alexandria Clinical Research

Alexandria, Virginia, United States

Site Status

Wisconsin Center for Advances Research

Milwaukee, Wisconsin, United States

Site Status

Imelda General Hospital

Bonheiden, , Belgium

Site Status

vzw AZ Groeninge

Kortrijk, , Belgium

Site Status

Heilig Hart ziekenhuis vzw Roeselare-Menen

Roeselare, , Belgium

Site Status

McMaster University Medical Centre

Hamilton, Ontario, Canada

Site Status

Toronto Digestive Disease Associates, Inc.

Toronto, Ontario, Canada

Site Status

Royal Victoria Hospital

Montreal, Quebec, Canada

Site Status

CHAUQ- Hopital du Saint-Sacrement

Québec, Quebec, Canada

Site Status

Alpha Recherche Clinique

Québec, Quebec, Canada

Site Status

Hospital pablo Tobon uribe

Medellín, Antioquia, Colombia

Site Status

Promotora medica las Americas S.A.

Medellín, Antioquia, Colombia

Site Status

Ugasend S.A.

Barranquilla, Atlántico, Colombia

Site Status

FOQUS, Centro de Investigacion Clinica

Bogota, Cundinamarca, Colombia

Site Status

Private Gastroenterology centre

České Budějovice, , Czechia

Site Status

Derma Plus s.r.o. Gastroenterology

České Budějovice, , Czechia

Site Status

Hepato-Gastroenterology HK s.r.o.

Hradec Králové, , Czechia

Site Status

Nemocnice Jablonec nad Nisou

Jablonec nad Nisou, , Czechia

Site Status

Faculty hospital Plzen- Lochotin

Pilsen, , Czechia

Site Status

IKEM (Institute klinicke a experimentalni mediciny)

Prague, , Czechia

Site Status

Klinicke Centrum ISCARE I.V.F.

Prague, , Czechia

Site Status

Nemocnice Tabor a.s.

Tábor, , Czechia

Site Status

Massarykova Nemocnice-Masaryk Hospital

Ústí nad Labem, , Czechia

Site Status

Orlickoustecka nemocnice a.s. (Hospital)

Ústí nad Orlicí, , Czechia

Site Status

Hopital Saint Andre

Bordeaux, , France

Site Status

CHU Estaing

Clermont-Ferrand, , France

Site Status

CHU Nantes- Hotel Dieu

Nantes, , France

Site Status

Medizinische Hochschule Hannover/ Zentrum Innere Medizin/Gastroenterologie

Hanover, , Germany

Site Status

Stawdtisches Klinikum Lueneburg Gastroenterologie

Lüneburg, , Germany

Site Status

Debreceni Egyetem Orvos-es Egeszsegtudomanyi Centrum III. sz. Belgyogyazati Klinika

Debrecen, , Hungary

Site Status

Bekes Megyei Kepviselotestulet Pandy Kalman Korhaza, Endoszkopos laboratorium

Gyula, , Hungary

Site Status

Borsod-Abauj-Zemplen Megyei Korhaz es Egyrtrmi Oktato Korhaz, II. Belgyogyaszat

Miskolc, , Hungary

Site Status

Karolina Korhaz, Belgyogyaszat es Gasztroenterologia

Mosonmagyaróvár, , Hungary

Site Status

Javorszky Odon Varosi Korhaz, Gasztroenterologia

Vác, , Hungary

Site Status

Asian Institute of Gastroenterology

Hyderabad, Andhra Pradesh, India

Site Status

Manikya Institute of Gastroenterology & Hepatology

Visakhapatnam, Andhra Pradesh, India

Site Status

Institute of Digestive & Liver Diseases

Guwahati, Assam, India

Site Status

Mehta Hospital

Ahmedabad, Gujarat, India

Site Status

Kasturba Medical College Hospital

Mangalore, Kamataka, India

Site Status

Sree Gokulam Medical College and Research Foundation

Thiruvananthapuram, Kerala, India

Site Status

Gastroenterology & Endoscopy Centre

Nagpur, Maharashtra, India

Site Status

Sahyandri Speciality Hospital

Pune, Maharashtra, India

Site Status

Poona Hospital & Research Centre

Pune, Maharashtra, India

Site Status

Dayanand Medical College and hospital

Ludhiana, Punjab, India

Site Status

S R Kalla Memorial Gastro & General Hospital

Jaipur, Rajasthan, India

Site Status

Dr. Nijhawan Clinic

Jaipur, Rajasthan, India

Site Status

Chhatrapati Shahuji Maharaj Medical University

Lucknow, Uttar Pradesh, India

Site Status

Adelaide and Meath Hospital

Dublin, , Ireland

Site Status

St Vincents' University Hospital

Dublin, , Ireland

Site Status

Beaumont Hospital

Dublin, , Ireland

Site Status

NZOZ Centrum Medyczne Szpital Sw. Rodziny

Lodz, , Poland

Site Status

NZOZ Centrum Medyczne HCP

Poznan, , Poland

Site Status

Endoskopia Sp z o.o.

Sopot, , Poland

Site Status

Indyw. Spec. Prakt. Lek. w Dziedzinie Chirurgii Ogolnej i Gastroenterologii

Torun, , Poland

Site Status

Nzoz Vivamed

Warsaw, , Poland

Site Status

LexMedica

Wroclaw, , Poland

Site Status

EMC Instytut Medyczny SA

Wroclaw, , Poland

Site Status

CMI de Gastroenterologie

Târgu Mureş, Mureș County, Romania

Site Status

Clinical Hospital "Dr. I. Cantacuzino"

Bucharest, , Romania

Site Status

Institutul Clinic Fundeni

Bucharest, , Romania

Site Status

Emergency University Clinical Hospital Bucuresti

Bucharest, , Romania

Site Status

Policlinic Algomed SRL

Timișoara, , Romania

Site Status

Policlinica "Dr. Citu" SRL

Timișoara, , Romania

Site Status

Rose Park Hospital Boanerges CC Trials

Bloemfontein, Free State, South Africa

Site Status

St. Augustine's Hospital

Durban, KwaZulu-Natal, South Africa

Site Status

Parklands Medical Centre

Durban, KwaZulu-Natal, South Africa

Site Status

Panorama Medi-Clinic

Cape Town, Western Cape, South Africa

Site Status

Louis Leipoldt Medical Centre

Cape Town, Western Cape, South Africa

Site Status

Kingsbury Hospital

Cape Town, Western Cape, South Africa

Site Status

Greenacres Hospital

Port Elizabeth, , South Africa

Site Status

Hospital Universitario La Princesa

Madrid, , Spain

Site Status

St Mark's Hospital

Harrow, Middlesex, United Kingdom

Site Status

John Radcliffe Hospital

Headington, Oxfordshire, United Kingdom

Site Status

Countries

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United States Belgium Canada Colombia Czechia France Germany Hungary India Ireland Poland Romania South Africa Spain United Kingdom

References

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Stevens TW, Gecse K, Turner JR, de Hertogh G, Rubin DT, D'Haens GR. Diagnostic Accuracy of Fecal Calprotectin Concentration in Evaluating Therapeutic Outcomes of Patients With Ulcerative Colitis. Clin Gastroenterol Hepatol. 2021 Nov;19(11):2333-2342. doi: 10.1016/j.cgh.2020.08.019. Epub 2020 Aug 13.

Reference Type DERIVED
PMID: 32801008 (View on PubMed)

Willian MK, D'Haens G, Yarlas A, Joshi AV. Changes in health-related quality of life and work-related outcomes for patients with mild-to-moderate ulcerative colitis receiving short-term and long-term treatment with multimatrix mesalamine: a prospective, open-label study. J Patient Rep Outcomes. 2018 Apr 27;2:22. doi: 10.1186/s41687-018-0046-5. eCollection 2018 Dec.

Reference Type DERIVED
PMID: 30294708 (View on PubMed)

Yarlas A, D'Haens G, Willian MK, Teynor M. Health-Related Quality of Life and Work-Related Outcomes for Patients With Mild-to-Moderate Ulcerative Colitis and Remission Status Following Short-Term and Long-Term Treatment With Multimatrix Mesalamine: A Prospective, Open-Label Study. Inflamm Bowel Dis. 2018 Jan 18;24(2):450-463. doi: 10.1093/ibd/izx041.

Reference Type DERIVED
PMID: 29361097 (View on PubMed)

Other Identifiers

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2009-017044-13

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

SPD476-409

Identifier Type: -

Identifier Source: org_study_id

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