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Completed

NCT Number: NCT02522767

Mesalamine 4 g Sachet for the Induction of Remission in Active, Mild to Moderate Ulcerative Colitis (UC)

The purpose of this trial is to investigate the efficacy of mesalamine for the induction of clinical and endoscopic remission in subjects with active, mild to moderate UC. Subject will receive 4 g extended release granules (sachet) once daily.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Multiprofile Hospital For Active Treatment Avis Medica, Pleven, Bulgaria

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female subjects aged 18 to 75 years
  • Mild to moderate UC

Exclusion criteria

  • Disease limited to proctitis <15 cm
  • Short bowel syndrome
  • Prior colon resection surgery
  • History of severe/fulminant UC
  • Evidence of other forms of inflammatory bowel disease
  • Infectious disease (including human immunodeficiency virus [HIV], hepatitis B virus [HBV], or hepatitis C virus [HCV])
  • Intolerant or allergic to aspirin or salicylate derivatives
  • Use of rectal formulations (5-aminosalicylic acid [5-ASA], steroids) within ≤7 days
  • Women who are pregnant or nursing
  • History or known malignancy
  • History of bleeding disorders, active gastric or active duodenal ulcers, autoimmune diseases, or mental/emotional disorders, that would interfere with their participation in the trial

Treatment and study plan

Mesalamine

Drug

Other names: Mesalazine, Pentasa

Placebo

Drug

Primary outcomes

  1. Proportion of Subjects With Remission

    Time frame: At Week 8

    The proportion of subjects with remission was defined by the Clinical and Endoscopic Response Score: 0 for rectal bleeding; 0 or 1 with at least 1 point decrease from baseline for stool frequency; 0 or 1 for endoscopic score.

    The Clinical and Endoscopic Response Score ranged between 0-9, higher scores indicating greater disease severity. This score had two components: Clinical Response which assessed subject's symptoms and ranged between 0-6, and Endoscopic Response which assessed objective evidence of inflammation and ranged between 0-3.

    Further, the Clinical Response component included two subscales: stool frequency and rectal bleeding (each ranged between 0-3 each) obtained from subjects' daily records. The Endoscopic Response component had one subscale: flexible sigmoidoscopy/colonoscopy (ranging between 0-3).

Secondary outcomes

  1. Proportion of Subjects With Remission in the Primary Endpoint and the Physician's Global Assessment (PGA) Score of ≤1 (Modified Mayo Score)

    Time frame: At Week 8

    The Modified Mayo score was calculated as the sum of the Clinical and Endoscopic Response Score (Range: 0-9, and the standard PGA score (range: 0-3; normal [score=0], mild disease [score=1], moderate disease [score=2], severe disease [score=3]).

    The statistical test was to be conducted only if the primary analysis was significant.

  2. Time to Cessation of Rectal Bleeding

    Time frame: Up to Week 8

    Defined as time in days from randomization to the first day of 3 consecutive days with a rectal bleeding score of 0, based on subject's daily diary.

    The statistical test was to be conducted only if the primary analysis was significant.

  3. The Proportion of Subjects With Endoscopic Improvement

    Time frame: At Week 8

    Defined as an Endoscopic Response Score of 0 or 1, with at least a 1 point reduction from baseline in the endoscopic score at Week 8.

  4. The Proportion of Subjects in Clinical Remission at Weeks 2, 4, and 8

    Time frame: At Week 2, 4, and 8

    Defined as a score of 0 for rectal bleeding and 0 or 1 with at least 1 point decrease from baseline for stool frequency in the Clinical Response Score subset.

  5. Time to Normal Stool Pattern

    Time frame: Up to Week 8

    Defined as time in days from randomization to the first day of 3 consecutive days with a stool frequency score of 0, based on subject daily diary.

  6. The Change From Baseline in Rectal Bleeding Score at Weeks 2, 4, and 8

    Time frame: From baseline to Week 2, 4, and 8

    Defined as change from baseline in rectal bleeding score at Week 2, 4, and 8 based on subject daily diary. Rectal Bleeding Score is graded 0-3, where 0 is best.

  7. The Change From Baseline in Serum C-reactive Protein (CRP) Levels at Weeks 2, 4, and 8

    Time frame: From baseline to Week 2, 4, and 8

    The adjusted mean changes in serum CRP levels from baseline and their difference between treatment groups are presented for each time point.

  8. The Change From Baseline in Fecal Calprotectin Levels at Week 8

    Time frame: From baseline to Week 8

    The adjusted mean change from baseline in fecal calprotectin levels at Week 8 are presented.

  9. The Change From Baseline in Health Related Quality of Life (QoL) Scores

    Time frame: From baseline to Week 2, 4, and 8

    The change from baseline to Week 2, 4, and 8 in Inflammatory Bowel Disease Questionnaire (IBDQ) scores.

    The adjusted changes from baseline and their differences between treatment groups are presented.

    The IBDQ is an instrument used to assess quality of life in adult patients with UC.

    Subjects were asked to recall symptoms and QoL from last two weeks and to rate each item on a 7- point Likert score (higher scores equate to higher QoL).

  10. Number of Participants Experiencing Adverse Events

    Time frame: Up to Week 16

    An adverse event (AE) is defined as any untoward medical occurrence in a subject taking part in a clinical trial.

    A 'treatment-emergent AE (TEAE)' is defined as an AE which occurs in the time interval from initial dosing (investigational medicinal product [IMP] intake) to the end of treatment visit.

    Proportion of subjects with any TEAE (serious or non-serious) are presented.

  11. Severity of Adverse Events

    Time frame: Up to Week 16

    The proportion of subjects with intensity of AEs (classified as mild, moderate or severe) are presented.

  12. Proportion of Subject With Abnormal Laboratory Values (Hematology)

    Time frame: Up to Week 16

    Proportion of subjects with markedly abnormal changes from baseline in hematology values are presented.

    >= greater than equal to; <= less than equal to.

  13. Proportion of Subjects With Abnormal Laboratory Values (Coagulation)

    Time frame: Up to Week 16

    Proportion of subjects with markedly abnormal changes from baseline values in coagulation laboratory values are presented.

    INR= International normalized ratio.

  14. Proportion of Subjects With Abnormal Laboratory Values (Serum Chemistry)

    Time frame: Up to Week 16

    Proportion of subjects with markedly abnormal changes in serum chemistry laboratory values are presented.

    ALT= Alanine aminotransferase; AST= Aspartate aminotransferase; BUN= Blood urea nitrogen; GGT= Gamma glutamyl transferase.

Sponsors and collaborators

Lead sponsor

Ferring Pharmaceuticals

Industry

Registry information

Official study title

A Randomized, Double-Blind, Placebo-Controlled, Multicenter Study Investigating the Efficacy and Safety of Mesalamine 4 g Extended Release Granules (Sachet) for the Induction of Clinical and Endoscopic Remission in Active, Mild to Moderate Ulcerative Colitis

Important dates

Study start
2015
Primary completion
2018
Study completion
2018
First posted
Aug 13, 2015
Registry last updated
Mar 15, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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