Ability to Maintain or Achieve Clinical and Endoscopic Remission With MMX Mesalamine Once Daily in Adults With Ulcerative Colitis
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Purpose
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.
| Condition | Intervention | Phase |
|---|---|---|
|
Ulcerative Colitis |
Drug: MMX mesalamine/ mesalazine |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase 4, Open-label, Multicenter, Prospective Study to Evaluate the Effect of Remission Status on the Ability to Maintain or Achieve Clinical and Endoscopic Remission During a 12-Month, Long-term Maintenance Phase With 2.4g/Day MMX Mesalamine/Mesalazine Once Daily in Adult Subjects With Ulcerative Colitis |
- Score on ulcerative colitis (UC) rating scale [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- To compare the percentage of subjects in clinical remission at 12 months between subjects who were in complete remission and subjects who were in partial remission at the end of 8 weeks acute treatment. [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- To compare the time to relapse between subjects who were in complete remission and subjects who were in partial remission at the end of 8 weeks acute treatment. [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Compare percent of subjects who achieve or maintain mucosal healing (endoscopy score less than or equal to 1) at 12 months between subjects who were in complete remission and subjects who were in partial remission at the end of 8 weeks acute treatment. [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- To assess the improvement in symptoms at 3 and 8 weeks of acute treatment. [ Time Frame: 3 and 8 weeks ] [ Designated as safety issue: No ]
- To assess the percentage of subjects who achieve complete remission at the end of 8 weeks acute treatment. [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
- To assess the safety and tolerability of MMX mesalamine/mesalazine. [ Time Frame: Ongoing ] [ Designated as safety issue: No ]
| Enrollment: | 722 |
| Study Start Date: | June 2010 |
| Study Completion Date: | December 2012 |
| Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: MMX mesalamine/ mesalazine |
Drug: 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
Other Name: Lialda, Mezavant, Mezavant XL, Mezavant LP
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Adults aged 18 or older
- Male, or non-pregnant, non-lactating female who agrees to comply with any applicable contraceptive requirements of the protocol
- Diagnosis of active mild to moderate UC (acute flare or newly diagnosed)
- 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:
- Severe UC
- 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.
- Acute flare while on maintenance MMX mesalamine/mesalazine (Lialda, Mezavant, Mezavant XL, Mezavant LP)
- Unsuccessfully treated current acute flare using steroids or 5-ASA doses >3.2 g/day
- Acute flare on a 5-ASA maintenance therapy of >3.2 g/day
- Systemic or rectal steroids use within the 4 weeks prior to screening or immunosuppressants within the last 6 weeks prior to screening
- History of biologic (anti-TNF agent) use
- 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
- 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
Contacts and Locations
Show 105 Study Locations| Principal Investigator: | Geert R D'Haens, MD, PhD | Imelda G.I. Clinical Research Centre |
| Principal Investigator: | David Rubin, MD | University of Chicago |
More Information
No publications provided
| Responsible Party: | Shire Development LLC |
| ClinicalTrials.gov Identifier: | NCT01124149 History of Changes |
| Other Study ID Numbers: | SPD476-409 |
| Study First Received: | May 13, 2010 |
| Last Updated: | April 25, 2013 |
| Health Authority: | Belgium: Federal Agency for Medicinal Products and Health Products Brazil: National Health Surveillance Agency Canada: Health Canada Czech Republic: State Institute for Drug Control France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) Germany: Federal Institute for Drugs and Medical Devices Hungary: National Institute of Pharmacy India: Drugs Controller General of India Ireland: Irish Medicines Board South Africa: Medicines Control Council Spain: Spanish Agency of Medicines United Kingdom: Medicines and Healthcare Products Regulatory Agency United States: Institutional Review Board Colombia: INVIMA Instituto Nacional de Vigilancia de Medicamentos y Alimentos Romania: National Medicines Agency |
Additional relevant MeSH terms:
|
Colitis Colitis, Ulcerative Ulcer Gastroenteritis Gastrointestinal Diseases Digestive System Diseases Colonic Diseases Intestinal Diseases Inflammatory Bowel Diseases Pathologic Processes Mesalamine |
Anti-Inflammatory Agents, Non-Steroidal Analgesics, Non-Narcotic Analgesics Sensory System Agents Peripheral Nervous System Agents Physiological Effects of Drugs Pharmacologic Actions Anti-Inflammatory Agents Therapeutic Uses Antirheumatic Agents Central Nervous System Agents |
ClinicalTrials.gov processed this record on May 16, 2013