A Double-Blind, Randomized, 6-Week, Parallel-Group Design Clinical Trial to Assess Safety and Efficacy of Asacol 4.8 g/Day (800 mg Tablet) Versus Asacol 2.4 g/Day (400 mg Tablet) for the Treatment of Moderately Active Ulcerative Colitis
Overview
- Phase
- Phase 3
- Intervention
- Asacol 400 mg (mesalamine)
- Conditions
- Ulcerative Colitis
- Sponsor
- Warner Chilcott
- Enrollment
- 386
- Locations
- 30
- Primary Endpoint
- Percentage of Treatment Success Patients at Week 6, ITT (Intent to Treat) Population
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
This study is a prospective clinical study to evaluate the safety and efficacy of two different doses of Asacol for the treatment of moderately active ulcerative colitis. In addition, a new tablet formulation will be evaluated at one of the two doses.
Investigators
Eligibility Criteria
Inclusion Criteria
- •male or female between 18 and 75 years of age;
- •have a confirmed diagnosis of ulcerative colitis with the extent varying from proctitis to pancolitis;
- •currently demonstrating moderately active disease
Exclusion Criteria
- •Patients will be excluded from admission to the study if they have/are:
- •a history of allergy or hypersensitivity to salicylates or aminosalicylates;
- •a history of extensive small bowel resection (\>1/2 the length of the small intestine) causing short bowel syndrome;
- •current renal or hepatic disease;
- •participated in any drug or device clinical study within 30 days of entry;
- •currently enrolled in any other clinical study;
- •received any oral, intravenous, intramuscular, or rectally administered corticosteroids within 1 month prior to the Baseline Visit;
- •received any other topical rectal therapy during the week prior to the Screening Visit;
- •received immunomodulatory therapy including, but not limited to, 6-mercaptopurine, azathioprine, cyclosporine, or methotrexate within 3 months prior to the Baseline Visit;
- •received a dose of mesalamine-containing compound by any route from which more than 1.6 g/day of mesalamine was available within 1 week prior to the Screening Visit (NOTE: 4 g/day of sulfasalazine and 4.5 g/day of balsalazide are equivalent to 1.6 g/day of mesalamine);
Arms & Interventions
Asacol 2.4 g/day
Asacol (2.4 g/day)
Intervention: Asacol 400 mg (mesalamine)
Asacol 4.8 g/day
Asacol (4.8 g/day)
Intervention: Asacol 800 mg (mesalamine)
Outcomes
Primary Outcomes
Percentage of Treatment Success Patients at Week 6, ITT (Intent to Treat) Population
Time Frame: 6 Weeks
Treatment success defined as complete response (PGA score 0 and complete resolution of stool frequency, rectal bleeding, PFA (patient's functional assessment), normal sigmoidoscopy) or partial response (improvement from baseline PGA and improvement in 1 clinical assessment \[stool frequency, rectal bleeding, PFA, sigmoidoscopy\] and no worsening in any other clinical assessments)
Secondary Outcomes
- Change From Baseline in Ulcerative Colitis Disease Activity Index (UCDAI) at Week 6, ITT Population(6 weeks)
- Percentage of Participants Whose Rectal Bleeding & Sigmoidoscopy Score Both Improved From Baseline to Week 6, ITT Population(6 Weeks)
- Percentage of Patients Whose Sigmoidoscopy Score Improved From Baseline to Week 6, ITT Population(6 Weeks)
- Percentage of Patients With an Improvement in Stool Frequency, ITT Population, Week 6(6 Weeks)
- Percentage of Patients With Improvement in Rectal Bleeding, ITT Population, Week 6(6 Weeks)
- Percentage of Patients With Improvement in Patient's Functional Assessment (PFA), ITT Population, Week 6(6 Weeks)
- Percentage of Patients With Improvement in Physician Global Assessment (PGA)Score, ITT Population, Week 6(6 Weeks)
- Mean Change From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) at Week 3, All Randomized Patients(3 Weeks)
- Mean Change From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) at Week 6, All Randomized Patients(6 Weeks)
- Percentage of Patients With Moderate, Left-Sided Disease at Baseline Classified as Treatment Success at Week 6, All Randomized Patients(6 Weeks)
- Percentage of Treatment Success Patients at Week 3, ITT Population(3 Weeks)