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Double-blind, double-dummy, randomised, multicentre, 12-months, comparative study of the efficacy and tolerability of once daily 3.0 g mesalazine granules versus once daily 1.5 g mesalazine granules versus three times daily 0.5 g mesalazine granules for maintenance of remission in patients with ulcerative colitis - OD vs. TID dosing with mesalazine granules for prevention of recurrence of UC

Conditions
Maintenance therapy of ulcerative colitis
Registration Number
EUCTR2004-001218-15-DE
Lead Sponsor
Dr. Falk Pharma GmbH
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
510
Inclusion Criteria

- Signed informed consent
- Men or women aged 18 to 75 years
- Historically confirmed diagnosis of ulcerative colitis by endoscopy and histology
- Patient being in remission, defined as: Clinical Activity Index (CAI) <= 4 and Endoscopic Index (EI) < 4
- Extent of inflammation during last acute episode was >= 15 cm beyond the anal margin
- Last acute episode ended within 3 months prior to study entry
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

- Crohn’s disease
- Prior bowel resection leading to diarrhoea and/or pouch formation
- Toxic megacolon
- Gastric or duodenal ulcer
- Haemorrhagic diathesis
- Present or past colorectal cancer
- Symptomatic gastrointestinal disease
- Serious secondary disease(s)
- Asthma
- Immunosuppressants within 3 months and/or corticosteroids within 1 month prior to baseline
- Serum creatinine >= 1.2x upper limit of normal (ULN) and creatinine clearance < 60 ml/min per 1.73 m2
- Serum transaminase (ALT and/or AST) and/or alkaline phosphatase >= 2x ULN
- Known intolerance/hypersensitivity to salicylic acid and its derivatives or to any of the other constituents of the study drugs

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Primary end point(s): clinical remission at the final/withdrawal visit, with clinical relapse being defined as CAI > 4 and an increase of >= 3 points from baseline;Main Objective: To proof the therapeutic equivalence of once daily (OD) versus tree times daily (TID) dosing of total 1.5 g mesalazine for remission maintenance and to evaluate whether 3 g OD is superior to 0.5 g TID mesalazine for remission maintenance in patients with ulcerative colitis;Secondary Objective: - To study safety and tolerability in the form of adverse events and laboratory parameters (including renal safety parameters)<br>- To assess patients' preference regarding dosing schedule<br>- To assess patients' quality of life
Secondary Outcome Measures
NameTimeMethod
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