NCT06176560

Brief Summary

A randomised, double-blind, double-dummy, multicentre, phase III, non inferiority trial of an oral mesalazine formulation in patients with active mild to moderate ulcerative colitis for the induction of remission.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
376

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Mar 2024

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 4, 2023

Completed
15 days until next milestone

First Posted

Study publicly available on registry

December 19, 2023

Completed
2 months until next milestone

Study Start

First participant enrolled

March 1, 2024

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2025

Completed
Last Updated

December 19, 2023

Status Verified

December 1, 2023

Enrollment Period

1.4 years

First QC Date

December 4, 2023

Last Update Submit

December 16, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • To assess the percentage of patients with clinical remission [Mayo Modified Score (MMS) ≤ 2] and Endoscopic remission [Mayo Endoscopic Score (MES) ≤ 1] after 8 weeks of treatment.

    8 weeks

Secondary Outcomes (14)

  • To assess the percentage of patients achieving symptomatic remission using Modified Mayo Score.

    8 weeks

  • To assess the percentage of patients achieving endoscopic remission using Mayo Endoscopic Score.

    8 weeks

  • To assess the percentage of patients achieving overall response using Mayo Modified Score

    8 weeks

  • To evaluate changes in the symptomatic assessments using Mayo Modified Score.

    8 weeks

  • To evaluate changes in the endoscopic score using Mayo Endoscopic Score.

    8 weeks

  • +9 more secondary outcomes

Study Arms (2)

Mesalazine Experimental

EXPERIMENTAL

Mesalazine oral formulation

Drug: Mesalazine

Mesalazine Comparator

ACTIVE COMPARATOR

Mesalazine oral formulation

Drug: Mesalazine

Interventions

Oral Formulation

Mesalazine ComparatorMesalazine Experimental

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Be ≥ 18 years of age.
  • Provide written informed consent.
  • Be willing and able to follow all instructions, undergo all assessments, complete the electronic diary and attend all trial visits.
  • Have UC symptoms with UC diagnosis established by clinical, histological and endoscopic evidence.
  • Have active, mild to moderate UC at the time of screening.
  • Have a recent colonoscopy documenting the degree and extent of mucosal inflammation; otherwise, a colonoscopy must be performed during the screening period.
  • Be able and willing to avoid all disallowed medications for the appropriate washout period before randomisation and during the rest trial.
  • For females of childbearing potential only: willing to perform pregnancy tests, must agree to use effective methods of birth control throughout the trial until the trial ends. Effective methods of birth control include: combined hormonal contraception associated with inhibition of ovulation (oral, intravaginal or transdermal), progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable or implantable), intrauterine device (IUD), intrauterine hormone-releasing system (IUS), bilateral tubal occlusion, vasectomized partner (provided that partner is the sole sexual partner of the clinical trial patient and has documentation of azoospermia) or sexual abstinence (if defined as refraining from heterosexual intercourse during the entire period of risk associated with the trial treatment). The investigator is responsible for determining whether the patient has adequate birth control for trial participation.
  • For males with female partners of childbearing potential: acceptance to use birth control methods (condom with or without spermicide, or effective methods of birth control of female partner) throughout the trial duration and until 2.5 months after last intake of IMP. Vasectomy or sexual abstinence (if defined as refraining from heterosexual intercourse during the entire period of risk associated with the trial treatment) are also acceptable methods. The investigator is responsible for determining whether the patient has adequate birth control for trial participation.

You may not qualify if:

  • Have known contraindications or sensitivities to the use of the IMPs or any of its components.
  • History of difficulty in swallowing.
  • Be pregnant, planning a pregnancy or breastfeeding.
  • Have severe UC.
  • Have a history of colonic resection (excluding appendectomy).
  • Present moderate to severe renal disorder.
  • Present moderate to severe hepatic disorder.
  • Have a gastrointestinal disease that in the opinion of the investigator, would have interfered with the patient's participation in this study. Including but not limited to: Crohn's disease, other forms of colitis, coeliac disease, malabsorption syndromes, present or past colorectal cancer, gastric or duodenal ulcer.
  • Have ulcerative proctitis (restricted to rectum).
  • Suspected or documented infectious enterocolitis.
  • Have previous or current treatment with thiopurines, calcineurin inhibitors, methotrexate, JAK inhibitors and/or biologics.
  • Patients who previously were refractory to treatment with oral or rectal mesalazine.
  • Have a history of or current diagnosis of severe or uncontrolled pulmonary disease, myocarditis or pericarditis.
  • Severe or uncontrolled asthma, that in the opinion of the investigator, would compromise the patient safety.
  • Have a history of or current diagnosis of haemorrhagic diathesis.
  • +6 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Colitis, Ulcerative

Interventions

Mesalamine

Condition Hierarchy (Ancestors)

ColitisGastroenteritisGastrointestinal DiseasesDigestive System DiseasesInflammatory Bowel DiseasesColonic DiseasesIntestinal Diseases

Intervention Hierarchy (Ancestors)

meta-AminobenzoatesAminobenzoatesBenzoatesAcids, CarbocyclicCarboxylic AcidsOrganic ChemicalsAminosalicylic AcidsSalicylatesHydroxybenzoatesHydroxy AcidsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsPhenols

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 4, 2023

First Posted

December 19, 2023

Study Start

March 1, 2024

Primary Completion

August 1, 2025

Study Completion

August 1, 2025

Last Updated

December 19, 2023

Record last verified: 2023-12

Data Sharing

IPD Sharing
Will not share