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Rectal concentrations of thioguanine after enema administration

Tissue concentrations of thioguanine in rectal tissue samples in patients administered thioguanine rectally

Status
Not yet recruiting
Phases
Early Phase 1
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12622000934741
Acronym
Inflammatory Bowel Disease
Enrollment
2
Registered
2022-06-30
Start date
2022-07-01
Completion date
2022-08-31
Last updated
2022-08-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

A controlled release oral formulation of thioguanine is being developed by Douglas Pharmaceuticals for treatment of IBD. As part of the development program it is planned to measure mucosal tissue concentrations of the drug after administration. This study is to develop the methodology for measuring tissue concentrations of thioguanine in rectal biopsy tissue after thioguanine rectal administration. The patients have previously been treated successfully with thioguanine 20mg dissolved in 50ml of Pentasa enema. Two of these patients will have daily treatment for 7 days before flexible sigmoidoscopy to obtain rectal biopsy samples to measure thioguanine.

Interventions

Participants will self administer a rectal enema preparation of Pentasa enema 500mg combined with thioguanine 20mg daily for 7 days. This will be followed by a single 5-hour visit to the study clinic during which participants will have a flexible sigmoidoscopy performed by a registered gastroenterologist and rectal biopsies taken to determine tissue thioguanine concentration. Immediately following the flexible sigmoidoscopy, participants will have one further rectal enema with Pentasa and thiog

Participants will self administer a rectal enema preparation of Pentasa enema 500mg combined with thioguanine 20mg daily for 7 days. This will be followed by a single 5-hour visit to the study clinic during which participants will have a flexible sigmoidoscopy performed by a registered gastroenterologist and rectal biopsies taken to determine tissue thioguanine concentration. Immediately following the flexible sigmoidoscopy, participants will have one further rectal enema with Pentasa and thioguanine and 4 blood samples taken over 4 hours to determine thioguanine concentration. Adherence will be determined by daily medication record and pill return count.

Sponsors

Douglas Pharmaceuticals Ltd
Lead SponsorCommercial sector/Industry

Study design

Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Patients previously treated with Pentasa/thioguanine enemas for proctitis

Exclusion criteria

Unable to provide informed consent

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026