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The Effect of Mesalazine on Fecal Calprotectin in Patients with Ulcerative Colitis

Investigating the Effect of Increasing the Mesalazine Dose on Reducing Fecal Calprotectin in Patients with Ulcerative Colitis in Clinical Remission

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT20250426065472N1
Enrollment
60
Registered
2025-10-02
Start date
2025-10-22
Completion date
Unknown
Last updated
2025-10-13

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

Conditions

Ulcerative colitis. Ulcerative colitis

Interventions

Intervention 1: Intervention group: A single daily pill containing 3 grams of mesalazine. Intervention 2: Intervention group: A single daily pill containing 4 grams of mesalazine.

Sponsors

Esfahan University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: Age >18 years Simple Clinical Colitis Activity Index (SCCAI) <3 Bowel movements =3 per day Absence of blood in stool during the 3 days prior to enrollment Stable dose or no use of 5-ASA (oral, rectal, or combined) for at least 4 weeks prior to enrollment Stable dose or no use of azathioprine, 6-mercaptopurine, or methotrexate for more than 8 weeks History of no more than one relapse in the previous two years

Exclusion criteria

Exclusion criteria: Lack of willingness to continue participation Remission within less than 4 weeks prior to enrollment Intolerance to higher doses of 5-ASA than the current regimen Moderate or severe abdominal tenderness at the time of study entry Pregnancy or lactation Use of oral or rectal corticosteroids within 2 weeks prior to enrollment Use of >3 g/day of 5-ASA (combined oral and rectal) Use of TNF inhibitors within 8 weeks prior to enrollment Receipt of experimental therapies within 8 weeks prior to enrollment Use of cyclosporines within 2 weeks prior to enrollment

Design outcomes

Primary

MeasureTime frame
The primary outcome variable is the change in fecal calprotectin concentration (in µg/g) from baseline to the end of the study period. Timepoint: The primary outcome will be measured at two timepoints: Baseline (Week 0): Before the start of the intervention.End of Trial (Week 8): Eight weeks after the initiation of the intervention. Method of measurement: Fecal calprotectin concentration will be measured using a quantitative enzyme-linked immunosorbent assay (ELISA) kit on a single stool sample provided by the patient at each designated timepoint. The results will be reported in micrograms per gram (µg/g) of stool.;Dosage of mesalazine. Timepoint: The effect of increasing the dose of mesalazine on the reduction of fecal calprotectin within 30 days after increasing the dose. Method of measurement: To examine the comparative index between the control group and the intervention group, the independent T-test and CHISQUARE test are used at a significance level of 95%. Data analysis is performed using SPSS Version 22 software.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactHadi Abdolahi

Esfahan University of Medical Sciences

hadi.abdolahi@yahoo.com+98 31 3822 0000

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026