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Efficacy of high-dose oral MMX mesalamine (Mezavant®) and delayed-release mesalamine (Asacol®) for induction of remission in patients with mild to moderate ulcerative colitis: a prospective, multicenter, open-label, randomized comparative study

Efficacy of high-dose oral MMX mesalamine (Mezavant®) and delayed-release mesalamine (Asacol®) for induction of remission in patients with mild to moderate ulcerative colitis: a prospective, multicenter, open-label, randomized comparative study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CRIS
Registry ID
KCT0010367
Enrollment
16
Registered
2025-03-31
Start date
2025-03-05
Completion date
Unknown
Last updated
2025-09-22

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

Conditions

None listed

Interventions

Drug : 1. MMX group: Mezavant 1200 mg (4 tablets, total 4.8 g) taken once daily at the same time each day, immediately after a meal, for 8 weeks. 2. Asacol group: Asacol 1600 mg (3 tablets, total 4.8

Sponsors

The Catholic University of Korea, Incheon St. Mary's Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Adults aged 19 years or older with active mild to moderate ulcerative colitis, defined as a Mayo Score of 3-10, a Mayo Endoscopic Score of 1-2, and a Physician’s Global Assessment (PGA) of =2. - Newly diagnosed patients. - Relapse within 6 weeks prior to the screening visit: Patients may continue maintenance 5-ASA at a dose of up to 2.4 g during the screening period.

Exclusion criteria

Exclusion criteria: - Severe ulcerative colitis, defined as Mayo Score =10, Mayo Endoscopic Score of 3, or Physician’s Global Assessment (PGA) of 3. - Previous non-response or treatment failure with steroids, azathioprine, or 5-ASA at doses =2.4 g. - Relapse occurring more than 6 weeks prior to the screening visit. - Relapse while on maintenance 5-ASA at doses >2.4 g. - For patients on maintenance 5-ASA at doses =2.4 g, dose reduction within 2 weeks prior to screening. - Use of steroids within 4 weeks prior to screening. - Use of azathioprine within 6 weeks prior to screening. - Use of antibiotics, proton pump inhibitors (PPI), or nonsteroidal anti-inflammatory drugs (NSAIDs) within 1 week prior to screening. - Presence of infectious pathogens in stool examination. - Moderate to severe systemic diseases, such as cirrhosis, heart failure, renal failure, or immune disorders (e.g., lupus). - History of colorectal surgery or peptic ulcer disease. - Pregnancy.

Design outcomes

Primary

MeasureTime frame
Clinical and endoscopic (sigmoidoscopic) remission rate at Week 8 (Mayo Score =2 and Endoscopic Mayo Score 0 or 1)

Secondary

MeasureTime frame
Clinical response rate at Week 8, Endoscopic (sigmoidoscopic) response rate at Week 8, Changes in fecal calprotectin at Week 8, Medication adherence at Week 8, Incidence of adverse events at Week 8

Countries

Korea, Republic of

Contacts

Public ContactHYUN JI SHIM

Yonsei University Health System, Severance Hospital

skyforu_@naver.com+82-2-2228-0535

Outcome results

None listed

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