Crohn's Disease
Conditions
Brief summary
The primary objective of the clinical trial is the assessment of the acceptability of the new Pentasa formulation - PentasaR Sachets in comparison with the reference PentasaR tablets 500 mg in children with Crohn's disease. After the screening period (which includes medical history, physical examination, basic haematology, serum chemistry , urine analysis and stool microbiology , PCD Activity Index )patients will receive (visit I) Pentasa sachets 1g or Pentasa tablets 500mg for next 4 weeks according to the randomisation scheme in common dose 2× 1 g of PentasaR Sachets 1 g or PentasaR tablets 500 mg. The formulation of Pentasa will be switched at Visit 2, patients will receive the medication for next 4 weeks. Patients will record the acceptability of the both forms of the medication. In 6 patients from each group (selected by the randomization), stool and urine will be taken to assess concentrations of mesalazine and N-acetylmesalazine during Visit 2 and Visit 3. Adverse events will be recorded during the whole course of the treatment period.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Established diagnose of Crohn's disease * Age 8-18 years, both sexes * Weight above 40 kg * Oral maintenance treatment with 5-ASA and any concomitant antinflammatory medication (maintained at the same dose during the study) before inclusion is permitted, * written informed consent obtained (patient and his/her guardian)
Exclusion criteria
* Patients with a history of allergy to salicylates * Patients with known significant hepatic or renal function abnormalities * Positive enteric pathogens in stool (Salmonella, Shigella, Yersinia, Campylobacter) * Pregnant or lactating women * Patients with a known history of disease, including mental/emotional disorder, that would interfere with their participation in the study, * Patients who participated in another clinical study in the last 3 months, * Patients who are unable to comply with the requirements of the protocol * Patients who are unable to fill in the diary cards
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the acceptability of Pentasa Sachets in comparison with the reference Pentasa tablets 500mg in children with Cohn's disease. | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the safety of both formulations of Pentasa. | — |
| To compare the concentration of mesalazine and N-acetylmesalazine in urine and stool during the administration of both formulations of Pentasa. | — |
| To compare the PCD activity index at Week 4 and 8 Phase IV Study design: instead of Single Blind use Open Total enrollment: 29 patients. | — |
Countries
Czechia