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Safety and Efficacy of SPD476 (Mesalazine) Given Twice Daily (2.4 g/Day) vs SPD476 Given as a Single Dose (4.8 g/Day) in Subjects With Acute Mild to Moderate Ulcerative Colitis

A Phase III, Randomized, Multi-Centre, Double-Blind, Parallel Group, Placebo-Controlled Study to Evaluate the Safety and Efficacy of SPD476 (Mesalazine) Given Twice Daily (2.4 g/Day) Versus SPD476 Given as a Single Dose (4.8 g/Day) in Subjects With Acute Mild to Moderate Ulcerative Colitis

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00503243
Enrollment
280
Registered
2007-07-18
Start date
2003-09-30
Completion date
2005-01-17
Last updated
2021-06-11

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

Conditions

Colitis, Ulcerative

Brief summary

The aim of this study was to investigate the safety and efficacy of SPD476 2.4 g/day given twice daily (\[BID\] ie 1.2 g/day BID) and SPD476 4.8g/day given QD compared to placebo in subjects with acute, mild to moderate ulcerative colitis.

Interventions

DRUGDelayed and extended release mesalazine

Sponsors

Shire
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE

Eligibility

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

Inclusion criteria

* newly diagnosed or diagnosis of relapsing (relapsed \<= 6 weeks to baseline) mild to moderate ulcerative colitis * women not of childbearing potential or WOCP who agreed to use an effective contraceptive method

Exclusion criteria

* severe ulcerative colitis or relapsed for \> 6 weeks prior to baseline * subjects who had relapsed on maintenance therapy with doses of mesalazine \> 2.0 g/day * subjects with Crohn's disease, proctitis, bleeding disorders or active peptic ulcer disease * subjects with asthma if they were known to be mesalazine-sensitive * subjects who were at immediate or significant risk of toxic megacolon * subjects who had previous resective colonic surgery * subjects who had moderate or severe renal impairment

Design outcomes

Primary

MeasureTime frame
Percentage of subjects in remission (Ulcerative Colitis Disease Activity Index score of <= 1, with scores of 0 for rectal bleeding and stool frequency, and a sigmoidoscopy score reduction of 1 point or more from baseline8 weeks

Secondary

MeasureTime frame
Clinical improvement as defined by a drop of => 3 points from baseline in the overall UC-DAI score8 weeks
Change in the UC-DAI score8 weeks
Change in symptoms (rectal bleeding and stool frequency)2, 4 and 8 weeks
Change in sigmoidoscopic (mucosal) appearance8 weeks
Time to withdrawal from the start of study medicationThroughout the study period of 8 weeks

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026