Page last updated: 2024-11-06

6-methylthiopurine and Colitis, Granulomatous

6-methylthiopurine has been researched along with Colitis, Granulomatous in 16 studies

6-methylthiopurine : A thiopurine that is 9H-purine substituted by a methylsulfanyl group at position 6.

Research Excerpts

ExcerptRelevanceReference
"A prospective randomized trial in patients with Crohn disease studied whether 6-thioguanine nucleotide (6-TGN) concentration-adapted azathioprine (AZA) therapy is clinically superior to a standard dose of 2."9.126-thioguanine nucleotide-adapted azathioprine therapy does not lead to higher remission rates than standard therapy in chronic active crohn disease: results from a randomized, controlled, open trial. ( Adler, G; Armstrong, VW; Behrens, C; Bias, P; Herfarth, H; Kruis, W; Oellerich, M; Reinshagen, M; Schütz, E; Shipkova, M; Stallmach, A; Stein, J; von Ahsen, N; von Tirpitz, C, 2007)
"6-Mercaptopurine (6-MP) and its prodrug azathioprine (AZA) have proven efficacy in the treatment of Crohn disease (CD)."7.71Therapeutic drug monitoring of azathioprine and 6-mercaptopurine metabolites in Crohn disease. ( Belaiche, J; Desager, JP; Horsmans, Y; Louis, E, 2001)
"A prospective randomized trial in patients with Crohn disease studied whether 6-thioguanine nucleotide (6-TGN) concentration-adapted azathioprine (AZA) therapy is clinically superior to a standard dose of 2."5.126-thioguanine nucleotide-adapted azathioprine therapy does not lead to higher remission rates than standard therapy in chronic active crohn disease: results from a randomized, controlled, open trial. ( Adler, G; Armstrong, VW; Behrens, C; Bias, P; Herfarth, H; Kruis, W; Oellerich, M; Reinshagen, M; Schütz, E; Shipkova, M; Stallmach, A; Stein, J; von Ahsen, N; von Tirpitz, C, 2007)
"Thiopurines (azathioprine, 6-mercaptopurine) are a mainstay of treatment in Crohn disease (CD)."3.80Thiopurine metabolite ratios for monitoring therapy in pediatric Crohn disease. ( Amre, D; Deslandres, C; Kopylov, U; Seidman, EG; Theoret, Y, 2014)
"6-Mercaptopurine (6-MP) and its prodrug azathioprine (AZA) have proven efficacy in the treatment of Crohn disease (CD)."3.71Therapeutic drug monitoring of azathioprine and 6-mercaptopurine metabolites in Crohn disease. ( Belaiche, J; Desager, JP; Horsmans, Y; Louis, E, 2001)
" For patients with severe ulcerative colitis (UC), steroid dosing has been clarified, and a mega-analysis of steroid outcomes and toxicities has been reported."2.44Optimizing drug therapy in inflammatory bowel disease. ( Kornbluth, A; Swaminath, A, 2007)
"We assessed the incidence and predictive factors of thiopurine-induced adverse events (AE) resulting in therapy cessation in pediatric inflammatory bowel disease (IBD), related to thiopurine metabolites and biochemical abnormalities, and determined overall drug survival."1.72Adverse Events of Thiopurine Therapy in Pediatric Inflammatory Bowel Disease and Correlations with Metabolites: A Cohort Study. ( Benninga, MA; Buiter, HJC; de Boer, NKH; de Meij, TGJ; Jagt, JZ; Pothof, CD; van Limbergen, JE; van Wijk, MP, 2022)

Research

Studies (16)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's8 (50.00)29.6817
2010's4 (25.00)24.3611
2020's4 (25.00)2.80

Authors

AuthorsStudies
Martín-Masot, R1
Ortiz Pérez, MP1
Ramos Rueda, N1
Serrano Nieto, J1
Blasco-Alonso, J1
Navas-López, VM1
Thomsen, SB1
Allin, KH1
Burisch, J1
Jensen, CB1
Hansen, S1
Gluud, LL1
Theede, K1
Kiszka-Kanowitz, M1
Nielsen, AM1
Jess, T1
Jagt, JZ1
Pothof, CD1
Buiter, HJC1
van Limbergen, JE1
van Wijk, MP1
Benninga, MA1
de Boer, NKH1
de Meij, TGJ1
Pospisilova, K1
Siroka, J1
Karaskova, E1
Hradsky, O1
Lerchova, T1
Zarubova, K1
Copova, I1
Gonsorcikova, L1
Velganova-Veghova, M1
Francova, I1
Urbanek, L1
Geryk, M1
Mihal, V1
Bronsky, J1
Kopylov, U2
Amre, D1
Theoret, Y1
Deslandres, C1
Seidman, EG2
Battat, R1
Benmassaoud, A1
Paradis-Surprenant, L1
Chua, EW1
Cree, S1
Barclay, ML1
Doudney, K1
Lehnert, K1
Aitchison, A1
Kennedy, MA1
Rahhal, RM1
Bishop, WP2
Haines, ML1
Ajlouni, Y1
Irving, PM1
Sparrow, MP1
Rose, R1
Gearry, RB1
Gibson, PR1
Wright, S1
Sanders, DS1
Lobo, AJ1
Lennard, L1
Goldenberg, BA1
Rawsthorne, P1
Bernstein, CN1
Wusk, B1
Kullak-Ublick, GA1
Rammert, C1
von Eckardstein, A1
Fried, M1
Rentsch, KM1
Banerjee, S1
Reinshagen, M1
Schütz, E1
Armstrong, VW1
Behrens, C1
von Tirpitz, C1
Stallmach, A1
Herfarth, H1
Stein, J1
Bias, P1
Adler, G1
Shipkova, M1
Kruis, W1
Oellerich, M1
von Ahsen, N1
Swaminath, A1
Kornbluth, A1
Belaiche, J1
Desager, JP1
Horsmans, Y1
Louis, E1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Pilot Study of Allopurinol As A Modifier of 6-MP Metabolism in Pediatric ALL[NCT02046694]Early Phase 134 participants (Actual)Interventional2014-01-06Completed
Manitoba Inflammatory Bowel Disease Cohort Study[NCT03262649]388 participants (Actual)Observational2002-03-01Completed
Chronotherapy in Inflammatory Bowel Disease[NCT04304950]Phase 428 participants (Actual)Interventional2016-04-25Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

6-Methylmercaptopurine Levels in Blood

This is to examine if the intervention results in a lower level of 6-Methylmercaptopurine in the participants. If so, the participants are expected to have less symptom severity. Comparing baseline taken at visit one to visit two levels 10 weeks after intervention start. (NCT04304950)
Timeframe: 10 weeks post baseline visit.

Interventionpmol/8 x 10 ^8 RBC (Mean)
Evening Group Medication Administration2395.27
Morning Group Medication Administration825.15

Harvey Bradshaw Activity Index

Harvey Bradshaw Activity Index has 5 questions. The final score is totaled and will fall into the following categories, which are used to define the severity of the disease: >16 severe diseases, 8-16 moderate disease, 5-7 mild disease, <5 remission. Scores range from 0 ( lowest possible score) to 17. (NCT04304950)
Timeframe: 10 weeks post baseline visit.

Interventionunits on a scale (Mean)
Evening Group Medication Administration2.15
Morning Group Medication Administration3.09

Munich Chronotype Questionnaire ( MCTQ)

This questionnaire is used to collect primary sleep times, such as bed- and rise-times, including the time a person is fully awake, sleep latency and inertia, in addition to other time points. The MCTQ uses the midpoint of sleep between sleep onset and offset to assess chronotype. Chronotype is your body's natural time to be awake or asleep at certain times. Total scores can range from 16 to 86, with the lowest values representing extreme-late chronotype. For this study corrected midpoint of sleep (MSFc) was calculated. This information is combined to determine the mean time of day at which respondents were more likely to feel most alert. The numbers provided in the outcome measure data table represent time (hour and minute). The hour has been converted to military time and the minutes were converted to decimals. (NCT04304950)
Timeframe: 10 weeks post baseline visit.

Interventionhours (Mean)
Evening Group Medication Administration3.70
Morning Group Medication Administraion2.57

Short Inflammatory Bowel Disease Questionnaire

Quality of Life Measure Score:1-7 (The higher the number the greater the quality of life) (NCT04304950)
Timeframe: 10 weeks post baseline visit.

Interventionunits on a scale (Mean)
Evening Group Medication Administration5.83
Morning Group Medication Administration5.91

Thioguanine Levels in Blood (Morning Versus Evening Dosing)

This is to examine if the intervention results in a greater level of thioguanine in the participants. If so, the participants are expected to have less symptom severity. Comparing baseline taken at visit one to visit two levels 10 weeks after intervention start. (NCT04304950)
Timeframe: 10 weeks post baseline visit.

Interventionpmol/8 x 10^8 RBC (Mean)
Evening Group Medication Administration175.04
Morning Group Medication Administration225.65

Reviews

1 review available for 6-methylthiopurine and Colitis, Granulomatous

ArticleYear
Optimizing drug therapy in inflammatory bowel disease.
    Current gastroenterology reports, 2007, Volume: 9, Issue:6

    Topics: Absorptiometry, Photon; Adalimumab; Adrenal Cortex Hormones; Anti-Inflammatory Agents, Non-Steroidal

2007

Trials

1 trial available for 6-methylthiopurine and Colitis, Granulomatous

ArticleYear
6-thioguanine nucleotide-adapted azathioprine therapy does not lead to higher remission rates than standard therapy in chronic active crohn disease: results from a randomized, controlled, open trial.
    Clinical chemistry, 2007, Volume: 53, Issue:7

    Topics: Adolescent; Adult; Aged; Chemical and Drug Induced Liver Injury; Crohn Disease; Dose-Response Relati

2007

Other Studies

14 other studies available for 6-methylthiopurine and Colitis, Granulomatous

ArticleYear
[Laboratory determination of thiopurine levels in paediatric patients with inflammatory bowel disease].
    Anales de pediatria, 2020, Volume: 93, Issue:1

    Topics: Adolescent; Child; Child, Preschool; Chromatography, Liquid; Colitis, Ulcerative; Crohn Disease; Dos

2020
Outcome of concomitant treatment with thiopurines and allopurinol in patients with inflammatory bowel disease: A nationwide Danish cohort study.
    United European gastroenterology journal, 2020, Volume: 8, Issue:1

    Topics: Adult; Allopurinol; Azathioprine; Colitis, Ulcerative; Crohn Disease; Denmark; Drug Therapy, Combina

2020
Adverse Events of Thiopurine Therapy in Pediatric Inflammatory Bowel Disease and Correlations with Metabolites: A Cohort Study.
    Digestive diseases and sciences, 2022, Volume: 67, Issue:1

    Topics: Adolescent; Antimetabolites; Azathioprine; Biomarkers, Pharmacological; Child; Cohort Studies; Colit

2022
Is It Useful to Monitor Thiopurine Metabolites in Pediatric Patients with Crohn's Disease on Combination Therapy? A Multicenter Prospective Observational Study.
    Paediatric drugs, 2021, Volume: 23, Issue:2

    Topics: Adolescent; Azathioprine; Biomarkers; Child; Crohn Disease; Drug Therapy, Combination; Female; Human

2021
Thiopurine metabolite ratios for monitoring therapy in pediatric Crohn disease.
    Journal of pediatric gastroenterology and nutrition, 2014, Volume: 59, Issue:4

    Topics: Adolescent; Azathioprine; Chemical and Drug Induced Liver Injury; Child; Crohn Disease; Female; Guan

2014
Hematologic indices as surrogate markers for monitoring thiopurine therapy in IBD.
    Digestive diseases and sciences, 2015, Volume: 60, Issue:2

    Topics: Anti-Inflammatory Agents; Azathioprine; Biomarkers; Colitis, Ulcerative; Crohn Disease; Cross-Sectio

2015
Exome sequencing and array-based comparative genomic hybridisation analysis of preferential 6-methylmercaptopurine producers.
    The pharmacogenomics journal, 2015, Volume: 15, Issue:5

    Topics: Adult; Azathioprine; Colitis, Ulcerative; Comparative Genomic Hybridization; Crohn Disease; DNA Copy

2015
Initial clinical experience with allopurinol-thiopurine combination therapy in pediatric inflammatory bowel disease.
    Inflammatory bowel diseases, 2008, Volume: 14, Issue:12

    Topics: Adolescent; Allopurinol; Antimetabolites; Child; Child, Preschool; Cohort Studies; Colitis, Ulcerati

2008
Clinical usefulness of therapeutic drug monitoring of thiopurines in patients with inadequately controlled inflammatory bowel disease.
    Inflammatory bowel diseases, 2011, Volume: 17, Issue:6

    Topics: Adolescent; Adult; Aged; Azathioprine; Chromatography, High Pressure Liquid; Colitis, Ulcerative; Cr

2011
Clinical significance of azathioprine active metabolite concentrations in inflammatory bowel disease.
    Gut, 2004, Volume: 53, Issue:8

    Topics: Adolescent; Adult; Aged; Alanine Transaminase; Antimetabolites, Antineoplastic; Azathioprine; Child;

2004
The utility of 6-thioguanine metabolite levels in managing patients with inflammatory bowel disease.
    The American journal of gastroenterology, 2004, Volume: 99, Issue:9

    Topics: Adult; Azathioprine; Biomarkers; Cohort Studies; Colitis, Ulcerative; Crohn Disease; Dose-Response R

2004
Therapeutic drug monitoring of thiopurine drugs in patients with inflammatory bowel disease or autoimmune hepatitis.
    European journal of gastroenterology & hepatology, 2004, Volume: 16, Issue:12

    Topics: Adolescent; Adult; Aged; Child; Child, Preschool; Chromatography, High Pressure Liquid; Cohort Studi

2004
Evolution of thiopurine use in pediatric inflammatory bowel disease in an academic center.
    Journal of pediatric gastroenterology and nutrition, 2006, Volume: 43, Issue:3

    Topics: Adolescent; Adult; Azathioprine; Child; Child, Preschool; Colitis, Ulcerative; Crohn Disease; Erythr

2006
Therapeutic drug monitoring of azathioprine and 6-mercaptopurine metabolites in Crohn disease.
    Scandinavian journal of gastroenterology, 2001, Volume: 36, Issue:1

    Topics: Adult; Azathioprine; Case-Control Studies; Crohn Disease; Drug Monitoring; Drug Therapy, Combination

2001