Page last updated: 2024-10-30

mesalamine and Proctocolitis

mesalamine has been researched along with Proctocolitis in 36 studies

Mesalamine: An anti-inflammatory agent, structurally related to the SALICYLATES, which is active in INFLAMMATORY BOWEL DISEASE. It is considered to be the active moiety of SULPHASALAZINE. (From Martindale, The Extra Pharmacopoeia, 30th ed)
mesalamine : A monohydroxybenzoic acid that is salicylic acid substituted by an amino group at the 5-position.

Proctocolitis: Inflammation of the RECTUM and the distal portion of the COLON.

Research Excerpts

ExcerptRelevanceReference
"The therapeutic efficacy of 1 g 5-aminosalicylic acid enema was compared with that of 90 mg hydrocortisone acetate foam following daily rectal administration to patients with idiopathic proctitis or proctosigmoiditis during two weeks."9.07[5-aminosalicylic acid enema (Pentasa) versus hydrocortisone acetate foam (Proctocort) for the treatment of outbreaks of proctitis and cryptogenetic proctosigmoiditis. A comparative randomized multicenter trial]. ( Ngô, Y; Rambaud, JC, 1992)
"The therapeutic efficacy of 1 g 5-aminosalicylic acid enema was compared with that of 90 mg hydrocortisone acetate foam following daily rectal administration to patients with idiopathic proctitis or proctosigmoiditis during two weeks."5.07[5-aminosalicylic acid enema (Pentasa) versus hydrocortisone acetate foam (Proctocort) for the treatment of outbreaks of proctitis and cryptogenetic proctosigmoiditis. A comparative randomized multicenter trial]. ( Ngô, Y; Rambaud, JC, 1992)
" The frequency of adverse events was comparable between groups, regardless of baseline 5-ASA use."2.82Baseline Oral 5-ASA Use and Efficacy and Safety of Budesonide Foam in Patients with Ulcerative Proctitis and Ulcerative Proctosigmoiditis: Analysis of 2 Phase 3 Studies. ( Bosworth, BP; Harper, JR; Rubin, DT; Sandborn, WJ, 2016)
"Balsalazide is a new-generation 5-ASA drug that yields a high concentration of active drug to the distal colon."2.71Prevention of acute radiation-induced proctosigmoiditis by balsalazide: a randomized, double-blind, placebo controlled trial in prostate cancer patients. ( Bettenhausen, D; Jahraus, CD; Malik, U; Sellitti, M; St Clair, WH, 2005)
" No dose-response relation was demonstrated."2.69Dose-ranging study of mesalamine (PENTASA) enemas in the treatment of acute ulcerative proctosigmoiditis: results of a multicentered placebo-controlled trial. The U.S. PENTASA Enema Study Group. ( Hanauer, SB, 1998)
"b."2.67Short-chain fatty acid enemas: a cost-effective alternative in the treatment of nonspecific proctosigmoiditis. ( Ebrom, JS; MacKeigan, JM; Scheider, M; Senagore, AJ, 1992)
"The same drugs are used to treat hemorrhagic rectocolitis (HRC) and Crohn's disease (CD), although the aims are very different."2.44[Treatment of chronic inflammatory bowel diseases]. ( Lémann, M, 2007)
"Distal ulcerative colitis (UC) is responsible for distressing symptoms and reduces quality of life (QoL)."1.72Real-world evidence of quality of life improvement in patients with distal ulcerative colitis treated by mesalazine: the Quartz study. ( Caron, B; Gonzalez, F; Paupard, T; Peyrin-Biroulet, L; Siproudhis, L, 2022)
"Organizing pneumonia is a rare extra-intestinal manifestation of UC."1.40[Organizing pneumonia during treatment with mesalazine]. ( Graffin, B; Michy, B; Raymond, S, 2014)
"Mesalazine-induced interstitial nephritis is a rare complication; however, the morbidity in an affected individual is high."1.35Mesalazine-induced interstitial nephritis. ( Dedek, P; Podhola, M; Pozler, O; Skalova, S, 2009)

Research

Studies (36)

TimeframeStudies, this research(%)All Research%
pre-19905 (13.89)18.7374
1990's11 (30.56)18.2507
2000's9 (25.00)29.6817
2010's9 (25.00)24.3611
2020's2 (5.56)2.80

Authors

AuthorsStudies
Paupard, T1
Gonzalez, F1
Caron, B1
Siproudhis, L1
Peyrin-Biroulet, L1
Dussouillez, G1
Zayet, S1
Kone, D1
Royer, PY1
Toko-Tchuindzie, L1
Ruyer, O1
Gendrin, V1
Choi, YS1
Kim, WJ1
Kim, JK1
Kim, DS1
Lee, DH1
Argyriou, K1
Samuel, S1
Moran, GW1
Yönal, O1
Hatemi, G1
Kaymakoğlu, S1
Michy, B1
Raymond, S1
Graffin, B1
Domínguez Jiménez, JL1
Pelado García, EM1
Copado Herrera, R1
Green, EK1
Ambrose, LR1
Webster, DP1
Atkinson, C1
Griffiths, P1
Murray, CD1
Goodman, AL1
Bosworth, BP1
Sandborn, WJ1
Rubin, DT1
Harper, JR1
Richter, JM1
Arshi, NK1
Oster, G1
Cortot, A1
Maetz, D1
Degoutte, E1
Delette, O1
Meunier, P1
Tan, G1
Cazals, JB1
Dewit, O1
Hebuterne, X1
Beorchia, S1
Grunberg, B1
Leprince, E1
D'Haens, G1
Forestier, S1
Idier, I1
Lémann, M2
Skalova, S1
Dedek, P1
Pozler, O1
Podhola, M1
Peltonen, S1
Kankuri-Tammilehto, M1
Chermesh, I1
Eliakim, R1
Regueiro, MD1
Jahraus, CD1
Bettenhausen, D1
Malik, U1
Sellitti, M1
St Clair, WH1
Shaffer, JL1
Kershaw, A1
Berrisford, MH1
Karvonen, AL1
Matikainen, M1
Turunen, U1
Beno, I1
Staruchová, M1
Volkovová, K1
Mekinová, D1
Bobek, P1
Jurcovicová, M1
Borum, ML1
Ginsberg, A1
Hanauer, SB1
Gionchetti, P1
Rizzello, F1
Venturi, A1
Brignola, C1
Ferretti, M1
Peruzzo, S1
Campieri, M2
Cutrufo, C1
Evangelista, S1
Cirillo, R1
Ciucci, A1
Conte, B1
Lopez, G1
Manzini, S1
Maggi, CA1
Allgayer, H1
Böhne, P1
Kruis, W1
Ardizzone, S1
Doldo, P1
Ranzi, T2
Sturniolo, GC1
Giglio, LA1
Annese, V1
D'Arienzo, A1
Gaia, E1
Gullini, S1
Riegler, G1
Valentini, M1
Massa, P1
Del Piano, M1
Rossini, F1
Guidetti, CS1
Pera, A1
Greinwald, R1
Bianchi Porro, G2
Bitton, A1
Senagore, AJ1
MacKeigan, JM1
Scheider, M1
Ebrom, JS1
Ngô, Y1
Rambaud, JC1
De Franchis, R1
Brunetti, G1
Barbara, L1
Sutherland, LR2
Martin, F2
McPhee, MS1
Swan, JT1
Biddle, WL1
Greenberger, NJ1
Greer, S1
Robinson, M1
Greenberger, N1
Saibil, F1
Martin, T1
Sparr, J1
Prokipchuk, E1
Borgen, L1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
QUality of Life in pAtients With Mild to modeRate Active procTitis Treated by mesalaZine (Pentasa®)[NCT02368743]117 participants (Actual)Observational2015-12-31Completed
A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Assess the Efficacy and Safety of Budesonide Foam (2 mg/25 mL BID for 2 Weeks, Followed by 2 mg/25 mL QD for 4 Weeks) Versus Placebo in Subjects With Active Mild to Moderate Ulc[NCT01008410]Phase 3265 participants (Actual)Interventional2009-11-17Completed
A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Assess the Efficacy and Safety of Budesonide Foam (2 mg/25 mL BID for 2 Weeks, Followed by 2 mg/25 mL QD for 4 Weeks) Versus Placebo in Subjects With Active Mild to Moderate Ulc[NCT01008423]Phase 3281 participants (Actual)Interventional2009-11-20Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Percentage of Participants Who Achieved >=3 Point Improvement From Baseline in the MMDAI Total Score Including Improvement of >=1 Point From Baseline in the MMDAI Rectal Bleeding Subscale Score and MMDAI Endoscopy Subscale at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. BF subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. PGA subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. Endoscopy subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. MMDAI total score ranged from 0-12, where higher score indicated severe disease. Missing data was imputed using LOCF method. (NCT01008410)
Timeframe: Week 6

Interventionpercentage of participants (Number)
Budesonide52.6
Placebo37.9

Percentage of Participants Who Achieved a Rectal Bleeding MMDAI Subscale Score of 0 at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices:stool frequency, rectal bleeding, physician's global assessment and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding MMDAI subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. Missing data was imputed using LOCF method. (NCT01008410)
Timeframe: Week 6

Interventionpercentage of participants (Number)
Budesonide46.6
Placebo28.0

Percentage of Participants Who Achieved a Score of 0 for Rectal Bleeding Subscale and a Combined Score of <=2 for Bowel Frequency and Physician's Global Assessment (PGA) in the MMDAI Subscales at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. Bowel frequency (BF) subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. PGA subscore ranged from 0-3, where 0 indicated normal disease and 3 indicated severe disease. Missing data was imputed using LOCF method. (NCT01008410)
Timeframe: Week 6

Interventionpercentage of participants (Number)
Budesonide41.4
Placebo25.8

Percentage of Participants Who Achieved an Endoscopy MMDAI Subscale Score of 0 or 1 at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, physician's global assessment and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Endoscopy subscale ranged from 0-3, where 0 = normal or inactive disease, 1 = mild disease, 2 = moderate disease and 3 = severe disease (spontaneous bleeding, ulceration). Percentage of participants with normal or mild disease have been presented in this outcome measure. Missing data was imputed using LOCF method. (NCT01008410)
Timeframe: Week 6

Interventionpercentage of participants (Number)
Budesonide55.6
Placebo43.2

Percentage of Participants Who Achieved an MMDAI Total Score of <= 3 With Greater Than or Equal to (>=2) Points of Improvement From Baseline at the End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, physician's global assessment and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. BF subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. Physician global assessment (PGA) subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. Endoscopy subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. MMDAI total score ranged from 0-12, where higher score indicated severe disease. Missing data was imputed using LOCF method. (NCT01008410)
Timeframe: Week 6

Interventionpercentage of participants (Number)
Budesonide45.9
Placebo30.3

Percentage of Participants Who Achieved Improvement of >=1 Point From Baseline in the MMDAI Endoscopy Subscale Score at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Endoscopy subscore ranged from 0-3, where 0 = normal or inactive disease, 1 = mild disease (erythema, decreased vascular pattern), 2 = moderate disease (marked erythema, absent vascular pattern, friability, erosions), and 3 = severe disease (spontaneous bleeding, ulceration). Missing data was imputed using LOCF method. (NCT01008410)
Timeframe: Week 6

Interventionpercentage of participants (Number)
Budesonide57.1
Placebo47.7

Percentage of Participants Who Achieved Improvement of >=1 Point From Baseline in the MMDAI Rectal Bleeding Subscale Score at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding MMDAI subscore ranged from 0-3, where 0 = no blood seen, 1 = streaks of blood with stool less than half the time, 2 = obvious blood with stool most of the time, and 3 indicated blood alone passed. Missing data was imputed using LOCF method. (NCT01008410)
Timeframe: Week 6

Interventionpercentage of participants (Number)
Budesonide70.7
Placebo53.0

Percentage of Participants Who Achieved Remission

Remission was a combined assessment of clinical and endoscopic variables, defined as an endoscopy score of less than or equal to (<=) 1, a rectal bleeding score of 0, and an improvement or no change from baseline in stool frequency subscales of the Modified Mayo Disease Activity Index (MMDAI) at the end of 6 weeks of treatment. MMDAI was used to assess the overall disease activity for each participant. MMDAI evaluated 4 indices: stool frequency, rectal bleeding, physician's global assessment (PGA) and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Stool frequency MMDAI subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. Rectal bleeding MMDAI subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. Endoscopy MMDAI subscore ranged from 0-3, where 0 indicated normal or inactive disease and 3 indicated severe disease (spontaneous bleeding, ulceration). (NCT01008410)
Timeframe: Week 6

Interventionpercentage of participants (Number)
Budesonide38.3
Placebo25.8

Mean Change From Baseline to Week 6 in MMDAI Total Score and Subscale Scores

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. BF subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. PGA subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. Endoscopy subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. MMDAI total score ranged from 0-12, where higher score indicated severe disease. Missing data was imputed using LOCF method. (NCT01008410)
Timeframe: Baseline, Week 6

,
Interventionunit on a scale (Mean)
Bowel frequency score: BaselineBowel frequency score: Change at Week 6Rectal Bleeding score:BaselineRectal Bleeding score: Change at Week 6PGA score:BaselinePGA score: Change at Week 6Endoscopy score:BaselineEndoscopy score: Change at Week 6Total score:BaselineTotal score: Change at Week 6
Budesonide1.8-0.72.1-1.21.8-0.82.1-0.87.8-3.5
Placebo1.9-0.52.1-0.81.8-0.52.1-0.57.9-2.4

Number of Scheduled Assessments With Rectal Bleeding Responder Classification

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, physician's global assessment and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding MMDAI subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. Percentage of participants who were rectal bleeding responder at scheduled assessments were reported. Rectal bleeding responders were defined as those participants who achieved a rectal bleeding MMDAI subscale score of 0 during the treatment period. Missing data was imputed using LOCF method. (NCT01008410)
Timeframe: Weeks 1, 2, 4, and 6

,
Interventionpercentage of participants (Number)
Responder at 1 AssessmentResponder at 2 AssessmentResponder at 3 AssessmentResponder at 4 Assessment
Budesonide12.018.821.16.0
Placebo13.613.610.61.5

Percentage of Participants Who Achieved >=3 Point Improvement From Baseline in the MMDAI Total Score Including Improvement of >=1 Point From Baseline in the MMDAI Rectal Bleeding Subscale Score and MMDAI Endoscopy Subscale at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. BF subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. PGA subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. Endoscopy subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. MMDAI total score ranged from 0-12, where higher score indicated severe disease. Missing data was imputed using LOCF method. (NCT01008423)
Timeframe: Week 6

Interventionpercentage of participants (Number)
Budesonide53.7
Placebo34.0

Percentage of Participants Who Achieved a Rectal Bleeding MMDAI Subscale Score of 0 at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices:stool frequency, rectal bleeding, physician's global assessment and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding MMDAI subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. Missing data was imputed using LOCF method. (NCT01008423)
Timeframe: Week 6

Interventionpercentage of participants (Number)
Budesonide50.0
Placebo28.6

Percentage of Participants Who Achieved a Score of 0 for Rectal Bleeding Subscale and a Combined Score of <=2 for Bowel Frequency (BF) and Physician's Global Assessment (PGA) in the MMDAI Subscales at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. BF subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. PGA subscore ranged from 0-3, where 0 indicated normal disease and 3 indicated severe disease. Missing data was imputed using LOCF method. (NCT01008423)
Timeframe: Week 6

Interventionpercentage of participants (Number)
Budesonide46.3
Placebo23.8

Percentage of Participants Who Achieved an Endoscopy MMDAI Subscale Score of 0 or 1 at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, physician's global assessment and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Endoscopy subscale ranged from 0-3, where 0 = normal or inactive disease, 1 = mild disease, 2 = moderate disease and 3 = severe disease (spontaneous bleeding, ulceration). Percentage of participants with normal or mild disease have been presented in this outcome measure. Missing data was imputed using LOCF method. (NCT01008423)
Timeframe: Week 6

Interventionpercentage of participants (Number)
Budesonide56.0
Placebo36.7

Percentage of Participants Who Achieved an MMDAI Total Score of <= 3 With Greater Than or Equal to (>=2) Points of Improvement From Baseline at the End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. BF subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. PGA subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. Endoscopy subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. MMDAI total score ranged from 0-12, where higher score indicated severe disease. Missing data was imputed using LOCF method. (NCT01008423)
Timeframe: Week 6

Interventionpercentage of participants (Number)
Budesonide49.3
Placebo28.6

Percentage of Participants Who Achieved Improvement of >=1 Point From Baseline in the MMDAI Endoscopy Subscale Score at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Endoscopy subscore ranged from 0-3, where 0 = normal or inactive disease, 1 = mild disease (erythema, decreased vascular pattern), 2 = moderate disease (marked erythema, absent vascular pattern, friability, erosions), and 3 = severe disease (spontaneous bleeding, ulceration). Missing data was imputed using LOCF method. (NCT01008423)
Timeframe: Week 6

Interventionpercentage of participants (Number)
Budesonide57.5
Placebo38.8

Percentage of Participants Who Achieved Improvement of >=1 Point From Baseline in the MMDAI Rectal Bleeding Subscale Score at End of Week 6

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding MMDAI subscore ranged from 0-3, where 0 = no blood seen, 1 = streaks of blood with stool less than half the time, 2 = obvious blood with stool most of the time, and 3 indicated blood alone passed. Missing data was imputed using LOCF method. (NCT01008423)
Timeframe: Week 6

Interventionpercentage of participants (Number)
Budesonide72.4
Placebo56.5

Percentage of Participants Who Achieved Remission

Remission was a combined assessment of clinical and endoscopic variables, defined as an endoscopy score of less than or equal to (<=) 1, a rectal bleeding score of 0, and an improvement or no change from baseline in stool frequency subscales of the Modified Mayo Disease Activity Index (MMDAI) at the end of 6 weeks of treatment. MMDAI was used to assess the overall disease activity for each participant. MMDAI evaluated 4 indices: stool frequency, rectal bleeding, physician's global assessment (PGA) and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Stool frequency MMDAI subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. Rectal bleeding MMDAI subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. Endoscopy MMDAI subscore ranged from 0-3, where 0 indicated normal or inactive disease and 3 indicated severe disease (spontaneous bleeding, ulceration). (NCT01008423)
Timeframe: Week 6

Interventionpercentage of participants (Number)
Budesonide44.0
Placebo22.4

Mean Change From Baseline to Week 6 in MMDAI Total Score and Subscale Scores

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. BF subscore ranged from 0-3, where 0 indicated normal number of stools per day and 3 indicated 5 or more stools than normal. PGA subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. Endoscopy subscore ranged from 0-3, where 0 indicated normal and 3 indicated severe disease. MMDAI total score ranged from 0-12, where higher score indicated severe disease. Missing data was imputed using LOCF method. (NCT01008423)
Timeframe: Baseline, Week 6

,
Interventionunit on a scale (Mean)
Bowel frequency score: BaselineBowel frequency score: Change at Week 6Rectal Bleeding score:BaselineRectal Bleeding score: Change at Week 6PGA score:BaselinePGA score: Change at Week 6Endoscopy score:BaselineEndoscopy score: Change at Week 6Total score:BaselineTotal score: Change at Week 6
Budesonide1.7-0.82.1-1.32.0-0.92.1-0.97.9-3.8
Placebo1.8-0.52.1-0.92.0-0.62.1-0.58.0-2.5

Number of Scheduled Assessments With Rectal Bleeding Responder Classification

The MMDAI was used to assess the overall disease activity for each participant. The MMDAI evaluated 4 indices: stool frequency, rectal bleeding, PGA and endoscopy findings each on a scale of 0 to 3 with a maximum total score of 12. Rectal bleeding MMDAI subscore ranged from 0-3, where 0 indicated no blood seen and 3 indicated blood alone passed. Percentage of participants who were rectal bleeding responder at scheduled assessments were reported. Rectal bleeding responders were defined as those participants who achieved a rectal bleeding MMDAI subscale score of 0 during the treatment period. Missing data was imputed using LOCF method. (NCT01008423)
Timeframe: Weeks 1, 2, 4, and 6

,
Interventionpercentage of participants (Number)
Responder at 1 assessmentResponder at 2 assessmentResponder at 3 assessmentResponder at 4 assessment
Budesonide8.216.421.613.4
Placebo18.417.07.52.0

Reviews

6 reviews available for mesalamine and Proctocolitis

ArticleYear
Should maintenance therapy be performed in ulcerative proctitis? How long should it be continued?
    The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology, 2012, Volume: 23 Suppl 2

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Colitis, Ulcerative; Enema; Humans; Mesalamine; Proctocolit

2012
Diagnosis and treatment of ulcerative proctitis.
    Journal of clinical gastroenterology, 2004, Volume: 38, Issue:9

    Topics: Acute Disease; Diagnosis, Differential; Diarrhea; Hemorrhage; Humans; Mesalamine; Proctocolitis; Rec

2004
[Treatment of chronic inflammatory bowel diseases].
    Bulletin de l'Academie nationale de medecine, 2007, Volume: 191, Issue:6

    Topics: Adolescent; Adrenal Cortex Hormones; Adult; Anti-Bacterial Agents; Anti-Inflammatory Agents, Non-Ste

2007
[Changing treatment of inflammatory bowel diseases].
    Duodecim; laaketieteellinen aikakauskirja, 1994, Volume: 110, Issue:20

    Topics: Adrenal Cortex Hormones; Aminosalicylic Acids; Anti-Inflammatory Agents; Anti-Inflammatory Agents, N

1994
Hypersensitivity to 5-ASA suppositories.
    Digestive diseases and sciences, 1997, Volume: 42, Issue:5

    Topics: Administration, Rectal; Aminosalicylic Acids; Anti-Inflammatory Agents, Non-Steroidal; Drug Hypersen

1997
Medical management of ulcerative proctitis, proctosigmoiditis, and left-sided colitis.
    Seminars in gastrointestinal disease, 2001, Volume: 12, Issue:4

    Topics: Administration, Oral; Administration, Rectal; Administration, Topical; Adult; Anti-Inflammatory Agen

2001

Trials

12 trials available for mesalamine and Proctocolitis

ArticleYear
Baseline Oral 5-ASA Use and Efficacy and Safety of Budesonide Foam in Patients with Ulcerative Proctitis and Ulcerative Proctosigmoiditis: Analysis of 2 Phase 3 Studies.
    Inflammatory bowel diseases, 2016, Volume: 22, Issue:8

    Topics: Administration, Oral; Administration, Rectal; Adult; Anti-Inflammatory Agents, Non-Steroidal; Budeso

2016
Baseline Oral 5-ASA Use and Efficacy and Safety of Budesonide Foam in Patients with Ulcerative Proctitis and Ulcerative Proctosigmoiditis: Analysis of 2 Phase 3 Studies.
    Inflammatory bowel diseases, 2016, Volume: 22, Issue:8

    Topics: Administration, Oral; Administration, Rectal; Adult; Anti-Inflammatory Agents, Non-Steroidal; Budeso

2016
Baseline Oral 5-ASA Use and Efficacy and Safety of Budesonide Foam in Patients with Ulcerative Proctitis and Ulcerative Proctosigmoiditis: Analysis of 2 Phase 3 Studies.
    Inflammatory bowel diseases, 2016, Volume: 22, Issue:8

    Topics: Administration, Oral; Administration, Rectal; Adult; Anti-Inflammatory Agents, Non-Steroidal; Budeso

2016
Baseline Oral 5-ASA Use and Efficacy and Safety of Budesonide Foam in Patients with Ulcerative Proctitis and Ulcerative Proctosigmoiditis: Analysis of 2 Phase 3 Studies.
    Inflammatory bowel diseases, 2016, Volume: 22, Issue:8

    Topics: Administration, Oral; Administration, Rectal; Adult; Anti-Inflammatory Agents, Non-Steroidal; Budeso

2016
Mesalamine foam enema versus mesalamine liquid enema in active left-sided ulcerative colitis.
    The American journal of gastroenterology, 2008, Volume: 103, Issue:12

    Topics: Administration, Rectal; Adolescent; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-St

2008
Prevention of acute radiation-induced proctosigmoiditis by balsalazide: a randomized, double-blind, placebo controlled trial in prostate cancer patients.
    International journal of radiation oncology, biology, physics, 2005, Dec-01, Volume: 63, Issue:5

    Topics: Acute Disease; Aged; Aminosalicylic Acids; Anti-Ulcer Agents; Colon, Sigmoid; Double-Blind Method; H

2005
Dose-ranging study of mesalamine (PENTASA) enemas in the treatment of acute ulcerative proctosigmoiditis: results of a multicentered placebo-controlled trial. The U.S. PENTASA Enema Study Group.
    Inflammatory bowel diseases, 1998, Volume: 4, Issue:2

    Topics: Acute Disease; Adult; Analysis of Variance; Anti-Inflammatory Agents, Non-Steroidal; Colitis, Ulcera

1998
Comparison of mesalazine suppositories in proctitis and distal proctosigmoiditis.
    Alimentary pharmacology & therapeutics, 1997, Volume: 11, Issue:6

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Drug Administration Schedule; Female; Humans; Male;

1997
Mesalazine foam (Salofalk foam) in the treatment of active distal ulcerative colitis. A comparative trial vs Salofalk enema. The SAF-3 study group.
    Italian journal of gastroenterology and hepatology, 1999, Volume: 31, Issue:8

    Topics: Administration, Topical; Adult; Anti-Inflammatory Agents, Non-Steroidal; Colitis, Ulcerative; Cross-

1999
Short-chain fatty acid enemas: a cost-effective alternative in the treatment of nonspecific proctosigmoiditis.
    Diseases of the colon and rectum, 1992, Volume: 35, Issue:10

    Topics: Adult; Aminosalicylic Acids; Cost-Benefit Analysis; Enema; Fatty Acids, Volatile; Female; Humans; Hy

1992
[5-aminosalicylic acid enema (Pentasa) versus hydrocortisone acetate foam (Proctocort) for the treatment of outbreaks of proctitis and cryptogenetic proctosigmoiditis. A comparative randomized multicenter trial].
    Gastroenterologie clinique et biologique, 1992, Volume: 16, Issue:6-7

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Aminosalicylic Acids; Enema; Female; Humans; Hydrocortis

1992
Mesalazine (5-aminosalicylic acid) suppositories in the treatment of ulcerative proctitis or distal proctosigmoiditis. A randomized controlled trial.
    Scandinavian journal of gastroenterology, 1990, Volume: 25, Issue:7

    Topics: Adult; Aminosalicylic Acids; Colitis; Double-Blind Method; Female; Humans; Male; Mesalamine; Multice

1990
Mesalamine for ulcerative colitis.
    The Medical letter on drugs and therapeutics, 1988, May-20, Volume: 30, Issue:766

    Topics: Aminosalicylic Acids; Clinical Trials as Topic; Colitis, Ulcerative; Dose-Response Relationship, Dru

1988
Proctocolitis unresponsive to conventional therapy. Response to 5-aminosalicylic acid enemas.
    Digestive diseases and sciences, 1987, Volume: 32, Issue:12 Suppl

    Topics: Adult; Aminosalicylic Acids; Clinical Trials as Topic; Colitis; Enema; Female; Follow-Up Studies; Hu

1987
5-Aminosalicylic acid enema in the treatment of distal ulcerative colitis, proctosigmoiditis, and proctitis.
    Gastroenterology, 1987, Volume: 92, Issue:6

    Topics: Adult; Aminosalicylic Acids; Colitis; Colitis, Ulcerative; Enema; Female; Humans; Male; Mesalamine;

1987

Other Studies

18 other studies available for mesalamine and Proctocolitis

ArticleYear
Real-world evidence of quality of life improvement in patients with distal ulcerative colitis treated by mesalazine: the Quartz study.
    European journal of gastroenterology & hepatology, 2022, 12-01, Volume: 34, Issue:12

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Colitis, Ulcerative; Humans; Inflammatory Bowel Diseases; M

2022
[Tuberculous liver abscess, anti-TNF alpha, and immune reconstitution inflammatory syndrome].
    Medecine et maladies infectieuses, 2020, Volume: 50, Issue:1

    Topics: Adalimumab; Adult; Antirheumatic Agents; Antitubercular Agents; Drug Substitution; Drug Therapy, Com

2020
Efficacy of topical 5-aminosalicylate monotherapy in patients with ulcerative proctitis with skip inflammation.
    Journal of gastroenterology and hepatology, 2018, Volume: 33, Issue:6

    Topics: Administration, Ophthalmic; Administration, Topical; Adolescent; Adult; Aged; Aged, 80 and over; Ant

2018
Acetarsol in the management of mesalazine-refractory ulcerative proctitis: a tertiary-level care experience.
    European journal of gastroenterology & hepatology, 2019, Volume: 31, Issue:2

    Topics: Administration, Rectal; Adult; Anti-Inflammatory Agents; Arsenicals; Drug Resistance; Drug Substitut

2019
[Organizing pneumonia during treatment with mesalazine].
    Revue des maladies respiratoires, 2014, Volume: 31, Issue:1

    Topics: Aged; Anti-Inflammatory Agents; Humans; Male; Mesalamine; Pneumonia; Proctocolitis; Pulmonary Eosino

2014
[Mesalazine-induced acute hepatitis].
    Gastroenterologia y hepatologia, 2015, Volume: 38, Issue:4

    Topics: Administration, Oral; Alanine Transaminase; Anti-Inflammatory Agents, Non-Steroidal; Chemical and Dr

2015
Intractable diarrhoea despite immune reconstitution in an HIV positive man.
    Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 2015, Volume: 69

    Topics: Adult; Anti-Bacterial Agents; Anti-Inflammatory Agents, Non-Steroidal; CD4 Lymphocyte Count; Cytomeg

2015
Oral 5-Aminosalicylate, Mesalamine Suppository, and Mesalamine Enema as Initial Therapy for Ulcerative Proctitis in Clinical Practice with Quality of Care Implications.
    Canadian journal of gastroenterology & hepatology, 2016, Volume: 2016

    Topics: Administration, Oral; Adolescent; Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Ster

2016
[Treating distal ulcerative colitis intrarectally. Foam instead of enema, low volume rather than high volume].
    MMW Fortschritte der Medizin, 2008, Apr-10, Volume: 150, Issue:15

    Topics: Administration, Rectal; Budesonide; Colitis, Ulcerative; Enema; Humans; Hydrocortisone; Mesalamine;

2008
Mesalazine-induced interstitial nephritis.
    Renal failure, 2009, Volume: 31, Issue:2

    Topics: Adolescent; Anti-Inflammatory Agents, Non-Steroidal; Humans; Male; Mesalamine; Nephritis, Interstiti

2009
Brooke-Spiegler syndrome associated with ulcerative rectosigmoiditis.
    Acta dermato-venereologica, 2013, Volume: 93, Issue:1

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Female; Humans; Mesalamine; Neoplastic Syndromes, He

2013
Mesalazine-induced reversible infertility in a young male.
    Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver, 2004, Volume: 36, Issue:8

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Humans; Infertility, Male; Male; Mesalamine; Proctoc

2004
[Intestinal mucosa as the focal point. In distal ulcerative colitis relief with topical therapy].
    MMW Fortschritte der Medizin, 2004, Jun-03, Volume: 146, Issue:23

    Topics: Administration, Rectal; Anti-Inflammatory Agents, Non-Steroidal; Colitis, Ulcerative; Dosage Forms;

2004
Sulphasalazine-induced infertility reversed on transfer to 5-aminosalicylic acid.
    Lancet (London, England), 1984, Jun-02, Volume: 1, Issue:8388

    Topics: Adult; Aminosalicylic Acids; Delayed-Action Preparations; Humans; Infertility, Male; Male; Mesalamin

1984
[Activity of the antioxidant system in patients with idiopathic proctocolitis and the effect of 5-aminosalicylic acid (Salofalk)].
    Bratislavske lekarske listy, 1994, Volume: 95, Issue:3

    Topics: Adult; Aminosalicylic Acids; Antioxidants; Catalase; Female; Glutathione; Glutathione Peroxidase; Hu

1994
Effect of MEN 11467, a new tachykinin NK1 receptor antagonist, in acute rectocolitis induced by acetic acid in guinea-pigs.
    European journal of pharmacology, 1999, Jun-18, Volume: 374, Issue:2

    Topics: Acetic Acid; Acute Disease; Administration, Rectal; Animals; Anti-Inflammatory Agents, Non-Steroidal

1999
Drug-induced fibrosing colonopathy in inflammatory bowel disease after 5-ASA?
    Digestive diseases and sciences, 1999, Volume: 44, Issue:8

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Colonic Diseases; Fibrosis; Humans; Mesalamine; Proctocolit

1999
Enemas for IBD maintenance therapy.
    Digestive diseases and sciences, 1989, Volume: 34, Issue:5

    Topics: Aminosalicylic Acids; Colitis; Enema; Humans; Mesalamine; Proctocolitis

1989