Page last updated: 2024-11-04

sulfasalazine and Hematologic Diseases

sulfasalazine has been researched along with Hematologic Diseases in 14 studies

Sulfasalazine: A drug that is used in the management of inflammatory bowel diseases. Its activity is generally considered to lie in its metabolic breakdown product, 5-aminosalicylic acid (see MESALAMINE) released in the colon. (From Martindale, The Extra Pharmacopoeia, 30th ed, p907)
sulfasalazine : An azobenzene consisting of diphenyldiazene having a carboxy substituent at the 4-position, a hydroxy substituent at the 3-position and a 2-pyridylaminosulphonyl substituent at the 4'-position.

Hematologic Diseases: Disorders of the blood and blood forming tissues.

Research Excerpts

ExcerptRelevanceReference
"Prednisone use was associated with higher mortality [HR = 3."1.46Five-year Safety Data From ENCORE, a European Observational Safety Registry for Adults With Crohn's Disease Treated With Infliximab [Remicade®] or Conventional Therapy. ( Boice, J; Colombel, JF; Cornillie, F; D'Haens, G; Ghosh, S; Hommes, DW; Huang, Z; Huyck, S; Lindgren, S; Panes, J; Prantera, C; Reinisch, W, 2017)
"Four with Felty's syndrome developed a further fall in the total WBC associated with thrombocytopenia in two."1.28Sulphasalazine in rheumatoid arthritis: haematological problems and changes in haematological indices associated with therapy. ( Bacon, PA; Farr, M; Scott, DG; Symmons, DP; Tunn, EJ, 1989)

Research

Studies (14)

TimeframeStudies, this research(%)All Research%
pre-199010 (71.43)18.7374
1990's2 (14.29)18.2507
2000's1 (7.14)29.6817
2010's1 (7.14)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
D'Haens, G1
Reinisch, W1
Colombel, JF1
Panes, J1
Ghosh, S1
Prantera, C1
Lindgren, S1
Hommes, DW1
Huang, Z1
Boice, J1
Huyck, S1
Cornillie, F1
Sugii, S1
Wheelan, KR1
Cooper, B1
Stone, MJ1
Danielson, DA1
Douglas, SW1
Herzog, P1
Jick, H1
Porter, JB1
Miller, B1
Pounder, RE1
Craven, ER1
Henthorn, JS1
Bannatyne, JM1
Donovan, S1
Hawley, S1
MacCarthy, J1
Scott, DL1
Porter, DR1
Capell, HA1
Farr, M1
Tunn, EJ1
Symmons, DP1
Scott, DG1
Bacon, PA1
Hopkinson, ND1
Saiz Garcia, F1
Gumpel, JM1
Taggart, AJ1
Pinals, RS1
Kater, F1
Collins, JR1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Crohn's Disease European Registry. A Prospective, Observational, Postmarketing Safety Surveillance Registry of Patients Treated With Remicade® or Standard Therapy[NCT00705614]2,662 participants (Actual)Observational2003-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participant Fatalities

The number of participant fatalities was evaluated throughout the study. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade30
Standard Therapy14
Switched to Remicade4

Number of Participants With Demyelinating Neurological Disorders

The number of participants with demyelinating neurological disorders was evaluated. Demyelinating neurological disorders were defined as multiple sclerosis, optic neuritis, peripheral syndromes such as peripheral neuropathy, mononeuropathy multipex, cranial neuropathies, Guillain-Barré syndrome, chronic inflammatory demyelinating polyradiculoneuropathy, and transverse myelitis. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade4
Standard Therapy1
Switched to Remicade0

Number of Participants With Hematologic Conditions

The number of participants wtih hematologic conditions was evaluated. A hematologic condition was defined as thrombocytopenia, neutropenia, pancytopenia, granulocytopenia, leukopenia, or aplastic anemia. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade50
Standard Therapy11
Switched to Remicade7

Number of Participants With Infusion-Related Reactions/Hypersensitivity

The number of participants with infusion-related reactions and/or hypersensitivity was evaluated. An infuson-related reaction/hypersensitivity was defined as as an acute reaction, including anaphylactic shock that occurs after the onset of the infusion or within the 1- to 2-hour observation period following the end of the infusion. Delayed hypersensitivity reactions (myalgia and/or arthralgia with fever and rash within 14 days of the infusion) were included. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade173
Standard Therapy1
Switched to Remicade28

Number of Participants With Lymphoproliferative Disorders/Malignancies

The number of participants wtih lymphoproliferative disorders and/or malignancies was evaluated. A lymphoproliferative disorder and /or malignancy included, but was not limited to, lymphoma, gastrointestinal cancer, skin cancer (including basocellular and squamous carcinoma, melanoma) and in situ cervical carcinoma. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade49
Standard Therapy21
Switched to Remicade8

Number of Participants With New or Worsening Congestive Heart Failure

The number of participants with new or worsening congestive heart failure was evaluated throughout the study. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade1
Standard Therapy1
Switched to Remicade0

Number of Participants With Serious Infections

The number of participants experiencing serious infections was evaluated. Serious infections included, but were not limited to, tuberculosis, opportunistic infections (such as Pneumocystis carinii [PCP] pneumonia, listeriosis, atypical mycobacteria, and histoplasmosis), salmonellosis,and serious viral infections. (NCT00705614)
Timeframe: Up to 5 Years

InterventionParticipants (Number)
Remicade132
Standard Therapy47
Switched to Remicade18

Duration of Participant Hospital Stays for Crohn's Disease in the Prior 6 Months

The duration of hospital stays for Crohn's Disease in the prior 6 months was evaluated at each study visit. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionDays (Mean)
Visit 1 (Baseline; n=657,418 ,0)Visit 2 (n=304,126, 33)Visit 3 (n=216, 58, 35)Visit 4 (n=151, 60, 24)Visit 5 (n=105, 35, 34)Visit 6 (n=107, 49, 19)Visit 7 (n=109, 45, 25)Visit 8 (n=98, 29, 23)Visit 9 (n=80, 38, 17)Visit 10 (n=85, 29, 27)Visit 11 (n=63, 19, 18)
Remicade12.214.414.212.611.710.810.69.512.410.111.4
Standard Therapy10.812.09.48.59.813.710.216.36.98.08.7
Switched to RemicadeNA13.013.59.17.118.310.014.710.79.018.1

Number of Participant Hospital Stays for Crohn's Disease in the Prior 6 Months

The number of participant hospital stays for Crohn's Disease in the prior 6 months was evaluated at each study visit. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionHospital Stays (Mean)
Visit 1 (Baseline; n=1539, 1121, 0)Visit 2 (n=1418, 920, 100)Visit 3 (n=1334, 827, 152)Visit 4 (n=1285, 779, 168)Visit 5 (n=1221, 714, 188)Visit 6 (n=1170, 665, 208)Visit 7 (n=1111, 615, 219)Visit 8 (n=1099, 589, 233)Visit 9 (n=1046, 562, 229)Visit 10 (n=1031, 535, 235)Visit 11 (n=1006, 541, 248)
Remicade0.70.30.30.20.10.10.10.10.10.10.1
Standard Therapy0.50.20.10.20.10.10.10.10.10.10.1
Switched to RemicadeNA0.50.40.20.30.10.20.10.10.10.1

Number of Participant Surgical Procedures for Crohn's Disease in the Prior 6 Months

The number of participants undergoing surgical procedures for Crohn's Disease in the prior 6 months was evaluated at each study visit. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionSurgical Procedures (Number)
Visit 1 (Basline; n=660, 419, 0)Visit 2 (n=304, 126, 33)Visit 3 (n=217, 57, 36)Visit 4 (n=153, 60, 24)Visit 5 (n=106, 36, 34)Visit 6 (n=108, 49, 19)Visit 7 (n=109, 45, 25)Visit 8 (n=98, 29, 23)Visit 9 (n=82, 38, 17)Visit 10 (n=85, 29, 27)Visit 11 (n=63, 19, 18)
Remicade1711351216850494843383834
Standard Therapy815123161421201213136
Switched to RemicadeNA7128141167888

Number of Participants With a Draining Fistula By Study Visit

The number of participants with a draining fistula was evaluated at each study visit. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionParticipants (Number)
Visit 1 (Baseline; n=1541, 1120, 0)Visit 2 (n=1420, 920, 100)Visit 3 (n=1334, 827, 152)Visit 4 (n=1285, 779, 168)Visit 5 (n=1221, 714, 188)Visit 6 (n=1169, 666, 208)Visit 7 (n=1110, 615, 219)Visit 8 (n=1097, 588, 233)Visit 9 (n=1046, 562, 229)Visit 10 (n=1030, 535, 235)Visit 11 (n=1006, 541, 248)
Remicade34921117014612511497105988587
Standard Therapy9651413129263123321516
Switched to RemicadeNA16191215151516152020

Participant Assessment of Overall Health Status By Study Visit

The participant assessment of overall health status was evaluated at baseline and each study visit. The overall health status questionnaire asked participants to rate their current health status over the prior 24 hours as 1=best possible, 2=much better than average, 3=better than average, 4=average, 5=worse than average, 6=much worse than average, or 7=worst possible. Scores ranged from 1 to 7 with lower scores indicating better health status. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionScore on a Scale (Mean)
Visit 1 (Baseline; n=1526, 1116, 0)Visit 2 (n=1344, 903, 95)Visit 3 (n=1280, 809, 146)Visit 4 (n=1217, 755, 162)Visit 5 (n=1160, 704, 184)Visit 6 (n=1110, 649, 202)Visit 7 (n=1046, 606, 212)Visit 8 (n=1044, 573, 221)Visit 9 (n=999, 544, 223)Visit 10 (n=963, 520, 227)Visit 11 (n=956, 527, 235)
Remicade4.33.33.23.23.13.13.13.13.13.03.0
Standard Therapy3.93.33.13.03.13.03.03.02.92.82.8
Switched to RemicadeNA3.93.63.53.23.43.33.23.23.13.1

The Harvey-Bradshaw Index of Crohn's Disease Activity By Study Visit

The Harvey-Bradshaw Index of Crohn's Disease Acitivity was evaluated at each study visit. The Harvey-Bradshaw Index evaluates participants' general health in the day prior in the domains of well being, abdominal pain, number of liquid stools per day, and abdominal mass and complications and was evaluated on the day of the study visit. The score is derived from a 0-4 score for general well being, 0-3 for abdmonial pain, raw score for number of liquid stools per day, 0-3 for abdominal mass, and raw score for complications. The total score is from 0 to infinity, with lower scores indicating better outcomes. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionScore on a Scale (Mean)
Visit 1 (Baseline; n=1505, 1106, 0)Visit 2 (n=1320, 876, 91)Visit 3 (n=1250, 785, 143)Visit 4 (n=1196, 742, 159)Visit 5 (n=1127, 692, 181)Visit 6 (n=1070, 647, 199)Visit 7 (n=1023, 592, 209)Visit 8 (n=1015, 562, 224)Visit 9 (n=953, 546, 219)Visit 10 (n=936, 526, 225)Visit 11 (n=918, 525, 238)
Remicade8.24.13.73.83.73.63.63.63.63.43.4
Standard Therapy6.23.83.53.23.43.13.03.22.92.72.7
Switched to RemicadeNA6.04.44.84.94.54.14.14.44.34.2

Work/Daily Activity Status Score By Study Visit

The participant work/daily activity status score was evaluated at each study visit. The work/daily activity questionnaire asked participants to rate their level of daily functioning on a scale of 1 to 10 with a lower score indicating less of an impact of Crohn's disease on work or daily life functioning. (NCT00705614)
Timeframe: Up to 5 Years

,,
InterventionScore on a Scale (Mean)
Visit 1 (Baseline; n=1496, 1108, 0)Visit 2 (n=1316, 895, 94)Visit 3 (n=1235, 797, 143)Visit 4 (n=1192, 738, 159)Visit 5 (n=1128, 694, 179)Visit 6 (n=1077, 638, 201)Visit 7 (n=1030, 601, 207)Visit 8 (n=1025, 571, 221)Visit 9 (n=982, 542, 222)Visit 10 (n=934, 514, 225)Visit 11 (n=925, 521, 235)
Remicade5.94.23.83.63.43.33.23.33.33.13.2
Standard Therapy4.93.73.22.93.02.72.82.72.62.42.4
Switched to RemicadeNA5.54.84.34.03.93.63.53.53.63.6

Reviews

4 reviews available for sulfasalazine and Hematologic Diseases

ArticleYear
[Adverse effects of DMARDs in treatment of rheumatoid arthritis].
    Nihon rinsho. Japanese journal of clinical medicine, 2005, Volume: 63 Suppl 1

    Topics: Antirheumatic Agents; Arthritis, Rheumatoid; Female; Gold Sodium Thiomalate; Hematologic Diseases; H

2005
The use of sulphasalazine as a disease modifying antirheumatic drug.
    Bailliere's clinical rheumatology, 1990, Volume: 4, Issue:3

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Hematologic Diseases; Humans; Rheumatic Diseases; Sulfasala

1990
The clinical efficacy of sulphasalazine in rheumatic disease.
    Agents and actions. Supplements, 1988, Volume: 24

    Topics: Arthritis, Rheumatoid; Digestive System; Hematologic Diseases; Humans; Sulfasalazine

1988
Sulfasalazine in the rheumatic disease.
    Seminars in arthritis and rheumatism, 1988, Volume: 17, Issue:4

    Topics: Arthritis, Rheumatoid; Autoimmune Diseases; Central Nervous System; Chemical and Drug Induced Liver

1988

Trials

2 trials available for sulfasalazine and Hematologic Diseases

ArticleYear
Tolerability of enteric-coated sulphasalazine in rheumatoid arthritis: results of a co-operating clinics study.
    British journal of rheumatology, 1990, Volume: 29, Issue:3

    Topics: Arthritis, Rheumatoid; Central Nervous System Diseases; Drug Eruptions; Female; Gastrointestinal Dis

1990
Sulfasalazine in the rheumatic disease.
    Seminars in arthritis and rheumatism, 1988, Volume: 17, Issue:4

    Topics: Arthritis, Rheumatoid; Autoimmune Diseases; Central Nervous System; Chemical and Drug Induced Liver

1988

Other Studies

9 other studies available for sulfasalazine and Hematologic Diseases

ArticleYear
Five-year Safety Data From ENCORE, a European Observational Safety Registry for Adults With Crohn's Disease Treated With Infliximab [Remicade®] or Conventional Therapy.
    Journal of Crohn's & colitis, 2017, Jun-01, Volume: 11, Issue:6

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anti-Bacterial Agents; Anti-Inflammatory Agents; Azathio

2017
Multiple haematologic abnormalities associated with sulfasalazine.
    Annals of internal medicine, 1982, Volume: 97, Issue:5

    Topics: Adult; Agranulocytosis; Anemia, Aplastic; Hematologic Diseases; Humans; Male; Myeloproliferative Dis

1982
Drug-induced blood disorders.
    JAMA, 1984, Dec-21, Volume: 252, Issue:23

    Topics: Adolescent; Adult; Aged; Agranulocytosis; Anemia, Hemolytic; Child; Female; Hematologic Diseases; Hu

1984
[Hematologic side-effects of sulfasalazine].
    Zeitschrift fur Gastroenterologie. Verhandlungsband, 1981, Volume: 19

    Topics: Blood Platelet Disorders; Erythrocytes; Granulocytes; Hematologic Diseases; Humans; Sulfasalazine

1981
Red cell abnormalities associated with sulphasalazine maintenance therapy for ulcerative colitis.
    Gut, 1975, Volume: 16, Issue:3

    Topics: Anemia, Hemolytic; Colitis, Ulcerative; Erythrocyte Count; Erythrocytes, Abnormal; Heinz Bodies; Hem

1975
Sulphasalazine in rheumatoid arthritis: haematological problems and changes in haematological indices associated with therapy.
    British journal of rheumatology, 1989, Volume: 28, Issue:2

    Topics: Adolescent; Adult; Aged; Arthritis, Rheumatoid; Felty Syndrome; Female; Hematologic Diseases; Humans

1989
Haematological side-effects of sulphasalazine in inflammatory arthritis.
    British journal of rheumatology, 1989, Volume: 28, Issue:5

    Topics: Adult; Aged; Aged, 80 and over; Anemia, Macrocytic; Arthritis; Female; Hematologic Diseases; Humans;

1989
[Hemolysis, formation of Heinz bodies and of methemoglobin under therapy with Azulfidine (author's transl)].
    Medizinische Klinik, 1974, Mar-15, Volume: 69, Issue:11

    Topics: Adult; Colitis, Ulcerative; Cyanosis; Diarrhea; Erythrocytes; Female; Headache; Heinz Bodies; Hemato

1974
Adverse reactions to salicylazosulfapyridine (azulfidine) in the treatment of ulcerative colitis.
    Southern medical journal, 1968, Volume: 61, Issue:4

    Topics: Adult; Agranulocytosis; Colitis, Ulcerative; Dermatitis; Exanthema; Headache; Hematologic Diseases;

1968