Page last updated: 2024-11-04

sulfasalazine and Pancreatitis

sulfasalazine has been researched along with Pancreatitis in 27 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.

Pancreatitis: INFLAMMATION of the PANCREAS. Pancreatitis is classified as acute unless there are computed tomographic or endoscopic retrograde cholangiopancreatographic findings of CHRONIC PANCREATITIS (International Symposium on Acute Pancreatitis, Atlanta, 1992). The two most common forms of acute pancreatitis are ALCOHOLIC PANCREATITIS and gallstone pancreatitis.

Research Excerpts

ExcerptRelevanceReference
" In patients with inflammatory bowel diseases, the use of 5-aminosalicylic acid or sulfasalazine was not associated with increased risk of acute pancreatitis."7.72Inflammatory bowel diseases, 5-aminosalicylic acid and sulfasalazine treatment and risk of acute pancreatitis: a population-based case-control study. ( Floyd, A; Munk, EM; Nørgård, B; Pedersen, L; Rasmussen, HH; Sørensen, HT, 2004)
"We report the simultaneous development of fulminant hepatic failure and necrotizing pancreatitis in a patient treated with sulfasalazine."7.69Sulfasalazine-induced fulminant hepatic failure and necrotizing pancreatitis. ( Rubin, R, 1994)
" In patients with inflammatory bowel diseases, the use of 5-aminosalicylic acid or sulfasalazine was not associated with increased risk of acute pancreatitis."3.72Inflammatory bowel diseases, 5-aminosalicylic acid and sulfasalazine treatment and risk of acute pancreatitis: a population-based case-control study. ( Floyd, A; Munk, EM; Nørgård, B; Pedersen, L; Rasmussen, HH; Sørensen, HT, 2004)
"We report the simultaneous development of fulminant hepatic failure and necrotizing pancreatitis in a patient treated with sulfasalazine."3.69Sulfasalazine-induced fulminant hepatic failure and necrotizing pancreatitis. ( Rubin, R, 1994)
"A patient treated with sulfasalazine for new-onset ulcerative colitis developed self-limited pancreatitis."3.68Pancreatitis after rectal administration of 5-aminosalicylic acid. ( Isaacs, KL; Murphy, D, 1990)
"The main aim of this study was to examine the differences between triple therapy (T: SSZ and HCQ added to MTX) and etanercept (E) added to MTX with regard to the infectious and gastrointestinal (GI) adverse events (AEs) reported in The Rheumatoid Arthritis Comparison of Active Therapies Trial."2.84Rheumatoid arthritis triple therapy compared with etanercept: difference in infectious and gastrointestinal adverse events. ( Brophy, MT; Chang, BH; Hannagan, K; O'Dell, JR; Quach, LT; Soe Thwin, S, 2017)
"Crohn's disease and ulcerative colitis, together popularly known as inflammatory bowel disease (IBD), are characterized by a number of extraintestinal manifestations."2.46Pancreatitis in inflammatory bowel diseases. ( Das, K; Pitchumoni, CS; Rubin, A, 2010)
"Acute pancreatitis is a serious disease with fatality rate up to 15%."1.35[A case of acute pancreatitis induced by multiple drugs in a patient with ulcerative colitis]. ( Choi, HS; Hahm, JS; Han, DS; Joo, YW; Lee, HL; Lee, OY; Son, CN; Yoon, BC, 2008)
" Medical treatment, including increased dosage of steroids, failed to control UC and acute thrombocytopenia in this patient."1.33Acute thrombocytopenia associated with preexisting ulcerative colitis successfully treated with colectomy. ( Hisada, T; Iida, T; Ishizuka, T; Kusano, M; Masuo, T; Miyamae, Y; Mizuide, M; Mori, M; Okada, S; Sagawa, T; Shibusawa, N, 2006)
"5-aminosalicylates are extensively prescribed for the treatment of ulcerative colitis but have a wide range of described adverse effects."1.31Sulphasalazine and mesalazine: serious adverse reactions re-evaluated on the basis of suspected adverse reaction reports to the Committee on Safety of Medicines. ( Langman, MJ; Ransford, RA, 2002)
"Pancreatitis was significantly more frequent in girls as compared to boys (P = 0."1.31[Pancreatic involvement in inflammatory bowel diseases in children]. ( Cézard, JP; Faure, C; Hugot, JP; Le Large-Guiheneuf, C; Mougenot, JF; Munck, A; Navarro, J, 2002)
"Among 1613 patients treated for acute pancreatitis in 1993, drug induced acute pancreatitis was diagnosed in 22 patients (incidence 1."1.29Drug induced acute pancreatitis: incidence and severity. ( Dröge, M; Gottesleben, F; Lankisch, PG, 1995)
"Pancreatitis is generally regarded to be an extra-intestinal complication of Crohn's disease unless the duodenum is directly involved."1.29Crohn's disease associated with pancreatitis of unknown etiology: a case report. ( Arakawa, S; Omata, F; Takahashi, H; Ueno, F, 1993)
" Upon recovery, sulfasalazine was reintroduced at lower dosage (2 Gm/day), and the patient repeated the clinical and biological picture of acute pancreatitis (serum amylase of 710 and lipase 1010 u."1.28[Acute pancreatitis caused by salazopyrine. An unusual association]. ( Delgado Fontaneda, E; García Campos, F; Ibarra Peña, B; Moretó Canela, M; Ruiz Rebollo, L, 1991)
"Pancreatitis was painless (or was associated with moderate and atypical abdominal pain) in four of our six cases; no pancreatic calcification was found in any case; in three patients a total or subtotal exocrine pancreatic insufficiency was evidenced."1.27Idiopathic pancreatitis associated with inflammatory bowel disease. ( Bitoun, A; Florent, C; Golfain, D; Jian, R; Messing, B; Modigliani, R; Seyrig, JA, 1985)
" LST was negative before attempting desensitization and became positive when the dosage of SASP increased to 100 mg daily."1.27A case of salicylazosulfapyridine (Salazopyrin)-induced acute pancreatitis with positive lymphocyte stimulation test (LST). ( Arakawa, H; Chiba, M; Horie, Y; Ishida, H; Masamune, O, 1987)

Research

Studies (27)

TimeframeStudies, this research(%)All Research%
pre-19909 (33.33)18.7374
1990's8 (29.63)18.2507
2000's6 (22.22)29.6817
2010's3 (11.11)24.3611
2020's1 (3.70)2.80

Authors

AuthorsStudies
Shelat, VG1
Quach, LT1
Chang, BH1
Brophy, MT1
Soe Thwin, S1
Hannagan, K1
O'Dell, JR1
Son, CN1
Lee, HL1
Joo, YW1
Lee, OY1
Han, DS1
Yoon, BC1
Choi, HS1
Hahm, JS1
Pitchumoni, CS1
Rubin, A1
Das, K1
Uittenbogaart, SB1
Klemt-Kropp, M1
Ransford, RA1
Langman, MJ1
Lewis, JD1
Munk, EM1
Pedersen, L1
Floyd, A1
Nørgård, B1
Rasmussen, HH1
Sørensen, HT1
Hisada, T1
Miyamae, Y1
Mizuide, M1
Shibusawa, N1
Iida, T1
Masuo, T1
Okada, S1
Sagawa, T1
Ishizuka, T1
Kusano, M1
Mori, M1
Sleisenger, MH1
Wuchter, J1
Lankisch, PG1
Dröge, M1
Gottesleben, F1
Garau, P1
Orenstein, SR1
Neigut, DA1
Kocoshis, SA1
Debongnie, JC1
Dekoninck, X1
Rubin, R1
Yamagiwa, I1
Obata, K1
Hatanaka, Y1
Saito, H1
Washio, M1
Omata, F1
Arakawa, S1
Takahashi, H1
Ueno, F1
Le Large-Guiheneuf, C1
Hugot, JP1
Faure, C1
Munck, A1
Mougenot, JF1
Navarro, J1
Cézard, JP1
Sturdevant, RA1
Singleton, JW1
Deren, JL1
Law, DH1
McCleery, JL1
Delgado Fontaneda, E1
García Campos, F1
Ruiz Rebollo, L1
Ibarra Peña, B1
Moretó Canela, M1
Isaacs, KL1
Murphy, D1
Aubry, A1
Alandry, C1
Lemiere, C1
Seyrig, JA1
Jian, R1
Modigliani, R1
Golfain, D1
Florent, C1
Messing, B1
Bitoun, A1
Woodhouse, KW1
Chiba, M1
Horie, Y1
Ishida, H1
Arakawa, H1
Masamune, O1
Meyers, S1
Block, MB1
Genant, HK1
Kirsner, JB1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
CSP #551 - Rheumatoid Arthritis: Comparison of Active Therapies in Patients With Active Disease Despite Methotrexate Therapy[NCT00405275]353 participants (Actual)Interventional2007-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Mean 48-week Change in DAS28

"Average difference between 48-week and Baseline DAS28.~The Disease Activity Score for 28 Joints (DAS28) is a well-validated composite outcome measure ranging from 2-10 (higher scores indicating more disease) that incorporates a tender and swollen joint count of 28 joints, a laboratory measure of systemic inflammation (ESR) and a patient-reported general assessment of health on a visual analog scale (ranging from 0-10cm) all into one measure.~Low disease activity is defined as DAS28 ≤ 3.2 units." (NCT00405275)
Timeframe: 48 weeks after baseline assessment

Interventionunits on a scale (Mean)
Triple-2.12
Etanercept-2.29

Reviews

2 reviews available for sulfasalazine and Pancreatitis

ArticleYear
Pancreatitis in inflammatory bowel diseases.
    Journal of clinical gastroenterology, 2010, Volume: 44, Issue:4

    Topics: Acute Disease; Anti-Inflammatory Agents, Non-Steroidal; Azathioprine; Colitis, Ulcerative; Crohn Dis

2010
Drugs and the ageing gut, liver and pancreas.
    Clinics in gastroenterology, 1985, Volume: 14, Issue:4

    Topics: Acute Disease; Adrenal Cortex Hormones; Adult; Age Factors; Aged; Animals; Antacids; Anti-Ulcer Agen

1985

Trials

3 trials available for sulfasalazine and Pancreatitis

ArticleYear
Rheumatoid arthritis triple therapy compared with etanercept: difference in infectious and gastrointestinal adverse events.
    Rheumatology (Oxford, England), 2017, 03-01, Volume: 56, Issue:3

    Topics: Abscess; Adult; Aged; Antirheumatic Agents; Arthritis, Rheumatoid; Drug Therapy, Combination; Etaner

2017
How should we treat Crohn's disease?
    The New England journal of medicine, 1980, May-01, Volume: 302, Issue:18

    Topics: Adrenal Cortex Hormones; Adult; Azathioprine; Clinical Trials as Topic; Crohn Disease; Double-Blind

1980
Azathioprine-related pancreatitis in patients with Crohn's disease.
    Gastroenterology, 1979, Volume: 77, Issue:4 Pt 2

    Topics: Adult; Amylases; Azathioprine; Clinical Trials as Topic; Crohn Disease; Double-Blind Method; Female;

1979

Other Studies

22 other studies available for sulfasalazine and Pancreatitis

ArticleYear
Sulfasalazine induced acute pancreatitis in a patient with prior cholecystectomy.
    Postgraduate medical journal, 2021, Volume: 97, Issue:1153

    Topics: Acute Disease; Cholecystectomy; Humans; Length of Stay; Pancreatitis; Sulfasalazine

2021
[A case of acute pancreatitis induced by multiple drugs in a patient with ulcerative colitis].
    The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi, 2008, Volume: 52, Issue:3

    Topics: Acute Disease; Anti-Inflammatory Agents, Non-Steroidal; Antimetabolites; Azathioprine; Colitis, Ulce

2008
[Mesalazine and sulphasalazine for Crohn's disease: few indications, severe adverse reactions].
    Nederlands tijdschrift voor geneeskunde, 2011, Volume: 155, Issue:48

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Crohn Disease; Female; Humans; Lung Diseases, Inters

2011
Sulphasalazine and mesalazine: serious adverse reactions re-evaluated on the basis of suspected adverse reaction reports to the Committee on Safety of Medicines.
    Gut, 2002, Volume: 51, Issue:4

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Arthritis, Rheumatoid; Chemical and Drug Induced Liver Inju

2002
How safe are the safest IBD drugs?
    Gastroenterology, 2003, Volume: 124, Issue:7

    Topics: Adverse Drug Reaction Reporting Systems; Anti-Inflammatory Agents, Non-Steroidal; Gastrointestinal A

2003
Inflammatory bowel diseases, 5-aminosalicylic acid and sulfasalazine treatment and risk of acute pancreatitis: a population-based case-control study.
    The American journal of gastroenterology, 2004, Volume: 99, Issue:5

    Topics: Acute Disease; Adult; Age Distribution; Aged; Aminosalicylic Acids; Case-Control Studies; Confidence

2004
Acute thrombocytopenia associated with preexisting ulcerative colitis successfully treated with colectomy.
    Internal medicine (Tokyo, Japan), 2006, Volume: 45, Issue:2

    Topics: Acute Disease; Adult; Anti-Inflammatory Agents; Colectomy; Colitis, Ulcerative; Glucocorticoids; Hum

2006
[Conservative therapy of Crohn disease].
    Medizinische Klinik, 1982, Jan-29, Volume: 77, Issue:3

    Topics: Adrenal Cortex Hormones; Azathioprine; Crohn Disease; Humans; Pancreatitis; Psychotherapy; Pyridazin

1982
Drug induced acute pancreatitis: incidence and severity.
    Gut, 1995, Volume: 37, Issue:4

    Topics: Acute Disease; Adult; Aged; Aged, 80 and over; Azathioprine; Didanosine; Estrogens; Female; Furosemi

1995
Pancreatitis associated with olsalazine and sulfasalazine in children with ulcerative colitis.
    Journal of pediatric gastroenterology and nutrition, 1994, Volume: 18, Issue:4

    Topics: Acute Disease; Adolescent; Aminosalicylic Acids; Amylases; Child; Colitis, Ulcerative; Female; Human

1994
Sulfasalazine, 5-ASA and acute pancreatitis in crohn's disease.
    Journal of clinical gastroenterology, 1994, Volume: 19, Issue:4

    Topics: Acute Disease; Adult; Aminosalicylic Acids; Anti-Inflammatory Agents, Non-Steroidal; Crohn Disease;

1994
Sulfasalazine-induced fulminant hepatic failure and necrotizing pancreatitis.
    The American journal of gastroenterology, 1994, Volume: 89, Issue:5

    Topics: Adult; Colitis, Ulcerative; Drug Hypersensitivity; Hepatic Encephalopathy; Humans; Male; Necrosis; P

1994
Ischemic colitis complicating severe acute pancreatitis in a child.
    Journal of pediatric gastroenterology and nutrition, 1993, Volume: 16, Issue:2

    Topics: Acute Disease; Child, Preschool; Colitis, Ischemic; Colon; Colonoscopy; Female; Gabexate; Humans; Pa

1993
Crohn's disease associated with pancreatitis of unknown etiology: a case report.
    Gastroenterologia Japonica, 1993, Volume: 28, Issue:3

    Topics: Acute Disease; Adult; Crohn Disease; Humans; Male; Metronidazole; Pancreatitis; Parenteral Nutrition

1993
[Pancreatic involvement in inflammatory bowel diseases in children].
    Archives de pediatrie : organe officiel de la Societe francaise de pediatrie, 2002, Volume: 9, Issue:5

    Topics: Adolescent; Amylases; Anti-Inflammatory Agents, Non-Steroidal; Azathioprine; Child; Colitis, Ulcerat

2002
[Acute pancreatitis caused by salazopyrine. An unusual association].
    Revista espanola de enfermedades digestivas, 1991, Volume: 79, Issue:6

    Topics: Acute Disease; Adult; Drug Combinations; Glucosamine; Humans; Male; Pancreatitis; Sulfasalazine

1991
Pancreatitis after rectal administration of 5-aminosalicylic acid.
    Journal of clinical gastroenterology, 1990, Volume: 12, Issue:2

    Topics: Administration, Rectal; Adult; Aminosalicylic Acids; Colitis, Ulcerative; Female; Humans; Pancreatit

1990
[Acute pancreatitis during treatment with salazosulfapyridine].
    Presse medicale (Paris, France : 1983), 1989, Jan-21, Volume: 18, Issue:2

    Topics: Acute Disease; Adult; Colitis, Ulcerative; Humans; Male; Pancreatitis; Sulfasalazine

1989
Idiopathic pancreatitis associated with inflammatory bowel disease.
    Digestive diseases and sciences, 1985, Volume: 30, Issue:12

    Topics: Adolescent; Adult; Colitis, Ulcerative; Crohn Disease; Exocrine Pancreatic Insufficiency; Female; Hu

1985
A case of salicylazosulfapyridine (Salazopyrin)-induced acute pancreatitis with positive lymphocyte stimulation test (LST).
    Gastroenterologia Japonica, 1987, Volume: 22, Issue:2

    Topics: Acute Disease; Adult; Colitis, Ulcerative; Drug Hypersensitivity; Humans; In Vitro Techniques; Lymph

1987
Disodium azodisalicylate and sulfasalazine.
    The American journal of gastroenterology, 1988, Volume: 83, Issue:10

    Topics: Aminosalicylic Acids; Drug Hypersensitivity; Humans; Pancreatitis; Sulfasalazine

1988
Pancreatitis as an adverse reaction to salicylazosulfapyridine.
    The New England journal of medicine, 1970, Feb-12, Volume: 282, Issue:7

    Topics: Adult; Amylases; Crohn Disease; Female; Humans; Pancreatitis; Sulfasalazine

1970