A BE Study Comparing Mesalamine 400 mg to ASACOL® 400 mg in Patients With Mild To Moderately Active Ulcerative Colitis

Last updated: January 7, 2010
Sponsor: EMET Pharmaceuticals, LLC
Overall Status: Completed

Phase

3

Condition

Crohn's Disease

Inflammatory Bowel Disease

Treatment

N/A

Clinical Study ID

NCT01045018
EMET 001
  • Ages > 18
  • All Genders

Study Summary

The objectives of this bioequivalence study in patients with ulcerative colitis (UC) were:

  • To establish the therapeutic equivalence of mesalamine delayed release tablet (MDRT) and Asacol Delayed Release Tablets 2.4 g per day (800 mg three times daily) and

  • To evaluate the safety of MDRT 2.4 g per day (800 mg three times daily) compared to placebo.

Eligibility Criteria

Inclusion

Inclusion Criteria: Adults with newly diagnosed ulcerative colitis or with relapse following prior treatmentand who met all the following criteria were eligible for participation in the study:

  1. IRB approved consent form signed and dated prior to any study-related activities

  2. Male or, if female, had undergone sterilization (hysterectomy or bilateral tuballigation), was post-menopausal (defined as 1 year without menses) or has a negativepregnancy test at screening and, if heterosexually active, had used and agreed tocontinue to use: double-barrier method of contraception (condom and spermicide), oralor patch contraceptives, intrauterine device, or was in a monogamous relationship witha partner who had undergone a vasectomy.

  3. 18 years of age or older

  4. Newly diagnosed with ulcerative colitis or relapsed following prior treatment

  5. Patient had not taken > 1.6 g/day of mesalamine or equivalent for 14 days prior torandomization

  6. Disease extending ≥ 15 cm above the anal verge on screening sigmoidoscopy orcolonoscopy with confirming biopsy

  7. Mild to moderate ulcerative colitis, defined as a Disease Activity Index (DAI) scorebetween 4 and 9, inclusive, at study entry, and with a PGA of 1 or 2 and mucosalappearance (determined by endoscopy exam) score of 1 or 2 (mild/moderate)

  8. Able and willing to have kept a daily diary during the study

Exclusion

Exclusion Criteria:

  1. Treatment with topical rectal, oral, or intravenous (IV) corticosteroids within 30days of screening or immunosuppressives (e.g. azathioprine, 6-mercaptopurine) withinthe 90 days immediately preceding Screening

  2. Use of rectal - administered aminosalicylates within 7 days of randomization

  3. Patient had taken greater than 1.6 g/day of mesalamine or equivalent within 14 days ofrandomization

  4. Crohn's disease, ischemic colitis, or disease of bacterial origin

  5. Known allergy or hypersensitivity to aspirin or salicylate compounds

  6. History of or laboratory results showing significant hepatic or renal disease or othersignificant medical condition which in the opinion of the investigator precludedparticipation in the study based on efficacy/safety assessments

  7. History of cancer other than basal cell carcinoma within the five years immediatelypreceding study entry

  8. In relapse for > 3 weeks prior to the screening visit

  9. Proctitis below 15 cm from the anal verge

  10. History of or current gastrointestinal bleeding other than bloody stools associatedwith ulcerative colitis

  11. History of bleeding disorder

  12. Active peptic ulcer disease, history of gastrointestinal obstruction including severeconstipation, or anatomic abnormality of the GI tract

  13. Previous colonic surgery

  14. History of alcohol or other substance abuse within the year immediately precedinganticipated study entry

  15. HIV positive

  16. > 6 bloody stools per day

  17. Positive stool culture for ova and/or parasites, enteric pathogens includingSalmonella, Shigella, Yersinia, and Campylobacter, or positive stool assay for C.difficile toxin

  18. Pregnant or breast feeding

  19. Used an investigational drug in the 30 days prior to randomization

  20. BUN or serum creatinine levels of 1.5 times the upper limit of normal (ULN) or liverenzyme levels > 2 times the ULN

Study Design

Study Start date:
January 01, 2008
Estimated Completion Date:
August 31, 2009

Study Description

This was a multi-center, randomized, parallel-groups comparison of two mesalamine products for treatment of ulcerative colitis. Patients were randomly assigned in an optimized 2:2:1 ratio to MDRT 2.4 g/day, Asacol 2.4 g/day, or placebo. The study was partially blinded due to the difficulties associated with creating placebo that matched both MDRT and Asacol; the placebo matched the MDRT formulation. Placebo groups served as control in the parallel group comparison between MDRT and Asacol. Patients were treated for 6 weeks after randomization and followed through Day 56, which was considered of sufficient length to accommodate any safety issues and to assess efficacy based upon prior clinical trials of mesalamine in patients with mild to moderate active UC as described in the introduction