Safety and Efficacy of MMX Mesalamine/Mesalazine in Pediatric Subjects With Mild to Moderate Ulcerative Colitis

Last updated: May 25, 2021
Sponsor: Shire
Overall Status: Completed

Phase

3

Condition

Ulcerative Colitis

Ulcers

Bowel Dysfunction

Treatment

N/A

Clinical Study ID

NCT02093663
SPD476-319
2013-001744-65
  • Ages 5-17
  • All Genders

Study Summary

To assess clinical response to MMX mesalamine/mesalazine between a low and high dose in children and adolescents aged 5-17 years with mild to moderate Ulcerative Colitis (UC) or who are in remission.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Ability to voluntarily provide written, signed, and dated (personally or via a legallyauthorized representative [LAR]) informed consent or assent as applicable toparticipate in the study.
  2. Subject's parent/LAR demonstrates an understanding, ability, and willingness to fullycomply with study procedures and restrictions.
  3. Male and female children and adolescents aged 5-17 years, inclusive.
  4. Body weight 18-90kg.
  5. Male, or non-pregnant, non-lactating female who agrees to comply with any applicablecontraceptive requirements of the protocol or females of non-childbearing potential.
  6. Diagnosed with mild to moderate UC, established by sigmoidoscopy or colonoscopy withcompatible histology. Screened subjects may also have an unconfirmed diagnosis of mildto moderate UC; however the diagnosis of mild to moderate UC must have beenestablished by sigmoidoscopy or colonoscopy with compatible histology prior tobaseline visit.
  7. Subject is able to swallow the investigational product whole. Double-blind Acute Phase:
  8. Partial UC-DAI score ≥2 (a combined rectal bleeding and stool frequency score ≥1 andPGA=1 or 2) at the Baseline Visit, for which 5-ASA would be used as part of normaltreatment.
  9. If the subject is on 5-ASA treatment prior to study entry, then the dose must bestable. Stable therapy is defined as no change in dose, or no initiation of 5-ASA,from the onset of the current acute flare through discontinuation of therapy (requiredat the Baseline Visit). Double-blind Maintenance Phase:
  10. Partial UC-DAI ≤1 (rectal bleeding=0, stool frequency ≤1, and PGA=0) at the BaselineVisit.

Exclusion

Exclusion Criteria:

  1. Severe UC (defined by PGA=3).
  2. Crohn's disease, bleeding disorders, active peptic ulcer disease, or UC known to beconfined to the rectum (isolated rectal proctitis).
  3. Asthma, only if known to be 5 ASA sensitive.
  4. Positive stool culture for enteric pathogens (including Salmonella, Shigella,Yersinia, Aeromonas, Plesiomonas, or Campylobacter). Clostridium difficile toxin, ova,or parasites present.
  5. Systemic or rectal corticosteroid use within 4 weeks prior to the Screening Visit.Topical, intranasal, or inhaled use is not exclusionary.
  6. Immunomodulator (6-mercaptopurine, azathioprine) use within 6 weeks prior to theScreening Visit.
  7. History of biologic (eg, anti-tumor necrosis factor agents, integrin receptorantagonists) use at any time.
  8. Antibiotic use within 7 days prior to the Screening Visit.
  9. Any anti-inflammatory drugs, not including 5-ASA treatment but including non-steroidalanti-inflammatory drugs such as aspirin, COX-2 inhibitors or ibuprofen, within 7 daysprior to the Screening Visit unless used at over-the-counter levels for <3 days.However, prophylactic use of a stable dose of aspirin up to 325mg/day for cardiacdisease is permitted.
  10. Prebiotic/probiotic use within 7 days prior to the Screening Visit. Yogurt productsare permitted.

Study Design

Total Participants: 107
Study Start date:
December 12, 2014
Estimated Completion Date:
November 28, 2018

Connect with a study center

  • Uz Brussel Children Hospital

    Brussels, B-1090
    Belgium

    Site Not Available

  • University of Alberta Pediatric Gastroenterology & Nutrition

    Edmonton, Alberta T6G 1C9
    Canada

    Site Not Available

  • IWK Health Centre

    Halifax, B3K 6R8
    Canada

    Site Not Available

  • Universitats Kinderklinik Essen Kinderklinik Ii

    Essen, 45147
    Germany

    Site Not Available

  • Szabolcs-Szatmar-Bereg Megyei Korhazak Es Egyetemi

    Szent Istvan u. 68, Nyiregyhaza 4400
    Hungary

    Site Not Available

  • Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont

    Korányi, Szeged H-6720
    Hungary

    Site Not Available

  • Szent Janos Korhaz És Észak-budai Egyesitett Korha

    Budapest, H-1023
    Hungary

    Site Not Available

  • Bekes Megyei Pandy Kalman Korhaz

    Gyula, H-5700
    Hungary

    Site Not Available

  • Baz Megyei Korhaz Es Egyetemi Oktatokorhaz

    Miskolc, 3526
    Hungary

    Site Not Available

  • Szabolcs-Szatmar-Bereg Megyei Korhazak es Egyetemi Oktato Korhaz

    Nyiregyhaza, 4400
    Hungary

    Site Not Available

  • Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont

    Szeged, H-6720
    Hungary

    Site Not Available

  • Soroka Medical Center

    Be'er Sheva, 85025
    Israel

    Site Not Available

  • Rambam Health Corporation

    Haifa, 31096
    Israel

    Site Not Available

  • Shaare Zedek Medical Center

    Jerusalem, 91031
    Israel

    Site Not Available

  • Schneider Medical Centre

    Petach Tikva, 49202
    Israel

    Site Not Available

  • Isala Ziekenhuis - Amalia Kindercentrum

    Zwolle, AB 8025
    Netherlands

    Site Not Available

  • Emma Kinderziekenhuis Amc

    Amsterdam, AZ 1105
    Netherlands

    Site Not Available

  • Radboud UMC

    Nijmegen, 6525 GA
    Netherlands

    Site Not Available

  • ERASMUS MC Sophia Children's Hospital

    Rotterdam, 3015 GJ
    Netherlands

    Site Not Available

  • Uniwersytecki Dzieciecy Szpital Kliniczny im. Ludwika Zamenhofa

    Bialystok, 15-247
    Poland

    Site Not Available

  • Copernicus Podmiot Leczniczy sp. z o.o

    Gdansk, 80-803
    Poland

    Site Not Available

  • Klinika Pediatrii Gastroenterologii I Zywienia

    Krakow, 30-663
    Poland

    Site Not Available

  • Klinika Gastroenterologii I Pediatrii

    Lodz, 93-338
    Poland

    Site Not Available

  • Wojewodzki Specjalistyczny Szpital Dzieciecy

    Olsztyn, 10-561
    Poland

    Site Not Available

  • Gabinet Lekarski-Bartosz Korczowski

    Rzeszow, 35-302
    Poland

    Site Not Available

  • Klinika Gastroenterologii I Pediatrii

    Todz, 93-316
    Poland

    Site Not Available

  • Oddzial Gastroenterologii I Hepatologii

    Warszawa, 04-730
    Poland

    Site Not Available

  • Uniwersytecki Szpital Kliniczny We Wrocławiu

    Wrocław, 50-369
    Poland

    Site Not Available

  • Detská fakultná nemocnica s poliklinikou

    Banska Bystrica, 974 09
    Slovakia

    Site Not Available

  • University Children's Hospital

    Bratislava, 833 40
    Slovakia

    Site Not Available

  • Univerzitna Nemocnica Martin

    Martin, 03659
    Slovakia

    Site Not Available

  • Alder Hey Children's Hospital

    Liverpool, LI2 2AP
    United Kingdom

    Site Not Available

  • Barts Health NHS Trust, Royal London Hospital

    London, E1 1BB
    United Kingdom

    Site Not Available

  • Great Ormond Street Hospital

    London, WC1N 3JH
    United Kingdom

    Site Not Available

  • King's College Hospital

    London, SE5 9RS
    United Kingdom

    Site Not Available

  • Arnold Palmer Hospital for Children

    Orlando, Florida 32806
    United States

    Site Not Available

  • Children's Center for Digestive Health Care

    Atlanta, Georgia 30342
    United States

    Site Not Available

  • Ann & Robert H. Lurie Children's Hospital

    Chicago, Illinois 60011
    United States

    Site Not Available

  • John Hopkins

    Baltimore, Maryland 21287
    United States

    Site Not Available

  • University of Maryland Children's Hospital

    Baltimore, Maryland 21201
    United States

    Site Not Available

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Newton Wellesley Hospital

    Newton, Massachusetts 02462
    United States

    Site Not Available

  • University of Minnesota Children's Hospital

    Minneapolis, Minnesota 55454
    United States

    Site Not Available

  • Mayo Clinic Gastroenterology

    Rochester, Minnesota 55905
    United States

    Site Not Available

  • SUNY at Buffalo

    Buffalo, New York 14222
    United States

    Site Not Available

  • Columbia University Medical Center

    New York, New York 10032
    United States

    Site Not Available

  • Penn State Milton S. Hershey Medical Center

    Hershey, Pennsylvania 17033
    United States

    Site Not Available

  • UT Southwestern Medical Center

    Dallas, Texas 75390
    United States

    Site Not Available

  • Texas Digestive Disease Consultants

    Southlake, Texas 76092
    United States

    Site Not Available

  • Carilion Medical Center

    Roanoke, Virginia 24013
    United States

    Site Not Available

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