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5-ASA

Phase 3

Ulcerative Colitis | Small molecule | Gastrointestinal |Bausch Health Companies Inc.|Last Updated: Nov 25, 2019

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment735

FDA Designations

No designations recorded

Clinical trial landscape

5-ASA · 2 trials · 1 indication

Phase 3 2
NCT01532648Randomized Placebo-Controlled Trial of Budesonide Multi-Matrix System (MMX®) 9 Milligrams (mg) in Participants With Ulcerative Colitis Currently on a 5-Aminosalicylic Acid (5-ASA)Ulcerative Colitis
COMPLETED510 Analytics
NCT00269438New Tablet Formulation and Dosing Regimen of Balsalazide Disodium in Mildly to Moderately Active Ulcerative ColitisUlcerative Colitis
COMPLETED225 Analytics
PHASE3COMPLETED
Randomized Placebo-Controlled Trial of Budesonide Multi-Matrix System (MMX®) 9 Milligrams (mg) in Participants With Ulcerative Colitis Currently on a 5-Aminosalicylic Acid (5-ASA)
Ulcerative ColitisUnlock trial analytics
PHASE3COMPLETED
New Tablet Formulation and Dosing Regimen of Balsalazide Disodium in Mildly to Moderately Active Ulcerative Colitis
Ulcerative ColitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants Who Achieved Clinical Remission at Day 56
Baseline up to Day 56

Clinical remission defined as a score of 0 for rectal bleeding and 0 for stool frequency components from the Ulcerative Colitis Disease Activity Index (UCDAI). UCDAI is the sum (0 to 12) of 4 severity scores (0 to 3). Stool frequency and rectal bleeding were based on information recorded in daily participant diaries. The diary entries were averaged for rectal bleeding and stool frequency for 3 days prior to (and closest to) Day 56 with non-missing diary data, within 5 days prior to (and closest to) Day 56. The 5 days did not include any days of the flexible sigmoidoscopy (or colonoscopy) or the preparation for the flexible sigmoidoscopy (or colonoscopy). These averages were rounded to integer values. If either subscore could not be calculated because of missing data, the score for that UCDAI component was set to missing. Participants with insufficient data at Day 56 were excluded from the analysis. Participants who had clinical remission at Baseline were classified as non-responders.

Proportion of subjects that achieve clinical improvement and improvement in the rectal bleeding subscale of the MMDAI at the end of eight weeks of therapy, where clinical improvement is defined as a >3 point improvement from baseline in the MMDAI.

Secondary Endpoints

Number of Participants of Who Achieved Clinical Response at Day 56
Baseline up to Day 56
Number of Participants Who Achieved UCDAI Remission at Day 56
Baseline up to Day 56
Number of Participants Who Achieved Endoscopic Remission at Day 56
Screening and Day 56
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Budesonide MMXEXPERIMENTALParticipants will receive 1 oral tablet of budesonide MMX 9 mg for 56 days. Additionally, participants will continue to receive the same dose of their existing oral 5-ASA medication from their treating physician.
PlaceboPLACEBO_COMPARATORParticipants will receive 1 oral tablet of matching budesonide MMX placebo for 56 days. Additionally, participants will continue to receive the same dose of their existing oral 5-ASA medication from their treating physician.

Interventions

NameTypeDescription
Budesonide MMX®DRUGOral tablet taken daily in the morning after breakfast.
PlaceboDRUGMatching budesonide MMX placebo oral tablet taken daily in the morning after breakfast.
5-ASADRUGAcceptable oral 5-ASA medications to be received during the study include: * Asacol®, Asacol® HD, Lialda®, Pentasa® (generic: mesalamine), minimum daily dose ≥2.4 grams (g) * Azulfidine® (generic: sulfasalazine), minimum daily dose ≥4.0 g * Dipentum® (generic: olsalazine), minimum daily dose ≥2.0 g * Colazal®, Colazide® (generic: balsalazide), minimum daily dose ≥6.75 g
5 ASA, enemas, suppositories, corticosteroidsDRUG -
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites114

Inclusion Criteria: 1. Age 18 to 75 years, inclusive. 2. Established diagnosis of UC, based on clinical history, exclusion of infectious causes, and characteristic endoscopic and histologic findings. 3. Active mild or moderate UC with an ulcerative colitis disease activity index (UCDAI) score ≥4 an...

Countries:United StatesBulgariaCanadaCzechiaEstoniaHungaryLatviaLithuaniaPolandRussiaUkraine
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Frequently asked questions about 5-ASA

What is 5-ASA used for in Ulcerative Colitis?

5-ASA is a small molecule used for the treatment of Ulcerative Colitis, a type of inflammatory bowel disease. It is being investigated in Phase 3 clinical trials for this condition. The drug is developed by Bausch Health Companies Inc. and is intended to manage symptoms associated with mildly to moderately active Ulcerative Colitis.

What does 5-ASA target?

5-ASA, also known as mesalamine or 5-aminosalicylic acid, is an anti-inflammatory agent that works locally in the gastrointestinal tract. It is thought to reduce inflammation in the colon by inhibiting the production of pro-inflammatory chemicals. However, the specific molecular target has not been disclosed in the available information.

Who makes 5-ASA?

5-ASA is developed by Bausch Health Companies Inc., a company listed on the stock exchange under the ticker symbol BHC. The drug is being studied for the treatment of Ulcerative Colitis and is currently in Phase 3 clinical development.

What phase is 5-ASA in?

5-ASA is in Phase 3 clinical development for the treatment of Ulcerative Colitis. It is an investigational drug and has not yet been approved by regulatory authorities. Two Phase 3 trials have been completed, with a total enrollment of 735 participants, but the drug is still undergoing clinical evaluation.

What clinical trials is 5-ASA in?

5-ASA has been studied in two completed Phase 3 clinical trials. The first trial, NCT00269438, evaluated a new tablet formulation and dosing regimen of balsalazide disodium in patients with mildly to moderately active Ulcerative Colitis, enrolling 225 participants in the United States. The second trial, NCT01532648, assessed budesonide MMX in patients with Ulcerative Colitis currently on 5-ASA, enrolling 510 participants across multiple countries.

Is 5-ASA the same as balsalazide disodium?

5-ASA, or 5-aminosalicylic acid, is the active moiety of balsalazide disodium, a prodrug that releases 5-ASA in the colon. In the clinical trial NCT00269438, balsalazide disodium was studied as a new tablet formulation and dosing regimen for Ulcerative Colitis. Therefore, while they are related, they are not the same compound.