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MMX Mesalamine

Phase 4

Ulcerative Colitis | Small molecule | Gastrointestinal |Takeda Pharmaceutical Company Limited|Trials Updated: Jun 14, 2021

MMX Mesalamine development status

Highest phase Phase 4 (NCT00446849)
Phase scored for TAKPhase 3
Registered trials 2 across 1 sponsor since Mar 2007

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials2
Total Enrollment159

FDA Designations

No designations recorded

MMX Mesalamine clinical trials

MMX Mesalamine · 2 trials · 1 indication

Phase 3 1Phase 1 1
NCT02093663Safety and Efficacy of MMX Mesalamine/Mesalazine in Pediatric Subjects With Mild to Moderate Ulcerative ColitisUlcerative Colitis
COMPLETED107 Analytics
PHASE3COMPLETED
Safety and Efficacy of MMX Mesalamine/Mesalazine in Pediatric Subjects With Mild to Moderate Ulcerative Colitis
Ulcerative ColitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Clinical Response During Double-Blind Acute Phase at Week 8
Week 8

Clinical response was defined as partial ulcerative colitis disease activity index (UC-DAI) score \< or =1 with rectal bleeding = 0, stool frequency \< or =1, and physician's global assessment (PGA = 0). Number of participants with clinical response were reported.

Number of Participants With Clinical Response During Double-blind Maintenance Phase at Week 26
Week 26

Clinical response was defined as partial UC-DAI \<=1 with (rectal bleeding = 0, stool frequency \< or =1, and PGA = 0). Number of participants who had maintained clinical response were reported.

Area Under the Plasma Concentration Versus Time Curve (AUC) of MMX Mesalamine (5-ASA) at Steady State
2, 4, 6, 9, 12, 16, and 24 hours post-dose on day 7

AUC can be used as a measure of drug exposure. It is derived from drug concentration and time so it gives a measure how much and how long a drug stays in a body.

Maximum Plasma Concentration (Cmax) of MMX Mesalamine (5-ASA) at Steady State
Over a 24-hour period starting on day 7

Cmax is a term that refers to the maximum (or peak) concentration that a drug achieves in the body after the drug has been administrated.

Time to Maximum Plasma Concentration (Tmax) of MMX Mesalamine (5-ASA) at Steady State
Over a 24-hour period starting on day 7

Tmax is the time after administration of a drug when the maximum plasma concentration in the body is reached.

Total Body Clearance (CL) of MMX Mesalamine (5-ASA) at Steady State
Over a 24-hour period starting on day 7

Clearance of a substance from the blood by the kidneys.

AUC of MMX Mesalamine Major Metabolite (Ac-5-ASA) at Steady State
2, 4, 6, 9, 12, 16, and 24 hours post-dose on day 7
Cmax of MMX Mesalamine Major Metabolite (Ac-5-ASA) at Steady State
Over a 24-hour period starting on day 7
Tmax of MMX Mesalamine Major Metabolite (Ac-5-ASA) at Steady State
Over a 24-hour period starting on day 7
CL of MMX Mesalamine Major Metabolite (Ac-5-ASA) at Steady State
Over a 24-hour period starting on day 7

Secondary Endpoints

Number of Participants With Clinical and Endoscopic Response During Double Blind Acute Phase at Week 8 Using Central Reading
Week 8
Number of Participants With Clinical and Endoscopic Response During Double Blind Acute Phase at Week 8 Using Local Reading
Week 8
Change From Baseline in Daily Ulcerative Colitis Scale (DUCS) Score During Double-Blind Acute Phase
Baseline to Week 8
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
MMX Mesalamine/Mesalazine (Low Dose)EXPERIMENTALOnce daily, tablets - the amount depends on the participants weight; 900 milligram per day (mg/day) for participants weighing 18 kg to less than or equal to (\<=) 23 kilograms (kg); 1200 mg/day for participants weighing greater than (\>) 23 kg to \<= 35 kg; 1800 mg/day for participants weighing \> 35 kg to \<= 50 kg; 2400 mg/day for participants weighing \> 50 kg to \<= 90 kg.
MMX Mesalamine/Mesalazine (High Dose)EXPERIMENTALOnce daily, tablets - the amount depends on the participants weight;1800 mg/day for participants weighing 18 kg to \<= 23 kg; 2400 mg/day for participants weighing \> 23 kg to \<= 35 kg; 3600 mg/day for participants weighing \> 35 kg to \<= 50 kg; 4800 mg/day for participants weighing \> 50 kg to \<= 90 kg.
MMX Mesalamine (30mg/kg)EXPERIMENTAL -
MMX Mesalamine (60 mg/kg)EXPERIMENTAL -
MMX Mesalamine (100 mg/kg)EXPERIMENTAL -

Interventions

NameTypeDescription
MMX Mesalamine/Mesalazine (Low Dose)DRUGOnce daily, tablets - the amount depends on the participants weight; 900 milligram per day (mg/day) for participants weighing 18 kg to less than or equal to (\<=) 23 kilograms (kg); 1200 mg/day for participants weighing greater than (\>) 23 kg to \<= 35 kg; 1800 mg/day for participants weighing \> 35 kg to \<= 50 kg; 2400 mg/day for participants weighing \> 50 kg to \<= 90 kg.
MMX Mesalamine/Mesalazine (High Dose)DRUGOnce daily, tablets - the amount depends on the participants weight;1800 mg/day for participants weighing 18 kg to \<= 23 kg; 2400 mg/day for participants weighing \> 23 kg to \<= 35 kg; 3600 mg/day for participants weighing \> 35 kg to \<= 50 kg; 4800 mg/day for participants weighing \> 50 kg to \<= 90 kg.
MMX MesalamineDRUG30 mg/kg/day of MMX Mesalamine tablets, dosed once daily for 7 days.
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Eligibility Criteria

Age Range5 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites33

Inclusion Criteria: 1. Ability to voluntarily provide written, signed, and dated (personally or via a legally authorized representative \[LAR\]) informed consent or assent as applicable to participate in the study. 2. Subject's parent/LAR demonstrates an understanding, ability, and willingness to f...

Countries:United StatesCanadaHungaryIsraelPolandSlovakiaUnited KingdomAustralia
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Frequently asked questions about MMX Mesalamine

What is MMX Mesalamine used for?

MMX Mesalamine is used to treat ulcerative colitis, a form of inflammatory bowel disease. The clinical program covers pediatric subjects with mild to moderate ulcerative colitis. It is a small molecule therapy in the gastrointestinal therapeutic area, developed by Takeda Pharmaceutical Company Limited.

Who makes MMX Mesalamine?

MMX Mesalamine is developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. Takeda is the sponsor of the clinical trials evaluating the drug in ulcerative colitis.

What phase is MMX Mesalamine in?

MMX Mesalamine is in Phase 3 development for ulcerative colitis. It is an investigational therapy and is not approved. Two trials have been completed, including a Phase 3 safety and efficacy study and a Phase 1 safety and pharmacokinetics study.

What clinical trials is MMX Mesalamine in?

Two completed trials have evaluated MMX Mesalamine. NCT02093663 was a Phase 3 study of safety and efficacy in pediatric subjects with mild to moderate ulcerative colitis, enrolling 107 participants. NCT01130844 was a Phase 1 study of safety and pharmacokinetics in children and adolescents with ulcerative colitis, enrolling 52 participants.

How many patients were enrolled in MMX Mesalamine trials?

The MMX Mesalamine clinical program enrolled 159 participants across two completed trials. NCT02093663 enrolled 107 pediatric subjects with mild to moderate ulcerative colitis, and NCT01130844 enrolled 52 children and adolescents. Both studies were randomized, double blind, and controlled.