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MMX Mesalamine

Phase 3

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

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

Clinical trial landscape

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 for ulcerative colitis, a chronic inflammatory bowel disease. It is being studied in pediatric patients with mild to moderate ulcerative colitis. The drug is a small molecule developed by Takeda Pharmaceutical Company Limited and is currently in clinical development, with Phase 3 trials completed.

How does MMX Mesalamine work?

MMX Mesalamine is a small molecule that works by delivering mesalamine, an anti-inflammatory agent, directly to the colon. It uses a multi-matrix (MMX) technology to release the drug throughout the colon, reducing inflammation in the intestinal lining. This mechanism helps treat ulcerative colitis by targeting the inflamed tissue.

Who makes MMX Mesalamine?

MMX Mesalamine is developed by Takeda Pharmaceutical Company Limited, a global biopharmaceutical company. Takeda is responsible for the research, clinical development, and potential commercialization of this drug for ulcerative colitis. The company's ticker symbol is TAK.

What phase is MMX Mesalamine in?

MMX Mesalamine is in Phase 3 clinical development for ulcerative colitis. It has completed two clinical trials, including a Phase 3 efficacy and safety study in pediatric patients. The drug is investigational and has not been approved by regulatory authorities, as it remains under clinical evaluation.

What clinical trials is MMX Mesalamine in?

MMX Mesalamine has been studied in two completed clinical trials. NCT01130844 was a Phase 1 safety and pharmacokinetics study in children and adolescents with ulcerative colitis, enrolling 52 participants. NCT02093663 was a Phase 3 safety and efficacy study in pediatric patients with mild to moderate ulcerative colitis, enrolling 107 participants.

Is MMX Mesalamine the same as mesalazine?

MMX Mesalamine is a formulation of mesalamine, also known as mesalazine. The MMX technology is a specific delivery system that releases mesalamine throughout the colon. While the active ingredient is the same, MMX Mesalamine refers to this particular extended-release formulation developed by Takeda.