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MMX Mesalamine

Phase 3

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

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials2
Total Enrollment159
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02093663Safety and Efficacy of MMX Mesalamine/Mesalazine in Pediatric Subjects With Mild to Moderate Ulcerative ColitisPHASE3 COMPLETED 107Dec 12, 2014Nov 28, 2018Jun 9, 202133 United States, Canada +5
NCT01130844Safety and Pharmacokinetics of MMX Mesalamine in Children and Adolescents With Ulcerative ColitisPHASE1 COMPLETED 52Oct 8, 2010Jun 27, 2013Jun 14, 202119 United States, Australia +3
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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 — 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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