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To evaluate the long-term safety and tolerability of encapsulated mesalamine Granules (eMG) (formerly referred to as Mesalamine Pellets [MP]) in participants with ulcerative colitis currently in remission.
This is a Phase 3, multicenter, open-label, treatment extension study evaluating the long-term safety and tolerability of eMG given once daily (QD) in participants who successfully participated in a double-blind lead-in study (MPUC3003 [NCT00744016 ] or MPUC3004 [NCT00767728 ]) or new participants who are currently in remission from symptoms of ulcerative colitis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Encapsulated Mesalamine Granules (eMG) | Experimental | Participants will receive eMG 1.5 grams (4 capsules of eMG 0.375 grams each) QD orally in the morning for up to 24 months. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Encapsulated Mesalamine Granules (eMG) | Drug | eMG capsules will be administered per dose and schedule specified in the arm. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-Emergent Adverse Events (TEAEs) | An AE was defined as any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A TEAE was defined as any event with a start date occurring on or after treatment Day 1 or, if pre-existing, worsening after treatment Day 1. Serious AEs were defined as death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized participant and required medical intervention to prevent 1 of the outcomes listed in this definition. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. | Baseline (Day 1) up to follow-up (24.5 months) |
| Number of Participants Who Prematurely Discontinued Treatment | Number of participants who prematurely discontinued treatment due to any reason were reported. | Baseline up to Month 24 |
| Number of Participants With Potentially Clinically Significant (PCS) Hematology and Blood Chemistry Abnormalities | Criteria for potentially clinically significant abnormal hematology and blood chemistry values included: hemoglobin (grams/deciliter [g/dL]): <10 and ≥3 decrease, or >20; hematocrit (%): <30 and ≥10 decrease, or >60; platelets (*10^9 cells/liter): <100 or >700 (normal: 150-400); white blood cells (*10^9 cells/liter): <2.3 or >16.2 (normal: 3.5-11.1); alanine aminotransferase (units/liter [U/L]): ≥3 * upper limit of normal (ULN) (normal range 0-47 U/L); aspartate aminotransferase (U/L): ≥3 * ULN (normal range 0-37 U/L); total bilirubin (micromoles/liter [µmol/L]): >2 times; and calcium creatinine clearance (milliliters/minute [mL/min]): ≤50. | Baseline up to follow-up (24.5 months) |
| Number of Participants With Clinically Significant Change From Baseline in Vital Signs | Vital signs included systolic and diastolic blood pressure, pulse rate, body temperature, or body weight. |
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Inclusion Criteria:
An Institutional Review Board (IRB)/Ethics Committee (EC) approved informed consent is signed and dated prior to any study-related activities.
Participant has successfully participated in a previous MP clinical study per investigator's discretion with successful participation minimally defined as compliant with study-related procedures and study drug dosing schedule in the previous study and did not discontinue from the previous study due to study drug-related AE(s) or if new participants:
a. Participant is a male or,
If the participant is female, she is eligible to enter if she is of:
Non-childbearing potential (that is; physiologically incapable of becoming pregnant, including any female who has undergone sterilization [hysterectomy or bilateral tubal ligation] or is post-menopausal. For purposes of this study, postmenopausal is defined as 1 year without menses); or childbearing potential, has a negative serum pregnancy test at screen and, if heterosexually active, agrees to one of the following:
i) Double barrier method of contraception, specifically, use of a condom and spermicide, for 1 week prior to study drug administration, throughout the 6-month Treatment Phase, and the 2-week follow-up phase.
ii) Oral contraceptives administered for at least 2 monthly cycles prior to study drug administration during all 6 months of study drug administration and administered for 1 monthly cycle following completion of the study.
iii) An intrauterine device (IUD), inserted by a qualified clinician, with published data showing that the lowest expected failure rate is less than (<)1% per year (not all IUDs meet this criterion).
iv) Medroxyprogesterone acetate (DEPO-PROVERA) administered for a minimum of 1 monthly cycle prior to the study drug administration, during all 6 months of study drug administration, and administered for 1 monthly cycle following study completion. Norelgestromin/ ethinyl estradiol transdermal system (Ortho Evra patch) administered for at least 2 monthly cycles prior to study drug administration and administered for 2 monthly cycles following study completion.
v) Partner has undergone vasectomy and participant is in a monogamous relationship.
The investigator is responsible for determining whether the participant has adequate birth control for study participation.
b. Participant is greater than or equal to (≥) 18 years of age. c. Participant has historically confirmed diagnosis (physician letter for newly/recently diagnosed and by medical records for previously diagnosed participants) of mild to moderate UC in remission for greater than (>) 1 month and <12 months.
d. Confirmed current remission defined as both: A screening rectal bleeding score of 0 as described in the Disease Activity Index (DAI) (Sutherland Index) where 0 = None A screening sigmoidoscopy score of 0 to 1 for mucosal appearance as described in the (Sutherland Index where 0 = intact mucosa with preserved or distorted vessels and 1 = Erythema, decreased vascular pattern, granularity, no mucosal hemorrhage.
Participant and investigator consider there is the potential for benefit to the participant with MP treatment.
Participant is capable and willing to comply with all study procedures.
Exclusion Criteria:
Participant has any condition or circumstance that would, in the opinion of the investigator, prevent completion of the study or interfere with analysis of study results, including history of noncompliance with treatments or visits.
If a new participant, the following additional exclusion criteria will apply:
Participant has a history of allergy or intolerance to aspirin, mesalamine or other salicylates.
Participant has an abnormal clinical lab result which in the opinion of the investigator is significant enough to prevent participant's enrollment in the study.
Participant or participant's parents are known to have phenylketonuria.
Participant has participated in an investigational drug or device study within the 30 days prior to study screening.
Participant shows evidence of current excessive alcohol consumption or drug dependence.
Participant has uncontrolled, clinically significant renal disease manifested by 1.5 * ULN of serum creatinine or blood urea nitrogen (BUN) levels.
Participant has calculated creatinine clearance level of <60 mL/min
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| Name | Affiliation | Role |
|---|---|---|
| Lindsey Mathew | Bausch Health Americas, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Birmingham Gastroenterology Associates | Birmingham | Alabama | 35209 | United States | ||
| First Care Family Doctors South |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26563167 | Derived | Lichtenstein GR, Gordon GL, Zakko S, Murthy U, Sedghi S, Pruitt R, Barrett AC, Bortey E, Paterson C, Forbes WP. Long-Term Benefit of Mesalamine Granules for Patients Who Achieved Corticosteroid-Induced Ulcerative Colitis Remission. Dig Dis Sci. 2016 Jan;61(1):221-9. doi: 10.1007/s10620-015-3866-7. Epub 2015 Nov 12. |
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A total of 393 participants were enrolled into the study. Of the participants included in the study, 280 participants were rolled over from a lead-in study (MPUC3003 or MPUC3004) and 113 were new participants.
Enrolled participants were rolled over from a double-blind lead-in study (MPUC3003 [NCT00744016 ] or MPUC3004 [NCT00767728 ]), or were new participants with demonstrated remission of ulcerative colitis (UC) were enrolled in this study.
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| ID | Title | Description |
|---|---|---|
| FG000 | Encapsulated Mesalamine Granules (eMG) | Participants received eMG 1.5 grams (4 capsules of eMG 0.375 grams each) once daily (QD) orally in the morning for up to 24 months. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Baseline, up to follow-up visit (Month 24.5) |
| Fayetteville |
| Arkansas |
| 72701 |
| United States |
| Little Rock Diagnostic Clinic | Little Rock | Arkansas | 72205 | United States |
| AGMG Clinical Research | Anaheim | California | 92801 | United States |
| Lovelace Scientific Resources | Beverly Hills | California | 90211 | United States |
| Digestive Liver Disease Specialists, Medical Group | Garden Grove | California | 92840 | United States |
| Long Beach VA Medical Center | Long Beach | California | 90822 | United States |
| Community Clinical Trials | Orange | California | 92868 | United States |
| Rider Research Group | San Francisco | California | 94117 | United States |
| John Jolley, M.D. | San Rafael | California | 94901 | United States |
| Lovelace Scientific Resources | Santa Ana | California | 92704 | United States |
| Santa Barbara Clinical Research | Santa Barbara | California | 93108 | United States |
| Professionals for Clinical Research | Littleton | Colorado | 80120 | United States |
| Connecticut Gastroenterology Institute | Bristol | Connecticut | 06010 | United States |
| Clinical Research of Tampa Bay, Inc. | Brooksville | Florida | 34613 | United States |
| Medical Research Unlimited | Hialeah | Florida | 33013 | United States |
| Southern Clinical Research Consultants | Hollywood | Florida | 33021 | United States |
| United Medical Research | New Smyrna Beach | Florida | 32168 | United States |
| Venture Research Institute, LLC | North Miami Beach | Florida | 33162 | United States |
| Penninsula Research, Inc. | Ormond Beach | Florida | 32174 | United States |
| Advanced Gastroenterology Associates | Palm Harbor | Florida | 34684 | United States |
| Lovelace Scientific Resources | Sarasota | Florida | 34233 | United States |
| Advent Clinical Research | Sarasota | Florida | 34239 | United States |
| Metabolic Research Institute, Inc. | West Palm Beach | Florida | 33401 | United States |
| Consultative Gastroenterology | Atlanta | Georgia | 30308 | United States |
| Digestive Care Associates | Austell | Georgia | 30106 | United States |
| Center for Gastroenterology | Decatur | Georgia | 30033 | United States |
| Gastroenterology Associates of Central Georgia | Macon | Georgia | 31201 | United States |
| Northwest Gastroenterologists S.C. | Arlington Heights | Illinois | 60005 | United States |
| Covenant Clinic | Waterloo | Iowa | 50702 | United States |
| Cotton-O'Neil Digestive Health Center | Topeka | Kansas | 66606 | United States |
| University of Louisville | Louisville | Kentucky | 40202 | United States |
| Sinai Medical Office Building | Baltimore | Maryland | 21215 | United States |
| Philip J. Beam Medical Center | Hollywood | Maryland | 20636 | United States |
| Research Institute of Michigan, LLC | Chesterfield | Michigan | 48047 | United States |
| Center for Digestive & Liver Diseases | Mexico | Missouri | 65265 | United States |
| St. Louis Center for Clinical Research | St Louis | Missouri | 63128 | United States |
| Shore Health Group | Ocean City | New Jersey | 07712 | United States |
| Simon Lichtiger, M.D. | New York | New York | 10128 | United States |
| VA Medical Center, Northport | Northport | New York | 11768 | United States |
| VA Medical Center | Syracuse | New York | 13210 | United States |
| Upstate Gastroenterology Associates, PC | Troy | New York | 12180 | United States |
| LeBauer Research Associates, PA | Greensboro | North Carolina | 27403 | United States |
| Bethany Medical Center | High Point | North Carolina | 27262 | United States |
| Boice-Willis Clinic | Rocky Mount | North Carolina | 27804 | United States |
| Consultants for Clinical Research, Inc. | Cincinnati | Ohio | 45219 | United States |
| Avamar Center for Endoscopy | Warren | Ohio | 44484 | United States |
| Oklahoma Gastroenterology Associates, LLC | Tulsa | Oklahoma | 74104 | United States |
| Charleston Gastroenterology Specialists, LLC | Charleston | South Carolina | 29414 | United States |
| Hillcrest Clinical Research, LLC | Simpsonville | South Carolina | 29681 | United States |
| Medical Research Institute | Nashville | Tennessee | 37205 | United States |
| NationsMed Clinical Research | Houston | Texas | 77034 | United States |
| Clinical Trial Network | Houston | Texas | 77074 | United States |
| Houston Digestive Disease Clinic | Houston | Texas | 77090 | United States |
| Gastroenterology Associates of Tidewater | Chesapeake | Virginia | 23320 | United States |
| New River Research Institute | Christiansburg | Virginia | 24073 | United States |
| Seattle Gastroenterology Associates | Seattle | Washington | 98133 | United States |
| Eastern Washington Clinical Research Center | Spokane | Washington | 99204 | United States |
| Spokane Digestive Disease Center | Spokane | Washington | 99204 | United States |
| Digestive Disease Research Center | Tacoma | Washington | 98405 | United States |
| Center for Advanced Research | Milwaukee | Wisconsin | 53215 | United States |
| Safety Population | Received at least 1 dose of study drug and had at least 1 post-baseline safety assessment. |
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| COMPLETED |
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| NOT COMPLETED |
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Safety population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline safety assessment.
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| ID | Title | Description |
|---|---|---|
| BG000 | Encapsulated Mesalamine Granules (eMG) | Participants received eMG 1.5 grams (4 capsules of eMG 0.375 grams each) QD orally in the morning for up to 24 months. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| ||||||||||||||||||||||
| Age, Customized | Count of Participants | Participants |
| |||||||||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| |||||||||||||||||||||||
| Region of Enrollment | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) | An AE was defined as any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A TEAE was defined as any event with a start date occurring on or after treatment Day 1 or, if pre-existing, worsening after treatment Day 1. Serious AEs were defined as death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized participant and required medical intervention to prevent 1 of the outcomes listed in this definition. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. | Safety population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline safety assessment. | Posted | Count of Participants | Participants | Baseline (Day 1) up to follow-up (24.5 months) |
|
|
| ||||||||||||||||||||||||||
| Primary | Number of Participants Who Prematurely Discontinued Treatment | Number of participants who prematurely discontinued treatment due to any reason were reported. | Safety population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline safety assessment. | Posted | Count of Participants | Participants | Baseline up to Month 24 |
|
| |||||||||||||||||||||||||||
| Primary | Number of Participants With Potentially Clinically Significant (PCS) Hematology and Blood Chemistry Abnormalities | Criteria for potentially clinically significant abnormal hematology and blood chemistry values included: hemoglobin (grams/deciliter [g/dL]): <10 and ≥3 decrease, or >20; hematocrit (%): <30 and ≥10 decrease, or >60; platelets (*10^9 cells/liter): <100 or >700 (normal: 150-400); white blood cells (*10^9 cells/liter): <2.3 or >16.2 (normal: 3.5-11.1); alanine aminotransferase (units/liter [U/L]): ≥3 * upper limit of normal (ULN) (normal range 0-47 U/L); aspartate aminotransferase (U/L): ≥3 * ULN (normal range 0-37 U/L); total bilirubin (micromoles/liter [µmol/L]): >2 times; and calcium creatinine clearance (milliliters/minute [mL/min]): ≤50. | Safety population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline safety assessment. | Posted | Count of Participants | Participants | Baseline up to follow-up (24.5 months) |
|
| |||||||||||||||||||||||||||
| Primary | Number of Participants With Clinically Significant Change From Baseline in Vital Signs | Vital signs included systolic and diastolic blood pressure, pulse rate, body temperature, or body weight. | Safety population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline safety assessment. | Posted | Count of Participants | Participants | Baseline, up to follow-up visit (Month 24.5) |
|
|
Baseline up to follow-up (24.5 months)
Safety population included all participants who received at least 1 dose of study drug and had at least 1 post-baseline safety assessment.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Encapsulated Mesalamine Granules (eMG) | Participants received eMG 1.5 grams (4 capsules of eMG 0.375 grams each) QD orally in the morning for up to 24 months. | 28 | 388 | 280 | 388 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Periproctitis | Gastrointestinal disorders | MedDRA 7.1 | Systematic Assessment |
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| Atrial fibrillation | Cardiac disorders | MedDRA 7.1 | Systematic Assessment |
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| Colitis ulcerative | Gastrointestinal disorders | MedDRA 7.1 | Systematic Assessment |
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| Diverticular perforation | Gastrointestinal disorders | MedDRA 7.1 | Systematic Assessment |
| |
| Ileus | Gastrointestinal disorders | MedDRA 7.1 | Systematic Assessment |
| |
| Proctitis | Gastrointestinal disorders | MedDRA 7.1 | Systematic Assessment |
| |
| Chest pain | General disorders | MedDRA 7.1 | Systematic Assessment |
| |
| Non-cardiac chest pain | General disorders | MedDRA 7.1 | Systematic Assessment |
| |
| Abscess limb | Infections and infestations | MedDRA 7.1 | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA 7.1 | Systematic Assessment |
| |
| Diverticulitis | Infections and infestations | MedDRA 7.1 | Systematic Assessment |
| |
| Localised infection | Infections and infestations | MedDRA 7.1 | Systematic Assessment |
| |
| Lower respiratory tract infection | Infections and infestations | MedDRA 7.1 | Systematic Assessment |
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| Tooth abscess | Infections and infestations | MedDRA 7.1 | Systematic Assessment |
| |
| Upper limb fracture | Injury, poisoning and procedural complications | MedDRA 7.1 | Systematic Assessment |
| |
| Breast Cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 7.1 | Systematic Assessment |
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| Colon Cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 7.1 | Systematic Assessment |
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| Lung Neoplasm Malignant | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 7.1 | Systematic Assessment |
| |
| Convulsion | Nervous system disorders | MedDRA 7.1 | Systematic Assessment |
| |
| Abortion spontaneous | Pregnancy, puerperium and perinatal conditions | MedDRA 7.1 | Systematic Assessment | This is a gender-specific AE. Only female participants were at risk. |
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| Ectopic pregnancy | Pregnancy, puerperium and perinatal conditions | MedDRA 7.1 | Systematic Assessment | This is a gender-specific AE. Only female participants were at risk. |
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| Hyperemesis gravidarum | Pregnancy, puerperium and perinatal conditions | MedDRA 7.1 | Systematic Assessment | This is a gender-specific AE. Only female participants were at risk. |
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| Uterine perforation | Reproductive system and breast disorders | MedDRA 7.1 | Systematic Assessment | This is a gender-specific AE. Only female participants were at risk. |
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| Deep vein thrombosis | Vascular disorders | MedDRA 7.1 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhea | Gastrointestinal disorders | MedDRA 7.1 | Systematic Assessment |
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| Abdominal Pain | Gastrointestinal disorders | MedDRA 7.1 | Systematic Assessment |
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| Colitis ulcerative | Gastrointestinal disorders | MedDRA 7.1 | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA 7.1 | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA 7.1 | Systematic Assessment |
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| Dyspepsia | Gastrointestinal disorders | MedDRA 7.1 | Systematic Assessment |
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| Haemorrhoids | General disorders | MedDRA 7.1 | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA 7.1 | Systematic Assessment |
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| Abdominal pain upper | Gastrointestinal disorders | MedDRA 7.1 | Systematic Assessment |
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| Abdominal distension | Gastrointestinal disorders | MedDRA 7.1 | Systematic Assessment |
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| Haematochezia | Gastrointestinal disorders | MedDRA 7.1 | Systematic Assessment |
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| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA 7.1 | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA 7.1 | Systematic Assessment |
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| Sinusitis | Infections and infestations | MedDRA 7.1 | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA 7.1 | Systematic Assessment |
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| Gastroenteritis viral | Infections and infestations | MedDRA 7.1 | Systematic Assessment |
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| Influenza | Infections and infestations | MedDRA 7.1 | Systematic Assessment |
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| Respiratory tract infection viral | Infections and infestations | MedDRA 7.1 | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | MedDRA 7.1 | Systematic Assessment |
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| Bronchitis | Infections and infestations | MedDRA 7.1 | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 7.1 | Systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 7.1 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 7.1 | Systematic Assessment |
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| Insomnia | Psychiatric disorders | MedDRA 7.1 | Systematic Assessment |
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| Rash | Skin and subcutaneous tissue disorders | MedDRA 7.1 | Systematic Assessment |
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Please contact Sponsor directly for additional information.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director of Clinical Operations | Bausch Health Americas, Inc. | lindsey.mathew@bauschhealth.com |
| ID | Term |
|---|---|
| D003093 | Colitis, Ulcerative |
| D015212 | Inflammatory Bowel Diseases |
| ID | Term |
|---|---|
| D003092 | Colitis |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
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