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The investigators plan to develop a novel method of estimating 5-ASA levels in the rectum at a mucosal level using in vivo rectal dialysis technique towards the eventual goal of determining the optimal dosing of Asacol® that would provide therapeutic levels of 5-ASA in the left colon.
Asacol® is mesalazine in a pH-dependent tablet (Eudragit S) that remains intact until reaching the terminal ileum. The tablet dissolves at a pH 7 or greater, allowing mesalazine release in the terminal ileum and throughout the colon; hence, it would be anticipated that this form of 5-ASA will produce higher concentrations in the left colon in patients with active ulcerative colitis compared to other immediate release forms of 5-ASA. However, preliminary research using dynamic computer modeling and simulation predicted that patients with active ulcerative colitis (characterized by an increased stool frequency) treated with Asacol® and Lialda (another delayed release formulation) will achieve very low 5-ASA levels in the sigmoid colon and rectum. The model predicts that these 5-ASA preparations will be relatively ineffective in treating the left side of the colon in active ulcerative colitis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1200 mg Asacol once daily for 1 week | Active Comparator | Rectal dialysis will be done after 1 week on 1200 mg asacol |
|
| 2400 mg Asacol once daily for 1 week | Active Comparator | Rectal dialysis will be done after 1 week on 2400 mg asacol |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rectal dialysis | Procedure | Rectal dialysis done after 1 week on either 1200/2400 mg Asacol dose to test rectal mucosal 5-ASA levels |
|
| Measure | Description | Time Frame |
|---|---|---|
| Detection of 5-ASA | 5-ASA to be measured using rectal dialysis technique in-vivo | 2 weeks after starting Asacol |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Detected 5-ASA With Change in Ingested Asacol Dose | Comparison of 2-week and 5-week 5-ASA as measured thorugh rectal dialysis | 5 weeks after starting study |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Eli D Ehrenpreis, MD | Endeavor Health | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22644716 | Background | Stobaugh DJ, Deepak P, Thorpe M, Hannon B, Ehrenpreis ED. Simulated comparison of topical and oral formulations of 5-aminosalicylate for the treatment of ulcerative colitis. Inflamm Bowel Dis. 2013 Feb;19(2):301-8. doi: 10.1002/ibd.23003. | |
| 12801036 | Background | Reissman P, Ehrenpreis ED, Cohen S, Nogueras JJ, Zaitman D, Wexner SD. Electrolyte profiles within the ileoanal pouch: measurement by an in vivo equilibrium dialysis technique. Dig Liver Dis. 2003 Apr;35(4):251-5. doi: 10.1016/s1590-8658(03)00062-8. |
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The study was terminated and the PI has left the institution. Efforts were made to contact the PI/study team members, but were unsuccessful. No study data are available.
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| ID | Title | Description |
|---|---|---|
| FG000 | 1200 mg Asacol Once Daily for 1 Week | Rectal dialysis will be done after 1 week on 1200 mg asacol Rectal dialysis: Rectal dialysis done after 1 week on either 1200/2400 mg Asacol dose to test rectal mucosal 5-ASA levels |
| FG001 | 2400 mg Asacol Once Daily for 1 Week | Rectal dialysis will be done after 1 week on 2400 mg asacol Rectal dialysis: Rectal dialysis done after 1 week on either 1200/2400 mg Asacol dose to test rectal mucosal 5-ASA levels |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
The study was terminated and the PI has left the institution. Efforts were made to contact the PI/study team members, but were unsuccessful. No study data are available
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| ID | Title | Description |
|---|---|---|
| BG000 | 1200 mg Asacol Once Daily for 1 Week | Rectal dialysis will be done after 1 week on 1200 mg asacol Rectal dialysis: Rectal dialysis done after 1 week on either 1200/2400 mg Asacol dose to test rectal mucosal 5-ASA levels |
| BG001 | 2400 mg Asacol Once Daily for 1 Week |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical |
| 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 | Detection of 5-ASA | 5-ASA to be measured using rectal dialysis technique in-vivo | The study was terminated and the PI has left the institution. Efforts were made to contact the PI/study team members, but were unsuccessful. No study data are available | Posted | 2 weeks after starting Asacol |
|
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The study was terminated and the PI has left the institution. Efforts were made to contact the PI/study team members, but were unsuccessful. No study data are available, including data about adverse events.
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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 | 1200 mg Asacol Once Daily for 1 Week | Rectal dialysis will be done after 1 week on 1200 mg asacol Rectal dialysis: Rectal dialysis done after 1 week on either 1200/2400 mg Asacol dose to test rectal mucosal 5-ASA levels |
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The study was terminated and the PI has left the institution. Efforts were made to contact the PI/study team members, but were unsuccessful. No study data are available
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Asst Director Research Compliance | NorthShore University HealthSystem | 2243647975 | rpulido@northshore.org |
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| ID | Term |
|---|---|
| D003093 | Colitis, Ulcerative |
| ID | Term |
|---|---|
| D003092 | Colitis |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| Rectal dialysis | Drug | Rectal dialysis done after 1 week on either 1200/2400 mg Asacol dose to test rectal mucosal 5-ASA levels |
|
Rectal dialysis will be done after 1 week on 2400 mg asacol Rectal dialysis: Rectal dialysis done after 1 week on either 1200/2400 mg Asacol dose to test rectal mucosal 5-ASA levels |
| BG002 | Total | Total of all reporting groups |
|
| Age, Continuous |
| Sex: Female, Male |
|
| Region of Enrollment | participants |
|
|
| Secondary | Change in Detected 5-ASA With Change in Ingested Asacol Dose | Comparison of 2-week and 5-week 5-ASA as measured thorugh rectal dialysis | The study was terminated and the PI has left the institution. Efforts were made to contact the PI/study team members, but were unsuccessful. No study data are available | Posted | 5 weeks after starting study |
|
|
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| EG001 | 2400 mg Asacol Once Daily for 1 Week | Rectal dialysis will be done after 1 week on 2400 mg asacol Rectal dialysis: Rectal dialysis done after 1 week on either 1200/2400 mg Asacol dose to test rectal mucosal 5-ASA levels | 0 | 0 | 0 | 0 | 0 | 0 |
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| D015212 |
| Inflammatory Bowel Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |