Drug ID:Drug26
Drug Name:Mesalazine
CID:4075
DrugBank ID:DB00244
Modality:Small Molecule
Groups:approved
US Approved:YES
Other Approved:YES
Identifier: NCT05992142, , NCT01532648, , NCT02665845, , NCT00603733, , NCT02683759, , NCT03804931, , NCT01320436, , NCT00984568, , NCT00167882, , NCT00713310, , NCT01004185, , NCT01903252, , NCT00151892, , NCT00349388, , NCT05753267, , NCT05781698, , NCT05988528, , NCT05567068, , NCT05986136, , NCT05119
Molecular Formula:C7H7NO3
Molecular Weight:153.14 g/mol
Isomeric SMILES:C1=CC(=C(C=C1N)C(=O)O)O
Synonyms:5-Aminosalicylic acid; mesalamine; Mesalazine; 89-57-6; 5-Amino-2-hydroxybenzoic acid; 5-ASA; m-Aminosalicylic acid; Lialda; Fisalamine; Apriso
Phase 0: 1
Phase 1: 39
Phase 2: 43
Phase 3: 94
Phase 4: 27
Description:An anti-inflammatory agent, structurally related to the salicylates, which is active in inflammatory bowel disease. It is considered to be the active moiety of sulphasalazine. (From Martindale, The Extra Pharmacopoeia, 30th ed)

Molecular Structure

2D Molecular Structure

Knowledge Graph

dtIDCIDCompound NameGene IDGene NameSpeciesPubMed IDsAction
dt238 4075 Mesalamine 3028 HSD17B10 Homo sapiens (human) None
dt239 4075 Mesalamine 2744 GLS Homo sapiens (human) None
dt240 4075 Mesalamine 3586 IL10 Homo sapiens (human) None
dt241 4075 Mesalamine 5743 PTGS2 Homo sapiens (human) Inhibitor
dt242 4075 Mesalamine 5742 PTGS1 Homo sapiens (human) Inhibitor
dt243 4075 Mesalamine 240 ALOX5 Homo sapiens (human) Inhibitor
dt244 4075 Mesalamine 5468 PPARG Homo sapiens (human) Agonist
dt245 4075 Mesalamine 1147 CHUK Homo sapiens (human) Inhibitor
dt246 4075 Mesalamine 3551 IKBKB Homo sapiens (human) Inhibitor
dt247 4075 Mesalamine 4843 NOS2 Homo sapiens (human) 17503181 Inhibitor

  • No data available

Phase Distribution
Phase Description
  • Phase 0: Exploratory trials to assess drug behavior in humans
  • Phase 1: Safety trials to determine safe dosage range
  • Phase 2: Efficacy trials to evaluate therapeutic effects
  • Phase 3: Large-scale trials to confirm efficacy and safety
  • Phase 4: Post-marketing surveillance for long-term safety and efficacy

Trial IDTitlePhaseStatusSponsorIndicationsInterventions
NCT02093663 Safety and Efficacy of MMX Mesalamine/Mesalazine in Pediatric Subjects With Mild to Moderate Ulcerative Colitis PHASE3 COMPLETED Shire Ulcerative Colitis DRUG: MMX Mesalamine/Mesalazine (Low Dose)|DRUG: … Details
NCT01011322 A Study to Investigate the Efficacy of LT-02 in Patients With Mesalazine Refractory Ulcerative Colitis PHASE2 UNKNOWN Lipid Therapeutics GmbH Ulcerative Colitis|Large Intestine|Diarrhea|Abdom… DRUG: LT-02|DRUG: placebo Details
NCT04133194 Adherence of a 1.600 mg Single Tablet 5-ASA Treatment of Ulcerative Colitis PHASE4 RECRUITING Flemming Bendtsen Ulcerative Colitis DRUG: Mesalazine|DRUG: Mesalazine Details
NCT01257386 Comparative Efficacy and Safety Study in Patients With Active Ulcerative Colitis PHASE3 COMPLETED Tillotts Pharma AG Active Ulcerative Colitis DRUG: Asacol|DRUG: Mesalazine Details
NCT06176560 Phase III Multicentre Trial of Oral Mesalazine in Patients With Mild to Moderate Ulcerative Colitis. PHASE3 NOT_YET_RECRUITING Faes Farma, S.A. Colitis, Ulcerative DRUG: Mesalazine Details
NCT00708656 The Colitis Once Daily Asacol Study PHASE3 COMPLETED Cardiff and Vale University Health Board Ulcerative Colitis DRUG: mesalazine (Asacol) Details
NCT00151944 Safety and Tolerability of SPD476 in Maintaining Remission in Patients With Ulcerative Colitis. PHASE3 COMPLETED Shire Colitis, Ulcerative DRUG: SPD476 (mesalazine) Details
NCT00747110 Budesonide Capsules Versus Mesalazine Granules in Active Ulcerative Colitis (UC) PHASE3 COMPLETED Dr. Falk Pharma GmbH Colitis, Ulcerative DRUG: budesonide|DRUG: mesalazine Details
NCT01257399 Comparative Efficacy and Safety Study in Patients With Ulcerative Colitis in Remission Phase PHASE3 COMPLETED Tillotts Pharma AG Ulcerative Colitis in Remission DRUG: Asacol|DRUG: Mesalazine Details
NCT05386290 A Multicentered Prospective Cohort Study of Chinese IBD Patients None UNKNOWN Peking Union Medical College Hospital Ulcerative Colitis|Crohn Disease DRUG: Infliximab|DRUG: Vedolizumab|DRUG: Ustekinu… Details
NCT01124149 Ability to Maintain or Achieve Clinical and Endoscopic Remission With MMX Mesalamine Once Daily in Adults With Ulcerative Colitis PHASE4 COMPLETED Shire Ulcerative Colitis DRUG: MMX mesalamine/ mesalazine Details
NCT00503243 Safety and Efficacy of SPD476 (Mesalazine) Given Twice Daily (2.4 g/Day) vs SPD476 Given as a Single Dose (4.8 g/Day) in Subjects With Acute Mild to Moderate Ulcerative Colitis PHASE3 COMPLETED Shire Colitis, Ulcerative DRUG: Delayed and extended release mesalazine Details
NCT00449722 OD vs. TID Dosing With Mesalazine Granules in Active Ulcerative Colitis PHASE3 COMPLETED Dr. Falk Pharma GmbH Ulcerative Colitis DRUG: mesalazine Details
NCT00737789 Mesalazine 4g Once Daily Versus 4g in Two Divided Doses in Active Ulcerative Colitis. PHASE3 COMPLETED Ferring Pharmaceuticals Ulcerative Colitis DRUG: Mesalazine slow-release granules|DRUG: Mesa… Details
NCT02368717 An Efficacy and Safety Study of PENTASA in Chinese Patients With Left-sided Active Ulcerative Colitis Followed by a 24-Week Open-Label Extension Phase PHASE3 COMPLETED Ferring Pharmaceuticals Ulcerative Colitis DRUG: Mesalazine Enema|DRUG: Placebo Enema Details
NCT00808977 A Phase II Study to Explore the Safety and Activity of Dersalazine in Patients With Mild to Moderate Ulcerative Colitis PHASE2 COMPLETED Palau Pharma S.L.U. Ulcerative Colitis DRUG: Dersalazine sodium|DRUG: Mesalazine|DRUG: P… Details
NCT02537210 Aminosalicylic Acid Withdrawal Study in Long Standing Inactive Ulcerative Colitis None COMPLETED Chinese University of Hong Kong Colitis, Ulcerative|Aminosalicylic Acid DRUG: Mesalazine|DRUG: Placebo oral capsule Details
NCT00545389 Phase II Dose-Ranging Study in Subjects With Mild to Moderate Ulcerative Colitis Treated With SPD476 PHASE2 COMPLETED Shire Colitis, Ulcerative DRUG: SPD476 is a polymeric matrix formulation th… Details
NCT02261636 Induction and Maintenance of Remission With Pentasa as Ulcerative Colitis Treatment None COMPLETED Ferring Pharmaceuticals Ulcerative Colitis DRUG: mesalazine Details
NCT03917095 The Safety and Efficacy of TET Enema in the Treatment of UC None UNKNOWN The Second Hospital of Nanjing Medical University Ulcerative Colitis Chronic Mild|Ulcerative Coliti… DEVICE: The Colonic Transendoscopic enteral Tubin… Details

Disease IDDisease NameDefinitionCategoryRelated DrugsMechanism
No data available

Strategy IDTherapeutic StrategySynonymsRelated DrugsMechanism
S01 Anti-inflammatory inflammatory 5-Aminosalicylates (5-ASAs); corticosteroids Crohn's disease and ulcerative colitis are the two main com… Details

A review of the biological and pharmacological activities of mesalazine or 5-am…

PMID: 34410540
Year: 2021
Relationship Type: Treatment Score: 10.0

Mesalazine, also known as 5-aminosalicylic acid (5-ASA), is a synthetic drug from the family of nonsteroidal anti-inflammatory drugs (NSAIDs) used fo…

Mesalazine granules 1.5 g once-daily maintain remission in patients with ulcera…

PMID: 22617015
Year: 2012
Relationship Type: Treatment Score: 10.0

BACKGROUND: Mesalazine (mesalamine) granules (MG) were shown to be effective for the maintenance of remission of ulcerative colitis (UC) in two doubl…

Review article: delivery and efficacy of topical 5-aminosalicylic acid (mesalaz…

PMID: 21385194
Year: 2011
Relationship Type: Treatment Score: 10.0

BACKGROUND: The use of topical therapy in the treatment of ulcerative colitis has declined in recent years despite evidence of good efficacy. AIMS: T…

Role of organic anion-transporting polypeptides for cellular mesalazine (5-amin…

PMID: 21430235
Year: 2011
Relationship Type: Treatment Score: 9.1

The therapeutic effects and metabolism of mesalazine (5-aminosalicylic acid) in patients with inflammatory bowel disease require intracellular accumu…

Mesalazine in inflammatory bowel disease: a trendy topic once again?

PMID: 20151072
Year: 2010
Relationship Type: Treatment Score: 9.1

5-aminosalicylic acid (5-ASA) preparations (eg, mesalazine, mesalamine) are well-established preparations used in the management of inflammatory bowe…

The colon targeting efficacies of mesalazine medications and their impacts on t…

PMID: 38599548
Year: 2024
Relationship Type: Treatment Score: 8.5

Successful treatment of ulcerative colitis (UC) is highly dependent on several parameters, including dosing regimen and the ability to deliver drugs …

Polymeric Systems for Colon-specific Mesalazine Delivery in the Intestinal Bowe…

PMID: 35796458
Year: 2023
Relationship Type: Treatment Score: 8.5

The anti-inflammatory 5-aminosalicylic acid (5-ASA) is the main therapeutic option used to prevent and treat inflammatory bowel diseases. The upper i…

[Mesalazine renal lithiasis.]

PMID: 32633252
Year: 2020
Relationship Type: Treatment Score: 8.5

Mesalazine (5-aminosalicylic acid, 5-ASA),is an anti-inflammatory drug well-established as first-line treatment in the management of inflammatory bow…

Prevention of postoperative recurrence of Crohn's disease: Tripterygium wilford…

PMID: 23569144
Year: 2013
Relationship Type: Adverse Effect Score: 8.1

OBJECTIVES: To explore effectiveness and safety of polyglycosides of Tripterygium wilfordii (GTW) and mesalazine (5-aminosalicylic acid [5-ASA]) in p…

Systematic review: molecular chemoprevention of colorectal malignancy by mesala…

PMID: 19891667
Year: 2010
Relationship Type: Treatment Score: 8.1

BACKGROUND: Mesalazine (mesalamine) (5-ASA) is considered an anti-inflammatory drug for the treatment of inflammatory bowel disease. It is well toler…

Influence of Pharmaceutical Formulation on the Mucosal Concentration of 5-Amino…

PMID: 30369547
Year: 2019
Relationship Type: Treatment Score: 7.5

The efficacy of 5-aminosalicylic acid (5-ASA) as the first-line therapy for ulcerative colitis (UC) is determined by the extent of drug delivery to t…

Possible Drug-Drug Interactions Between Mesalamine and Tricyclic Antidepressant…

PMID: 40169140
Year: 2025
Relationship Type: Treatment Score: 7.5

Mesalamine (mesalazine, 5-aminosalicylic acid, 5-ASA) is an essential anti-inflammatory agent both used for therapy and as a remission control in pat…

Mesalazine-Induced Myocarditis in Inflammatory Bowel Disease: A Systematic Revi…

PMID: 40027008
Year: 2025
Relationship Type: Treatment Score: 7.5

Crohn's disease (CD) and ulcerative colitis (UC) are two forms of inflammatory bowel disease (IBD). This chronic, immune-mediated disorder leads to i…

Mesalazine-Induced Acute Pancreatitis in Inflammatory Bowel Disease Patients: A…

PMID: 39897345
Year: 2025
Relationship Type: Treatment Score: 7.5

OBJECTIVE: Mesalazine is a widely used medication for treating mild to moderate inflammatory bowel disease (IBD). First identified as a potential cau…

Amelioration of inflammatory bowel disease by Bifidobacterium animalis subsp. l…

PMID: 39697653
Year: 2024
Relationship Type: Treatment Score: 7.5

The treatment of inflammatory bowel disease (IBD) remains challenging and significantly impacts both patients and their families. This study evaluate…

Solubility of mesalazine in pseudo-binary mixtures of choline chloride/ethylene…

PMID: 38017539
Year: 2023
Relationship Type: Adverse Effect Score: 7.5

Mesalazine (5-ASA) is a medication utilized to treat inflammatory bowel diseases involving ulcerative colitis and Crohn's disease. Mesalazine has few…

Mesalazine-induced myopericarditis: a case series

PMID: 37719002
Year: 2023
Relationship Type: Treatment Score: 7.5

BACKGROUND: Inflammatory bowel diseases (IBD) are characterized by chronic inflammation of the gastrointestinal tract but can have multiorgan involve…

[A case of ulcerative colitis with mesalazine intolerance complicated with agra…

PMID: 37690832
Year: 2023
Relationship Type: Association Score: 7.5

A 73-year-old woman developed ulcerative colitis with mesalazine intolerance a year ago. She relapsed 10 months later. Although she was in clinical r…

Potential of Mesalazine Therapeutic Drug Monitoring by Measuring Fecal Excretio…

PMID: 36823707
Year: 2023
Relationship Type: Treatment Score: 7.5

BACKGROUND: Therapeutic drug monitoring of mesalazine (5-ASA) in patients with ulcerative colitis is unavailable. Mucosal 5-ASA concentrations are as…

Analysis of clinical characteristics of mesalazine-induced cardiotoxicity

PMID: 36188558
Year: 2022
Relationship Type: Treatment Score: 7.5

Background: Mesalazine is the first-line inflammatory bowel disease (IBD) treatment. However, it can cause fatal cardiotoxicity. We aimed to analyze …

Showing 1-20 of 183 articles