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 Case Report and Literature Review of Mesalazine-Induced Kidney Injury in a Pe…

PMID: 35615637
Year: 2022
Relationship Type: Treatment Score: 7.5

BACKGROUND: Mesalazine, a preparation of 5-aminosalicylic acid, is a medication widely used in clinical practice as a first-line therapy in the treat…

Dapsone Azo-Linked with Two Mesalazine Moieties Is a "Me-Better" Alternative to…

PMID: 35336057
Year: 2022
Relationship Type: Treatment Score: 7.5

Dapsone (DpS) is an antimicrobial and antiprotozoal agent, especially used to treat leprosy. The drug shares a similar mode of action with sulfonamid…

The role of mesalazine co-treatment in the prevention of recurrence in subjects…

PMID: 35311735
Year: 2022
Relationship Type: Treatment Score: 7.5

AIM: To investigate the impact of mesalazine co-treatment in addition to the surgical intervention on recurrence rate in subjects with subclinical in…

Maternal mesalazine-induced neonatal gastrointestinal bleeding

PMID: 33858883
Year: 2021
Relationship Type: Association Score: 7.5

Ulcerative colitis often develops in the reproductive age women and can cause exacerbation by pregnancy. Mesalazine (5-aminosalicylic acid) is recomm…

Mesalazine-induced Hypersensitivity Pneumonitis

PMID: 33585338
Year: 2021
Relationship Type: Treatment Score: 7.5

A 57-year-old woman with Crohn's disease (ulcerative proctitis) treated with mesalazine (5-ASA) developed worsening respiratory distress and cough. T…

Nonasthmatic eosinophilic bronchitis in an ulcerative colitis patient - a putat…

PMID: 33024774
Year: 2020
Relationship Type: Treatment Score: 7.5

BACKGROUND: Lung and airway involvement in inflammatory bowel disease are increasingly frequently reported either as an extraintestinal manifestation…

Oral 5-aminosalicylic acid for maintenance of remission in ulcerative colitis

PMID: 32856298
Year: 2020
Relationship Type: Treatment Score: 7.5

BACKGROUND: Oral 5-aminosalicylic acid (5-ASA; also known as mesalazine or mesalamine) preparations were intended to avoid the adverse effects of sul…

Mesalazine induced focal segmental glomerulosclerosis in a patient with ulcerat…

PMID: 32394929
Year: 2020
Relationship Type: Treatment Score: 7.5

Focal segmental glomerulosclerosis (FSGS) and other glomerulonephritis due to the use of 5-aminosalicylic acid derivatives have been reported in the …

Plasma N-terminal pro-B-type natriuretic peptide (BNP) in mesalazine-induced my…

PMID: 30975785
Year: 2019
Relationship Type: Treatment Score: 7.5

Mesalazine (5-aminosalicylic acid)-based products are a widely used treatment for inflammatory bowel disease in children and adults. Associated myope…

Adherence, risk factors of non-adherence and patient's preferred treatment stra…

PMID: 29560753
Year: 2018
Relationship Type: Treatment Score: 7.3

OBJECTIVES: Compliance to therapy is a key factor in the efficacy of treatment in clinical practice. The aim of our study was to evaluate the rate of…

Once- Versus Twice-daily Mesalazine to Induce Remission in Paediatric Ulcerativ…

PMID: 28453754
Year: 2017
Relationship Type: Adverse Effect Score: 7.3

BACKGROUND: Trials in adults suggested that, in ulcerative colitis [UC], once-daily [OD] dosing of 5-ASA [5-amino salicylic acid] may be as or more e…

Mesalazine allergy in a boy with ulcerative colitis: clinical usefulness of muc…

PMID: 27503129
Year: 2016
Relationship Type: Treatment Score: 7.3

5-Aminosalicylic acid preparations have been used as first-line drugs for treatment of ulcerative colitis (UC). However, some patients with UC presen…

Gastroenterology case report of mesalazine-induced cardiopulmonary hypersensiti…

PMID: 25852295
Year: 2015
Relationship Type: Treatment Score: 7.3

Mesalazine is a 5-aminosalicylic acid derivative that has been widely used to treat patients with inflammatory bowel disease. Accumulating evidence i…

Combined oral and rectal mesalazine for the treatment of mild-to-moderately act…

PMID: 24012063
Year: 2014
Relationship Type: Treatment Score: 7.3

BACKGROUND AND AIMS: Mesalazine (5-aminosalicylic acid) is the standard first-line therapy for mild-to-moderate ulcerative colitis. In the PINCE stud…

In-vitro characterization of 5-aminosalicylic acid release from MMX mesalamine …

PMID: 21088944
Year: 2011
Relationship Type: Association Score: 7.1

INTRODUCTION: Substantial variability in gastrointestinal pH is observed in patients with ulcerative colitis (UC). We characterized the effect of pH …

Mesalazine for the treatment of inflammatory bowel disease

PMID: 23767798
Year: 2013
Relationship Type: Treatment Score: 7.1

INTRODUCTION: Ulcerative colitis (UC) and Crohn's disease (CD) represent a chronic inflammatory condition of the bowel that often require lifelong me…

Long-term oral mesalazine adherence and the risk of disease flare in ulcerative…

PMID: 22882428
Year: 2012
Relationship Type: Association Score: 7.1

BACKGROUND: Adherence is a major factor in determining disease activity in ulcerative colitis (UC). There are limited data on long-term nationwide ad…

Mesalazine granules are superior to Eudragit-L-coated mesalazine tablets for in…

PMID: 21923715
Year: 2011
Relationship Type: Treatment Score: 7.1

BACKGROUND: Different oral formulations of 'mesalazine (mesalamine)' may have different efficacy in distal ulcerative colitis. AIM: To evaluate the e…

Efficacy and safety of Fufangkushen colon-coated capsule in the treatment of ul…

PMID: 21911045
Year: 2012
Relationship Type: Treatment Score: 7.1

ETHNOPHARMACOLOGICAL RELEVANCE: Fufangkushen colon-coated capsule (FCC) was a newly developed herbal drug for treating ulcerative colitis (UC) patien…

Randomised clinical trial: early assessment after 2 weeks of high-dose mesalazi…

PMID: 21385195
Year: 2011
Relationship Type: Treatment Score: 7.1

BACKGROUND: Rapid resolution of rectal bleeding and stool frequency are important goals for ulcerative colitis therapy and may help guide therapeutic…

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