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

Population pharmacokinetics and IVIVC for mesalazine enteric-coated tablets

PMID: 35461968
Year: 2022
Relationship Type: Mechanism Score: 6.5

Although in-vivo bioequivalence (BE) study serves as a golden standard for establishing interchangeability of oral dosage forms, it remains challengi…

Lower Risk of Recurrence with a Higher Induction Dose of Mesalazine and Longer …

PMID: 35306553
Year: 2022
Relationship Type: Treatment Score: 6.5

BACKGROUND AND AIMS: The dose and duration of mesalazine treatment for ulcerative colitis (UC) is a potentially important determinant of effectivenes…

Drug-induced hypersensitivity syndrome with lupus manifestations due to mesalaz…

PMID: 35217557
Year: 2022
Relationship Type: Treatment Score: 6.5

Mesalazine is often used as first-line therapy for ulcerative colitis. Several reports have pointed to systemic adverse reactions associated with thi…

Mesalazine induced interstitial pneumonitis in the COVID era

PMID: 35199533
Year: 2022
Relationship Type: Treatment Score: 6.5

Mesalazine is the most widely used aminosalicylate for induction and maintenance of remission in patients with mild-to-moderate ulcerative colitis (U…

"Hepatotoxicity in inflammatory bowel disease: mesalazine, the forgotten drug"

PMID: 35048663
Year: 2021
Relationship Type: Treatment Score: 6.5

INTRODUCTION: Mesalazine is a widely prescribed drug, used for the treatment of ulcerative colitis to both induce and maintain remissions in disease.…

A Rare Case of Mesalazine-Induced Acute Myocarditis in a 19-Year-Old Female Wit…

PMID: 34987921
Year: 2021
Relationship Type: Treatment Score: 6.5

Mesalazine is a commonly used first-line therapy to treat acute mild to moderate ulcerative colitis (UC). Myocarditis is a rare complication of infla…

Mesalazine in Inflammatory Bowel Disease and COVID-19: Hospitalization and Adve…

PMID: 34849917
Year: 2022
Relationship Type: Treatment Score: 6.5

BACKGROUND: We assessed whether 5-aminosalicylic acid (5-ASA), as treatment for inflammatory bowel disease (IBD), was associated with an increase in …

Real-world experience with MMX mesalazine use in Mexican patients with ulcerati…

PMID: 34794923
Year: 2022
Relationship Type: Treatment Score: 6.5

INTRODUCTION AND AIMS: The 5-aminosalicylates, especially mesalazine, are the first option in the treatment of mild-to-moderate ulcerative colitis (U…

Evaluation of mesalazine polymeric conjugate in the treatment of actinic procti…

PMID: 34644773
Year: 2021
Relationship Type: Treatment Score: 6.5

PURPOSE: The present study aimed at testing a new formulation of mesalazine linked to chondroitin sulfate and its components alone in the treatment o…

Mesalazine and inflammatory bowel disease - From well-established therapies to …

PMID: 34329709
Year: 2021
Relationship Type: Adverse Effect Score: 6.5

Inflammatory bowel disease incidence has been constantly rising for the past few decades. Current therapies attempt to mitigate its symptoms since no…

Colonic Gene Expression and Fecal Microbiota in Diarrhea-predominant Irritable …

PMID: 33795545
Year: 2021
Relationship Type: Treatment Score: 6.5

BACKGROUND/AIMS: Diarrhea-predominant irritable bowel syndrome (IBS-D) has been previously associated with evidence of immune activation and altered …

The impact of clinical symptoms and endoscopic and histologic disease activity …

PMID: 33651279
Year: 2021
Relationship Type: Treatment Score: 6.5

PURPOSE: Studies of patients with ulcerative colitis (UC) report that reduced clinical symptoms and endoscopic activity predict better health-related…

Effect of Kangfuxin Liquid enema combined with mesalazine on gestational outcom…

PMID: 33592844
Year: 2021
Relationship Type: Treatment Score: 6.5

BACKGROUND: In recent years, the incidence of ulcerative colitis (UC) is on the rise, and most of them are young adults. As the peak of the disease o…

Ultraperformance Liquid Chromatography Coupled with Quadrupole Time-of-Flight M…

PMID: 33356298
Year: 2021
Relationship Type: Treatment Score: 6.5

This study aims to identify biomarkers for evaluating the therapeutic efficacy of mesalazine on ulcerative colitis by metabolomics and lipidomics. A …

[Mesalazine-induced myocarditis]

PMID: 33298675
Year: 2020
Relationship Type: Treatment Score: 6.5

A 30-year-old man presented with constipation and abdominal pain. He was suspected of having ulcerative colitis, and administration of 2400mg/day of …

Mesalazine granule formulation improves clinical data in Crohn's disease compar…

PMID: 33288852
Year: 2020
Relationship Type: Treatment Score: 6.5

The efficacy of sustained-release preparations of mesalazine as a remission maintenance treatment for Crohn's disease remains to be established. We a…

Bipolymeric Pectin Millibeads Doped with Functional Polymers as Matrices for th…

PMID: 33287276
Year: 2020
Relationship Type: Association Score: 6.5

Targeted drug delivery systems are a very convenient method of treating inflammatory bowel disease. The properties of pectin make this biopolymer a s…

Gancao Xiexin decoction combined with mesalazine in the treatment of ulcerative…

PMID: 33217804
Year: 2020
Relationship Type: Treatment Score: 6.5

BACKGROUD: Ulcerative colitis (UC) is a chronic inflammatory disease that involves the rectum, colon and ileum. Gancao Xiexin decoction (GCXXD) is a …

Efficacy and safety of prolonged release budesonide granules in mesalazine-refr…

PMID: 33028169
Year: 2020
Relationship Type: Treatment Score: 6.5

BACKGROUND: In patients with mesalazine-refractory ulcerative colitis, systemic corticosteroids are the treatment of choice. OBJECTIVE: To evaluate t…

Mesalazine formulation intolerance due to suspected excipient allergy in the tr…

PMID: 32880812
Year: 2020
Relationship Type: Treatment Score: 6.5

Mesalazine formulations are essential for treating ulcerative colitis (UC), and intolerance to these formulations complicates the treatment of this c…

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