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Quality-of-life results of double-blind, placebo-controlled trial of mesalamine in patients with Crohn's disease

  • Intestinal Disorders, Inflammatory Bowel Disease, Immunology, And Microbiology
  • Published:
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Abstract

Seven quality-of-life parameters were assessed in a trial of mesalamine in Crohn's disease. The results with regard to efficacy and safety have been previously published. A total of 310 patients were enrolled in this double-blind, parallel trial and randomized to receive placebo, or 1, 2, or 4 g/day of mesalamine in controlled-release capsules for 16 weeks. Results revealed that mesalamine at the dose of 4 g/day resulted in significant (P<0.03) improvements from baseline in all quality-of-life parameters. A significant (P<0.02) linear trend between increasing doses of mesalamine and increasing response was also noted. The 1- and 2-g/day doses of mesalamine also resulted in an improvement in quality of life, however, with the exception of 2 g/day of mesalamine on the hobby and recreational activities parameter, these changes were not significantly different from placebo.

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References

  1. Whelan G: Epidemiology of inflammatory bowel disease. Med Clin North Am 74:1–12, 1990

    Google Scholar 

  2. Singleton JW, Hanauer SB, Gitnick GL, Peppercorn MA, Robinson MG, Wruble LD, Krawitt EL, Pentasa Crohn's Disease Study Group: Mesalamine capsules for the treatment of active Crohn's disease: Results of a 16-week trial. Gastroenterology 104:1293–1301, 1993

    PubMed  Google Scholar 

  3. Best WR, Becktel JM, Singleton JW: Rederived values of the eight coefficients of the Crohn's disease activity index (CDAI). Gastroenterology 77:843–846, 1979

    PubMed  Google Scholar 

  4. Guyatt GH, Deyo RA, Charlson M, Levine MN, Mitchell A: Responsiveness and validity in health status measurement: A clarification. J Clin Epidemiol 42:403–408, 1989

    PubMed  Google Scholar 

  5. Jaeschke R, Guyatt GH: How to develop and validate a new quality of life instrument.In Quality of Life in Clinical Trials. B Spilker (ed). New York, Raven Press, 1989

    Google Scholar 

  6. Guyatt GH, Walter S, Norman G: Measuring change over time: Assessing the usefulness of evaluative instruments. J Chron Dis 40:171–178, 1987

    PubMed  Google Scholar 

  7. Special Issue: Analysis of covariance. Biometrics 25:489–504, 1969

    Google Scholar 

  8. Snedecor GW, Cochran WG: Statistical Methods. Ames, Iowa, The Iowa State University Press, 1967

    Google Scholar 

  9. Drossman DA, Patrick DL, Mitchell CM, Murp EA, Zagomi EA, Appelbaum MI: Health-related quality of life in IBD: Functional status and patient worries and concerns. Dig Dis Sci 34:1379–1386, 1989

    PubMed  Google Scholar 

  10. Irvine EJ, Feagan B, Rochon J, Archambault A, Fedorak RN, Groll A, Kinnear D, Saibil F, McDonald JWD: Quality of life: A valid and reliable measure of therapeutic efficacy in the treatment of inflammatory bowel disease. Gastroenterology 106:287–296, 1994

    PubMed  Google Scholar 

  11. Guyatt GH, Mitchell A, Irvine EJ, Singer J, Williams N, Goodacre R, Tomkins C: A new measure of health status for clinical trials in IBD. Gastroenterology 96:804–810, 1989

    PubMed  Google Scholar 

  12. Mitchell A, Guyatt G, Singer J, Irvine J, Goodacre R, Tomkins C, Williams N, Wagner F: Quality of life in patients with IBD. J Clin Gastroenterol 10:306–310, 1988

    PubMed  Google Scholar 

  13. Martin F, Sutherland L, Beck IT, Anderson AH, Williams CN, Saibil F, Barrowman J, Lemire S: Oral 5ASA versus prednisone in short term treatment of Crohn's disease: A multicentre controlled trial. Can J Gastroenterol 4:452–457, 1990

    Google Scholar 

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Grant support for this trial was provided by Marion Merrell Dow Inc.

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Singleton, J.W., Hanauer, S. & Robinson, M. Quality-of-life results of double-blind, placebo-controlled trial of mesalamine in patients with Crohn's disease. Digest Dis Sci 40, 931–935 (1995). https://doi.org/10.1007/BF02064179

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  • DOI: https://doi.org/10.1007/BF02064179

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