Skip to main content
. 2020 Aug 12;2020(8):CD000543. doi: 10.1002/14651858.CD000543.pub5

D'Haens 2006.

Study characteristics
Methods Randomized, multicenter, double‐blind, parallel‐group, dose‐ranging study
Participants Adultss (aged > 18 years) with histologically‐confirmed, newly‐diagnosed or relapsing mild to moderately‐active ulcerative colitis (N = 38)
Interventions MMX mesalazine (SPD476) 1.2 (n = 13), 2.4 (n = 14) or 4.8 g/day (n = 11), given once daily for 8 weeks
Outcomes Primary outcome: remission defined as a UC‐DAI score < 1 with a score of 0 for rectal bleeding and stool frequency, and at least a 1‐point reduction from baseline in sigmoidoscopy score. 
Secondary outcomes: change in UC‐DAI score, sigmoidoscopic appearance and histology from baseline to week 8, and the change in symptoms (rectal bleeding and stool frequency) from baseline to weeks 2, 4 and 8 for the 3 dose groups
Notes Study was funded by Shire Pharmaceuticals Inc.
Conflicts of interest were not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not described
Allocation concealment (selection bias) Unclear risk Not described
Blinding (performance bias and detection bias)
All outcomes Low risk Double‐blind: MMX mesalazine and placebo tablets were identical in appearance
Incomplete outcome data (attrition bias)
All outcomes Unclear risk The 1.2 g/day group had 6 withdrawals (6/13) compared to 3 (3/14) in the 2.4 g/day and 1 (1/11) in the 4.8 g/day groups. LOCF was used to address incomplete outcome data
Selective reporting (reporting bias) Low risk Expected outcomes were reported
Other bias Low risk The study appears to be free of other sources of bias