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

Sandborn 2009.

Study characteristics
Methods Multicenter, randomized, double‐blind, double‐dummy, active‐controlled trial (ASCEND III)
Participants Adults (aged 18 to 75 years) with moderately‐active ulcerative colitis that extended proximally beyond 15 cm from the anal verge, as confirmed by flexible sigmoidoscopy or colonoscopy (N = 772)
Interventions Asacol 2.4 g/day (400 mg tablet; n = 383) or 4.8 g/day of mesalamine (Asacol 800 mg tablet; n = 389) for 6 weeks
Outcomes Primary outcome: treatment success (overall improvement) at week 6, defined as improvement in the PGA (based on clinical assessments of rectal bleeding, stool frequency, and sigmoidoscopy), with no worsening in any individual clinical assessment
Secondary outcomes: clinical remission at weeks 3 and 6; improvement in stool frequency, rectal bleeding, and PFA assessments at weeks 3 and 6; improvement in the sigmoidoscopy with CFT, PGA, and UC‐DAI assessments at week 6; and treatment success in participants with left‐sided disease at week 6
Notes This study was supported by Procter & Gamble Pharmaceuticals
Author conflicts of interest are reported in the manuscript
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk The investigator or designated representative telephoned the Interactive Voice Response System for patient randomization and allocation of study medication once the patient was determined to be
eligible for the study
Allocation concealment (selection bias) Low risk Interactive Telephone Voice Response System
Blinding (performance bias and detection bias)
All outcomes Low risk Double‐blind, double‐dummy, identical placebos
Incomplete outcome data (attrition bias)
All outcomes Low risk Dropouts balanced across intervention groups with similar reasons for withdrawal
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