Cure8

Why This Matters

The study evaluates how well first-line 5-ASA therapy achieves modern treatment targets (endoscopic, histologic, and biomarker remission) in real-world UC patients who are clinically in remission. Patients and clinicians may care because objective healing does not always match symptom resolution.

Who Should Pay Attention

Adult patients with mild-to-moderate ulcerative colitis on 5-ASA, gastroenterologists and IBD clinicians, and clinical researchers studying real-world outcomes and biomarkers in UC.

Study Snapshot

Story typeResearch paper
Evidence typeResearch paper
Source depthJournal abstract

What To Know

This cross-sectional phase 4 study enrolled 198 UC patients in clinical remission on 5-ASA only (oral, rectal, or combination) for at least 6 months and excluded those on corticosteroids, immunomodulators, or advanced therapies.

Investigators assessed multiple remission definitions: patient-reported outcomes (PRO-2), endoscopic scores (MES, UCEIS), histology (Geboes), and fecal calprotectin. While 78% had biological remission, 87% had endoscopic remission and 80% histological remission, only 24% met a composite deep remission definition largely because urgency persisted.

Practical takeaways: The results support that 5-ASA remains an effective treatment for achieving objective mucosal and biomarker remission in many patients with mild-to-moderate UC.

However, persistent symptoms such as urgency can remain despite mucosal healing, highlighting the need for clinicians to assess and address residual symptoms even when endoscopy and biomarkers look good.

Keep In Mind

This classification is grounded in the article abstract (structured content depth: abstract). The study is cross-sectional and reports remission rates at a single timepoint among patients already in clinical remission on 5-ASA; it does not provide longitudinal treatment comparisons or causal conclusions.

Source Details

Review the original publication for the complete reporting, methods, and context.

Read Original Source
Research paper Evidence type derived from source or registry metadata.
PublicationJournal of Crohn's & colitis
AuthorsReenaers C, Lambrecht G, Pouillon L +15 more
Study typeMulticenter study, journal article
Indexed viaEurope PMC
Source typeResearch paper
PublishedAug 1, 2026, 12:00 AM
Content availableJournal abstract

Funding disclosed by the source: Ferring

This Cure8 brief is based on source text from the linked article. Cure8 is informational only and is not a substitute for professional medical advice, diagnosis, or treatment.

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