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Updated: Jun 23, 2026

Chinese Herbal Retention Enema for the Treatment of Ulcerative Colitis
Published on: May 16, 2025
Encapsulated mesalamine granules (Apriso) for ulcerative colitis
Abstract:
Apriso (Salix) is a new formulation of mesalamine (5-aminosalicylic acid; 5-ASA) approved by the FDA for maintenance of remission in mild to moderate ulcerative colitis (UC). Mesalamine is a locally acting antiinflammatory agent that is widely used both to maintain and induce remission in inflammatory bowel disease. Various mesalamine formulations have been developed to target drug delivery to areas of the small intestine and colon. Most of these agents require frequent dosing and have a high pill burden. The newest products--Lialda, introduced in 2007, and now Apriso--can be dosed once daily.
Insights
Apriso is a new mesalamine formulation for ulcerative colitis maintenance. This once-daily treatment offers a reduced pill burden compared to older mesalamine options.
Area of Science:
- Gastroenterology
- Pharmacology
Background:
- Ulcerative colitis (UC) is a chronic inflammatory bowel disease.
- Mesalamine (5-aminosalicylic acid; 5-ASA) is a key anti-inflammatory agent for UC remission.
- Existing mesalamine formulations often involve frequent dosing and high pill burden.
Purpose of the Study:
- To introduce Apriso, a novel mesalamine formulation for UC.
- To highlight Apriso's once-daily dosing regimen.
- To address limitations of previous mesalamine delivery systems.
Main Methods:
- Review of FDA approval and formulation characteristics of Apriso.
- Comparison of Apriso's dosing frequency and pill burden with existing mesalamine therapies.
- Discussion of targeted drug delivery principles for mesalamine.
Main Results:
- Apriso is FDA-approved for maintaining remission in mild to moderate UC.
- Apriso offers a once-daily dosing schedule.
- This formulation aims to improve patient compliance by reducing pill burden.
Conclusions:
- Apriso represents an advancement in mesalamine therapy for ulcerative colitis.
- The once-daily dosing of Apriso may enhance treatment adherence.
- Newer formulations like Apriso improve upon the delivery and convenience of mesalamine.
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