Propionyl-L-Carnitine in Ulcerative Colitis
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Purpose
The purpose of this study is to determine whether Propionyl-L-carnitine administration may ameliorate the illness in patients affected by mild to moderate ulcerative colitis already in treatment with one of the standard treatments (corticosteroids excluded).
| Condition | Intervention | Phase |
|---|---|---|
|
Ulcerative Colitis |
Drug: Propionyl-L-Carnitine Drug: Placebo |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | Phase II, Parallel-group, Placebo Controlled, Double-blind, Randomised, Multicenter Study to Investigate the Efficacy of Two Dosages of Propionyl-L-Carnitine Colon Release Tablets in Patients Affected by Ulcerative Colitis Under Oral Stable Treatment |
- Disease Activity Index score [ Time Frame: baseline, week 4 ] [ Designated as safety issue: No ]
- Adverse Events [ Time Frame: Throughout the study ] [ Designated as safety issue: Yes ]
| Enrollment: | 121 |
| Study Start Date: | May 2006 |
| Study Completion Date: | December 2009 |
| Primary Completion Date: | April 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: PLC Colon release tablet 1 g
40 patients each arm
|
Drug: Propionyl-L-Carnitine
PLC colon release tablet 1 g/die for 4 weeks
Other Name: Dromos
Drug: Placebo
Placebo PLC colon release tablet 2 g/die for 4 weeks
Other Name: Placebo
|
|
Experimental: PLC colon release tablet 2 g
40 patients each arm
|
Drug: Propionyl-L-Carnitine
PLC colon release tablet 2 g/die for 4 weeks
Other Name: Dromos
Drug: Placebo
Placebo PLC colon release tablet 2 g/die for 4 weeks
Other Name: Placebo
|
|
Placebo Comparator: Placebo PLC colon release tablet 2 g
40 patients each arm
|
Drug: Placebo
Placebo PLC colon release tablet 2 g/die for 4 weeks
Other Name: Placebo
|
Detailed Description:
The trial foresees the administration of 2 different dosages of Propionyl-L-carnitine (ST261) colon release tablets, 1 g/die and 2 g/die. The primary objective of this trial is to evaluate the clinical/endoscopic response defined as a lowering of the Disease Activity Index (DAI score) of at least 3 points ot the reaching of remission, the clinical/endoscopic remission (DAI score <= 2 with no individual subscore > 1) and histological efficacy of the two combined dosages of PLC (i.e. PLC 1 g/die + 2 g/die) in comparison to placebo, defined as an improvement of the Histological Index (HI) of at least 1 point at the end of the study (a final HI score of <= 1 will be defined as an histological remission).
The secondary objective is to evaluate the clinical/endoscopic and histological efficacy of the two dosages of PLC individually considered in comparison to Placebo, in order to gather information on the dosage to be used in subsequent trials. The safety and tolerability of the regimens studied will also be objectives of the study.
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Have read the Information for the Patient and signed the Informed Consent Form.
- Age comprised between 18 and 75 included.
- If female, not pregnant or nursing.
- For women of childbearing potential, willingness to avoid a pregnancy during the treatment period and for at least 1 month from the last dose of drug.
- Availability of a pancolonoscopy and histology both confirming the diagnosis of active ulcerative colitis.
- Disease Activity Index comprised between 3 and 10, inclusive, (mild to moderate ulcerative colitis).
On one of the following treatments for ulcerative colitis prior to baseline visit:
- Stable background oral aminosalicylates (mesalazine, balsalazide, olsalazine) or sulfasalazine therapy for greater than or equal to 4 weeks prior to baseline assessments.
- Stable background mercaptopurine or azathioprine for greater than or equal to 12 weeks prior to baseline assessments.
Exclusion Criteria:
- First diagnosis of ulcerative colitis.
- Crohn's disease.
- Current or previous (in the last 10 days preceding the screening) use of systemic corticosteroids.
- Use of antibiotics in the last 10 days preceding the screening.
- Use of NSAID's in the last 10 days preceding the screening.
- Use of probiotics in the last 10 days preceding the screening
- Positive stool culture (when performed, according to Investigator's judgment, to assess possible parasitologic infection(s)).
- Significantly impaired liver, renal, pulmonary or cardiovascular function.
- History of colon resection.
- Diverticulitis.
- Diagnosis of proctitis
- Stable rectally administered therapy in the last 10 days.
- Active or chronic infection(s).
- Simultaneous participation in another clinical trial, or participation in any clinical trial involving investigational drugs within 3 months from enrolment into the present study.
- Any physical or psychological condition in a patient that could let the investigator suspect his/her poor compliance.
Contacts and Locations| Italy | |
| Hospital Morgagni - Pierantoni | |
| Forlì, Italy, 47100 | |
| Ospedale "L. Sacco" | |
| Milan, Italy, 20157 | |
| University Federico II | |
| Naples, Italy, 80131 | |
| Policlinico "A. Gemelli" | |
| Rome, Italy, 00168 | |
| Hospital S. Filippo Neri | |
| Rome, Italy, 00135 | |
| Lithuania | |
| Kaunas Medical University Clinic | |
| Kaunas, Lithuania, 50009 | |
| Vilnius University Santariskiu Hospital | |
| Vilnius, Lithuania, 08661 | |
| Poland | |
| Klinika Przewodu Pokarmowego Szpital Kliniczny Nr 1 | |
| Lodz, Poland, 90-153 | |
| Samodzielny Publiczny Szpital Kliniczny Nr 3 Katedra i Klinika Gastroenterologii AM | |
| Wroclaw, Poland, 50-326 | |
| Wojewódzki Szpital Specjalistyczny Klinika Gastroenterologii | |
| Wroclaw, Poland, 51-149 | |
| Russian Federation | |
| Federal State Institution "7-th Central Military Clinical Aviation Hospital of Ministry of Defence of Russia" | |
| Moscow, Russian Federation, 107014 | |
| Federal State Institution "State Scientific Centre of Coloproctology of Rosmedtechnologij" | |
| Moscow, Russian Federation, 123154 | |
| State Institution "Regional Military Clinical Hospital № 442 named after Z.P. Solovyov of Ministry of Defence of Russia" | |
| Saint Petersburg, Russian Federation, 193163 | |
| Federal State Healthcare Institution "Clinical Hospital № 122 named after L.G. Sokolov of Federal Medical and Biological Agency" | |
| Saint Petersburg, Russian Federation, 194291 | |
| St-Petersburg State Healthcare Institution "Municipal Hospital № 26" | |
| Saint Petersburg, Russian Federation, 196247 | |
| Principal Investigator: | Giovanni B. Gasbarrini, M.D. | Policlinico Universitario "A. Gemelli" - Rome - Italy |
| Principal Investigator: | Gabriele Bianchi Porro, M.D. | Ospedale "L. Sacco" - Milan - Italy |
| Principal Investigator: | Agesilao D'Arienzo, M.D. | A.O. Universitaria Federico II - Naples - Italy |
| Principal Investigator: | Daniela Valpiani, M.D. | P.O. Morgagni Pierantoni - Forlì - Italy |
| Principal Investigator: | Maurizio Koch, M.D. | Ospedale "S. Filippo Neri" - Rome - Italy |
| Principal Investigator: | Ewa Malecka-Panas, M.D. | Klinika Przewodu Pokarmowego Szpital Kliniczny Nr 1 - Lodz - Poland |
| Principal Investigator: | Leszek Paradowski, M.D. | Samodzielny Publiczny Szpital Kliniczny Nr 3 - Wroclaw - Poland |
| Principal Investigator: | Konrad Lesniakowski, M.D. | Wojewodzki Szpital - Wroclaw - Poland |
| Principal Investigator: | Limas Kupcinskas, M.D. | Kaunas Medical University Clinic - Kaunas - Lithuania |
| Principal Investigator: | Goda Denapiene, M.D. | Vilnius University Santariskiu Hospital - Vilnius - Lithuania |
| Principal Investigator: | Vladimir B. Grinevich, M.D. | State Institution "Regional Military Clinical Hospital N°422 named after Solovyov of Ministry of Defence of Russia - Saint Petersburg - Russia |
| Principal Investigator: | Elena Sishkova, M.D. | Federal State Healthcare Institution "Clinical Hospital N°122 named after L.G. Sokolov of Federal Medical and Biological Agency" - Saint Petersburg - Russia |
| Principal Investigator: | Konstantin P. Zhidkov, M.D. | St Petersburg State Healthcare Institution "Municipal Hospital N°26" - Saint Petersburg - Russia |
| Principal Investigator: | Igor G. Bakulin, M.D. | Federal State Institution "7th Central Military Clinical Aviation Hospital of Ministry of Defence of Russia" - Moscow - Russia |
| Principal Investigator: | Tatiana L. Mikhailova, M.D. | Federal State Institution "State Scientific Centre of Coloproctology of Rosmedtechnologij" - Moscow - Russia |
More Information
No publications provided by sigma-tau i.f.r. S.p.A.
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Prof. Giovanni Battista Gasbarrini Coordinator, Policlinico "A. Gemelli" - Rome |
| ClinicalTrials.gov Identifier: | NCT01026857 History of Changes |
| Other Study ID Numbers: | ST261 DM 01 004 |
| Study First Received: | December 4, 2009 |
| Last Updated: | December 16, 2009 |
| Health Authority: | Italy: Ethics Committee Lithuania: Bioethics Committee Poland: Ethics Committee Russia: Ethics Committee |
Additional relevant MeSH terms:
|
Colitis Colitis, Ulcerative Ulcer Gastroenteritis Gastrointestinal Diseases Digestive System Diseases Colonic Diseases Intestinal Diseases Inflammatory Bowel Diseases |
Pathologic Processes Carnitine Vitamin B Complex Vitamins Micronutrients Growth Substances Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 23, 2013