Oral Type I Collagen for Relieving Scleroderma

NCT ID: NCT00005675

Last Updated: 2010-05-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

168 participants

Study Classification

INTERVENTIONAL

Study Start Date

2000-04-30

Brief Summary

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Diffuse systemic sclerosis (SSc), or scleroderma, is a connective tissue disease causing damage to skin and other organs. The purpose of this study is to determine if taking oral bovine type I collagen (CI) will improve the condition of SSc patients.

Detailed Description

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SSc is a chronic connective tissue disease that is caused by excess collagen deposits that damage the skin and other organs. This study will determine if a daily oral dose of bovine CI will improve the condition of patients with SSc.

Patients will be randomly assigned to one of two groups. The first group will receive 500 mcg bovine CI daily for 15 months; the second group will receive placebo. Study visits will be conducted at Months 4, 8, 12, and 15. Patients will undergo physical examination and blood tests at each visit. Patients will also be evaluated for modified Rodnan skin score (MRSS) and will be given health assessment questionnaires. A chest x-ray will be conducted at study entry and pulmonary function tests will be conducted at study entry and Month 12.

Conditions

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Scleroderma Connective Tissue Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

Participants will receive oral bovine type I collagen (CI) daily for 15 months

Group Type EXPERIMENTAL

Oral bovine type I collagen

Intervention Type DRUG

500 mcg of CI daily for 15 months

2

Participants will receive placebo daily for 15 months.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

CI placebo daily for 15 months

Interventions

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Oral bovine type I collagen

500 mcg of CI daily for 15 months

Intervention Type DRUG

Placebo

CI placebo daily for 15 months

Intervention Type DRUG

Other Intervention Names

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CI

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of diffuse systemic scleroderma (by American College of Rheumatology criteria 1980) of 10 years or less
* Stable skin involvement by history or physical examination 6 months prior to study entry
* Stable modified Rodnan skin score (MRSS) for 1 month prior to study entry
* Stable MRSS of 16 or more at screening and stable MRSS between screening and baseline visit
* Agree to use acceptable forms of contraception

Exclusion Criteria

* Participation in another clinical research study involving evaluation of another investigational drug within 90 days prior to study entry
* Concurrent serious medical condition which, in the opinion of the investigator, makes the patient inappropriate for the study
* Systemic sclerosis-like illnesses associated with environmental, ingested, or injected agents, such as L-tryptophan, tainted rapeseed oil, vinyl chloride, or bleomycin
* Limited and localized (morphea) or linear SSc
* Tenderness or swelling of the extremities (eosinophilic fasciitis)
* Pregnancy
* Use of certain medications
* Allergy to beef or dairy products
* Nonsteroidal anti-inflammatory drugs (NSAIDs) within 1 week before baseline visit. Aspirin at 325 mg or less daily for stroke or heart attack prevention is allowed.
* Use of herbal and some alternative therapies
* Any organ transplant or stem cell transplant
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wayne State University

OTHER

Sponsor Role collaborator

University of California, Los Angeles

OTHER

Sponsor Role collaborator

UTHSC

UNKNOWN

Sponsor Role collaborator

Medical University of South Carolina

OTHER

Sponsor Role collaborator

Beth Israel Medical Center

OTHER

Sponsor Role collaborator

University of Alabama at Birmingham

OTHER

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role collaborator

Georgetown University

OTHER

Sponsor Role collaborator

Baltimore VA Medical Center

FED

Sponsor Role collaborator

Northwestern University

OTHER

Sponsor Role collaborator

National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

NIH

Sponsor Role lead

Responsible Party

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UTHSC

Principal Investigators

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Arnold E. Postlethwaite, MD

Role: PRINCIPAL_INVESTIGATOR

University of Tennessee at Memphis

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

University of California Los Angeles

Los Angeles, California, United States

Site Status

University of Connecticut

Farmington, Connecticut, United States

Site Status

Georgetown University Medical Center

Washington D.C., District of Columbia, United States

Site Status

Johns Hopkins University

Baltimore, Maryland, United States

Site Status

Boston University School Of Medicine

Boston, Massachusetts, United States

Site Status

Wayne State University

Detroit, Michigan, United States

Site Status

Beth Israel Medical Center

New York, New York, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

University of Tennessee Health Science Center

Memphis, Tennessee, United States

Site Status

The University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status

Virginia Mason Research Center

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Postlethwaite AE. Can we induce tolerance in rheumatoid arthritis? Curr Rheumatol Rep. 2001 Feb;3(1):64-9. doi: 10.1007/s11926-001-0052-z.

Reference Type BACKGROUND
PMID: 11177772 (View on PubMed)

Carbone LD, McKown K, Pugazhenthi M, Barrow KD, Warrington K, Somes G, Postlethwaite AE. Dosage effects of orally administered bovine type I collagen on immune function in patients with systemic sclerosis. Arthritis Rheum. 2004 Aug;50(8):2713-5. doi: 10.1002/art.20361. No abstract available.

Reference Type BACKGROUND
PMID: 15334493 (View on PubMed)

Postlethwaite AE, Wong WK, Clements P, Chatterjee S, Fessler BJ, Kang AH, Korn J, Mayes M, Merkel PA, Molitor JA, Moreland L, Rothfield N, Simms RW, Smith EA, Spiera R, Steen V, Warrington K, White B, Wigley F, Furst DE. A multicenter, randomized, double-blind, placebo-controlled trial of oral type I collagen treatment in patients with diffuse cutaneous systemic sclerosis: I. oral type I collagen does not improve skin in all patients, but may improve skin in late-phase disease. Arthritis Rheum. 2008 Jun;58(6):1810-22. doi: 10.1002/art.23501.

Reference Type DERIVED
PMID: 18512816 (View on PubMed)

Other Identifiers

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NIAMS-048

Identifier Type: -

Identifier Source: secondary_id

N01 AR92242

Identifier Type: -

Identifier Source: org_study_id

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