Propionyl-L-Carnitine in Ulcerative Colitis

NCT ID: NCT01026857

Last Updated: 2017-06-15

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

121 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-05-31

Study Completion Date

2009-12-31

Brief Summary

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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).

Detailed Description

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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.

Conditions

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Ulcerative Colitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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PLC Colon release tablet 1 g

40 patients each arm

Group Type EXPERIMENTAL

Propionyl-L-Carnitine

Intervention Type DRUG

PLC colon release tablet 1 g/die for 4 weeks

Placebo

Intervention Type DRUG

Placebo PLC colon release tablet 2 g/die for 4 weeks

PLC colon release tablet 2 g

40 patients each arm

Group Type EXPERIMENTAL

Propionyl-L-Carnitine

Intervention Type DRUG

PLC colon release tablet 2 g/die for 4 weeks

Placebo

Intervention Type DRUG

Placebo PLC colon release tablet 2 g/die for 4 weeks

Placebo PLC colon release tablet 2 g

40 patients each arm

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo PLC colon release tablet 2 g/die for 4 weeks

Interventions

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Propionyl-L-Carnitine

PLC colon release tablet 1 g/die for 4 weeks

Intervention Type DRUG

Propionyl-L-Carnitine

PLC colon release tablet 2 g/die for 4 weeks

Intervention Type DRUG

Placebo

Placebo PLC colon release tablet 2 g/die for 4 weeks

Intervention Type DRUG

Other Intervention Names

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Dromos Dromos

Eligibility Criteria

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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:

1. Stable background oral aminosalicylates (mesalazine, balsalazide, olsalazine) or sulfasalazine therapy for greater than or equal to 4 weeks prior to baseline assessments.
2. 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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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sigma-tau i.f.r. S.p.A.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Giovanni B. Gasbarrini, M.D.

Role: PRINCIPAL_INVESTIGATOR

Policlinico Universitario "A. Gemelli" - Rome - Italy

Gabriele Bianchi Porro, M.D.

Role: PRINCIPAL_INVESTIGATOR

Ospedale "L. Sacco" - Milan - Italy

Agesilao D'Arienzo, M.D.

Role: PRINCIPAL_INVESTIGATOR

A.O. Universitaria Federico II - Naples - Italy

Daniela Valpiani, M.D.

Role: PRINCIPAL_INVESTIGATOR

P.O. Morgagni Pierantoni - Forlì - Italy

Maurizio Koch, M.D.

Role: PRINCIPAL_INVESTIGATOR

Ospedale "S. Filippo Neri" - Rome - Italy

Ewa Malecka-Panas, M.D.

Role: PRINCIPAL_INVESTIGATOR

Klinika Przewodu Pokarmowego Szpital Kliniczny Nr 1 - Lodz - Poland

Leszek Paradowski, M.D.

Role: PRINCIPAL_INVESTIGATOR

Samodzielny Publiczny Szpital Kliniczny Nr 3 - Wroclaw - Poland

Konrad Lesniakowski, M.D.

Role: PRINCIPAL_INVESTIGATOR

Wojewodzki Szpital - Wroclaw - Poland

Limas Kupcinskas, M.D.

Role: PRINCIPAL_INVESTIGATOR

Kaunas Medical University Clinic - Kaunas - Lithuania

Goda Denapiene, M.D.

Role: PRINCIPAL_INVESTIGATOR

Vilnius University Santariskiu Hospital - Vilnius - Lithuania

Vladimir B. Grinevich, M.D.

Role: PRINCIPAL_INVESTIGATOR

State Institution "Regional Military Clinical Hospital N°422 named after Solovyov of Ministry of Defence of Russia - Saint Petersburg - Russia

Elena Sishkova, M.D.

Role: PRINCIPAL_INVESTIGATOR

Federal State Healthcare Institution "Clinical Hospital N°122 named after L.G. Sokolov of Federal Medical and Biological Agency" - Saint Petersburg - Russia

Konstantin P. Zhidkov, M.D.

Role: PRINCIPAL_INVESTIGATOR

St Petersburg State Healthcare Institution "Municipal Hospital N°26" - Saint Petersburg - Russia

Igor G. Bakulin, M.D.

Role: PRINCIPAL_INVESTIGATOR

Federal State Institution "7th Central Military Clinical Aviation Hospital of Ministry of Defence of Russia" - Moscow - Russia

Tatiana L. Mikhailova, M.D.

Role: PRINCIPAL_INVESTIGATOR

Federal State Institution "State Scientific Centre of Coloproctology of Rosmedtechnologij" - Moscow - Russia

Locations

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Hospital Morgagni - Pierantoni

Forlì, , Italy

Site Status

Ospedale "L. Sacco"

Milan, , Italy

Site Status

University Federico II

Naples, , Italy

Site Status

Hospital S. Filippo Neri

Rome, , Italy

Site Status

Policlinico "A. Gemelli"

Rome, , Italy

Site Status

Kaunas Medical University Clinic

Kaunas, , Lithuania

Site Status

Vilnius University Santariskiu Hospital

Vilnius, , Lithuania

Site Status

Klinika Przewodu Pokarmowego Szpital Kliniczny Nr 1

Lodz, , Poland

Site Status

Samodzielny Publiczny Szpital Kliniczny Nr 3 Katedra i Klinika Gastroenterologii AM

Wroclaw, , Poland

Site Status

Wojewódzki Szpital Specjalistyczny Klinika Gastroenterologii

Wroclaw, , Poland

Site Status

Federal State Institution "7-th Central Military Clinical Aviation Hospital of Ministry of Defence of Russia"

Moscow, , Russia

Site Status

Federal State Institution "State Scientific Centre of Coloproctology of Rosmedtechnologij"

Moscow, , Russia

Site Status

State Institution "Regional Military Clinical Hospital № 442 named after Z.P. Solovyov of Ministry of Defence of Russia"

Saint Petersburg, , Russia

Site Status

Federal State Healthcare Institution "Clinical Hospital № 122 named after L.G. Sokolov of Federal Medical and Biological Agency"

Saint Petersburg, , Russia

Site Status

St-Petersburg State Healthcare Institution "Municipal Hospital № 26"

Saint Petersburg, , Russia

Site Status

Countries

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Italy Lithuania Poland Russia

References

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Mikhailova TL, Sishkova E, Poniewierka E, Zhidkov KP, Bakulin IG, Kupcinskas L, Lesniakowski K, Grinevich VB, Malecka-Panas E, Ardizzone S, D'Arienzo A, Valpiani D, Koch M, Denapiene G, Vago G, Fociani P, Zerbi P, Ceracchi M, Camerini R, Gasbarrini G. Randomised clinical trial: the efficacy and safety of propionyl-L-carnitine therapy in patients with ulcerative colitis receiving stable oral treatment. Aliment Pharmacol Ther. 2011 Nov;34(9):1088-97. doi: 10.1111/j.1365-2036.2011.04844.x. Epub 2011 Sep 19.

Reference Type DERIVED
PMID: 21929562 (View on PubMed)

Other Identifiers

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ST261 DM 01 004

Identifier Type: -

Identifier Source: org_study_id

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