Effect of FAn-7 in UC Activity

NCT ID: NCT01771224

Last Updated: 2013-01-18

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

UNKNOWN

Clinical Phase

EARLY_PHASE1

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Study Completion Date

2014-12-31

Brief Summary

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Introduction: Inflammatory bowel disease (IBD) refers to two chronic diseases that cause intestinal inflammation, ulcerative colitis (UC) and Crohn's disease (CD). The conventional treatment is not effective; therefore, alternative therapies may be effective specially in UC patients. Fatty acid (FA) may have a beneficial effect on some UC patients. The increasing incidence and prevalence of UC and ineffective treatments in some patients, allows search coadjuvant therapies. Objective: Quantification of differences between patients with and without FA. Methods: In two groups of patients with UC is administered FA and placebo. We will measure the changes clinical, endoscopic and histological in both groups, before and after treatment.

Detailed Description

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Conditions

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Inflammatory Bowel Disease Ulcerative Colitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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palmitoleic acid

Palmitoleic acid: 720 mg/day for 56 days

Group Type EXPERIMENTAL

Palmitoleic acid

Intervention Type DIETARY_SUPPLEMENT

Palmitoleic acid and 5-ASA

Sugar pill

Sugar pill: 720 mg/day for 56 days

Group Type PLACEBO_COMPARATOR

No interventions assigned to this group

Interventions

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Palmitoleic acid

Palmitoleic acid and 5-ASA

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Patients with a histopathologically confirmed diagnosis of UC.
* With mild and moderate disease.
* Patients treated with only doses of 5-aminosalicylates (5-ASA)
* BMI, 18 to 34.9 kg/m2
* Born in Mexico the last two generations
* Each patient will be asked to sign and date the consent form, to indicate that you agree to participate.

Exclusion Criteria

* Patient with associated diseases such as diabetes mellitus, hypertension, dyslipidemia, atherosclerosis and malabsorption syndrome.
* With autoimmune diseases (lupus, HIV, cancer and hepatitis), colitis (infectious, post-radiation, post-drug, indeterminate) and Crohn's Disease.
* If the patient use drugs that inhibit fat absorption.
* Patients after partial or total resection of stomach or small intestine.
* Steroid users.
* Patients in remission histology, clinical and endoscopic.
* Patients treated with FAn-3,6 or 9.
Minimum Eligible Age

18 Years

Maximum Eligible Age

59 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Medical Sciences and Nutrition, Salvador Zubiran

OTHER

Sponsor Role lead

Responsible Party

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Jesús Kazuo Yamamoto Furusho

MD PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jesús K Yamamoto, MD, PhD

Role: STUDY_DIRECTOR

Inflammatory Bowel Disease Clinic

Nallely Bueno, MSc

Role: PRINCIPAL_INVESTIGATOR

Inflammatory Bowel Disease Clinic

Locations

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INCMNSZ

DF, Tlalpan, Mexico

Site Status RECRUITING

Countries

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Mexico

Central Contacts

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Jesus K Yamamoto, MD, PhD

Role: CONTACT

54870900 ext. 2710

Nallely Bueno, MSc

Role: CONTACT

54870900 ext. 2712

Facility Contacts

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Jesus K Furusho, MD, PhD

Role: primary

+5554870900 ext. 2710

Nallely Bueno, MSc

Role: backup

+5554870900 ext. 2712

References

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Bueno-Hernandez N, Sanchez-Munoz F, Barreto-Zuniga R, Dominguez-Lopez A, Yamamoto-Furusho JK. Expression of HNF4gamma is downregulated in patients with active ulcerative colitis (UC) compared to UC patients in remission and healthy controls. Inflamm Bowel Dis. 2011 Aug;17(8):E91. doi: 10.1002/ibd.21753. Epub 2011 May 25. No abstract available.

Reference Type RESULT
PMID: 21618351 (View on PubMed)

Drewes T, Senkel S, Holewa B, Ryffel GU. Human hepatocyte nuclear factor 4 isoforms are encoded by distinct and differentially expressed genes. Mol Cell Biol. 1996 Mar;16(3):925-31. doi: 10.1128/MCB.16.3.925.

Reference Type RESULT
PMID: 8622695 (View on PubMed)

Gruber L, Lichti P, Rath E, Haller D. Nutrigenomics and nutrigenetics in inflammatory bowel diseases. J Clin Gastroenterol. 2012 Oct;46(9):735-47. doi: 10.1097/MCG.0b013e31825ca21a.

Reference Type RESULT
PMID: 22941427 (View on PubMed)

Daigo K, Kawamura T, Ohta Y, Ohashi R, Katayose S, Tanaka T, Aburatani H, Naito M, Kodama T, Ihara S, Hamakubo T. Proteomic analysis of native hepatocyte nuclear factor-4alpha (HNF4alpha) isoforms, phosphorylation status, and interactive cofactors. J Biol Chem. 2011 Jan 7;286(1):674-86. doi: 10.1074/jbc.M110.154732. Epub 2010 Nov 3.

Reference Type RESULT
PMID: 21047794 (View on PubMed)

Nieto N, Torres MI, Rios A, Gil A. Dietary polyunsaturated fatty acids improve histological and biochemical alterations in rats with experimental ulcerative colitis. J Nutr. 2002 Jan;132(1):11-9. doi: 10.1093/jn/132.1.11.

Reference Type RESULT
PMID: 11773501 (View on PubMed)

Nishida T, Miwa H, Shigematsu A, Yamamoto M, Iida M, Fujishima M. Increased arachidonic acid composition of phospholipids in colonic mucosa from patients with active ulcerative colitis. Gut. 1987 Aug;28(8):1002-7. doi: 10.1136/gut.28.8.1002.

Reference Type RESULT
PMID: 3117625 (View on PubMed)

Ahn SH, Shah YM, Inoue J, Morimura K, Kim I, Yim S, Lambert G, Kurotani R, Nagashima K, Gonzalez FJ, Inoue Y. Hepatocyte nuclear factor 4alpha in the intestinal epithelial cells protects against inflammatory bowel disease. Inflamm Bowel Dis. 2008 Jul;14(7):908-20. doi: 10.1002/ibd.20413.

Reference Type RESULT
PMID: 18338782 (View on PubMed)

Taraviras S, Mantamadiotis T, Dong-Si T, Mincheva A, Lichter P, Drewes T, Ryffel GU, Monaghan AP, Schutz G. Primary structure, chromosomal mapping, expression and transcriptional activity of murine hepatocyte nuclear factor 4gamma. Biochim Biophys Acta. 2000 Jan 31;1490(1-2):21-32. doi: 10.1016/s0167-4781(99)00232-8.

Reference Type RESULT
PMID: 10786614 (View on PubMed)

Watanabe T, Kobunai T, Toda E, Kanazawa T, Kazama Y, Tanaka J, Tanaka T, Yamamoto Y, Hata K, Kojima T, Yokoyama T, Konishi T, Okayama Y, Sugimoto Y, Oka T, Sasaki S, Ajioka Y, Muto T, Nagawa H. Gene expression signature and the prediction of ulcerative colitis-associated colorectal cancer by DNA microarray. Clin Cancer Res. 2007 Jan 15;13(2 Pt 1):415-20. doi: 10.1158/1078-0432.CCR-06-0753.

Reference Type RESULT
PMID: 17255260 (View on PubMed)

Wille JJ, Kydonieus A. Palmitoleic acid isomer (C16:1delta6) in human skin sebum is effective against gram-positive bacteria. Skin Pharmacol Appl Skin Physiol. 2003 May-Jun;16(3):176-87. doi: 10.1159/000069757.

Reference Type RESULT
PMID: 12677098 (View on PubMed)

Wisely GB, Miller AB, Davis RG, Thornquest AD Jr, Johnson R, Spitzer T, Sefler A, Shearer B, Moore JT, Miller AB, Willson TM, Williams SP. Hepatocyte nuclear factor 4 is a transcription factor that constitutively binds fatty acids. Structure. 2002 Sep;10(9):1225-34. doi: 10.1016/s0969-2126(02)00829-8.

Reference Type RESULT
PMID: 12220494 (View on PubMed)

Okuma Y, Shirao T, Sakamoto A. [Constipation in intracranial diseases--correlation betweeen the cerebrospinal fluid pressure and constipation]. Saishin Igaku. 1971 Jan;26(1):139-44. No abstract available. Japanese.

Reference Type RESULT
PMID: 5539258 (View on PubMed)

Wu F, Dassopoulos T, Cope L, Maitra A, Brant SR, Harris ML, Bayless TM, Parmigiani G, Chakravarti S. Genome-wide gene expression differences in Crohn's disease and ulcerative colitis from endoscopic pinch biopsies: insights into distinctive pathogenesis. Inflamm Bowel Dis. 2007 Jul;13(7):807-21. doi: 10.1002/ibd.20110.

Reference Type RESULT
PMID: 17262812 (View on PubMed)

Other Identifiers

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REF453

Identifier Type: -

Identifier Source: org_study_id

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