Trial Outcomes & Findings for Anthocyanin Extract and Phospholipid Curcumin in Colorectal Adenoma (NCT NCT01948661)

NCT ID: NCT01948661

Last Updated: 2024-11-21

Results Overview

Change of immunohistochemical expression of beta-catenin in normal and adenomatous colonic tissue

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

45 participants

Primary outcome timeframe

baseline and 4 weeks

Results posted on

2024-11-21

Participant Flow

53 participants were contacted: * 8 refused to participate, * 45 signed the Informed Consent: 10 were not eligible and 35 were randomized

Participant milestones

Participant milestones
Measure
Experimental: Anthocyanins+Phospholipidic Curcumin
Mirtoselect ® 500 mg tablet, 1000 mg (two oral tablets) per day and Meriva ®, 500 mg tablet, 1000 mg (two oral tablets) per day for 28 days
Placebo Comparator
placeboA + placeboB per day for four weeks
Overall Study
STARTED
17
18
Overall Study
COMPLETED
15
14
Overall Study
NOT COMPLETED
2
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Experimental: Anthocyanins+Phospholipidic Curcumin
Mirtoselect ® 500 mg tablet, 1000 mg (two oral tablets) per day and Meriva ®, 500 mg tablet, 1000 mg (two oral tablets) per day for 28 days
Placebo Comparator
placeboA + placeboB per day for four weeks
Overall Study
Withdrawal by Subject
2
4

Baseline Characteristics

Anthocyanin Extract and Phospholipid Curcumin in Colorectal Adenoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental Arm
n=15 Participants
Mirtoselect ® 500 mg tablet, 1000 mg (two oral tablets) per day, and Meriva ®, 500 mg tablet, 1000 mg (two oral tablets) per day for 28 days
Control Arm
n=14 Participants
Placebo A (Mirtoselect® 0 g) + Placebo B (Meriva® 0 gr) /die
Total
n=29 Participants
Total of all reporting groups
Age, Continuous
70.8 years
STANDARD_DEVIATION 9.8 • n=5 Participants
67.9 years
STANDARD_DEVIATION 10.8 • n=7 Participants
69.3 years
STANDARD_DEVIATION 10.3 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
7 Participants
n=7 Participants
12 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
7 Participants
n=7 Participants
17 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
15 Participants
n=5 Participants
14 Participants
n=7 Participants
29 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Level of Education
Primary-middle
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants
Level of Education
High university
10 Participants
n=5 Participants
8 Participants
n=7 Participants
18 Participants
n=5 Participants
Smoker
No
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
Smoker
Former
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Smoker
Yes
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Alcholol Habits
No
5 Participants
n=5 Participants
7 Participants
n=7 Participants
12 Participants
n=5 Participants
Alcholol Habits
Current/Former
10 Participants
n=5 Participants
7 Participants
n=7 Participants
17 Participants
n=5 Participants
Baseline BMI
<25 kg/m^2
7 Participants
n=5 Participants
9 Participants
n=7 Participants
16 Participants
n=5 Participants
Baseline BMI
≥25 kg/m^2
8 Participants
n=5 Participants
5 Participants
n=7 Participants
13 Participants
n=5 Participants
Family history of colorectal cancer
No
10 Participants
n=5 Participants
7 Participants
n=7 Participants
17 Participants
n=5 Participants
Family history of colorectal cancer
Yes
5 Participants
n=5 Participants
7 Participants
n=7 Participants
12 Participants
n=5 Participants
Baseline histological type
Tubular
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Baseline histological type
Villous
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Baseline Dysplasia grade
Low-grade
12 Participants
n=5 Participants
9 Participants
n=7 Participants
21 Participants
n=5 Participants
Baseline Dysplasia grade
High-grade
3 Participants
n=5 Participants
5 Participants
n=7 Participants
8 Participants
n=5 Participants
# of comorbidity
1 number of comorbidities
n=5 Participants
2 number of comorbidities
n=7 Participants
2 number of comorbidities
n=5 Participants
# of concomitant medications
2 number of concomitant medications
n=5 Participants
4 number of concomitant medications
n=7 Participants
3 number of concomitant medications
n=5 Participants

PRIMARY outcome

Timeframe: baseline and 4 weeks

Population: Beta-catenin expression according to the treatment arms and the time points in normal tissue and dysplasia

Change of immunohistochemical expression of beta-catenin in normal and adenomatous colonic tissue

Outcome measures

Outcome measures
Measure
Experimental Arm
n=15 Participants
Mirtoselect ® 500 mg tablet, 1000 mg (two oral tablets) per day, and Meriva ®, 500 mg tablet, 1000 mg (two oral tablets) per day for 28 days
Control Arm
n=14 Participants
Placebo A (Mirtoselect® 0 g) + Placebo B (Meriva® 0 gr) /die
Change in Beta Catenin Expression
Pre-treatment: Dysplasia
100 percentage of positive cells
Standard Deviation 0
100 percentage of positive cells
Standard Deviation 0
Change in Beta Catenin Expression
Pre-treatment: Normal tissue
100 percentage of positive cells
Standard Deviation 0
100 percentage of positive cells
Standard Deviation 0
Change in Beta Catenin Expression
Post-treatment: Normal tissue
100 percentage of positive cells
Standard Deviation 0
100 percentage of positive cells
Standard Deviation 0
Change in Beta Catenin Expression
Post-treatment: Dysplasia
100 percentage of positive cells
Standard Deviation 0
100 percentage of positive cells
Standard Deviation 0

SECONDARY outcome

Timeframe: baseline and 4 weeks

Population: Tissue biomarker expression according to the treatment arms and the timepoints in normal tissue and dysplasia

Change in immunohistochemical expression of Nuclear Factor-Kβ (NFKβ), Ki-67 Labeling Index, and P53 in normal tissue and displasia

Outcome measures

Outcome measures
Measure
Experimental Arm
n=15 Participants
Mirtoselect ® 500 mg tablet, 1000 mg (two oral tablets) per day, and Meriva ®, 500 mg tablet, 1000 mg (two oral tablets) per day for 28 days
Control Arm
n=14 Participants
Placebo A (Mirtoselect® 0 g) + Placebo B (Meriva® 0 gr) /die
Change in Biomarkes Expression
NFKβ Post-treatment: Normal tissue
42.3 percentage of positive cells
Standard Deviation 31.7
50.7 percentage of positive cells
Standard Deviation 26.7
Change in Biomarkes Expression
NFKβ Pre-treatment: Normal tissue
36.7 percentage of positive cells
Standard Deviation 21.3
52.7 percentage of positive cells
Standard Deviation 20.9
Change in Biomarkes Expression
NFKβ Pre-treatment: Dysplasia
69.7 percentage of positive cells
Standard Deviation 17.2
74.3 percentage of positive cells
Standard Deviation 15
Change in Biomarkes Expression
NFKβ Post-treatment: Dysplasia
74.3 percentage of positive cells
Standard Deviation 21.5
81.4 percentage of positive cells
Standard Deviation 13.5
Change in Biomarkes Expression
Ki-67 Pre-treatment: Normal tissue
19.4 percentage of positive cells
Standard Deviation 14.6
21.2 percentage of positive cells
Standard Deviation 11.4
Change in Biomarkes Expression
Ki-67 Post-treatment: Normal tissue
16.1 percentage of positive cells
Standard Deviation 11.1
15.9 percentage of positive cells
Standard Deviation 10.5
Change in Biomarkes Expression
Ki-67 Pre-treatment: Dysplasia
44.9 percentage of positive cells
Standard Deviation 26.4
42.9 percentage of positive cells
Standard Deviation 19.5
Change in Biomarkes Expression
Ki-67 Post-treatment: Dysplasia
58.0 percentage of positive cells
Standard Deviation 26.0
58.2 percentage of positive cells
Standard Deviation 23.6
Change in Biomarkes Expression
P53 Pre-treatment: Normal tissue
8.7 percentage of positive cells
Standard Deviation 11.4
3.5 percentage of positive cells
Standard Deviation 4.8
Change in Biomarkes Expression
P53 Post-treatment: Normal tissue
3.9 percentage of positive cells
Standard Deviation 4.4
5.4 percentage of positive cells
Standard Deviation 7.3
Change in Biomarkes Expression
P53 Pre-treatment: Dysplasia
50.0 percentage of positive cells
Standard Deviation 24.2
37.5 percentage of positive cells
Standard Deviation 20.5
Change in Biomarkes Expression
P53 Post-treatment: Dysplasia
60.3 percentage of positive cells
Standard Deviation 27.7
51.8 percentage of positive cells
Standard Deviation 24.1

Adverse Events

Experimental Arm

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Control Arm

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Experimental Arm
n=15 participants at risk
Mirtoselect ® 500 mg tablet, 1000 mg (two oral tablets) per day, and Meriva ®, 500 mg tablet, 1000 mg (two oral tablets) per day for 28 days
Control Arm
n=14 participants at risk
Placebo A (Mirtoselect® 0 g) + Placebo B (Meriva® 0 gr) /die
Gastrointestinal disorders
Dyspepsia
6.7%
1/15 • 4 weeks
7.1%
1/14 • 4 weeks
Gastrointestinal disorders
Stomach pain
0.00%
0/15 • 4 weeks
7.1%
1/14 • 4 weeks
Gastrointestinal disorders
Nausea
6.7%
1/15 • 4 weeks
0.00%
0/14 • 4 weeks
Gastrointestinal disorders
Diarrhea
6.7%
1/15 • 4 weeks
0.00%
0/14 • 4 weeks

Additional Information

Andrea DeCensi

E.O. Ospedali Galliera

Phone: 010563

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place