PMA-Zeolite-Clinoptilolite Effects in Crohn Disease

NCT ID: NCT04370535

Last Updated: 2020-05-20

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

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-17

Study Completion Date

2020-05-15

Brief Summary

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This pilot study aims to evaluate the safety and efficacy of PMA-zeolite when used in patients with uncontrolled CD (Crohn´s disease). The effect of the PMA-zeolite will be compared between a control-group (healthy volunteers) receiving either PMA-zeolite or placebo and the test-group (suffering from uncontrolled CD) and receiving either PMA-zeolite or placebo. In addition, this pilot-study should furthermore provide indications for the effect-size in order to estimate an effect for an eventual further human trial.

Detailed Description

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Background of the study Crohn´s disease (CD) is a chronic progressive destructive disease. Approximately one-fifth of adult and paediatric patients already have evidence of a structuring or penetrating intestinal complications at diagnosis. Despite decades of research, the aetiology of CD remains unknown. Disease treatments include a variety of approaches like dietary changes and immunosuppressive anti-TNFa antibodies as well as ancillary antibiotic therapy. Another interesting and promising approach in this context might be the supplementation of the certified medical device PMA-(Panaceo micro activation)-zeolite (a specific natural zeolite-clinoptilolite) due to its properties documented through many studies. In particular, the promising clinical results from a randomized controlled trial (RCT) with PMA-zeolite need to be highlighted. The strengthening/ supporting of the intestinal wall integrity in healthy subjects suffering from intestinal problems was measured in this RCT and is claimed as intended main action of the PMA-zeolite. Based on these results the application of PMA-zeolite is an interesting and promising approach in patients with uncontrolled CD.

Hypothesis In the present trial, it is being tested if supplementing PMA-zeolite can lead to an improvement of the defined markers and parameters (reduction of local and systemic inflammation, changes of the microbiota in the gut, positive detoxifying effect and general improvement of quality of life) in patients with uncontrolled CD compared to a healthy test-group.

Aims This pilot study aims to evaluate the safety and efficacy of PMA-zeolite when used in patients with uncontrolled CD. The effect of the PMA-zeolite will be compared between a control-group (healthy volunteers) receiving either PMA-zeolite or placebo and the test-group (suffering from uncontrolled CD) and receiving either PMA-zeolite or placebo. In addition, this pilot-study should furthermore provide indications for the effect-size in order to estimate an effect for an eventual further human trial.

Conditions

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Crohn Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The pilot-study is a randomized, placebo-controlled and double blinded study. The 4 subject-groups are consisting of group A and B with healthy subjects (A and B are divided into a placebo-group and into a PMA-zeolite- group) and group C and D which are subjects suffering from CD (C and D are divided into a placebo-group and into a PMA-zeolite- group). No washout phase is planned, but if food-supplements are taken this will be protocolled. The diagnostics will be performed through the defined parameters at defined time-points.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Control group + cellulose (Group A)

healthy subjects (control group) receive placebo (cellulose) as powder

Group Type PLACEBO_COMPARATOR

cellulose

Intervention Type DEVICE

The subjects of group A and group C receive boxes containing placebo for supplementation for a total of 12 weeks.

Control group + PMA-zeolite(Group B)

healthy subjects (control group) receive PMA-zeolite as powder

Group Type ACTIVE_COMPARATOR

PMA-zeolite

Intervention Type DEVICE

The subjects of group B and group D receive boxes containing PMA-zeolite for supplementation for a total of 12 weeks.

UCD-group + Cellulose (Group C)

subjects with uncontrolled Crohn disease (UCD group) receive placebo (cellulose) as powder

Group Type PLACEBO_COMPARATOR

cellulose

Intervention Type DEVICE

The subjects of group A and group C receive boxes containing placebo for supplementation for a total of 12 weeks.

UCD-group + PMA-zeolite (Group D)

subjects with uncontrolled Crohn disease receive PMA-zeolite as powder

Group Type ACTIVE_COMPARATOR

PMA-zeolite

Intervention Type DEVICE

The subjects of group B and group D receive boxes containing PMA-zeolite for supplementation for a total of 12 weeks.

Interventions

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cellulose

The subjects of group A and group C receive boxes containing placebo for supplementation for a total of 12 weeks.

Intervention Type DEVICE

PMA-zeolite

The subjects of group B and group D receive boxes containing PMA-zeolite for supplementation for a total of 12 weeks.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Healthy volunteers (at least 18 years old) for first two groups (A,B), homogenous starting group in age (30-60Y) and sex (m/f )

o The health-status will be confirmed through anamnesis.
* Groups C and D will include patients with confirmed Crohn's disease that are treated with standard therapy and despite of treatment do not achieve the appropriate disease remission. Patients with the intermediate type of disease will be also included in groups C and D.

* Diagnosis has to be confirmed with a biopsy of the intestine and histological exam.
* Signed informed consent as per usual recommendations in vigour in the Republic of Slovenia.

Exclusion Criteria

* Signs of acute bacterial infection (fever \>38°C, nausea, vomiting).
* Other chronic disease (cancer, renal disease, neuro-degenerative, metabolic disorders, diabetic).
* Pregnancy or breastfeeding
* Food supplements\*\* \*\*NOTE: Food supplements: if taken regularly this should be continued also during the study and documented - otherwise a wash - out - phase would be necessary
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Rijeka

OTHER

Sponsor Role collaborator

Ciim Plus, d.o.o.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Krešimir Pavelić, PhD, M.D.

Role: PRINCIPAL_INVESTIGATOR

Juraj Dobrila University of Pula

Locations

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University Clinical Centre Ljubljana

Ljubljana, , Slovenia

Site Status RECRUITING

Medical Thermal Centre Fontana

Maribor, , Slovenia

Site Status RECRUITING

Slovenj Gradec General Hospital

Slovenj Gradec, , Slovenia

Site Status RECRUITING

Countries

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Slovenia

Central Contacts

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Krešimir Pavelić, Phd, M.D.

Role: CONTACT

+ 385 98 247164

Sandra Kraljević Pavelić, Phd

Role: CONTACT

51 584569 ext. + 385

Facility Contacts

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Joško Osredkar, Phd., M.D.

Role: primary

1 522 24 37 ext. + 386

Željko Perdija, M.D.

Role: primary

2 23 44 102 ext. + 386

Željko Perdija, M.D.

Role: primary

2 882 34 00 ext. +386

References

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Kraljevic Pavelic S, Saftic Martinovic L, Simovic Medica J, Zuvic M, Perdija Z, Krpan D, Eisenwagen S, Orct T, Pavelic K. Clinical Evaluation of a Defined Zeolite-Clinoptilolite Supplementation Effect on the Selected Blood Parameters of Patients. Front Med (Lausanne). 2022 May 27;9:851782. doi: 10.3389/fmed.2022.851782. eCollection 2022.

Reference Type DERIVED
PMID: 35712111 (View on PubMed)

Other Identifiers

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crohn-disease ver. 1.3_17

Identifier Type: -

Identifier Source: org_study_id

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