Repurposing Fenofibrate in Modulating mTOR/NLRP3 Inflammasome in Patients With Ulcerative Colitis

NCT ID: NCT05781698

Last Updated: 2025-04-06

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-20

Study Completion Date

2024-12-20

Brief Summary

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Fibrates, specific pharmacological agonists of PPARα, have been widely used to treat hypercholesterolemia and hypertriglyceridemia. Apart from their metabolic action, anti-inflammatory properties of fibrates have been described, including inhibition of NF-kappa B signaling and pro-inflammatory cytokine production. 4 Fenofibrate, an important peroxisome proliferator-activated receptor-a (PPAR- α) agonist, is widely used in clinical as a triglyceride (TG)-lowering agent

Detailed Description

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Conditions

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Inflammatory Bowel Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
double-blind

Study Groups

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Control Group

The control group ( Mesalamine group, n =35 ) will receive 1 g mesalamine three times daily for 6 months

Group Type ACTIVE_COMPARATOR

Mesalamine

Intervention Type DRUG

mesalamine is the cornerstone used for the treatment of mild to moderate ulcerative colitis

Fenofibrate group

Patients will receive 1 g mesalamine three times daily plus Fenofibrate (160 mg/day) for 6 months

Group Type ACTIVE_COMPARATOR

Mesalamine

Intervention Type DRUG

mesalamine is the cornerstone used for the treatment of mild to moderate ulcerative colitis

Fenofibrate

Intervention Type DRUG

Fibrates, which are specific pharmacological agonists of PPARα, have been widely used in the treatment for hypercholesterolemia and hypertriglyceridemia

Interventions

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Mesalamine

mesalamine is the cornerstone used for the treatment of mild to moderate ulcerative colitis

Intervention Type DRUG

Fenofibrate

Fibrates, which are specific pharmacological agonists of PPARα, have been widely used in the treatment for hypercholesterolemia and hypertriglyceridemia

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Age ≥ 18 years Both male and female will be included Negative pregnancy test and effective contraception. Mild and moderate UC patients diagnosed and confirmed by endoscope

Exclusion Criteria

Breast feeding Significant liver and kidney function abnormalities Colorectal cancer patients Other inflammatory bowel diseases (CD). Patients with severe UC Patients taking rectal or systemic steroids Patients taking immunosuppressives or biological therapies Addiction to alcohol and/or drugs Known allergy to the Fenofibrate
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Manal Ali Mahrous Hamouda Faculty of Pharmacy, Menufia University

UNKNOWN

Sponsor Role collaborator

Tanta University

OTHER

Sponsor Role lead

Responsible Party

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Mostafa Bahaa

Teaching Assistant

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Faculty of Medicine, Menoufia University

Tanta, Shebeen El-Kom, Egypt

Site Status

Countries

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Egypt

References

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Alarfaj SJ, Bahaa MM, Elmasry TA, Elberri EI, El-Khateeb E, Hamouda AO, Salahuddin MM, Kamal M, Gadallah AA, Eltantawy N, Yasser M, Negm WA, Hamouda MA, Alsegiani AS, Alrubia S, Eldesoqui M, Abdallah MS. Fenofibrate as an Adjunct Therapy for Ulcerative Colitis: Targeting Inflammation via SIRT1, NLRP3, and AMPK Pathways: A Randomized Controlled Pilot Study. Drug Des Devel Ther. 2024 Nov 16;18:5239-5253. doi: 10.2147/DDDT.S490772. eCollection 2024.

Reference Type DERIVED
PMID: 39575188 (View on PubMed)

Other Identifiers

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1-2023

Identifier Type: -

Identifier Source: org_study_id

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