Ulcerative ColitisPhase 2NCT01026857
Propionyl-L-Carnitine in Ulcerative Colitis
A Phase 2 study testing Propionyl-L-Carnitine in people with Ulcerative Colitis, run by sigma-tau i.f.r. S.p.A. at 15 sites in 4 countries.
Trial summary
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). Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Ulcerative Colitis
- What is being tested?
- Propionyl-L-Carnitine
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 121 participants
- Where
- 15 sitesin 4 countries
- Study dates
- May 2006to Dec 2009
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 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).
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- On one of the following treatments for ulcerative colitis prior to baseline visit:
- Stable background oral aminosalicylates (mesalazine, balsalazide, olsalazine) or sulfasalazine therapy for greater than or equal to 4 weeks prior to baseline assessments.
- Stable background mercaptopurine or azathioprine for greater than or equal to 12 weeks prior to baseline assessments.
Who cannot join
- 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
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- 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.
Trial locations and contacts
15 sites in 4 countries.
15 sites in 4 countries
Italy5 sites
Hospital Morgagni - Pierantoni
Forlì, 47100
Ospedale "L. Sacco"
Milan, 20157
University Federico II
Naples, 80131
Hospital S. Filippo Neri
Rome, 00135
Policlinico "A. Gemelli"
Rome, 00168
Russia5 sites
Federal State Institution "7-th Central Military Clinical Aviation Hospital of Ministry of Defence of Russia"
Moscow, 107014
Federal State Institution "State Scientific Centre of Coloproctology of Rosmedtechnologij"
Moscow, 123154
State Institution "Regional Military Clinical Hospital № 442 named after Z.P. Solovyov of Ministry of Defence of Russia"
Saint Petersburg, 193163
Federal State Healthcare Institution "Clinical Hospital № 122 named after L.G. Sokolov of Federal Medical and Biological Agency"
Saint Petersburg, 194291
St-Petersburg State Healthcare Institution "Municipal Hospital № 26"
Saint Petersburg, 196247
Poland3 sites
Klinika Przewodu Pokarmowego Szpital Kliniczny Nr 1
Lodz, 90-153
Samodzielny Publiczny Szpital Kliniczny Nr 3 Katedra i Klinika Gastroenterologii AM
Wroclaw, 50-326
Wojewódzki Szpital Specjalistyczny Klinika Gastroenterologii
Wroclaw, 51-149
Lithuania2 sites
Kaunas Medical University Clinic
Kaunas, 50009
Vilnius University Santariskiu Hospital
Vilnius, 08661
About this study
Official title: Phase II, Parallel-group, Placebo Controlled, Double-blind, Randomised, Multicenter Study to Investigate the Efficacy of Two Dosages of Propionyl-L-Carnitine Colon Release Tablets in Patients Affected by Ulcerative Colitis Under Oral Stable Treatment
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).
Read the detailed description
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
- Ulcerative Colitis
- Being tested
- Propionyl-L-Carnitine, Placebo
- Medical subject headings
- Colitis, Ulcerative
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Propionyl-L-CarnitineDrug
Also called Dromos
PLC colon release tablet 1 g/die for 4 weeks
Propionyl-L-CarnitineDrug
Also called Dromos
PLC colon release tablet 2 g/die for 4 weeks
PlaceboDrug
Placebo PLC colon release tablet 2 g/die for 4 weeks
| Study group | Role | What they receive |
|---|---|---|
| PLC Colon release tablet 1 g | Experimental | 40 patients each arm Receives: Drug: Propionyl-L-Carnitine; Drug: Placebo |
| PLC colon release tablet 2 g | Experimental | 40 patients each arm Receives: Drug: Propionyl-L-Carnitine; Drug: Placebo |
| Placebo PLC colon release tablet 2 g | Placebo comparator | 40 patients each arm Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Disease Activity Index score
Measured: baseline, week 4
Secondary outcomes (1)
Adverse Events
Measured: Throughout the study
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Dec 2009 (estimated)
- Study startMay 2006
- Primary completionApr 2009
- Study completionDec 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Ulcerative ColitisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 121 participants (actual)
Sponsor and investigators
- Lead sponsor
- sigma-tau i.f.r. S.p.A.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Giovanni B. Gasbarrini, M.D., Principal investigator, Policlinico Universitario "A. Gemelli" - Rome - ItalyGabriele Bianchi Porro, M.D., Principal investigator, Ospedale "L. Sacco" - Milan - ItalyAgesilao D'Arienzo, M.D., Principal investigator, A.O. Universitaria Federico II - Naples - ItalyDaniela Valpiani, M.D., Principal investigator, P.O. Morgagni Pierantoni - Forlì - ItalyMaurizio Koch, M.D., Principal investigator, Ospedale "S. Filippo Neri" - Rome - ItalyEwa Malecka-Panas, M.D., Principal investigator, Klinika Przewodu Pokarmowego Szpital Kliniczny Nr 1 - Lodz - PolandLeszek Paradowski, M.D., Principal investigator, Samodzielny Publiczny Szpital Kliniczny Nr 3 - Wroclaw - PolandKonrad Lesniakowski, M.D., Principal investigator, Wojewodzki Szpital - Wroclaw - Poland
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01026857
- Sponsor's protocol ID
- ST261 DM 01 004
- Status last verified
- Dec 2009
- First submitted
- 4 Dec 2009
- Last updated
- 15 Jun 2017
- Results posted
- No
- Data monitoring committee
- No
Publications
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.
PubMed 21929562
Study at a glance
From the registry record, last updated by the sponsor on 15 Jun 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase II, Parallel-group, Placebo Controlled, Double-blind, Randomised, Multicenter Study to Investigate the Efficacy of Two Dosages of Propionyl-L-Carnitine Colon Release Tablets in Patients Affected by Ulcerative Colitis Under Oral Stable Treatment
- ClinicalTrials.gov ID
- NCT01026857
- Acronym / sponsor ID
- ST261 DM 01 004
- Conditions
- Ulcerative Colitis
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 121 participants (actual)
- Lead sponsor
- sigma-tau i.f.r. S.p.A.Industry (pharma, biotech, devices)
- Study start
- May 2006
- Primary completion
- Apr 2009 (actual)
- Study completion
- Dec 2009 (actual)
- First posted
- 7 Dec 2009 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| PLC Colon release tablet 1 g | Experimental | Drug: Propionyl-L-Carnitine, Drug: Placebo40 patients each arm |
| PLC colon release tablet 2 g | Experimental | Drug: Propionyl-L-Carnitine, Drug: Placebo40 patients each arm |
| Placebo PLC colon release tablet 2 g | Placebo comparator | Drug: Placebo40 patients each arm |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- 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.
Key exclusion criteria (15 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Propionyl-L-CarnitineAlso: DromosPLC colon release tablet 1 g/die for 4 weeks | Drug | PLC Colon release tablet 1 g |
| Propionyl-L-CarnitineAlso: DromosPLC colon release tablet 2 g/die for 4 weeks | Drug | PLC colon release tablet 2 g |
| PlaceboPlacebo PLC colon release tablet 2 g/die for 4 weeks | Drug | PLC Colon release tablet 1 g, PLC colon release tablet 2 g, Placebo PLC colon release tablet 2 g |
Primary outcome
Disease Activity Index score
Time frame: baseline, week 4
1 secondary outcome
Adverse Events
Time frame: Throughout the study
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jun 2017.
- Derived from this study: PubMed 21929562Mikhailova 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Giovanni B. Gasbarrini, M.D. principal investigator
Policlinico Universitario "A. Gemelli" - Rome - Italy
Gabriele Bianchi Porro, M.D. principal investigator
Ospedale "L. Sacco" - Milan - Italy
Agesilao D'Arienzo, M.D. principal investigator
A.O. Universitaria Federico II - Naples - Italy
15 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Propionyl-L-Carnitine in people with Ulcerative Colitis, run by sigma-tau i.f.r. S.p.A. at 15 sites in 4 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Jun 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 15 sites in Italy, Russia, Poland, Lithuania. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Disease Activity Index score (time frame: baseline, week 4). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01026857, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jun 2017.