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InteractionEarly Phase 1NCT06053411

Contribution of UGT2B17 to the Pharmacokinetics of Diclofenac

A Early Phase 1 study testing Diclofenac and curcumin in people with Interaction, run by Washington State University at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The purpose of this pilot study is to gather preliminary data on the (1) contribution of the understudied drug metabolizing enzyme, UDP-glucuronosyltransferase (UGT) 2B17, to the metabolism of a widely used medication, diclofenac, and (2) impact of the UGT2B17 inhibitor and natural product, curcumin, on diclofenac… Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Interaction
What is being tested?
Diclofenac and curcumin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteUnited States
Study dates
1 Mar 2024to 18 Dec 2027
Phase
Early Phase 1
Are there results?
Not yet: the study is under way

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 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Aged from 18-64 years and healthy
  • Not taking any medications (prescription and non-prescription) or dietary/herbal supplements known to alter the pharmacokinetics of diclofenac or curcumin
  • Willing to abstain from consuming caffeinated beverages or other caffeine-containing products the evening before and morning of the first day of each study arm
  • Willing to abstain from consuming any alcoholic beverages for one day prior to any study day, during the 14-hour inpatient days, and for the outpatient visit(s) following the 14-hour days
  • Willing to use a secondary method of birth control that does not include the introduction or discontinuance of hormonal-based birth control (such as abstinence, copper IUD, or condoms)
  • Have the time to participate
  • Written informed consent (and assent when applicable) obtained from subject or subject's legal representative and ability for the subject to comply with the requirements of the study

Who cannot join

  • Under the age of 18 or over the age of 65 years
  • Smoke/vape/chew tobacco products
  • Use cannabis products, including marijuana, hemp, and other THC- or CBD-containing products
  • Have any current major illness or chronic illness such as (but not limited to) kidney disease, hepatic disease, diabetes mellitus, hypertension, coronary artery disease, chronic obstructive pulmonary disease, cancer, or HIV/AIDS
  • History of anemia or any other significant hematologic disorder
  • History of drug or alcohol addiction or major psychiatric illness
Show all 12Show fewer
  • Pregnant or nursing or plan to become pregnant within 3 weeks after participation
  • History of allergy intolerance to diclofenac or curcumin
  • Taking concomitant medications, both prescription and non-prescription (including dietary supplements/herbal products), known to alter the pharmacokinetics of diclofenac or curcumin
  • Taking any turmeric spice or curcumin supplement
  • Presence of a condition or abnormality that, in the opinion of the Investigator, would compromise participant safety or quality of the data
  • Out-of-range clinical laboratory value that the study physician considers participation in the study a health risk

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Mary F Paine, RPh, PhD contact

509-358-7759

mary.paine@wsu.edu

Siavosh Naji-Talakar, PharmD, MS contact

509-358-7739

s.naji-talakar@wsu.edu

United States1 site, 1 recruiting
  • Washington State University College of Pharmacy and Pharmaceutical Sciences

    Spokane, Washington, 99202

    Mary F Paine, RPh, PhD, 509-358-7759, mary.paine@wsu.edu

    Deena Hadi, BS, 509-368-6692, deena.hadi@wsu.edu

    Recruiting

Other trials in United States

About this study

Official title: Pilot Study to Assess the Contribution of UGT2B17 and Associated Genetic Polymorphisms on the Pharmacokinetics of Diclofenac Alone and Upon Co-administration With Curcumin

The purpose of this pilot study is to gather preliminary data on the (1) contribution of the understudied drug metabolizing enzyme, UDP-glucuronosyltransferase (UGT) 2B17, to the metabolism of a widely used medication, diclofenac, and (2) impact of the UGT2B17 inhibitor and natural product, curcumin, on diclofenac pharmacokinetics. Results will inform future studies aimed to assess the effects of UGT2B17 genetic polymorphisms and co-consumed xenobiotics on the pharmacokinetics and toxicity risk of diclofenac and other UGT2B17 drug substrates.

Read the detailed description

Diclofenac, a widely used non-steroidal anti-inflammatory drug, has been linked to severe adverse effects such as gastrointestinal ulcers and bleeding and cardiotoxicity. Based on cardiotoxicity reports, US and European regulatory agencies withdrew over-the-counter (OTC) diclofenac, requiring the drug to be a prescription-only medication. However, diclofenac remains OTC in many countries, including Australia, China, and India, among others. Reported metabolic pathways of diclofenac in the liver are mediated by the prominent drug metabolizing enzyme, cytochrome P450 (CYP) 2C9, and the conjugative enzyme, UDP-glucuronosyltransferase (UGT) 2B7. However, recent in vitro and in silico data indicated that diclofenac is metabolized almost exclusively by a less-studied UGT, UGT2B17, in the intestine.

UGT2B17 is among the most genetically polymorphic enzymes, with highly prevalent copy number variations (CNVs). Individuals homozygous for the null allele, UGT2B17*2 (CNV=0), are considered poor metabolizers (PMs), whereas those homozygous for the reference allele, UGT2B17*1/*1 (CNV=2), are considered extensive metabolizers (EMs). Deletion of this gene may lead to large interindividual variability in the pharmacokinetics - and toxicity risk - for patients taking diclofenac and other UGT2B17 substrates, including vorinostat, MK7426, tamoxifen, exemestane, and testosterone. Collectively, considering UGT2B17 CNVs on the metabolism of these drugs is critical to ensure consistent and optimum safety, efficacy, and patient outcomes.

Recent preliminary data showed that curcumin, a principal curcuminoid of the natural product turmeric, is a potent inhibitor of UGT2B17. Turmeric is used worldwide and was the 2nd top-selling herbal supplement in the US in 2021, with nearly $100 million in total sales. Considering both turmeric/curcumin and diclofenac are used for arthritis and other inflammatory conditions, there is a high likelihood of patients co-consuming curcumin and diclofenac, raising concerns for variable diclofenac pharmacokinetics and toxicity risk.

The purpose of this pilot study is to gather preliminary data on the (1) contribution of UGT2B17 to diclofenac metabolism and (2) impact of curcumin co-administration on diclofenac pharmacokinetics. Results will inform future studies aimed to evaluate the effects of UGT2B17 genetic polymorphisms and co-consumed xenobiotics on the pharmacokinetics and toxicity risk of diclofenac and other UGT2B17 drug substrates.

Conditions
Interaction
Being tested
Diclofenac, curcumin
Keywords
Pharmacokinetic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DiclofenacDrug

    Also called Voltaren

    25 mg capsule

  • curcuminDietary supplement

    2,000 mg tablet

Study groups in NCT06053411
Study groupRoleWhat they receive
Arm 1: diclofenac alone (baseline)ExperimentalA single dose of diclofenac (25 mg capsule) will be administered by mouth to 5 participants (minimum 2 females) genotyped as extensive metabolizers (Arm 1A) and 5 participants (minimum 2 females) genotyped as poor metabolizers (Arm 1B). Plasma and urine will be collected from 0-12 hours. A washout of at least 3 days will elapse between Arm 1 and Arm 2.
Receives: Drug: Diclofenac
Arm 2: diclofenac + curcuminExperimentalA single oral dose of diclofenac (25 mg capsule) and a single oral dose of curcumin (2,000 mg tablet) will be administered by mouth to the 5 participants genotyped as extensive metabolizers. Plasma and urine will be collected from 0-12 hours.
Receives: Drug: Diclofenac; Dietary Supplement: curcumin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Diclofenac area under the concentration vs. time curve (AUC) in UGT2B17 extensive metabolizers (EMs)

    Diclofenac AUC in UGT2B17 EMs

    Measured: 0-12 hours

  2. Diclofenac AUC in poor metabolizers (PMs)

    Diclofenac AUC in UGT2B17 PMs

    Measured: 0-12 hours

  3. Diclofenac AUC in EMs in the presence of curcumin

    Diclofenac AUC in UGT2B17 EMs in the presence of curcumin

    Measured: 0-12 hours

  4. Diclofenac maximum concentration (Cmax) in EMs

    Diclofenac Cmax in UGT2B17 EMs

    Measured: 0-12 hours

  5. Diclofenac Cmax in PMs

    Diclofenac Cmax in UGT2B17 PMs

    Measured: 0-12 hours

  6. Diclofenac Cmax in EMs in the presence of curcumin

    Diclofenac Cmax in UGT2B17 EMs in the presence of curcumin

    Measured: 0-12 hours

  7. Diclofenac renal clearance (CLr) in EMs

    Diclofenac CLr in UGT2B17 EMs

    Measured: 0-12 hours

  8. Diclofenac CLr in PMs

    Diclofenac CLr in UGT2B17 PMs

    Measured: 0-12 hours

  9. Diclofenac CLr in EMs in the presence of curcumin

    Diclofenac CLr in UGT2B17 EMs in the presence of curcumin

    Measured: 0-12 hours

  10. Diclofenac half-life (t1/2) in EMs

    Diclofenac t1/2 in UGT2B17 EMs

    Measured: 0-12 hours

  11. Diclofenac half-life (t1/2) in PMs

    Diclofenac t1/2 in UGT2B17 PMs

    Measured: 0-12 hours

  12. Diclofenac half-life (t1/2) in EMs in the presence of curcumin

    Diclofenac t1/2 in UGT2B17 EMs in the presence of curcumin

    Measured: 0-12 hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Sep 2023
  2. Study start1 Mar 2024
  3. Primary completion18 Aug 2027 (estimated)
  4. Study completion18 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Early Phase 1
Primary purpose
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06053411
Sponsor's protocol ID
20104
Status last verified
Oct 2026
First submitted
15 Sep 2023
Last updated
20 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Schjerning AM, McGettigan P, Gislason G. Cardiovascular effects and safety of (non-aspirin) NSAIDs. Nat Rev Cardiol. 2020 Sep;17(9):574-584. doi: 10.1038/s41569-020-0366-z. Epub 2020 Apr 22.

    PubMed 32322101
  • Whirl-Carrillo M, Huddart R, Gong L, Sangkuhl K, Thorn CF, Whaley R, Klein TE. An Evidence-Based Framework for Evaluating Pharmacogenomics Knowledge for Personalized Medicine. Clin Pharmacol Ther. 2021 Sep;110(3):563-572. doi: 10.1002/cpt.2350. Epub 2021 Jul 22.

    PubMed 34216021
  • Ahire D, Heyward S, Prasad B. Intestinal Metabolism of Diclofenac by Polymorphic UGT2B17 Correlates with its Highly Variable Pharmacokinetics and Safety across Populations. Clin Pharmacol Ther. 2023 Jul;114(1):161-172. doi: 10.1002/cpt.2907. Epub 2023 Apr 29.

    PubMed 37042794
  • Xue Y, Sun D, Daly A, Yang F, Zhou X, Zhao M, Huang N, Zerjal T, Lee C, Carter NP, Hurles ME, Tyler-Smith C. Adaptive evolution of UGT2B17 copy-number variation. Am J Hum Genet. 2008 Sep;83(3):337-46. doi: 10.1016/j.ajhg.2008.08.004. Epub 2008 Aug 28.

    PubMed 18760392
  • Wang YH, Trucksis M, McElwee JJ, Wong PH, Maciolek C, Thompson CD, Prueksaritanont T, Garrett GC, Declercq R, Vets E, Willson KJ, Smith RC, Klappenbach JA, Opiteck GJ, Tsou JA, Gibson C, Laethem T, Panorchan P, Iwamoto M, Shaw PM, Wagner JA, Harrelson JC. UGT2B17 genetic polymorphisms dramatically affect the pharmacokinetics of MK-7246 in healthy subjects in a first-in-human study. Clin Pharmacol Ther. 2012 Jul;92(1):96-102. doi: 10.1038/clpt.2012.20. Epub 2012 Jun 6.

    PubMed 22669291

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing Diclofenac and curcumin in people with Interaction, run by Washington State University at 1 site in United States.

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 7 inclusion and 12 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: looking for participants now, as of the sponsor's last update on 20 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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. 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?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Mary F Paine, RPh, PhD (509-358-7759, mary.paine@wsu.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Diclofenac area under the concentration vs. time curve (AUC) in UGT2B17 extensive metabolizers (EMs) (time frame: 0-12 hours). The study lists 12 primary outcomes in all. 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 NCT06053411, which also lists 5 linked publications.

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 20 Oct 2026.

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