Bio-enhanced Curcumin as an Add-On Treatment in Mild to Moderate Ulcerative Colitis
The Efficacy and Tolerability of Bio-enhanced Curcumin (Diferuloylmethane) in the Induction of Remission in Patients With Mild to Moderate Ulcerative Colitis
1 other identifier
interventional
50
1 country
1
Brief Summary
Inflammatory Bowel Disease, including ulcerative colitis, is thought to result from an imbalance of pro-inflammatory and anti-inflammatory factors. As such, the majority of treatment options are directed at attempting to control the chronic inflammation and prolonging remission of clinical symptoms. Several studies have proven that curcumin has well-established anti-inflammatory properties. However, curcumin has poor bioavailability and prior studies have needed to use high concentrations in order to study the efficacy of the product. The investigators propose that a bio-enhanced preparation of curcumin will require a lower dosage to reach and affect its target tissue and will subsequently produce less adverse side effects.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2016
CompletedFirst Submitted
Initial submission to the registry
February 10, 2016
CompletedFirst Posted
Study publicly available on registry
February 17, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2017
CompletedFebruary 23, 2016
February 1, 2016
1 year
February 10, 2016
February 20, 2016
Conditions
Outcome Measures
Primary Outcomes (2)
Time to induction of clinical remission in the treatment arm compared with time to induction of clinical remission in control arm
Clinical remission is recorded by a Partial Mayo Index score of 0-1
1 year
Time to induction of endoscopic remission in the treatment arm compared with time to induction of endoscopic remission in control arm
Endoscopic remission is defined as endoscopic mucosal healing, is recorded by Ulcerative Colitis Endoscopic Index of Severity (UCEIS) score of \<3
1 year
Secondary Outcomes (1)
Percentage of patients in the treatment arm who experienced adverse events as compared with patients in the control arm
1 year
Study Arms (2)
Treatment Arm
ACTIVE COMPARATORPatients will receive 5-Aminosalicylic acid as per their current treatment regimen and will also take Bio-enhanced curcumin twice daily after meals as per the following regimen: Starting dose: 50 mg BID of Bio-enhanced Curcumin Soft Gelatin Capsule Increase dose to 100 mg BID after two (2) weeks if there is no response to the drug
Control Arm
PLACEBO COMPARATORPatients will receive 5-Aminosalicylic acid as per their current treatment regimen and will also take a placebo pill twice daily after meals
Interventions
Each capsule is a bio-enhanced modification of curcumin (diferuloylmethane), which is a derivative of curcuma longa (rhizome extract)
Dosage is as instructed by patient's physician
Eligibility Criteria
You may qualify if:
- Patients who have mild to moderate ulcerative colitis, with a current Partial Mayo Index greater than or equal to 2 and less than or equal to 6
- Age 18 years and above
- Male or female
- Patients who have given consent and area able to follow the treatment given
- Patients who are able to record their responses in survey form at regular follow-up visits
You may not qualify if:
- Patients who are in remission from ulcerative colitis, or who have a Partial Mayo Index Score of 0 or 1
- Patients who have been taking azathioprine or mercaptopurine for \<12 weeks for the treatment of their ulcerative colitis
- Patients who are taking steroids or biologic agents for the treatment of their ulcerative colitis
- Patients who have severe ulcerative colitis, or who have a Partial Mayo Index Score of 7 or above
- Patients who are noncompliant with medication or regular follow up visits
- Patients who are unable to or unwilling to record their responses in survey form
- Patients with comorbid illnesses, including: Diabetes Mellitus, Stage III or above Congestive Heart Failure, chronic pancreatitis, severe liver or renal disease
- Patients who have current gallstones or any biliary dysfunction
- Patients with anemia (Hemoglobin \<10), thrombocytopenia, abnormal lymphocyte counts, or coagulation abnormalities
- Patients who currently have an ongoing severe infection/sepsis
- Patients with a history of malignancy
- Patients who are currently pregnant or nursing
- Patients who are current smokers
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Asian Institutes of Gastroenterology
Hyderabad, Telangana, India
Related Publications (1)
Banerjee R, Pal P, Penmetsa A, Kathi P, Girish G, Goren I, Reddy DN. Novel Bioenhanced Curcumin With Mesalamine for Induction of Clinical and Endoscopic Remission in Mild-to-Moderate Ulcerative Colitis: A Randomized Double-Blind Placebo-controlled Pilot Study. J Clin Gastroenterol. 2021 Sep 1;55(8):702-708. doi: 10.1097/MCG.0000000000001416.
PMID: 32889959DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Rupa Banerjee, MD, DM
Asian Institutes of Gastroenterology
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Consultant Gastroenterologist; Director, IBD Clinic
Study Record Dates
First Submitted
February 10, 2016
First Posted
February 17, 2016
Study Start
February 1, 2016
Primary Completion
February 1, 2017
Last Updated
February 23, 2016
Record last verified: 2016-02
Data Sharing
- IPD Sharing
- Will not share