Repurposing Fenofibrate in Modulating mTOR/NLRP3 Inflammasome in Patients With Ulcerative Colitis
1 other identifier
interventional
60
1 country
1
Brief Summary
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
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Mar 2023
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
First Submitted
Initial submission to the registry
March 11, 2023
CompletedStudy Start
First participant enrolled
March 20, 2023
CompletedFirst Posted
Study publicly available on registry
March 23, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 20, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 20, 2024
CompletedApril 6, 2025
April 1, 2025
1.6 years
March 11, 2023
April 3, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
• The primary endpoint is the change in disease activity index and the improvement in health-related quality of life (HRQL).
• The primary endpoint is the change in disease activity index and the improvement in health-related quality of life (HRQL).
6 months
Secondary Outcomes (1)
The secondary endpoint is estimated by changes in serum biomarkers.
6 months
Study Arms (2)
Control Group
ACTIVE COMPARATORThe control group ( Mesalamine group, n =35 ) will receive 1 g mesalamine three times daily for 6 months
Fenofibrate group
ACTIVE COMPARATORPatients will receive 1 g mesalamine three times daily plus Fenofibrate (160 mg/day) for 6 months
Interventions
mesalamine is the cornerstone used for the treatment of mild to moderate ulcerative colitis
Fibrates, which are specific pharmacological agonists of PPARα, have been widely used in the treatment for hypercholesterolemia and hypertriglyceridemia
Eligibility Criteria
You may qualify if:
- 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
You may not qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Faculty of Medicine, Menoufia University
Tanta, Shebeen El-Kom, 32511, Egypt
Related Publications (1)
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.
PMID: 39575188DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Masking Details
- double-blind
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Teaching Assistant
Study Record Dates
First Submitted
March 11, 2023
First Posted
March 23, 2023
Study Start
March 20, 2023
Primary Completion
October 20, 2024
Study Completion
December 20, 2024
Last Updated
April 6, 2025
Record last verified: 2025-04