- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02543931
Curcuma Longa L in Rheumatoid Arthritis (CLaRA)
Phase Ib Randomized, Double-Blind, Placebo-Controlled Study of Meriva in Rheumatoid Arthritis
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Arizona
-
Tucson, Arizona, United States, 85724
- The University of Arizona
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Inclusion Criteria
- Diagnosis of RA (ACR 2010 criteria)
- Age > 18 years old
Active disease at screening visit as defined by:
- Disease Activity Score [DAS]-28 (4)-erythrocyte sedimentation rate (ESR) > 3.2, and
- C reactive protein (CRP) > 1.0 mg/dL or ESR > 20.
- Ability to understand and the willingness to sign a written informed consent document
Exclusion Criteria:
- Current treatment with any biologic agent (e.g. tumor necrosis factor (TNF) inhibitors: etanercept , infliximab, adalimumab; interleukin 1(IL-1) inhibitors: anakinra ; lymphocyte directed: abatacept, rituximab; and Janus kinase (JAK) inhibitors: tofacitinib).
- Past biologic use allowed if ended > 3 months prior to randomization (> 12 months for Rituximab)
- History of non-response to biologics.
- Disease-modifying anti-inflammatory agents (DMARDs), including methotrexate, hydroxychloroquine, sulfasalazine, and minocycline, will be allowed if stable for 1 month prior to randomization and unchanged throughout the study.
- Leflunomide, gold compounds, azathioprine, or cyclosporine will be exclusionary if used within the month prior to randomization.
Oral Corticosteroid use > 10 mg/d prednisolone or equivalent or parenteral corticosteroids of any dose will be exclusionary (1 month prior to randomization until final assessment visit).
- Oral corticosteroids in low doses (< 10 mg/d prednisone or equivalent) will be allowed if stable for 1 month prior to randomization and unchanged throughout the study).
- Topical, inhaled, or intranasal steroids are not exclusionary
- Past parenteral or oral (> 10 mg/d prednisolone equivalent) corticosteroids allowed if not used within one month prior to randomization
Non-steroidal anti-inflammatory drugs (NSAID) are exclusionary if used continuously or > 3 doses in 7 days.
o Enrollment will be allowed after a washout period of 1 week prior to randomization for use of >3 doses In 7 days).
Herbal supplements will be exclusionary.
o Enrollment will be allowed after a washout period of 1 week prior to randomization). Patients will also be asked to minimize intake of curcuminoid-containing foods during the entire study period.
- History of positive skin test for tuberculosis (TB) without treatment.
- Systemic complications of RA (e.g. vasculitis).
- Recent surgery < 1 month prior, or scheduled surgery < 2 months after randomization
- History of malignancy, other than superficial basal or squamous cell carcinoma of the skin.
- History of, or concurrent, serious chronic infection.
- Women who are pre-menopausal (women with menses within the past 12-months) with an intact uterus must have a negative pregnancy test at screening and randomization, must be using a medically acceptable form of birth control, and may not be breast feeding.
- Worsening or uncontrolled end organ disease or intercurrent illness which, in the opinion of the investigator, may pose an added risk to the patient including, but not limited to, evidence of impaired renal function , hematological, gastrointestinal, endocrine, pulmonary, cardiac, neurologic or psychiatric disease.
- Acute or chronic liver disease, including Gilbert's syndrome.
- History of any atrioventricular (AV) nodal conduction defect or a P-R interval (interval between P wave QRS complex) and on ECG > 0.2 sec.
- Use of illicit drugs or high alcohol consumption or current/recent (within past 5 years) history of drug or alcohol abuse.
- Treatment within 28 days of randomization with another investigational agent,
- Have a history of allergic reactions to turmeric, Meriva, or curcuminoids, including turmeric-containing foods such as curry or mustard.
- Inability or difficulty in swallowing oral medications, or any malabsorption condition.
- Inability to provide informed consent for any reason or to complete simple questionnaires.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: Placebo
Participants will take 4 placebo capsules twice a day for one month
|
Placebo capsules containing inert ingredients
Other Names:
|
Experimental: Meriva, low dose
Participants will take 4 Meriva-250mg capsules twice a day for one month
|
Meriva is an enhanced-bioavailability, curcuminoid-enriched turmeric dietary supplement that is sold over the counter in the United States and other countries.
Other Names:
|
Experimental: Meriva, high dose
Participants will take 4 Meriva-500mg capsules twice a day for one month
|
Meriva is an enhanced-bioavailability, curcuminoid-enriched turmeric dietary supplement that is sold over the counter in the United States and other countries.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Time Frame: 1 week and 4 weeks
|
1 week and 4 weeks
|
|
Area under curve (AUC)
Time Frame: 0-24 h
|
Following first dose.
|
0-24 h
|
Cmax
Time Frame: 0-24h
|
Following first dose.
|
0-24h
|
Tmax
Time Frame: 0-24h
|
Following first dose.
|
0-24h
|
T1/2
Time Frame: 0-24h
|
Following first dose.
|
0-24h
|
Cmax
Time Frame: 1 week and 4 week
|
Plasma concentration after multiple daily dosings
|
1 week and 4 week
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in biomarkers of inflammation
Time Frame: 1 and 4 weeks
|
Changes from baseline in blood levels of ESR and C reactive protein will be determined after 1 and 4 weeks of treatment
|
1 and 4 weeks
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Janet Funk, MD, The University of Arizona
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1501627690
- R34AT007837 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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