- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04750135
Assessment of Metformin as Adjuvant Therapy in Patients With Ulcerative Colitis
Brief Summary:
This is a randomized, controlled study evaluating metformin tablets administered daily for 8 weeks. The purpose of the study is to evaluate the efficacy and safety of metformin in the treatment of mild to moderately active ulcerative colitis. Disease activity will be measured using Mayo score for ulcerative colitis activity. Calculation of the score requires patients to undergo colonoscopy at the start of the study and at week 8.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Doaa Hamed, PhD
- Phone Number: +202 23642494
- Email: Abdelaziz.h.doaa@gmail.com
Study Locations
-
-
الغربية
-
Tanta, الغربية, Egypt
- Tanta University Hospitals
-
Contact:
- Nahla Khalaf, MD
-
Sub-Investigator:
- Fatma elgebaly, MD
-
Sub-Investigator:
- Fatma Khairy, MD
-
Sub-Investigator:
- Nahla Khalaf, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with mild or moderate ulcerative colitis newly diagnosed by colonoscopy and biopsy according to Mayo endoscopic scoring of ulcerative colitis.
- Adults (males and/or females) with age range from 18 to 65 years old.
- Patients on treatment with 5-aminosalisylic acid (5-ASA)
Exclusion Criteria:
- Patients with severe ulcerative colitis according to Mayo endoscopic scoring of ulcerative colitis.
- Treatment with systemic or rectal steroids.
- Treatment with immunosuppressants.
- Previously failed treatment with a sulphasalazine.
- Known hypersensitivity to any of study drugs.
- Hepatic and renal dysfunction.
- Pregnancy and lactation.
- History of colorectal carcinoma.
- History of complete or partial colectomy.
- Current or previous treatment with metformin for females with polycystic ovarian syndrome.
- Patients with diabetes mellitus
- Patients with history of lactic acidosis
- Patients with disease states associated with hypoxemia including cardiorespiratory insufficiency
- Positive stool culture for enteric pathogens, positive stool ova and parasite exam.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Placebo Comparator: Control group
participants will receive placebo for 8 consecutive weeks in addition to the standard therapy
|
Placebo
|
|
Experimental: Metformin group
participants will receive 500 mg Metformin TID for 8 consecutive weeks in addition to the standard therapy
|
biguanides derivatives
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Difference between the two groups in the expression of colonic (NF)-κB proteins.
Time Frame: 8 weeks
|
8 weeks
|
Collaborators and Investigators
Investigators
- Principal Investigator: Noha Mansour, PhD, Mansoura University
Publications and helpful links
General Publications
- Hegazy SK, El-Bedewy MM. Effect of probiotics on pro-inflammatory cytokines and NF-kappaB activation in ulcerative colitis. World J Gastroenterol. 2010 Sep 7;16(33):4145-51. doi: 10.3748/wjg.v16.i33.4145.
- Lewis JD, Lichtenstein GR, Deren JJ, Sands BE, Hanauer SB, Katz JA, Lashner B, Present DH, Chuai S, Ellenberg JH, Nessel L, Wu GD; Rosiglitazone for Ulcerative Colitis Study Group. Rosiglitazone for active ulcerative colitis: a randomized placebo-controlled trial. Gastroenterology. 2008 Mar;134(3):688-95. doi: 10.1053/j.gastro.2007.12.012. Epub 2007 Dec 7.
- Samman FS, Elaidy SM, Essawy SS, Hassan MS. New insights on the modulatory roles of metformin or alpha-lipoic acid versus their combination in dextran sulfate sodium-induced chronic colitis in rats. Pharmacol Rep. 2018 Jun;70(3):488-496. doi: 10.1016/j.pharep.2017.11.015. Epub 2017 Nov 24.
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 21-2019
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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