- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07767370
ND-12 Combined With H-6 for Adult Chronic Inflammatory Diarrhea
A Randomised, Controlled, Double-blind Exploratory Study of ND-12 Combined With H-6 in the Treatment of Adult Chronic Inflammatory Diarrhea
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Early Phase 1
Contacts and Locations
Study Contact
- Name: Faming Zhang, PhD
- Phone Number: 086-025-58509883
- Email: fzhang@njmu.edu.cn
Study Locations
-
-
Jiangsu
-
Nanjing, Jiangsu, China, 210011
- Recruiting
- The Second Affiliated Hospital of Nanjing Medical University
-
Contact:
- Faming Zhang, PhD
- Phone Number: 086-025-58509883
- Email: fzhang@njmu.edu.cn
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subjects aged 18-75 years (inclusive), of any gender.
- Meet any one of the following conditions:
1) Previously diagnosed ulcerative colitis, currently in the active phase; 2) Diagnosis of chronic diarrhoea: stool frequency ≥3 times per day or markedly higher than the subject's usual baseline; disease duration >4 weeks; recurrent diarrhoea with an interval of 2-4 weeks between episodes; loose stools (Bristol Stool Form Scale type 5, 6, or 7).
3. Faecal calprotectin >150 μg/g. 4.The subject or their legal representative provides informed consent by voluntarily signing the informed consent form, fully understands the study objectives, maintains effective communication with investigators, and is capable of understanding and complying with all requirements specified in this study protocol.
Exclusion Criteria:
Exclusion criteria related to chronic diarrhoea
Presence of any of the following symptoms:
- Fever ≥37.5°C;
- Moderate-to-severe dehydration requiring intravenous fluid replacement;
- Recurrent vomiting.
- Diarrhoea caused by enteric pathogens (e.g., Clostridioides difficile, Salmonella typhi, etc.).
Underlying diseases that may trigger diarrhoea, including hyperthyroidism, gastrointestinal autonomic nervous dysfunction, gastrointestinal malignancy, Crohn's disease, history of colectomy (appendectomy, haemorrhoid surgery and fistula-in-ano surgery excluded), history of small-bowel resection (>20 cm of resected intestinal segment), etc.
Drug-related exclusion criteria
- Suspected drug-induced diarrhoea (e.g., long-term use of laxatives, antibiotics, chemotherapeutic agents, etc.) where discontinuation of the offending drug is not feasible.
- History of allergy to any component of mesalazine capsules, ND-12 capsules or H-6 capsules.
- Anticipated need for prohibited medications during the study (e.g. antibiotics, antidiarrhoeals, antiemetics, antispasmodics, etc.).
Use of any investigational drug within 30 days prior to enrolment into this study.
Other gastrointestinal exclusion criteria
- History of gastrectomy or vagotomy.
- Known malabsorptive disorders include coeliac disease.
- Known lactose intolerance.
- Any suspected condition requiring abdominal surgery. Other exclusion criteria
- Confirmed human immunodeficiency virus (HIV) positive status, known or suspected immunosuppression.
- Known severe hepatic or renal insufficiency.
- Past or current history of alcohol abuse and/or known substance abuse (cocaine, heroin, cannabis, etc.).
- Any psychiatric condition impairing the subject's ability to understand the nature, scope and potential consequences of the study, and/or documented evidence of non-cooperation.
- Pregnant or lactating women.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Mesalazine
Eligible subjects meeting all inclusion criteria and none of the exclusion criteria randomized to this sequence will receive Mesalazine interventions at three separate time points over one day
|
Take 4 melesalazine capsules each time, 3 times a day.
Continue for 14 days.
|
|
Experimental: ND-12
Eligible subjects meeting all inclusion criteria and none of the exclusion criteria randomized to this sequence will receive ND-12 interventions at three separate time points over one day
|
Take 1 ND-12 capsule and 3 blank capsules each time, 3 times a day.
Continue for 14 days
|
|
Experimental: ND-12/H-6
Eligible subjects meeting all inclusion criteria and none of the exclusion criteria randomized to this sequence will receive ND-12 and H-6 interventions at three separate time points over one day
|
Take 1 ND-12 capsule and 3 H-6 capsules each time, 3 times a day.
Continue for 14 days
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Fecal calprotectin of patients 14 days after treatment compared to the baseline level
Time Frame: baseline, 14 days post-drug administration
|
The rate of change in fecal calprotectin levels of the subjects at 14 days compared to the baseline level
|
baseline, 14 days post-drug administration
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The proportion of subjects who achieved a clinical response on the 14th day
Time Frame: 14 days post-drug administration
|
The proportion of subjects who achieved a clinical response on the 14th day(Fecal calprotectin decreased by ≥50% compared to the baseline or returned to normal <150 μg/g)
|
14 days post-drug administration
|
|
The proportion of subjects achieving deep remission on the 14th day
Time Frame: 14 days post-drug administration
|
The proportion of subjects achieving deep remission on the 14th day (Fecal calprotectin < 100 μg/g)
|
14 days post-drug administration
|
|
Serum inflammatory factors after treatment
Time Frame: baseline, 14 days post-drug administration
|
The changes in inflammatory factors (IL-1β, IL-10, TNF-α) in the blood of the subjects at 14 days compared to the baseline level
|
baseline, 14 days post-drug administration
|
|
The frequency of defecation after treatment
Time Frame: baseline, 7 days post-drug administration, 14 days post-drug administration, and 28 days post-drug administration
|
The situation of the subjects' defecation frequency on the 7th, 14th, and 28th days compared to the baseline;
|
baseline, 7 days post-drug administration, 14 days post-drug administration, and 28 days post-drug administration
|
|
The fecal consistency scores after treatment
Time Frame: baseline, 7 days post-drug administration, 14 days post-drug administration, and 28 days post-drug administration
|
The changes in the fecal consistency scores (measured using the Bristol Fecal Form Scale) of subjects on the 7th, 14th, and 28th days compared to the baseline;
|
baseline, 7 days post-drug administration, 14 days post-drug administration, and 28 days post-drug administration
|
|
The gastrointestinal symptom grading scores after treatment
Time Frame: baseline, 7 days post-drug administration, 14 days post-drug administration, and 28 days post-drug administration
|
The gastrointestinal symptom grading scores (using the GSRS scoring scale) of subjects on the 7th, 14th, and 28th days compared with the baseline values
|
baseline, 7 days post-drug administration, 14 days post-drug administration, and 28 days post-drug administration
|
|
The changes of gut microbiome and metabolome
Time Frame: baseline, 7 days post-drug administration
|
Changes in the gut microbiome and metabolome of subjects on the 7th day compared with baseline
|
baseline, 7 days post-drug administration
|
Collaborators and Investigators
Collaborators
Publications and helpful links
General Publications
- GBD 2021 Causes of Death Collaborators. Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet. 2024 May 18;403(10440):2100-2132. doi: 10.1016/S0140-6736(24)00367-2. Epub 2024 Apr 3.
- Ben-Horin S, Salomon N, Karampekos G, Viazis N, Lahat A, Ungar B, Eliakim R, Kuperstein R, Kriger-Sharabi O, Reiss-Mintz H, Yanai H, Dotan I, Zittan E, Maharshak N, Hirsch A, Weitman M, Mantzaris GJ, Kopylov U. Curcumin-QingDai Combination for Patients With Active Ulcerative Colitis: A Randomized, Double-Blinded, Placebo-Controlled Trial. Clin Gastroenterol Hepatol. 2024 Feb;22(2):347-356.e6. doi: 10.1016/j.cgh.2023.05.023. Epub 2023 Jun 9.
- Stevens TW, Gecse K, Turner JR, de Hertogh G, Rubin DT, D'Haens GR. Diagnostic Accuracy of Fecal Calprotectin Concentration in Evaluating Therapeutic Outcomes of Patients With Ulcerative Colitis. Clin Gastroenterol Hepatol. 2021 Nov;19(11):2333-2342. doi: 10.1016/j.cgh.2020.08.019. Epub 2020 Aug 13.
- Elmore AR; Cosmetic Ingredient Review Expert Panel. Final report on the safety assessment of aluminum silicate, calcium silicate, magnesium aluminum silicate, magnesium silicate, magnesium trisilicate, sodium magnesium silicate, zirconium silicate, attapulgite, bentonite, Fuller's earth, hectorite, kaolin, lithium magnesium silicate, lithium magnesium sodium silicate, montmorillonite, pyrophyllite, and zeolite. Int J Toxicol. 2003;22 Suppl 1:37-102.
- Wang N, Zhang M, Yang M, Liu W, Liu W, Ou Y, Zhou M, Wang X, Sun Z, Pan Y, Wang Y, Wang Y. Efficacy and safety of Y-3 intracalvariosseous injection versus intravenous injection in the treatment of acute large hemispheric infarction (SOLUTION-2): rationale and design of a multicentre, prospective, randomised, open-label, blind endpoint (PROBE) trial. Stroke Vasc Neurol. 2026 Mar 4;11(1):130-135. doi: 10.1136/svn-2024-004011.
- GBD 2021 Diarrhoeal Diseases Collaborators. Global, regional, and national age-sex-specific burden of diarrhoeal diseases, their risk factors, and aetiologies, 1990-2021, for 204 countries and territories: a systematic analysis for the Global Burden of Disease Study 2021. Lancet Infect Dis. 2025 May;25(5):519-536. doi: 10.1016/S1473-3099(24)00691-1. Epub 2024 Dec 18.
- Sultana R, Luby SP, Gurley ES, Rimi NA, Swarna ST, Khan JAM, Nahar N, Ghosh PK, Howlader SR, Kabir H, Khan S, Jensen PKM. Cost of illness for severe and non-severe diarrhea borne by households in a low-income urban community of Bangladesh: A cross-sectional study. PLoS Negl Trop Dis. 2021 Jun 11;15(6):e0009439. doi: 10.1371/journal.pntd.0009439. eCollection 2021 Jun.
- GBD 2016 Diarrhoeal Disease Collaborators. Estimates of the global, regional, and national morbidity, mortality, and aetiologies of diarrhoea in 195 countries: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Infect Dis. 2018 Nov;18(11):1211-1228. doi: 10.1016/S1473-3099(18)30362-1. Epub 2018 Sep 19.
- Schiller LR, Pardi DS, Sellin JH. Chronic Diarrhea: Diagnosis and Management. Clin Gastroenterol Hepatol. 2017 Feb;15(2):182-193.e3. doi: 10.1016/j.cgh.2016.07.028. Epub 2016 Aug 2.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
- Intestinal Diseases
- Digestive System Diseases
- Gastrointestinal Diseases
- Colonic Diseases
- Gastroenteritis
- Inflammatory Bowel Diseases
- Colitis
- Colitis, Ulcerative
- Organic Chemicals
- Hydrocarbons
- Hydrocarbons, Cyclic
- Carboxylic Acids
- Hydroxy Acids
- Hydrocarbons, Aromatic
- Phenols
- Benzene Derivatives
- Acids, Carbocyclic
- Aminobenzoates
- Benzoates
- Salicylates
- Hydroxybenzoates
- meta-Aminobenzoates
- Aminosalicylic Acids
- Mesalamine
Other Study ID Numbers
- IIT-2026CMTS-ND12H6
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
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