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Retarded Phosphatidylcholine in Steroid-Dependent Chronic Active Ulcerative Colitis
This study has been completed.
Sponsors and Collaborators: University of Heidelberg
Professor Wolfgang Stremmel
Dietmar Hopp Stiftung
Information provided by: University of Heidelberg
ClinicalTrials.gov Identifier: NCT00259545
  Purpose

The purpose of this study is to evaluate if retarded release phosphatidylcholine is an effective alternative to steroid dependent or -refractory course in chronic active ulcerative colitis.

The hypothesis is, that ulcerative colitis is caused by a barrier defect of the colonic mucus layer. The background of the study is the finding, that the phosophatidylcholine content of the colonic mucus is strongly reduced in ulcerative colitis (UC) compared to healthy controls and patients with Crohn´s disease. The content was measured in non-inflamed areas of the colon in UC. Thus, we evaluate whether a substitution of colonic PC is an effective method for steroid dependent UC. See: Gut. 2005 Jul;54(7):966-71. Stremmel et al.


Condition Intervention Phase
Ulcerative Colitis
Phosphatidylcholine
Drug: Retarded Release Phosphatidylcholine (rPC)
Phase II

Genetics Home Reference related topics: Crohn disease
MedlinePlus related topics: Ulcerative Colitis
Drug Information available for: Lecithin
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Efficacy Study
Official Title: Prospektive, Randomisierte Doppelblinde Studie Zur Wirksamkeit Von Intestinal Retardiert Freigesetztem Phosphatidylcholine Bei therapierefraktärer Colitis Ulcerosa Mit Chronisch Aktivem Verlauf Unter Corticosteroiden

Further study details as provided by University of Heidelberg:

Primary Outcome Measures:
  • complete steroid reduction

Secondary Outcome Measures:
  • remission, life quality, clinical indices, endoscopic indices, histological score, subgroup analysis

Estimated Enrollment: 60
Study Start Date: February 2003
Estimated Study Completion Date: February 2006
Detailed Description:

Design: Prospective, randomized, placebo-controlled, double-blinded study.

Population: 60 patients with chronic active ulcerative colitis and steroid dependency

Inclusion: Chronic active ulcerative colitis, clinical index 5 or more, endoscopic Index 5 or more, steroid dependent course since at least 4 months.

Main criteria: complete steroid reduction

  Eligibility

Ages Eligible for Study:   16 Years to 90 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Signed Letter of Content
  • diagnosis of ulcerative colitis (clinical, endoscopic and histologic evidence)
  • chronic active and steroid dependent course over at least 4 months (CAI > 4, EAI > 4)

Exclusion Criteria:

  • infectious colitis
  • toxic megacolon
  • ulcerative proctitis or less than 20cm inflamed
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00259545

Locations
Germany
University Heidelberg - Medical Department 4 - Gastroenterology
Heidelberg, Germany, 69120
Sponsors and Collaborators
University of Heidelberg
Professor Wolfgang Stremmel
Dietmar Hopp Stiftung
Investigators
Principal Investigator: Wolfgang Stremmel, Professor University of Heidelberg
  More Information

Publications:
Publications indexed to this study:
Study ID Numbers: PC2, EC - L71/2003, BFARM - 402 29 17
Study First Received: November 25, 2005
Last Updated: June 4, 2008
ClinicalTrials.gov Identifier: NCT00259545  
Health Authority: Germany: Federal Institute for Drugs and Medical Devices

Keywords provided by University of Heidelberg:
retarded phosphatidylcholine
chronic active
steroid

Study placed in the following topic categories:
Digestive System Diseases
Gastrointestinal Diseases
Ulcer
Colonic Diseases
Inflammatory Bowel Diseases
Colitis, Ulcerative
Intestinal Diseases
Gastroenteritis
Colitis

Additional relevant MeSH terms:
Pathologic Processes

ClinicalTrials.gov processed this record on January 14, 2009