GI Permeability Change in Response to Aquamin®

Sponsor
James Varani (Other)
Overall Status
Recruiting
CT.gov ID
NCT04855799
Collaborator
(none)
30
1
1
24.9
1.2

Study Details

Study Description

Brief Summary

This trial is being completed to learn about how Aquamin® affects gastrointestinal permeability, or the control of material passing from inside the gastrointestinal tract through the gut wall into the rest of the body, in people with ulcerative colitis (UC), Irritable Bowel Syndrome with diarrhea (IBS-D), and in healthy individuals.

Condition or Disease Intervention/Treatment Phase
Phase 2

Detailed Description

This is a sub-study to the ongoing clinical trial entitled: Aquamin®, a multi-mineral natural product from red marine algae, as an adjuvant intervention for mild ulcerative colitis and ulcerative colitis in remission (HUM00156676) NCT# NCT03869905.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
30 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Direct Measurement of Gastrointestinal Permeability Change in Response to Aquamin®
Actual Study Start Date :
Nov 2, 2021
Anticipated Primary Completion Date :
May 1, 2023
Anticipated Study Completion Date :
Dec 1, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: Aquamin®

Drug: Aquamin
Participants will take a 90-day supply of Aquamin®, 4 capsules per day; 2 to be taken in the morning and 2 in the evening (containing approximately 800 mg calcium/day).
Other Names:
  • Nutritional
  • Outcome Measures

    Primary Outcome Measures

    1. Change in the lactulose:mannitol ratio in urine by comparing values at 90-days (post-intervention) to baseline (pre-intervention) levels. [Baseline (pre-intervention), 90 days (post-intervention)]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 80 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria for UC participants:
    • Must be able to give written informed consent

    • Age 18 to 80 years old.

    • Must have: Ulcerative colitis with confirmed diagnosis by histology and endoscopy; and be in stable remission for 3 months or more without therapy or with maintenance therapy (except steroids and antibiotics for 3 months) or have mild ulcerative colitis. Note: Corticosteroids (a type of steroid drug such as prednisone or cortisol that helps the body to regulate stress response, immune response and inflammation) and antibiotics can be used during a flare-up once the study has begun and the subject enrolled.

    • A negative pregnancy test for pre-menopausal women with intact female reproductive organs. Must agree to use appropriate birth control over the study period (if applicable).

    If cessation of menses is within 12 months, then the participant will be treated as pre-menopausal and a pregnancy test will be performed.

    Inclusion Criteria for Healthy participants:
    • Must be able to give written informed consent

    • Be generally healthy, male or female, ages 18 to 80 years old.

    • Pre-menopausal women with intact female reproductive organs must have a negative pregnancy test within 2 weeks of the Baseline Visit.

    • Subject must agree to use appropriate birth control over the study period. (Post-menopausal is defined as no menses for the previous 12 months. If cessation of menses is within 12 months, then the participant will be treated as pre-menopausal and a pregnancy test will be performed.

    Inclusion Criteria for participants with IBS-D:
    • Patients with ages 18-80 years old.

    • Must meet the IBS-D Diagnostic Rome IV (four) Criteria as noted in the protocol

    • A negative pregnancy test for pre-menopausal cis-women with intact vagina, uterus, and/or ovaries. The negative pregnancy test must be within 2 weeks of the baseline visit and the subject must agree to use appropriate birth control over the study period.

    Exclusion Criteria For UC participants:
    • Must not be pregnant or lactating

    • Must not be participating in any other interventional trial using an investigational drug.

    • Subjects likely to be uncooperative or unable to comply with study procedures

    • Participants must not be felt to have active ulcerative colitis for 3 months before study enrollment (with an exception of mild ulcerative colitis).

    • Participants must not have a history or diagnosis of any of the following conditions:

    Crohn's disease, Any stomach or intestinal bleeding disorders (gastrointestinal bleeding from gastric or duodenal ulcers, or gastrin secreting tumors) or active gastric/duodenal ulcers - peptic ulcer disease (without bleeding in last 3 months).

    • Must not have any gastrointestinal or colonic malignancy.

    • Must not have Kidney disease, including kidney "stones" or hypercalcemia.

    • Must not have Coagulopathy/hereditary hemorrhagic disorders

    • Participants will be excluded if they have taken certain medications (per protocol), within the last 30 days or are unwilling to forgo the following for 30 days prior to entry into the study.

    Exclusion Criteria For Healthy participants:
    • Must not be pregnant or lactating.

    • Must not be participating in any other interventional trial using an investigational drug.

    • Participants must not have a history or diagnosis of any of the following conditions:

    Kidney disease, including kidney "stones" or hypercalcemia, Crohn's disease, Neurologic disease, other inflammatory bowel disease, any stomach or intestinal bleeding disorders (gastrointestinal bleeding from gastric or duodenal ulcers, or gastrin secreting tumors) or active gastric/duodenal ulcers - peptic ulcer disease (without bleeding in last 3 months).

    • Not have Coagulopathy/hereditary hemorrhagic disorders

    • Any gastrointestinal or colonic malignancy.

    • Participants will be excluded if they have taken certain medications (per protocol), within the last 30 days or are unwilling to forgo the following for 30 days prior to entry into the study.

    Exclusion Criteria for participants with IBS-D:
    • Must not be pregnant or lactating

    • Must not be participating in any other interventional trial using an investigational drug.

    • Participants must not have a history or diagnosis of Crohn's disease or Inflammatory bowel disease, any stomach or intestinal bleeding disorders (gastrointestinal bleeding from gastric or duodenal ulcers, or gastrin secreting tumors) or active gastric / duodenal ulcers - peptic ulcer disease (without bleeding in last 3 months).

    • Must not have any gastrointestinal or colonic malignancy.

    • Must not have kidney disease, including kidney "stones" or hypercalcemia, Coagulopathy/hereditary hemorrhagic disorders, neurologic disease

    • Participants will be excluded if they have taken certain medications (per protocol), within the last 30 days or are unwilling to forgo the following for 30 days prior to entry into the study.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 University of Michigan Hospital Ann Arbor Michigan United States 48109

    Sponsors and Collaborators

    • James Varani

    Investigators

    • Principal Investigator: James Varani, University of Michigan
    • Study Director: Muhammad N Aslam, University of Michigan

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    James Varani, Professor of Pathology, University of Michigan
    ClinicalTrials.gov Identifier:
    NCT04855799
    Other Study ID Numbers:
    • HUM00156676 sub-study 1
    First Posted:
    Apr 22, 2021
    Last Update Posted:
    Nov 30, 2021
    Last Verified:
    Nov 1, 2021
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by James Varani, Professor of Pathology, University of Michigan
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Nov 30, 2021