Pediaberry: Natural Berry Extract Treatment of Hemangiomas
Study Details
Study Description
Brief Summary
This is a prospective, randomized, double-blind, placebo-controlled parallel group study evaluating the use of PediaBerry for the treatment of hemangiomas in infants ≤ 4 months of corrected gestation age over a 6-month treatment period. Subjects will be followed to age 18 months. A total of 44 subjects will be PediaBerry group and 22 subjects in the placebo control group.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Early Phase 1 |
Detailed Description
PediaBerry™ is a proprietary blend of powdered berry extracts. Placebo: powdered sugar plus McCormick Color from Nature Food Colors Berry and Sky Blue powdered food color (https://www.mccormick.com/spices-and-flavors/extracts-and-food-colors/food-colors/color-from -nature-assorted-food-color ).
Cream vehicle is mixed with PediaBerry™ or placebo at the time of application.Children will receive once daily topical and oral gavage dosing of PediaBerry or placebo.
The first study visit will take place within 2 weeks of subject recruitment. The subject enrollment, consenting and randomization will occur as study visit #0 and will occur at Riley Children's Hospital or Nationwide Children's Hospital. Data collection will be the same at all study visits starting with study visit #1 until the completion of the study. The first dose of PediaBerry™ or placebo will be administered prior to completion of study visit #1, and will also be given at study visits #2-6. Study visits #2-6 will occur monthly study visits until the subject completes 6 months of treatment.Subjects will be weighed and treatment doses adjusted accordingly. Study visits #7-11 to watch for signs of rebound hemangioma proliferation will occur every other month until age 12 months and then at age 15 and 18 months. Urine samples, photos and caliper measurements will occur at each study visit. Some subjects may have less than 11 study visits depending on the age at the time of subject enrollment.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Pediaberry group PediaBerry™ is a proprietary blend powdered berry extracts |
Drug: PediaBerry
PediaBerry or placebo will be mixed with a cream vehicle for topical administration or with water for oral administration
Other Names:
|
Placebo Comparator: Placebo Placebo: powdered sugar plus McCormick Color from Nature Food Colors Berry and Sky Blue powdered food color (https://www.mccormick.com/spices-and-flavors/extracts-and-food-colors/food-colors/color-from-nature-assorted-food-color ). |
Drug: PediaBerry
PediaBerry or placebo will be mixed with a cream vehicle for topical administration or with water for oral administration
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Decreased Hemangioma Size [6 month treatment period]
Decrease in the size of hemangioma > 50%
Secondary Outcome Measures
- Decreased urinary micro RNA 126 levels [6 month treatment period]
Urinary micro RNA 126 levels are analyzed using quantitative polymerase chain reactions
Eligibility Criteria
Criteria
Inclusion Criteria:
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Children with hemangiomas ≤ 4 months and 2 weeks of corrected gestational age
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Hemangioma size ≥ 1 cm diameter
Exclusion Criteria:
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Children with hemangiomas that threaten the life of the child or development of vital structures.
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Children who are breast feeding and mother is taking beta blocker medication
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Children with previously treated hemangiomas
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Congenital hemangiomas - cannot distinguish between rapidly involuting and non-involuting congenital hemangiomas
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Hemangiomas located in the perineal/diapering area - product will get contaminated or wiped off with diapering
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Children with food allergies to blueberries or any other kind of berry
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Legal guardian unable to provide informed consent
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Riley Hospital for Children | Indianapolis | Indiana | United States | 46202 |
2 | Nationwide Children's Hospital | Columbus | Ohio | United States | 43205 |
Sponsors and Collaborators
- Indiana University
- National Institute of General Medical Sciences (NIGMS)
- National Institutes of Health (NIH)
Investigators
- Principal Investigator: Gayle Gordillo, MD, Indiana University
Study Documents (Full-Text)
None provided.More Information
Publications
- Atalay M, Gordillo G, Roy S, Rovin B, Bagchi D, Bagchi M, Sen CK. Anti-angiogenic property of edible berry in a model of hemangioma. FEBS Lett. 2003 Jun 5;544(1-3):252-7.
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- Biswas A, Clark EC, Sen CK, Gordillo GM. Phytochemical Inhibition of Multidrug Resistance Protein-1 as a Therapeutic Strategy for Hemangioendothelioma. Antioxid Redox Signal. 2017 Jun 10;26(17):1009-1019. doi: 10.1089/ars.2016.6881. Epub 2016 Nov 9.
- Biswas A, Khanna S, Roy S, Pan X, Sen CK, Gordillo GM. Endothelial cell tumor growth is Ape/ref-1 dependent. Am J Physiol Cell Physiol. 2015 Sep 1;309(5):C296-307. doi: 10.1152/ajpcell.00022.2015. Epub 2015 Jun 24.
- Biswas A, Pan X, Meyer M, Khanna S, Roy S, Pearson G, Kirschner R, Witman P, Faith EF, Sen CK, Gordillo GM. Urinary Excretion of MicroRNA-126 Is a Biomarker for Hemangioma Proliferation. Plast Reconstr Surg. 2017 Jun;139(6):1277e-1284e. doi: 10.1097/PRS.0000000000003349.
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- Gordillo GM, Biswas A, Khanna S, Spieldenner JM, Pan X, Sen CK. Multidrug Resistance-associated Protein-1 (MRP-1)-dependent Glutathione Disulfide (GSSG) Efflux as a Critical Survival Factor for Oxidant-enriched Tumorigenic Endothelial Cells. J Biol Chem. 2016 May 6;291(19):10089-103. doi: 10.1074/jbc.M115.688879. Epub 2016 Mar 9. Erratum in: J Biol Chem. 2016 Jul 1;291(27):14394.
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- 2R01GM095657