Phase Ib Randomized, Double-Blind, Placebo-Controlled Study of Meriva in Rheumatoid Arthritis
Overview
- Phase
- Phase 1
- Intervention
- placebo
- Conditions
- Rheumatoid Arthritis
- Sponsor
- University of Arizona
- Enrollment
- 3
- Locations
- 1
- Primary Endpoint
- Number of Participants with Adverse Events as a Measure of Safety and Tolerability
- Status
- Terminated
- Last Updated
- 9 years ago
Overview
Brief Summary
The purpose of this study is to find out whether turmeric dietary supplements that are available over the counter for general use in the United States are safe and useful when taken specifically for the treatment of rheumatoid arthritis (RA) and how the active principles in turmeric are broken down and metabolized by the body in individuals with RA.
Detailed Description
A placebo-controlled, double-blind, three-arm Phase Ib clinical trial assessing two doses of a commercially available curcuminoid formulation with enhanced bioavailability vs. placebo in a rheumatoid arthritis (RA) population is proposed. The primary aim of this clinical planning study is to determine the dose-dependent tolerability of an enhanced bioavailability curcuminoid formulation in an RA population, including pharmacokinetic analyses, to inform the design of a future Phase II trial assessing the anti-inflammatory efficacy of curcuminoids in the treatment of RA. Secondarily, estimates of effect size for changes in known biomarkers of inflammation in RA will be determined.
Investigators
Janet L. Funk
Associate Professor
University of Arizona
Eligibility Criteria
Inclusion Criteria
- •Inclusion Criteria
- •Diagnosis of RA (ACR 2010 criteria)
- •Age \> 18 years old
- •Active disease at screening visit as defined by:
- •Disease Activity Score \[DAS\]-28 (4)-erythrocyte sedimentation rate (ESR) \> 3.2, and
- •C reactive protein (CRP) \> 1.0 mg/dL or ESR \>
- •Ability to understand and the willingness to sign a written informed consent document
Exclusion Criteria
- •Current treatment with any biologic agent (e.g. tumor necrosis factor (TNF) inhibitors: etanercept , infliximab, adalimumab; interleukin 1(IL-1) inhibitors: anakinra ; lymphocyte directed: abatacept, rituximab; and Janus kinase (JAK) inhibitors: tofacitinib).
- •Past biologic use allowed if ended \> 3 months prior to randomization (\> 12 months for Rituximab)
- •History of non-response to biologics.
- •Disease-modifying anti-inflammatory agents (DMARDs), including methotrexate, hydroxychloroquine, sulfasalazine, and minocycline, will be allowed if stable for 1 month prior to randomization and unchanged throughout the study.
- •Leflunomide, gold compounds, azathioprine, or cyclosporine will be exclusionary if used within the month prior to randomization.
- •Oral Corticosteroid use \> 10 mg/d prednisolone or equivalent or parenteral corticosteroids of any dose will be exclusionary (1 month prior to randomization until final assessment visit).
- •Oral corticosteroids in low doses (\< 10 mg/d prednisone or equivalent) will be allowed if stable for 1 month prior to randomization and unchanged throughout the study).
- •Topical, inhaled, or intranasal steroids are not exclusionary
- •Past parenteral or oral (\> 10 mg/d prednisolone equivalent) corticosteroids allowed if not used within one month prior to randomization
- •Non-steroidal anti-inflammatory drugs (NSAID) are exclusionary if used continuously or \> 3 doses in 7 days.
Arms & Interventions
Placebo
Participants will take 4 placebo capsules twice a day for one month
Intervention: placebo
Meriva, low dose
Participants will take 4 Meriva-250mg capsules twice a day for one month
Intervention: Meriva
Meriva, high dose
Participants will take 4 Meriva-500mg capsules twice a day for one month
Intervention: Meriva
Outcomes
Primary Outcomes
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Time Frame: 1 week and 4 weeks
Cmax
Time Frame: 1 week and 4 week
Plasma concentration after multiple daily dosings
Tmax
Time Frame: 0-24h
Following first dose.
T1/2
Time Frame: 0-24h
Following first dose.
Area under curve (AUC)
Time Frame: 0-24 h
Following first dose.
Secondary Outcomes
- Changes in biomarkers of inflammation(1 and 4 weeks)