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Safety of Polyphenon E in Multiple Sclerosis Pilot Study

Primary Purpose

Multiple Sclerosis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Polyphenon E
Sponsored by
Louisiana State University Health Sciences Center in New Orleans
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Sclerosis focused on measuring Multiple sclerosis, safety, open label, Polyphenon E, EGCG, NAA, N-acetyl-aspartate, MRI

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Diagnosis of MS by McDonald criteria
  • Relapsing-remitting MS or secondary progressive MS
  • Stable therapy with Copaxone, for at least six months prior to inclusion in the study or no therapy for six months in subjects refusing therapy.
  • EDSS Score less than or equal to 6.5 (able to walk about 20 meters without resting)
  • Ages 18-60.
  • Leukocytes ≥3,000/µL
  • Absolute neutrophil count ≥1,500/µL
  • Platelets ≥100,000/µL
  • Total bilirubin ≤local upper limit of normal
  • normal AST (SGOT) ALT (SGPT)
  • normal serum Creatinine
  • women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation.
  • Ability to understand and the willingness to sign a written informed consent document.
  • Willing to drink at most one cup of black tea and two cups of coffee per day, and abstain from drinking green tea or taking supplements containing green tea or green tea compounds, for the duration of the investigation.

Exclusion Criteria:

  • MS relapse within the 30 days prior to enrollment.
  • A primary progressive form of MS.
  • Previous treatment prior to study entry as follows: complete radiation ablation of the bone marrow or anti-CD4 antibody treatment (Campath) at any time; mitoxantrone, cyclophosphamide, cyclosporin, Natalizumab or other immunomodulatory or immunosuppressant therapies except for Copaxone or methylprednisone for relapses within prior nine months.
  • History of renal or liver disease.
  • Consumption of green tea or supplements containing green tea or tea extract within 30 days prior to enrollment.
  • Participants may not participate in any other clinical trial involving investigational agents during the study, or within six months prior to enrolling in the study.
  • history of allergic reactions attributed to compounds of similar chemical or biologic composition to Polyphenon E, tea, or any of the inactive ingredients present in the active or placebo capsules, including gelatin.
  • history of allergic reactions to gadolinium or any other condition contraindicated for MRI.
  • Uncontrolled, clinically-relevant active illness (aside from MS) including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
  • Any condition which would make the subject, in the opinion of the investigator, unsuitable for the study.
  • Inability to complete the baseline MRI scan.
  • Pregnant or breastfeeding women.

Sites / Locations

  • Louisiana Health Sciences Center New Orleans

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Polyphenon E

Arm Description

Standarized green tea extract containing 50% EGCG

Outcomes

Primary Outcome Measures

Number of Participants Experiencing Serious Adverse Events

Secondary Outcome Measures

Change in Brain NAA Level as Measured by MR Spectroscopy
percent change from baseline to exit in NAA levels adjusted for creatine levels

Full Information

First Posted
February 3, 2009
Last Updated
May 21, 2013
Sponsor
Louisiana State University Health Sciences Center in New Orleans
Collaborators
National Center for Complementary and Integrative Health (NCCIH)
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1. Study Identification

Unique Protocol Identification Number
NCT00836719
Brief Title
Safety of Polyphenon E in Multiple Sclerosis Pilot Study
Official Title
Safety and Neuroprotective Effects of Polyphenon E in Multiple Sclerosis
Study Type
Interventional

2. Study Status

Record Verification Date
May 2013
Overall Recruitment Status
Completed
Study Start Date
February 2009 (undefined)
Primary Completion Date
November 2010 (Actual)
Study Completion Date
November 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Louisiana State University Health Sciences Center in New Orleans
Collaborators
National Center for Complementary and Integrative Health (NCCIH)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study is an open label 6 month study. All subjects will be treated with Polyphenon E (400 mg EGCG twice a day) for six months. The main outcome of this pilot phase will be safety. Secondary outcomes are the change in NAA levels over 6 months as measured by MR-spectroscopy. NAA levels are a marker of neuronal function. We think that Polyphenon E will protect neurons and thus increase NAA levels.
Detailed Description
Additional clinical data include changes in EDSS, MS functional composite and cognitive testing.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Sclerosis
Keywords
Multiple sclerosis, safety, open label, Polyphenon E, EGCG, NAA, N-acetyl-aspartate, MRI

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Polyphenon E
Arm Type
Experimental
Arm Description
Standarized green tea extract containing 50% EGCG
Intervention Type
Drug
Intervention Name(s)
Polyphenon E
Other Intervention Name(s)
EGCG, Green tea extract
Intervention Description
Polyphenon E capsules containing 200 mg of Epigallocachin-galleate. Two capsules twice a day.
Primary Outcome Measure Information:
Title
Number of Participants Experiencing Serious Adverse Events
Time Frame
six months
Secondary Outcome Measure Information:
Title
Change in Brain NAA Level as Measured by MR Spectroscopy
Description
percent change from baseline to exit in NAA levels adjusted for creatine levels
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of MS by McDonald criteria Relapsing-remitting MS or secondary progressive MS Stable therapy with Copaxone, for at least six months prior to inclusion in the study or no therapy for six months in subjects refusing therapy. EDSS Score less than or equal to 6.5 (able to walk about 20 meters without resting) Ages 18-60. Leukocytes ≥3,000/µL Absolute neutrophil count ≥1,500/µL Platelets ≥100,000/µL Total bilirubin ≤local upper limit of normal normal AST (SGOT) ALT (SGPT) normal serum Creatinine women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation. Ability to understand and the willingness to sign a written informed consent document. Willing to drink at most one cup of black tea and two cups of coffee per day, and abstain from drinking green tea or taking supplements containing green tea or green tea compounds, for the duration of the investigation. Exclusion Criteria: MS relapse within the 30 days prior to enrollment. A primary progressive form of MS. Previous treatment prior to study entry as follows: complete radiation ablation of the bone marrow or anti-CD4 antibody treatment (Campath) at any time; mitoxantrone, cyclophosphamide, cyclosporin, Natalizumab or other immunomodulatory or immunosuppressant therapies except for Copaxone or methylprednisone for relapses within prior nine months. History of renal or liver disease. Consumption of green tea or supplements containing green tea or tea extract within 30 days prior to enrollment. Participants may not participate in any other clinical trial involving investigational agents during the study, or within six months prior to enrolling in the study. history of allergic reactions attributed to compounds of similar chemical or biologic composition to Polyphenon E, tea, or any of the inactive ingredients present in the active or placebo capsules, including gelatin. history of allergic reactions to gadolinium or any other condition contraindicated for MRI. Uncontrolled, clinically-relevant active illness (aside from MS) including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements. Any condition which would make the subject, in the opinion of the investigator, unsuitable for the study. Inability to complete the baseline MRI scan. Pregnant or breastfeeding women.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jesus F Lovera, MD, MSPH
Organizational Affiliation
LSUHSC
Official's Role
Principal Investigator
Facility Information:
Facility Name
Louisiana Health Sciences Center New Orleans
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70112
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
15494532
Citation
Aktas O, Prozorovski T, Smorodchenko A, Savaskan NE, Lauster R, Kloetzel PM, Infante-Duarte C, Brocke S, Zipp F. Green tea epigallocatechin-3-gallate mediates T cellular NF-kappa B inhibition and exerts neuroprotection in autoimmune encephalomyelitis. J Immunol. 2004 Nov 1;173(9):5794-800. doi: 10.4049/jimmunol.173.9.5794.
Results Reference
background
PubMed Identifier
26298797
Citation
Lovera J, Ramos A, Devier D, Garrison V, Kovner B, Reza T, Koop D, Rooney W, Foundas A, Bourdette D. Polyphenon E, non-futile at neuroprotection in multiple sclerosis but unpredictably hepatotoxic: Phase I single group and phase II randomized placebo-controlled studies. J Neurol Sci. 2015 Nov 15;358(1-2):46-52. doi: 10.1016/j.jns.2015.08.006. Epub 2015 Aug 7.
Results Reference
derived

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Safety of Polyphenon E in Multiple Sclerosis Pilot Study

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