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Safety and Neuroprotective Effects of Polyphenon E in MS; Phase II (POEMS)

Primary Purpose

Multiple Sclerosis

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Polyphenon E
Placebo
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, Polyphenon E, Green tea, EGCG, Epigallocatechin-galleate, Placebo, Randomized controlled trial

Eligibility Criteria

18 Years - 60 Years (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, Rebif, Betaseron or Avonex 30 mcg for at least six months
  • EDSS Score less than or equal to 7.0
  • Ages 18-60.
  • Participants must have normal organ and marrow function as defined below:

    1. Leukocytes ≥3,000/µL
    2. Absolute neutrophil count ≥1,500/µL
    3. Platelets ≥100,000/µL
    4. Total bilirubin ≤local upper limit of normal
    5. AST (SGOT) ≤local upper limit of normal
    6. ALT (SGPT) ≤local upper limit of normal
    7. Creatinine ≤local upper limit of normal

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, Natalizumab or other immunomodulatory or immunosuppressant therapies except the DMT's included in the inclusion criteria and 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 women
  • Any underlying predisposition to gastrointestinal bleeding (peptic ulcer disease, gastritis, diverticulitis, colitis, hemorrhoids)

Sites / Locations

  • LSu Health Sciences Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Polyphenon E 400mg twice a day

Placebo

Arm Description

Two capsules of Polyphenon E containing 200mg of EGCG each taken twice a day with food.

Matching placebo capsules.

Outcomes

Primary Outcome Measures

Rate of Change in NAA Levels Adjusted for Water Content.
The rate of change will be calculated using all the time points available )baseline, 6 and 12 months) using a mixed model analysis with the Log NAA as the dependent variable and water content, %grey matter, %white matter, %CSF and % lesion volume as covariates. All the voxels available for each subject where estimates have a SD <30 will be used. A spatial anysotropic exponential covariance structure will be used.

Secondary Outcome Measures

Brain Atrophy
Difference between the two groups in brain atrophy as measured by SIENA

Full Information

First Posted
October 11, 2011
Last Updated
January 30, 2014
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
NCT01451723
Brief Title
Safety and Neuroprotective Effects of Polyphenon E in MS; Phase II
Acronym
POEMS
Official Title
Phase 2 Randomized Placebo Controlled Trial of Polyphenon E in MS
Study Type
Interventional

2. Study Status

Record Verification Date
January 2014
Overall Recruitment Status
Terminated
Why Stopped
Unusual high frequency of elevated liver function tests.
Study Start Date
July 2011 (undefined)
Primary Completion Date
February 2013 (Actual)
Study Completion Date
February 2013 (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
The hypothesis is that Polyphenon E can protect brain cells in patients with Multiple Sclerosis. To test this hypothesis we are going to compare the changes in n-Acetyl-Aspartate (a chemical that reflects the number of neurons and their metabolism) over one year between people with MS treated with Polyphenon E at a dose of 400mg twice a day and people with MS treated with a matching sugar pill.
Detailed Description
This will be a double blind placebo controlled trial of Polyphenon E as a treatment for MS. The primary outcome will be the changes in NAA levels over one year. Secondary outcomes will be changes in brain atrophy over one year. As an exploratory outcome we will correlate changes in NAA levels with free Plasma levels of EGCG 8 hours after the morning dose. Exploratory outcomes include disability progression by EDSS, MS functional composite components and a cognitive test battery.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Sclerosis
Keywords
Multiple Sclerosis, Polyphenon E, Green tea, EGCG, Epigallocatechin-galleate, Placebo, Randomized controlled trial

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Non-Randomized
Enrollment
11 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Polyphenon E 400mg twice a day
Arm Type
Experimental
Arm Description
Two capsules of Polyphenon E containing 200mg of EGCG each taken twice a day with food.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Matching placebo capsules.
Intervention Type
Drug
Intervention Name(s)
Polyphenon E
Other Intervention Name(s)
EGCG, epigallocatechin gallate, Green tea extract
Intervention Description
Polyphenon E is a standardized green tea extract. For this study we will use capsules of Polyphenon E containing 200 mg of EGCG per capsule. Subjects will take two capsules twice a day with food.
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Matching placebo capsules
Primary Outcome Measure Information:
Title
Rate of Change in NAA Levels Adjusted for Water Content.
Description
The rate of change will be calculated using all the time points available )baseline, 6 and 12 months) using a mixed model analysis with the Log NAA as the dependent variable and water content, %grey matter, %white matter, %CSF and % lesion volume as covariates. All the voxels available for each subject where estimates have a SD <30 will be used. A spatial anysotropic exponential covariance structure will be used.
Time Frame
1 year
Secondary Outcome Measure Information:
Title
Brain Atrophy
Description
Difference between the two groups in brain atrophy as measured by SIENA
Time Frame
1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 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, Rebif, Betaseron or Avonex 30 mcg for at least six months EDSS Score less than or equal to 7.0 Ages 18-60. Participants must have normal organ and marrow function as defined below: Leukocytes ≥3,000/µL Absolute neutrophil count ≥1,500/µL Platelets ≥100,000/µL Total bilirubin ≤local upper limit of normal AST (SGOT) ≤local upper limit of normal ALT (SGPT) ≤local upper limit of normal Creatinine ≤local upper limit of normal 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, Natalizumab or other immunomodulatory or immunosuppressant therapies except the DMT's included in the inclusion criteria and 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 women Any underlying predisposition to gastrointestinal bleeding (peptic ulcer disease, gastritis, diverticulitis, colitis, hemorrhoids)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jesus F Lovera, MD
Organizational Affiliation
LSUHSC-New Orleans
Official's Role
Principal Investigator
Facility Information:
Facility Name
LSu Health Sciences Center
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70112
Country
United States

12. IPD Sharing Statement

Citations:
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
Links:
URL
http://www.medschool.lsuhsc.edu/msclinic/
Description
LSU MS Clinic

Learn more about this trial

Safety and Neuroprotective Effects of Polyphenon E in MS; Phase II

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