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Effect of Oral Administration of Methylene Blue MMX Tablets on Double Stranded DNA

Primary Purpose

Colorectal Cancer

Status
Completed
Phase
Phase 2
Locations
Italy
Study Type
Interventional
Intervention
standard white light colonoscopy-equivalent to placebo
Methylene Blue MMX tablets
Sponsored by
Cosmo Technologies Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Colorectal Cancer

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Males or females, aged between 18 and 75.
  • Outpatients scheduled for screening or surveillance colonoscopy
  • Subjects must be identified as having the clinical requirement for second colonoscopy within 2weeks of the initial colonoscopy.
  • Women of childbearing potential must use at least one reliable method of contraception, be surgically sterilised or be abstinent.
  • For female subjects, a negative serum pregnancy test is required before Methylene Blue MMX® tablets are dispensed to the subject.
  • Post menopausal patients need to have a period of greater than 1year since last menstrual period.
  • Subjects must be able to comprehend the full nature and purpose of the study, including possible risks and side effects.
  • Subjects must be able to co-operate with the investigator and to comply with the requirements of the entire study.
  • Signed written informed consent prior to inclusion in the study.

Exclusion Criteria:

  • No Pregnant or lactating women, or women undergoing fertility treatment.
  • No previous medical history of, or suspected hypersensitivity to the Methylene Blue and/or this formulations ingredients.
  • No previous medical history of, or suspected hypersensitivity to the PEG based bowel cleansing preparation and/or this formulations ingredients.
  • No previous medical history of gastrointestinal obstruction or perforation, toxic megacolon, major colonic resection, severe diverticulitis, heart failure (Class III or IV), serious cardiovascular disease.
  • No ALT, AST, GGT, Bilirubin, Creatinine or Urea greater than 2.5 x the upper limit for normal, based on local laboratory testing.
  • No clinical alarm symptoms or history of anaemia (previously recorded haemoglobin of less than 10mg/dL) or frank blood in the stool within the last 30 days prior to enrolment.
  • No known deficiency of glucose-6-phosphate dehydrogenase.
  • No known deficiency of NADPH reductase.
  • No treatment within 5 weeks prior to randomisation with Fluoxetine (Prozac).
  • No concurrent treatment, or previous treatment within 2 weeks with any of the prohibited psychiatric medications that may interact with Methylene Blue as listed in the Prohibited Medications section; Selective Serotonin Reuptake Inhibitors (SSRI), Serotonin-Norepinepherine Reuptake Inhibitors (SNRI's), listed Tricyclic anti-depressants or Monoamine oxidase A inhibitors.
  • No concurrent treatment with anticoagulants, or antiaggregants, inducing an INR > 1.5.
  • No current enrolment in any other clinical trial, or previous enrolment in a clinical trial within the last 30 days.
  • No other medical condition that in the investigators opinion would make the administration of the study drug or procedures hazardous to the subject.

Exclusion Criteria:

-

Sites / Locations

  • IRCCS Instituto Clinico Humanitas

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Active Comparator

Arm Label

Group A

Group B

Arm Description

Biopsy samples collected during standard white light colonoscopy.

Subjects who have had samples collected during a Group A colonoscopy, who require a second colonoscopy within 2 weeks. Prior to this second colonoscopy the subjects take Methylene Blue MMX tablets. Biopsies collected are compared to their previous group A colonoscopy for histone gamma H2AX activity.

Outcomes

Primary Outcome Measures

Gamma H2AX Histone Levels in Colonic Biopsy During Standard White Light Colonoscopy and Colonoscopy for Which Methylene Blue MMX Was Taken Prior to Initiating the Colonoscopy
Assay of gamma H2AX histone phosphorylation in biopsy samples collected during colonoscopy.

Secondary Outcome Measures

To Evaluate the Staining Quality Obtained With Oral Methylene Blue MMX® Tablets.
Staining quality (SC) observed in each colonic region, in the FAS set (N=10); mean (±SD) is reported for SC. SC is ranked as follows: 0 no staining traces (poor traces in colon mucosa) detectable (at least the 25% of colon mucosa is stained) acceptable (at least the 50% of colon mucosa is stained) good (at least the 75% of colon mucosa is stained) overstained ( the 100% of the colon mucosa is over stained)

Full Information

First Posted
November 12, 2014
Last Updated
April 5, 2018
Sponsor
Cosmo Technologies Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT02295774
Brief Title
Effect of Oral Administration of Methylene Blue MMX Tablets on Double Stranded DNA
Official Title
Effect of Oral Administration of Methylene Blue MMX Tablets on Double-stranded DNA Damage Assessed by GammaH2AX Analysis of Colon Biopsy Samples
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Completed
Study Start Date
February 2013 (undefined)
Primary Completion Date
December 2014 (Actual)
Study Completion Date
December 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cosmo Technologies Ltd

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Single Centre, open label assignment phase II clinical study. To evaluate the effect of oral 200mg Methylene Blue tablets (administered 8x25mg) prior to endoscopy on double stranded DNA breaks in colonic biopsy samples assessed by histone gamma H2AX analysis, compared to control biopsies.
Detailed Description
Primary Objective: To evaluate the effect of oral 200 mg Methylene Blue MMX® tablets, (administered as 8 x 25 mg), prior to endoscopy, on double-stranded DNA breaks in colonic biopsy samples assessed by histone γH2AX analysis, compared to control biopsies collected during standard white light colonoscopy without the prior use of Methylene Blue MMX®. Secondary Objectives : To evaluate the safety and tolerability of oral Methylene Blue MMX® tablets.. To evaluate the staining score for colonoscopy obtained with oral Methylene Blue MMX® tablets . Time to reach the caecum during colonoscopy and withdrawal time from caecum to exit.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Cancer

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
10 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A
Arm Type
Placebo Comparator
Arm Description
Biopsy samples collected during standard white light colonoscopy.
Arm Title
Group B
Arm Type
Active Comparator
Arm Description
Subjects who have had samples collected during a Group A colonoscopy, who require a second colonoscopy within 2 weeks. Prior to this second colonoscopy the subjects take Methylene Blue MMX tablets. Biopsies collected are compared to their previous group A colonoscopy for histone gamma H2AX activity.
Intervention Type
Procedure
Intervention Name(s)
standard white light colonoscopy-equivalent to placebo
Intervention Description
standard white light colonoscopy
Intervention Type
Drug
Intervention Name(s)
Methylene Blue MMX tablets
Intervention Description
8x25mg methylene blue MMX tablets administered before a colonoscopy
Primary Outcome Measure Information:
Title
Gamma H2AX Histone Levels in Colonic Biopsy During Standard White Light Colonoscopy and Colonoscopy for Which Methylene Blue MMX Was Taken Prior to Initiating the Colonoscopy
Description
Assay of gamma H2AX histone phosphorylation in biopsy samples collected during colonoscopy.
Time Frame
2 weeks
Secondary Outcome Measure Information:
Title
To Evaluate the Staining Quality Obtained With Oral Methylene Blue MMX® Tablets.
Description
Staining quality (SC) observed in each colonic region, in the FAS set (N=10); mean (±SD) is reported for SC. SC is ranked as follows: 0 no staining traces (poor traces in colon mucosa) detectable (at least the 25% of colon mucosa is stained) acceptable (at least the 50% of colon mucosa is stained) good (at least the 75% of colon mucosa is stained) overstained ( the 100% of the colon mucosa is over stained)
Time Frame
During the colonoscopy

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Males or females, aged between 18 and 75. Outpatients scheduled for screening or surveillance colonoscopy Subjects must be identified as having the clinical requirement for second colonoscopy within 2weeks of the initial colonoscopy. Women of childbearing potential must use at least one reliable method of contraception, be surgically sterilised or be abstinent. For female subjects, a negative serum pregnancy test is required before Methylene Blue MMX® tablets are dispensed to the subject. Post menopausal patients need to have a period of greater than 1year since last menstrual period. Subjects must be able to comprehend the full nature and purpose of the study, including possible risks and side effects. Subjects must be able to co-operate with the investigator and to comply with the requirements of the entire study. Signed written informed consent prior to inclusion in the study. Exclusion Criteria: No Pregnant or lactating women, or women undergoing fertility treatment. No previous medical history of, or suspected hypersensitivity to the Methylene Blue and/or this formulations ingredients. No previous medical history of, or suspected hypersensitivity to the PEG based bowel cleansing preparation and/or this formulations ingredients. No previous medical history of gastrointestinal obstruction or perforation, toxic megacolon, major colonic resection, severe diverticulitis, heart failure (Class III or IV), serious cardiovascular disease. No ALT, AST, GGT, Bilirubin, Creatinine or Urea greater than 2.5 x the upper limit for normal, based on local laboratory testing. No clinical alarm symptoms or history of anaemia (previously recorded haemoglobin of less than 10mg/dL) or frank blood in the stool within the last 30 days prior to enrolment. No known deficiency of glucose-6-phosphate dehydrogenase. No known deficiency of NADPH reductase. No treatment within 5 weeks prior to randomisation with Fluoxetine (Prozac). No concurrent treatment, or previous treatment within 2 weeks with any of the prohibited psychiatric medications that may interact with Methylene Blue as listed in the Prohibited Medications section; Selective Serotonin Reuptake Inhibitors (SSRI), Serotonin-Norepinepherine Reuptake Inhibitors (SNRI's), listed Tricyclic anti-depressants or Monoamine oxidase A inhibitors. No concurrent treatment with anticoagulants, or antiaggregants, inducing an INR > 1.5. No current enrolment in any other clinical trial, or previous enrolment in a clinical trial within the last 30 days. No other medical condition that in the investigators opinion would make the administration of the study drug or procedures hazardous to the subject. Exclusion Criteria: -
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alessandro Repici, MD
Organizational Affiliation
IRCCS Instituto Clinico Humanitas
Official's Role
Principal Investigator
Facility Information:
Facility Name
IRCCS Instituto Clinico Humanitas
City
Rozzano
ZIP/Postal Code
20089
Country
Italy

12. IPD Sharing Statement

Citations:
PubMed Identifier
29906809
Citation
Repici A, Ciscato C, Wallace M, Sharma P, Anderloni A, Carrara S, Di Leo M, Hassan C. Evaluation of genotoxicity related to oral methylene blue chromoendoscopy. Endoscopy. 2018 Oct;50(10):1027-1032. doi: 10.1055/a-0630-1004. Epub 2018 Jun 15.
Results Reference
derived

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Effect of Oral Administration of Methylene Blue MMX Tablets on Double Stranded DNA

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