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L-carnitine in Modulating Pain and Inflammation in Rheumatoid Arthritis

Primary Purpose

Rheumatoid Arthritis

Status
Recruiting
Phase
Phase 3
Locations
Egypt
Study Type
Interventional
Intervention
L-carnitine
Sponsored by
Tanta University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rheumatoid Arthritis

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Patients with active rheumatoid arthritis (not in remission) according to American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) 2010 criteria (9) i.e., 28 joints disease activity score (DAS-28) >2.6. Patients receive the conventional DMARDs Both sexes. Age range between 18 and 70 years old. Exclusion Criteria: Patients with heart disease (congestive heart failure, arrhythmia, hypertension, ischemic heart diseases), diabetes, active infection, other illness except rheumatoid arthritis. Patients with renal and hepatic dysfunction. Patients receiving biological DMARDs. Patients receiving oral prednisolone greater than 15 mg/day. Patients with hypersensitivity to study medications. Patients using antioxidants. Pregnant and lactating females.

Sites / Locations

  • Tanta universityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

No Intervention

Active Comparator

Arm Label

control group

L-carnitine group

Arm Description

this group will include 23 patients which will receive the traditional therapy of RA for 3 months.

this group will include 23 patients which will receive 500mg L-carnitine two times daily after meal plus the traditional therapy of RA for 3 months.

Outcomes

Primary Outcome Measures

The change in DAS-28-CRP score
Patients will undergo clinical assessment according to DAS-28-CRP score
The change in Multidimensional Health Assessment Questionnaire (MDHAQ) score

Secondary Outcome Measures

The change in serum level of C-reactive protein (CRP)
Blood samples will be collected at base line and after 3 months
The change in serum level of Signal transducer and activator of transcription 3(STAT 3).
Blood samples will be collected at base line and after 3 months
The change in serum level of Transforming growth factor β1(TGF-β1).
Blood samples will be collected at base line and after 3 months

Full Information

First Posted
March 19, 2023
Last Updated
March 30, 2023
Sponsor
Tanta University
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1. Study Identification

Unique Protocol Identification Number
NCT05792527
Brief Title
L-carnitine in Modulating Pain and Inflammation in Rheumatoid Arthritis
Official Title
The Use of L-carnitine in Modulating Pain and Inflammation in Rheumatoid Arthritis Patients
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 5, 2023 (Actual)
Primary Completion Date
March 5, 2025 (Anticipated)
Study Completion Date
March 5, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Tanta University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This study aims at evaluating the possible efficacy and safety of L-carnitine in rheumatoid arthritis via targeting Jak/STAT pathway and TGF-β1

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rheumatoid Arthritis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
46 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
control group
Arm Type
No Intervention
Arm Description
this group will include 23 patients which will receive the traditional therapy of RA for 3 months.
Arm Title
L-carnitine group
Arm Type
Active Comparator
Arm Description
this group will include 23 patients which will receive 500mg L-carnitine two times daily after meal plus the traditional therapy of RA for 3 months.
Intervention Type
Drug
Intervention Name(s)
L-carnitine
Intervention Description
One 500 mg tablet twice daily after meals
Primary Outcome Measure Information:
Title
The change in DAS-28-CRP score
Description
Patients will undergo clinical assessment according to DAS-28-CRP score
Time Frame
3 months
Title
The change in Multidimensional Health Assessment Questionnaire (MDHAQ) score
Time Frame
3 months
Secondary Outcome Measure Information:
Title
The change in serum level of C-reactive protein (CRP)
Description
Blood samples will be collected at base line and after 3 months
Time Frame
3 months
Title
The change in serum level of Signal transducer and activator of transcription 3(STAT 3).
Description
Blood samples will be collected at base line and after 3 months
Time Frame
3 months
Title
The change in serum level of Transforming growth factor β1(TGF-β1).
Description
Blood samples will be collected at base line and after 3 months
Time Frame
3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with active rheumatoid arthritis (not in remission) according to American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) 2010 criteria (9) i.e., 28 joints disease activity score (DAS-28) >2.6. Patients receive the conventional DMARDs Both sexes. Age range between 18 and 70 years old. Exclusion Criteria: Patients with heart disease (congestive heart failure, arrhythmia, hypertension, ischemic heart diseases), diabetes, active infection, other illness except rheumatoid arthritis. Patients with renal and hepatic dysfunction. Patients receiving biological DMARDs. Patients receiving oral prednisolone greater than 15 mg/day. Patients with hypersensitivity to study medications. Patients using antioxidants. Pregnant and lactating females.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Abdallah A Eldisouky
Phone
201279142631
Email
PG_165476@pharm.tanta.edu.eg
Facility Information:
Facility Name
Tanta university
City
Tanta
State/Province
Gharbia
Country
Egypt
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Abdallah A Eldisouky
Phone
201279142631
Email
PG_165476@pharm.tanta.edu.eg

12. IPD Sharing Statement

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L-carnitine in Modulating Pain and Inflammation in Rheumatoid Arthritis

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