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GI Permeability Change in Response to Aquamin®

Primary Purpose

Ulcerative Colitis, Healthy, Irritable Bowel Syndrome With Diarrhea

Status
Recruiting
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Aquamin
Sponsored by
James Varani
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ulcerative Colitis focused on measuring gastrointestinal permeability

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria for UC participants:

  • Must be able to give written informed consent
  • Age 18 to 80 years old.
  • Must have: Ulcerative colitis with confirmed diagnosis by histology and endoscopy; and be in stable remission for 3 months or more without therapy or with maintenance therapy (except steroids and antibiotics for 3 months) or have mild ulcerative colitis. Note: Corticosteroids (a type of steroid drug such as prednisone or cortisol that helps the body to regulate stress response, immune response and inflammation) and antibiotics can be used during a flare-up once the study has begun and the subject enrolled.
  • A negative pregnancy test for pre-menopausal women with intact female reproductive organs. Must agree to use appropriate birth control over the study period (if applicable).

If cessation of menses is within 12 months, then the participant will be treated as pre-menopausal and a pregnancy test will be performed.

Inclusion Criteria for Healthy participants:

  • Must be able to give written informed consent
  • Be generally healthy, male or female, ages 18 to 80 years old.
  • Pre-menopausal women with intact female reproductive organs must have a negative pregnancy test within 2 weeks of the Baseline Visit.
  • Subject must agree to use appropriate birth control over the study period. (Post-menopausal is defined as no menses for the previous 12 months. If cessation of menses is within 12 months, then the participant will be treated as pre-menopausal and a pregnancy test will be performed.

Inclusion Criteria for participants with IBS-D:

  • Patients with ages 18-80 years old.
  • Must meet the IBS-D Diagnostic Rome IV (four) Criteria as noted in the protocol
  • A negative pregnancy test for pre-menopausal cis-women with intact vagina, uterus, and/or ovaries. The negative pregnancy test must be within 2 weeks of the baseline visit and the subject must agree to use appropriate birth control over the study period.

Exclusion Criteria For UC participants:

  • Must not be pregnant or lactating
  • Must not be participating in any other interventional trial using an investigational drug.
  • Subjects likely to be uncooperative or unable to comply with study procedures
  • Participants must not be felt to have active ulcerative colitis for 3 months before study enrollment (with an exception of mild ulcerative colitis).
  • Participants must not have a history or diagnosis of any of the following conditions:

Crohn's disease, Any stomach or intestinal bleeding disorders (gastrointestinal bleeding from gastric or duodenal ulcers, or gastrin secreting tumors) or active gastric/duodenal ulcers - peptic ulcer disease (without bleeding in last 3 months).

  • Must not have any gastrointestinal or colonic malignancy.
  • Must not have Kidney disease, including kidney "stones" or hypercalcemia.
  • Must not have Coagulopathy/hereditary hemorrhagic disorders
  • Participants will be excluded if they have taken certain medications (per protocol), within the last 30 days or are unwilling to forgo the following for 30 days prior to entry into the study.

Exclusion Criteria For Healthy participants:

  • Must not be pregnant or lactating.
  • Must not be participating in any other interventional trial using an investigational drug.
  • Participants must not have a history or diagnosis of any of the following conditions:

Kidney disease, including kidney "stones" or hypercalcemia, Crohn's disease, Neurologic disease, other inflammatory bowel disease, any stomach or intestinal bleeding disorders (gastrointestinal bleeding from gastric or duodenal ulcers, or gastrin secreting tumors) or active gastric/duodenal ulcers - peptic ulcer disease (without bleeding in last 3 months).

  • Not have Coagulopathy/hereditary hemorrhagic disorders
  • Any gastrointestinal or colonic malignancy.
  • Participants will be excluded if they have taken certain medications (per protocol), within the last 30 days or are unwilling to forgo the following for 30 days prior to entry into the study.

Exclusion Criteria for participants with IBS-D:

  • Must not be pregnant or lactating
  • Must not be participating in any other interventional trial using an investigational drug.
  • Participants must not have a history or diagnosis of Crohn's disease or Inflammatory bowel disease, any stomach or intestinal bleeding disorders (gastrointestinal bleeding from gastric or duodenal ulcers, or gastrin secreting tumors) or active gastric / duodenal ulcers - peptic ulcer disease (without bleeding in last 3 months).
  • Must not have any gastrointestinal or colonic malignancy.
  • Must not have kidney disease, including kidney "stones" or hypercalcemia, Coagulopathy/hereditary hemorrhagic disorders, neurologic disease
  • Participants will be excluded if they have taken certain medications (per protocol), within the last 30 days or are unwilling to forgo the following for 30 days prior to entry into the study.

Sites / Locations

  • University of Michigan HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Aquamin®

Arm Description

Outcomes

Primary Outcome Measures

Change in the lactulose:mannitol ratio in urine by comparing values at 90-days (post-intervention) to baseline (pre-intervention) levels.

Secondary Outcome Measures

Full Information

First Posted
April 20, 2021
Last Updated
May 2, 2023
Sponsor
James Varani
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1. Study Identification

Unique Protocol Identification Number
NCT04855799
Brief Title
GI Permeability Change in Response to Aquamin®
Official Title
Direct Measurement of Gastrointestinal Permeability Change in Response to Aquamin®
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
November 2, 2021 (Actual)
Primary Completion Date
May 2024 (Anticipated)
Study Completion Date
May 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
James Varani

4. Oversight

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

5. Study Description

Brief Summary
This trial is being completed to learn about how Aquamin® affects gastrointestinal permeability, or the control of material passing from inside the gastrointestinal tract through the gut wall into the rest of the body, in people with ulcerative colitis (UC), Irritable Bowel Syndrome with diarrhea (IBS-D), and in healthy individuals.
Detailed Description
This is a sub-study to the ongoing clinical trial entitled: Aquamin®, a multi-mineral natural product from red marine algae, as an adjuvant intervention for mild ulcerative colitis and ulcerative colitis in remission (HUM00156676) NCT# NCT03869905.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ulcerative Colitis, Healthy, Irritable Bowel Syndrome With Diarrhea
Keywords
gastrointestinal permeability

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Aquamin®
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Aquamin
Other Intervention Name(s)
Nutritional
Intervention Description
Participants will take a 90-day supply of Aquamin®, 4 capsules per day; 2 to be taken in the morning and 2 in the evening (containing approximately 800 mg calcium/day).
Primary Outcome Measure Information:
Title
Change in the lactulose:mannitol ratio in urine by comparing values at 90-days (post-intervention) to baseline (pre-intervention) levels.
Time Frame
Baseline (pre-intervention), 90 days (post-intervention)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria for UC participants: Must be able to give written informed consent Age 18 to 80 years old. Must have: Ulcerative colitis with confirmed diagnosis by histology and endoscopy; and be in stable remission for 3 months or more without therapy or with maintenance therapy (except steroids and antibiotics for 3 months) or have mild ulcerative colitis. Note: Corticosteroids (a type of steroid drug such as prednisone or cortisol that helps the body to regulate stress response, immune response and inflammation) and antibiotics can be used during a flare-up once the study has begun and the subject enrolled. A negative pregnancy test for pre-menopausal women with intact female reproductive organs. Must agree to use appropriate birth control over the study period (if applicable). If cessation of menses is within 12 months, then the participant will be treated as pre-menopausal and a pregnancy test will be performed. Inclusion Criteria for Healthy participants: Must be able to give written informed consent Be generally healthy, male or female, ages 18 to 80 years old. Pre-menopausal women with intact female reproductive organs must have a negative pregnancy test within 2 weeks of the Baseline Visit. Subject must agree to use appropriate birth control over the study period. (Post-menopausal is defined as no menses for the previous 12 months. If cessation of menses is within 12 months, then the participant will be treated as pre-menopausal and a pregnancy test will be performed. Inclusion Criteria for participants with IBS-D: Patients with ages 18-80 years old. Must meet the IBS-D Diagnostic Rome IV (four) Criteria as noted in the protocol A negative pregnancy test for pre-menopausal cis-women with intact vagina, uterus, and/or ovaries. The negative pregnancy test must be within 2 weeks of the baseline visit and the subject must agree to use appropriate birth control over the study period. Exclusion Criteria For UC participants: Must not be pregnant or lactating Must not be participating in any other interventional trial using an investigational drug. Subjects likely to be uncooperative or unable to comply with study procedures Participants must not be felt to have active ulcerative colitis for 3 months before study enrollment (with an exception of mild ulcerative colitis). Participants must not have a history or diagnosis of any of the following conditions: Crohn's disease, Any stomach or intestinal bleeding disorders (gastrointestinal bleeding from gastric or duodenal ulcers, or gastrin secreting tumors) or active gastric/duodenal ulcers - peptic ulcer disease (without bleeding in last 3 months). Must not have any gastrointestinal or colonic malignancy. Must not have Kidney disease, including kidney "stones" or hypercalcemia. Must not have Coagulopathy/hereditary hemorrhagic disorders Participants will be excluded if they have taken certain medications (per protocol), within the last 30 days or are unwilling to forgo the following for 30 days prior to entry into the study. Exclusion Criteria For Healthy participants: Must not be pregnant or lactating. Must not be participating in any other interventional trial using an investigational drug. Participants must not have a history or diagnosis of any of the following conditions: Kidney disease, including kidney "stones" or hypercalcemia, Crohn's disease, Neurologic disease, other inflammatory bowel disease, any stomach or intestinal bleeding disorders (gastrointestinal bleeding from gastric or duodenal ulcers, or gastrin secreting tumors) or active gastric/duodenal ulcers - peptic ulcer disease (without bleeding in last 3 months). Not have Coagulopathy/hereditary hemorrhagic disorders Any gastrointestinal or colonic malignancy. Participants will be excluded if they have taken certain medications (per protocol), within the last 30 days or are unwilling to forgo the following for 30 days prior to entry into the study. Exclusion Criteria for participants with IBS-D: Must not be pregnant or lactating Must not be participating in any other interventional trial using an investigational drug. Participants must not have a history or diagnosis of Crohn's disease or Inflammatory bowel disease, any stomach or intestinal bleeding disorders (gastrointestinal bleeding from gastric or duodenal ulcers, or gastrin secreting tumors) or active gastric / duodenal ulcers - peptic ulcer disease (without bleeding in last 3 months). Must not have any gastrointestinal or colonic malignancy. Must not have kidney disease, including kidney "stones" or hypercalcemia, Coagulopathy/hereditary hemorrhagic disorders, neurologic disease Participants will be excluded if they have taken certain medications (per protocol), within the last 30 days or are unwilling to forgo the following for 30 days prior to entry into the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Muhammad Nadeem Aslam
Phone
734-936-1897
Email
mnaslam@umich.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
James Varani
Organizational Affiliation
University of Michigan
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Muhammad N Aslam
Organizational Affiliation
University of Michigan
Official's Role
Study Director
Facility Information:
Facility Name
University of Michigan Hospital
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

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GI Permeability Change in Response to Aquamin®

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