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MS-20 on Patients With Ulcerative Colitis(UC)

Primary Purpose

Ulcerative Colitis

Status
Recruiting
Phase
Not Applicable
Locations
Taiwan
Study Type
Interventional
Intervention
MS-20 oral solution
Placebo
Sponsored by
National Taiwan University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Ulcerative Colitis focused on measuring Ulcerative Colitis, MS-20, Postbiotics, Gut microbiota

Eligibility Criteria

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

Inclusion Criteria:

  1. Male or female subject aged between 20 and 65 years old who has confirmed diagnosis of moderate to severe Ulcerative Colitis (UC): partial Mayo score≧5.
  2. The subject must be informed and able to sign the informed consent form.
  3. Females with childbearing potential must agree to completely abstain from sexual intercourse or use adequate contraceptive methods such as IUD or birth control pills during the trial period. [Definition of infertility: (1) Menopause for at least 1 year; (2) Has undergone surgical ligation, such as hysterectomy, bilateral oophorectomy, or fallopian tube ligation; (3) Congenital structural abnormalities.
  4. Male subjects must agree to avoid donating sperm during the period of receiving the investigational product, and completely abstain from sexual intercourse or use appropriate contraceptive methods such as condoms.
  5. As judged by the investigators, subject who is proactive, have the ability to communicate with study staff, and capable and willing to cooperate two points below,

    1. be willing and able to comply with the subject visit arrangements and procedures defined in the protocol.
    2. to collect, store with adequate refrigerating facilities and delivery of stool samples from home.

Exclusion Criteria:

  1. Subject who is allergic to soybean and its products.
  2. Subject who has a history of human immunodeficiency virus (HIV) infection. (Through oral disclosure and medical records by the doctor, subject who decline to disclose will be excluded)
  3. Subject cannot take drugs orally or have any gastrointestinal history or surgery which investigator believes may affect the absorption of the oral investigational product.
  4. Subject who has received any immunoglobulin product or blood product within 3 months before the day of blood draw.
  5. Subject who has used antibiotics, antifungal or antiviral drugs (not including skin topical medication) within 30 days before the screening visit.
  6. Subject who has used probiotics and prebiotics-related products within 14 days before the screening visit (e.g., yogurt drink, yogurt, Yakult, Wakamoto tablets, Shin Biofermin S tablets, probiotic powder, fermented beverages, tablets, capsules, inulin, oligosaccharide products, etc.).
  7. Subject who has used Chinese medicine or products containing such ingredients within 14 days before the screening visit.
  8. Subject who had diarrhea caused by gastrointestinal infections within14 days before the screening visit (more than three soft or watery stools within 24 hours) or those who had C. difficile infection.
  9. Woman who is pregnant, breastfeeding, or expect to breastfeed during the study period.
  10. Subject who has any of the following abnormalities of biochemical lab results: AST or ALT (> 3 × upper limit of normal [ULN]) or higher; Total bilirubin ≥ 1.5 x ULN; Serum creatinine> 2 × ULN.
  11. Subject who has a history of malignant tumors within five years before the screening visit, except for locally curable cancers that have been clearly cured, such as basal or squamous-cell carcinoma, superficial bladder cancer, or prostate, cervix, or breast carcinoma in situ.
  12. The subject has a medical history of drug or alcohol addiction that may result in the inability to complete the trial at the investigator's discretion.
  13. Subject who has participated in a clinical trial of other investigational drug treatments or medical devices within 30 days before the screening visit.
  14. Subject who has participated in a weight control program within 60 days before the screening visit.
  15. Subject who has been abroad for more than 10 days in the 30 days before the screening visit or expected to go abroad for more than 10 days during the trial period.
  16. The investigator judges that the subject is not suitable for participating in the trial.

Sites / Locations

  • National Taiwan University HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

MS-20 oral solution

Placebo

Arm Description

Oral Solution 8 c.c per day divided twice daily (BID) for 12 weeks.

Oral Solution 8 c.c per day divided twice daily (BID) for 12 weeks.

Outcomes

Primary Outcome Measures

Change from baseline structural of gut microbiota at 16 weeks
Change from baseline in the abundance and variability of gut microbiota at 16 weeks

Secondary Outcome Measures

Change from baseline of Partial Mayo Score at 12 weeks
Partial Mayo score consisted of 3 sub-scores: stool frequency, most severe rectal bleeding of the day, endoscopic findings and global assessment by physician, each graded from 0 to 3 with higher scores indicating more severe disease. These scores are summed to give a total score range of 0 to 9. Here, higher scores indicated more severe disease.
Change from baseline of IL-6 level in blood at 12 weeks
Change from baseline of TNF-α level in blood at 12 weeks
Change from baseline of IL-1β level in blood at 12 weeks
Change from baseline of IL-23 level in blood at 12 weeks
Change from baseline of IL-33 level in blood at 12 weeks
Change from baseline of C-reactive protein(CRP) level in blood at 12 weeks
Change from baseline of erythrocyte sedimentation rate(ESR) at 12 weeks
Change from baseline of fecal calprotectin result at 12 weeks
Change from baseline of fecal occult blood result at 12 weeks
Adverse events

Full Information

First Posted
May 25, 2021
Last Updated
June 10, 2022
Sponsor
National Taiwan University Hospital
Collaborators
Microbio Co Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04908644
Brief Title
MS-20 on Patients With Ulcerative Colitis(UC)
Official Title
Study to Evaluate Efficacy and Safety of MS 20 on Patients With Ulcerative Colitis
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Recruiting
Study Start Date
August 18, 2021 (Actual)
Primary Completion Date
June 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Taiwan University Hospital
Collaborators
Microbio Co Ltd

4. Oversight

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

5. Study Description

Brief Summary
This is a small pilot study of the fermented soybean extract MicrSoy-20(MS-20) to confirm its ability to improve UC severity with the treatment of standard therapies. The primary endpoint, structural alteration of gut microbiota during the trial will be analyzed. Secondary endpoints aim to observe the changes of partial Mayo score, patient response of medication of UC treatments, biomarker changes in blood, and safety after taking MS-20.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ulcerative Colitis
Keywords
Ulcerative Colitis, MS-20, Postbiotics, Gut microbiota

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
MS-20 oral solution
Arm Type
Experimental
Arm Description
Oral Solution 8 c.c per day divided twice daily (BID) for 12 weeks.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Oral Solution 8 c.c per day divided twice daily (BID) for 12 weeks.
Intervention Type
Drug
Intervention Name(s)
MS-20 oral solution
Other Intervention Name(s)
Chemo young
Intervention Description
Fermented soybean extract MicrSoy-20(MS-20), which uses a variety of lactic acid bacteria and yeasts to metabolize organic soybeans
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Change from baseline structural of gut microbiota at 16 weeks
Time Frame
Baseline, week 16
Title
Change from baseline in the abundance and variability of gut microbiota at 16 weeks
Time Frame
Baseline, week 16
Secondary Outcome Measure Information:
Title
Change from baseline of Partial Mayo Score at 12 weeks
Description
Partial Mayo score consisted of 3 sub-scores: stool frequency, most severe rectal bleeding of the day, endoscopic findings and global assessment by physician, each graded from 0 to 3 with higher scores indicating more severe disease. These scores are summed to give a total score range of 0 to 9. Here, higher scores indicated more severe disease.
Time Frame
Baseline, week 12
Title
Change from baseline of IL-6 level in blood at 12 weeks
Time Frame
Baseline, week 12
Title
Change from baseline of TNF-α level in blood at 12 weeks
Time Frame
Baseline, week 12
Title
Change from baseline of IL-1β level in blood at 12 weeks
Time Frame
Baseline, week 12
Title
Change from baseline of IL-23 level in blood at 12 weeks
Time Frame
Baseline, week 12
Title
Change from baseline of IL-33 level in blood at 12 weeks
Time Frame
Baseline, week 12
Title
Change from baseline of C-reactive protein(CRP) level in blood at 12 weeks
Time Frame
Baseline, week 12
Title
Change from baseline of erythrocyte sedimentation rate(ESR) at 12 weeks
Time Frame
Baseline, week 12
Title
Change from baseline of fecal calprotectin result at 12 weeks
Time Frame
Baseline, week 12
Title
Change from baseline of fecal occult blood result at 12 weeks
Time Frame
Baseline, week 12
Title
Adverse events
Time Frame
up to 16 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female subject aged between 20 and 65 years old who has confirmed diagnosis of moderate to severe Ulcerative Colitis (UC): partial Mayo score≧5. The subject must be informed and able to sign the informed consent form. Females with childbearing potential must agree to completely abstain from sexual intercourse or use adequate contraceptive methods such as IUD or birth control pills during the trial period. [Definition of infertility: (1) Menopause for at least 1 year; (2) Has undergone surgical ligation, such as hysterectomy, bilateral oophorectomy, or fallopian tube ligation; (3) Congenital structural abnormalities. Male subjects must agree to avoid donating sperm during the period of receiving the investigational product, and completely abstain from sexual intercourse or use appropriate contraceptive methods such as condoms. As judged by the investigators, subject who is proactive, have the ability to communicate with study staff, and capable and willing to cooperate two points below, be willing and able to comply with the subject visit arrangements and procedures defined in the protocol. to collect, store with adequate refrigerating facilities and delivery of stool samples from home. Exclusion Criteria: Subject who is allergic to soybean and its products. Subject who has a history of human immunodeficiency virus (HIV) infection. (Through oral disclosure and medical records by the doctor, subject who decline to disclose will be excluded) Subject cannot take drugs orally or have any gastrointestinal history or surgery which investigator believes may affect the absorption of the oral investigational product. Subject who has received any immunoglobulin product or blood product within 3 months before the day of blood draw. Subject who has used antibiotics, antifungal or antiviral drugs (not including skin topical medication) within 30 days before the screening visit. Subject who has used probiotics and prebiotics-related products within 14 days before the screening visit (e.g., yogurt drink, yogurt, Yakult, Wakamoto tablets, Shin Biofermin S tablets, probiotic powder, fermented beverages, tablets, capsules, inulin, oligosaccharide products, etc.). Subject who has used Chinese medicine or products containing such ingredients within 14 days before the screening visit. Subject who had diarrhea caused by gastrointestinal infections within14 days before the screening visit (more than three soft or watery stools within 24 hours) or those who had C. difficile infection. Woman who is pregnant, breastfeeding, or expect to breastfeed during the study period. Subject who has any of the following abnormalities of biochemical lab results: AST or ALT (> 3 × upper limit of normal [ULN]) or higher; Total bilirubin ≥ 1.5 x ULN; Serum creatinine> 2 × ULN. Subject who has a history of malignant tumors within five years before the screening visit, except for locally curable cancers that have been clearly cured, such as basal or squamous-cell carcinoma, superficial bladder cancer, or prostate, cervix, or breast carcinoma in situ. The subject has a medical history of drug or alcohol addiction that may result in the inability to complete the trial at the investigator's discretion. Subject who has participated in a clinical trial of other investigational drug treatments or medical devices within 30 days before the screening visit. Subject who has participated in a weight control program within 60 days before the screening visit. Subject who has been abroad for more than 10 days in the 30 days before the screening visit or expected to go abroad for more than 10 days during the trial period. The investigator judges that the subject is not suitable for participating in the trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yen-Hsuan Ni
Phone
+886-2-23123456
Ext
71516
Email
mbclinical@microbio.com.tw
Facility Information:
Facility Name
National Taiwan University Hospital
City
Taipei
ZIP/Postal Code
100
Country
Taiwan
Individual Site Status
Recruiting
Facility Contact:
Phone
866-2-23123456

12. IPD Sharing Statement

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MS-20 on Patients With Ulcerative Colitis(UC)

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