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Primary Progressive Multiple SclerosisPhase 1/2NCT02273635

Efficacy, Safety and Tolerability of Andrographolides Versus Placebo in Patients With Progressive Forms of MS

A Phase 1/2 study testing Andrographolides in people with Primary Progressive Multiple Sclerosis and Multiple Sclerosis, Secondary Progressive, run by Innobioscience SpA at 1 site in Chile.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is to compare the efficacy and safety of andrographolide 140 mg administered twice a day orally versus a placebo as a modifying treatment of the disease in patients with the progressive forms of Multiple Sclerosis (MS). Read more about this study

Who is it for?
Ages 18 to 70 years
What is being tested?
Andrographolides
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
68 participants
Where
1 siteChile
Study dates
Sep 2014to Apr 2017
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed Informed Consent previous to the initiation of the study before any evaluation.
  • Men and women > 18 years of age with Minimental > 24.
  • Patients with diagnosis of secondary progressive MS without relapses or primary progressive MS according to the criteria of McDonald 2010.

Who cannot join

  • Relapsing-remitting MS
  • Current Immunomodulatory or immunosuppressive therapy
  • Uncontrolled systemic diseases not controlled or treated with immunotherapy (i.e Rheumatoid Arthritis, Lupus Erythematosus).
  • Pregnant women

Trial locations and contacts

1 site in 1 country.

Claudia A Carcamo, MD, PhD contact

+56223546885

ccarcamo@med.puc.cl

Ethel L Ciampi, MD contact

+56223546885

anticsnap@gmail.com

Chile1 site, 1 recruiting
  • Multiple Sclerosis Centre, Pontificia Universidad Catolica de Chile

    Santiago, Santiago Metropolitan, 8330033

    Claudia A Carcamo, MD, PhD., 56 2 3546885, ccarcamo@med.puc.cl

    Ana C Reyes, Nurse, 56 2 3546885, acreyes@med.puc.cl

    Recruiting

Other trials in Chile

About this study

Official title: Controlled, Randomized, Double-blind Clinical Trial, 24 Months Duration, to Compare the Efficacy, Safety and Tolerability of Andrographolide Versus Placebo in Patients With Progressive Forms of Multiple Sclerosis

The purpose of this study is to compare the efficacy and safety of andrographolide 140 mg administered twice a day orally versus a placebo as a modifying treatment of the disease in patients with the progressive forms of Multiple Sclerosis (MS).

The principal outcome is to determine the efficacy, of andrographolide in retarding the progression of brain atrophy in patients with progressive forms of MS.

Read the detailed description
  1. Evaluate the clinical efficacy of andrographolide 140 mg administered orally twice a day versus a placebo in:
  • Delay in the disability capacity progression through the Expanded Disability Status Scale (EDSS) and Multiple Sclerosis Functional Composite (MSFC) at 24 months compared to the baseline.
  • Delay in cognitive impairment by means of Paced Auditory Serial Addition Test (PASAT), Symbol Digit Modalities Test (SDMT) and depression (Beck) at 24 months compared to the baseline.
  • Quality of life Multiple Sclerosis Impact Scale (MSIS 29) and fatigue (Krupp) through parameters reported by the patients at at 24 months compared to the baseline.
  • Tolerability of andrographolide measured by the Treatment Satisfaction Questionnaire for Medication (TSQM) at 24 months.
  • Delay in the decrease in brain volume measured by Magnetic Resonance (MR) at 24 months compared to the baseline.
  • Number and volume of new lesions or larger size in T2 by MR at 24 months compared to the baseline.
  • Number of new hipointense lesions in T1 or (gadolinium captive) by MR at 24 months compared to the baseline.
  • Delay in the retineal thinning measured by Optical Coherence Tomography (OCT) and visual field at 24 months compared to the baseline.
  • Safety of andrographolide at 24 months through the record of adverse effects in symptom dairy and programmed interviews.
  1. Explore the pharmacokinetic of andrographolide 140 mg administered orally twice day in:
  • bio availability and concentration of andrographolide in the patients with treatment.
  • half-life, maximum concentration, clearance of andrographolide in equilibrium state.
  1. Determine the immunomodulatory effects of andrographolide 140 mg administered twice a day orally on lymphocyte populations in patients through the:
  • Determination of Th1, Th2, Th17 and Treg lymphocyte sub-populations.
  • Determination of cytokines IFNgama, TNFalpha, IL2, IL17alpha and TGFbeta.

Population: adult patients, men and women with progressive forms of MS. The number of patients to be selected will be 68, to randomly assign 34 patients to each group.

Being tested
Andrographolides, placebo
Medical subject headings
Multiple Sclerosis, Chronic Progressive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AndrographolidesDrug

    Also called andrographolide, neoandrographolide, deoxyandrographolide, IB-MS 14

    140 mg andrographolides coated tablets twice a day orally administered for 24 months.

  • placeboDrug

    140 mg excipients coated tablets twice a day orally administered for 24 months

Study groups in NCT02273635
Study groupRoleWhat they receive
andrographolidesExperimentalCoated tablets containing 140 mg andrographolides twice a day orally administered for a period of 24 months.
Receives: Drug: Andrographolides
sugar tabletsPlacebo comparatorCoated tablets containing 140 mgs excipients twice a day orally administered for a period of 24 months.
Receives: Drug: placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Brain atrophy in patients with progressive forms of MS

    Retarding the progression of brain atrophy as measured by MR quantified by the percentage of change in volume size utilizing SIENA.

    Measured: 24 months

Secondary outcomes (15)
  1. Expanded Disability Status Scale (EDSS)

    Delay in the disability capacity progression through the Expanded Disability Status Scale (EDSS) at 24 months compared to the baseline.

    Measured: 24 months

  2. Paced Auditory Serial Addition Test (PASAT)

    Delay in cognitive impairment by means of Paced Auditory Serial Addition Test (PASAT) at 24 months compared to the baseline.

    Measured: 24 months

  3. Quality of life Multiple Sclerosis Impact Scale (MSIS 29)

    Quality of life Multiple Sclerosis Impact Scale (MSIS 29) through parameters reported by the patients at 24 months compared to the baseline.

    Measured: 24 months

  4. Treatment Satisfaction Questionnaire for Medication (TSQM)

    Tolerability of andrographolide measured by the Treatment Satisfaction Questionnaire for Medication (TSQM) at 24 months.

    Measured: 24 months

  5. Number of new T2 lesions

    Number of new lesions T2 by MR at 24 months compared to the baseline.

    Measured: 24 months

  6. New hypointense lesions in T1

    Number of new hypointense lesions in T1 by MR at 24 months compared to the baseline.

    Measured: 24 months

  7. Optical Coherence Tomography (OCT)

    Delay in the retinal thinning measured by Optical Coherence Tomography (OCT) at 24 months compared to the baseline.

    Measured: 24 months

  8. Record of adverse effects in daily symptoms and programmed interviews.

    Safety of andrographolide at 24 months through the record of adverse effects in daily symptoms and programmed interviews.

    Measured: 24 months

  9. Multiple Sclerosis Functional Composite (MSFC)

    Delay in the disability capacity progression through the Multiple Sclerosis Functional Composite (MSFC) at 24 months compared to the baseline.

    Measured: 24 months

  10. Symbol Digit Modalities Test (SDMT)

    Delay in cognitive impairment by means of Symbol Digit Modalities Test (SDMT) at 24 months compared to the baseline.

    Measured: 24 months

  11. Depression by Beck scale

    Evaluate mood disorders by means of Beck scale at 24 months compared to the baseline.

    Measured: 24 months

  12. Fatigue by Krupp scale

    Evaluate fatigue by Krupp scale reported by the patients at 24 months compared to the baseline.

    Measured: 24 months

  13. Number of new gadolinium enhancement lesions in T1 by MR

    Number of new gadolinium enhancement lesions in T1 by MR at 24 months compared to the baseline.

    Measured: 24 months

  14. Visual field

    Change in visual field at 24 months compared to the baseline.

    Measured: 24 months

  15. Volume of new T2 lesions

    Volume of size in T2 by MR at 24 months compared to the baseline.

    Measured: 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Oct 2014 (estimated)
  2. Study startSep 2014
  3. Primary completionNov 2016 (estimated)
  4. Study completionApr 2017 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
68 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02273635
Sponsor's protocol ID
14PIE-26946CORFO
Other IDs
14-391
Status last verified
Oct 2014
First submitted
3 Oct 2014
Last updated
27 Oct 2014
Results posted
No
Data monitoring committee
Yes

Publications

  • Iruretagoyena MI, Tobar JA, Gonzalez PA, Sepulveda SE, Figueroa CA, Burgos RA, Hancke JL, Kalergis AM. Andrographolide interferes with T cell activation and reduces experimental autoimmune encephalomyelitis in the mouse. J Pharmacol Exp Ther. 2005 Jan;312(1):366-72. doi: 10.1124/jpet.104.072512. Epub 2004 Aug 26.

    PubMed 15331658
  • Iruretagoyena MI, Sepulveda SE, Lezana JP, Hermoso M, Bronfman M, Gutierrez MA, Jacobelli SH, Kalergis AM. Inhibition of nuclear factor-kappa B enhances the capacity of immature dendritic cells to induce antigen-specific tolerance in experimental autoimmune encephalomyelitis. J Pharmacol Exp Ther. 2006 Jul;318(1):59-67. doi: 10.1124/jpet.106.103259. Epub 2006 Apr 5.

    PubMed 16597709
  • Burgos RA, Hancke JL, Bertoglio JC, Aguirre V, Arriagada S, Calvo M, Caceres DD. Efficacy of an Andrographis paniculata composition for the relief of rheumatoid arthritis symptoms: a prospective randomized placebo-controlled trial. Clin Rheumatol. 2009 Aug;28(8):931-46. doi: 10.1007/s10067-009-1180-5. Epub 2009 Apr 29.

    PubMed 19408036
  • Cabrera D, Gutierrez J, Cabello-Verrugio C, Morales MG, Mezzano S, Fadic R, Casar JC, Hancke JL, Brandan E. Andrographolide attenuates skeletal muscle dystrophy in mdx mice and increases efficiency of cell therapy by reducing fibrosis. Skelet Muscle. 2014 Mar 21;4:6. doi: 10.1186/2044-5040-4-6. eCollection 2014.

    PubMed 24655808
  • Carretta MD, Alarcon P, Jara E, Solis L, Hancke JL, Concha II, Hidalgo MA, Burgos RA. Andrographolide reduces IL-2 production in T-cells by interfering with NFAT and MAPK activation. Eur J Pharmacol. 2009 Jan 14;602(2-3):413-21. doi: 10.1016/j.ejphar.2008.11.011. Epub 2008 Nov 13.

    PubMed 19038244
  • Burgos RA, Seguel K, Perez M, Meneses A, Ortega M, Guarda MI, Loaiza A, Hancke JL. Andrographolide inhibits IFN-gamma and IL-2 cytokine production and protects against cell apoptosis. Planta Med. 2005 May;71(5):429-34. doi: 10.1055/s-2005-864138.

    PubMed 15931581
  • Hidalgo MA, Romero A, Figueroa J, Cortes P, Concha II, Hancke JL, Burgos RA. Andrographolide interferes with binding of nuclear factor-kappaB to DNA in HL-60-derived neutrophilic cells. Br J Pharmacol. 2005 Mar;144(5):680-6. doi: 10.1038/sj.bjp.0706105.

    PubMed 15678086
  • Sandborn WJ, Targan SR, Byers VS, Rutty DA, Mu H, Zhang X, Tang T. Andrographis paniculata extract (HMPL-004) for active ulcerative colitis. Am J Gastroenterol. 2013 Jan;108(1):90-8. doi: 10.1038/ajg.2012.340. Epub 2012 Oct 9.

    PubMed 23044768
  • Tang T, Targan SR, Li ZS, Xu C, Byers VS, Sandborn WJ. Randomised clinical trial: herbal extract HMPL-004 in active ulcerative colitis - a double-blind comparison with sustained release mesalazine. Aliment Pharmacol Ther. 2011 Jan;33(2):194-202. doi: 10.1111/j.1365-2036.2010.04515.x. Epub 2010 Nov 30.

    PubMed 21114791
  • Ciampi E, Uribe-San-Martin R, Carcamo C, Cruz JP, Reyes A, Reyes D, Pinto C, Vasquez M, Burgos RA, Hancke J. Efficacy of andrographolide in not active progressive multiple sclerosis: a prospective exploratory double-blind, parallel-group, randomized, placebo-controlled trial. BMC Neurol. 2020 May 7;20(1):173. doi: 10.1186/s12883-020-01745-w.

    PubMed 32380977

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Andrographolides in people with Primary Progressive Multiple Sclerosis and Multiple Sclerosis, Secondary Progressive, run by Innobioscience SpA at 1 site in Chile.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 27 Oct 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Chile. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Claudia A Carcamo, MD, PhD (+56223546885, ccarcamo@med.puc.cl), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Brain atrophy in patients with progressive forms of MS (time frame: 24 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02273635, which also lists 10 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Oct 2014.

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