Phase 2
Completed N=80
Dietary Supplement of Curcumin in Subjects With Active Relapsing Multiple Sclerosis Treated With Subcutaneous Interferon Beta 1a
Source: ClinicalTrials.gov NCT01514370 ↗Enrolled (actual)
80
Serious AEs
1.3%
Results posted
Jan 2019
Primary outcomePrimary: Number of Subjects With Active (New or Enlarging) T2 Lesions Assessed by Magnetic Resonance Imaging (MRI) at Month 12 — 4; 7 Participants — p=0.271
Summary
This is a prospective, monocentric, double blind, placebo controlled, two arm study.
Curcumin is derived from the rhizomes of the plant Curcuma longa (common name, turmeric) belonging to the Zingiberaceae family found in South Asian countries, especially India which is the largest producer. BCM95 (bioCurcumin) is a combination of a Curcumin extract and oil to enhance the bio-absorbability in humans. BCM95 may enhance and prolong the antioxidant and anti-inflammatory effects of the standard therapy maintaining a good safety profile.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Subjects With Active (New or Enlarging) T2 Lesions Assessed by Magnetic Resonance Imaging (MRI) at Month 12 |
4; 7 | 0.271 |
| SECONDARY Percentage of Relapse-Free Subjects at Month 12 and Month 24 |
75.0; 67.5; 60.0; 50.0 | — |
| SECONDARY Annualized Relapse Rate at Month 12 and 24 |
1.73; 1.40; 1.05; 1.14 | — |
| SECONDARY Total Number of Reported Relapses at Month 3, 6, 12 and 24 |
1.00; 1.00; 1.00; 1.00; 1.50; 1.00 | — |
| SECONDARY Percentage of Subjects Treated With Glucocorticoids Due to Relapses During 24 Months |
30.0; 35.0 | — |
| SECONDARY Percentage of Subjects Free From Expanded Disability Status Scale (EDSS) Progression at Month 12 and 24 |
92.5; 82.5; 90.0; 85.0 | — |
| SECONDARY Hazard Ratio for Time to First Sustained Expanded Disability Status Scale (EDSS) Progression |
0.309 | — |
| SECONDARY Percentage of Subjects With Active (New/Enlarging) T2 Lesions at Month 24 |
20.0; 17.5 | — |
| SECONDARY Percentage of Subjects With Combined Unique Active (CUA) Lesions at Month 12 and 24 |
7.5; 17.5; 15.0; 12.5 | — |
| SECONDARY Mean Number of New Gadolinium (Gd)-Enhancing Lesions at Month 12 and 24 |
0.19; 0.46; 0.21; 0.13 | — |
| SECONDARY Mean Number of New T1 (Hypointense) Lesions at Month 12 and 24 |
0.52; 0.48; 0.19; 0.04 | — |
| SECONDARY Cumulative Number of New T1 (Hypointense) Lesions |
0.58; 0.39 | — |
| SECONDARY Median Change From Baseline in Whole Brain Volume at Month 12 and 24 |
— | — |
| SECONDARY Median Change From Baseline in Regional Brain Volume at Month 12 and 24 |
— | — |
| SECONDARY Flu-like Symptoms (FLS) Assessed by FLS Scale Score |
2.39; 2.43; 2.22; 2.06; 1.91; 1.89 | — |
| SECONDARY Number of Subjects With Treatment Emergent Adverse Event (TEAE), Serious AE (SAE), TEAE Leading to Death and Discontinuation |
16; 16; 1; 0; 1; 3 | — |
| SECONDARY Number of Subjects With Clinical Significant Abnormality in Laboratory Parameters |
9; 4 | — |
| SECONDARY Number of Subjects With One Concomitant Medication From Baseline up to Month 24 |
28; 20 | — |
| SECONDARY Time on Treatment (Adherence to Treatment) |
1.93; 1.92 | — |
| SECONDARY Number of Subjects With Premature Termination From Treatment |
1; 3; 2; 1; 0; 2 | — |
| SECONDARY Hazard Ratio for Time to First Documented Relapse |
0.808 | — |
Eligibility Criteria
Inclusion Criteria
- Subjects with early diagnosis (no more than 3 years) of Relapsing Multiple Sclerosis according to the revised McDonald Criteria (2010)
- Subjects currently in treatment with IFN beta-1a 44 mcg TIW, having received this treatment a minimum of 6 months and for not longer than 12 months before enrollment.
- Subjects must experience at least one Gd-enhancing MRI lesion at baseline visit or one MS relapse in the last 6 months before screening visit.
- Males and females between 18 - 60 years of age
- Subjects with Expanded Disability Status Scale (EDSS) between 0-5.5
- No use of oral or systemic corticosteroids or corticotropin (ACTH) within 30 days prior to Screening visit. No use of any Disease Modifying Drug (DMD) (other than IFN beta-1a 44 mcg) 12 months prior to Screening visit
- Be willing and able to comply with the protocol
- Signed informed consent
Exclusion Criteria
- Pregnancy and breast-feeding
- History of alcohol or drug abuse
- Serious psychiatric disorders
- History or presence of serious or acute gastrointestinal disease such as gastric or duodenal ulcer, ulcerative colitis and inflammatory bowel or Crohn's disease
- Subjects suffering by obstruction of the biliary tract
- Any major medical condition that in the opinion of the Investigator could create a risk to the subject or could affect adherence with the trial protocol.
- Subjects with inadequate haematological function (defined by leukocyte ≤ 2,0 x 10^9 ; platelets ≤ 100 x 10^9; haemoglobin ≤ 12 g/dl for female and ≤ 13 g/dl for male), liver function (defined by AST, ALT, alkaline phosphatase > 2.0 times upper limit of normal), thyroid function (In particular subjects with clinically overt hyperthyroidism or clinically overt hypothyroidism and in any case according to physician's discretion).
- Known hypersensitivity to gadolinium
- Any other condition that would prevent the subject from undergoing an MRI scan (impairment of Kidney function, metal prosthesis etc.)
- Immunosuppressive therapy 12 months before screening visit
- Use of some recognized drugs involved as enzyme substrates, inducers or inhibitors in P450 system
- Use of antiplatelet agents or antihyperlipidemics
- Any contra-indication according to IFN beta 1a 44 mcg Summary of Product Characteristics (SmPC)
Data sourced from ClinicalTrials.gov (NCT01514370). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.