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Safety of Polyphenon E in Multiple Sclerosis Pilot Study

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00836719
First Posted: February 4, 2009
Last Update Posted: June 27, 2013
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborator:
National Center for Complementary and Integrative Health (NCCIH)
Information provided by (Responsible Party):
Jesus Lovera MD, Louisiana State University Health Sciences Center in New Orleans
  Purpose
This study is an open label 6 month study. All subjects will be treated with Polyphenon E (400 mg EGCG twice a day) for six months. The main outcome of this pilot phase will be safety. Secondary outcomes are the change in NAA levels over 6 months as measured by MR-spectroscopy. NAA levels are a marker of neuronal function. We think that Polyphenon E will protect neurons and thus increase NAA levels.

Condition Intervention Phase
Multiple Sclerosis Drug: Polyphenon E Phase 1

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Safety and Neuroprotective Effects of Polyphenon E in Multiple Sclerosis

Resource links provided by NLM:


Further study details as provided by Jesus Lovera MD, Louisiana State University Health Sciences Center in New Orleans:

Primary Outcome Measures:
  • Number of Participants Experiencing Serious Adverse Events [ Time Frame: six months ]

Secondary Outcome Measures:
  • Change in Brain NAA Level as Measured by MR Spectroscopy [ Time Frame: 6 months ]
    percent change from baseline to exit in NAA levels adjusted for creatine levels


Enrollment: 10
Study Start Date: February 2009
Study Completion Date: November 2010
Primary Completion Date: November 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Polyphenon E
Standarized green tea extract containing 50% EGCG
Drug: Polyphenon E
Polyphenon E capsules containing 200 mg of Epigallocachin-galleate. Two capsules twice a day.
Other Names:
  • EGCG
  • Green tea extract

Detailed Description:
Additional clinical data include changes in EDSS, MS functional composite and cognitive testing.
  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 65 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Diagnosis of MS by McDonald criteria
  • Relapsing-remitting MS or secondary progressive MS
  • Stable therapy with Copaxone, for at least six months prior to inclusion in the study or no therapy for six months in subjects refusing therapy.
  • EDSS Score less than or equal to 6.5 (able to walk about 20 meters without resting)
  • Ages 18−60.
  • Leukocytes ≥3,000/µL
  • Absolute neutrophil count ≥1,500/µL
  • Platelets ≥100,000/µL
  • Total bilirubin ≤local upper limit of normal
  • normal AST (SGOT) ALT (SGPT)
  • normal serum Creatinine
  • women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation.
  • Ability to understand and the willingness to sign a written informed consent document.
  • Willing to drink at most one cup of black tea and two cups of coffee per day, and abstain from drinking green tea or taking supplements containing green tea or green tea compounds, for the duration of the investigation.

Exclusion Criteria:

  • MS relapse within the 30 days prior to enrollment.
  • A primary progressive form of MS.
  • Previous treatment prior to study entry as follows: complete radiation ablation of the bone marrow or anti-CD4 antibody treatment (Campath) at any time; mitoxantrone, cyclophosphamide, cyclosporin, Natalizumab or other immunomodulatory or immunosuppressant therapies except for Copaxone or methylprednisone for relapses within prior nine months.
  • History of renal or liver disease.
  • Consumption of green tea or supplements containing green tea or tea extract within 30 days prior to enrollment.
  • Participants may not participate in any other clinical trial involving investigational agents during the study, or within six months prior to enrolling in the study.
  • history of allergic reactions attributed to compounds of similar chemical or biologic composition to Polyphenon E, tea, or any of the inactive ingredients present in the active or placebo capsules, including gelatin.
  • history of allergic reactions to gadolinium or any other condition contraindicated for MRI.
  • Uncontrolled, clinically-relevant active illness (aside from MS) including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
  • Any condition which would make the subject, in the opinion of the investigator, unsuitable for the study.
  • Inability to complete the baseline MRI scan.
  • Pregnant or breastfeeding women.
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00836719


Locations
United States, Louisiana
Louisiana Health Sciences Center New Orleans
New Orleans, Louisiana, United States, 70112
Sponsors and Collaborators
Louisiana State University Health Sciences Center in New Orleans
National Center for Complementary and Integrative Health (NCCIH)
Investigators
Principal Investigator: Jesus F Lovera, MD, MSPH LSUHSC
  More Information

Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Jesus Lovera MD, Assistant Profesor, Louisiana State University Health Sciences Center in New Orleans
ClinicalTrials.gov Identifier: NCT00836719     History of Changes
Other Study ID Numbers: K23AT004433-01 ( U.S. NIH Grant/Contract )
1K23AT004433-01 ( U.S. NIH Grant/Contract )
First Submitted: February 3, 2009
First Posted: February 4, 2009
Results First Submitted: April 4, 2013
Results First Posted: June 27, 2013
Last Update Posted: June 27, 2013
Last Verified: May 2013

Keywords provided by Jesus Lovera MD, Louisiana State University Health Sciences Center in New Orleans:
Multiple sclerosis
safety
open label
Polyphenon E
EGCG
NAA
N-acetyl-aspartate
MRI

Additional relevant MeSH terms:
Sclerosis
Multiple Sclerosis
Pathologic Processes
Demyelinating Autoimmune Diseases, CNS
Autoimmune Diseases of the Nervous System
Nervous System Diseases
Demyelinating Diseases
Autoimmune Diseases
Immune System Diseases