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RecruitingNCT05596214Updated Dec 8, 2023

Combination of Curcumin and Berberine Therapy in the Treatment of Post Acute Diverticulitis (SUDD)

A Phase 2 interventional study of Curcumin-Berberine (coptis) and Placebo in Diverticulitis, sponsored by Dr. Adi Lahat. Recruiting at 1 site in Israel. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-12-08.

Sponsored by Dr. Adi Lahat · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Sep 2024, 2 years 2 months ago, but the record still lists the study as recruiting.
  • Started Aug 2022; still recruiting 4 years 2 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Curcumin (Cur), an active ingredient of the Indian herb Rhizoma Curcuma Longa, has been extensively studied in the context of inflammatory diseases. Studies have demonstrated its efficacy in reducing chemically induced colitis in animal models and in humans.

Berberine is a phytochemical derived from plants such as coptis chinensis, goldenseal and scutellaria. These herbal remedies have been used in both Chinese and European medicine for centuries to treat digestive inflammation and infectious diseases.

Therefore the investigator see a possible dual mechanism of curcumin-Berberine (Coptis) treatment in SUDD patients through both direct anti-inflammatory action and modulation of intestinal microbiome.

This data provides basis for investigating an integrative approach to optimize and offer treatment to patients suffering from post AD SUDD. The investigator speculate that using a combined gut-directed formulation of curcumin-Berberine could benefit this subgroup of patients and improve their clinical symptoms.

Read the detailed description

The objective of the study is to investigate the efficacy and safety of gut-directed enteric-coated curcumin-Berberine (Coptis) combination therapy to induce remission in patients suffering from post AD SUDD.

Methods:

This will be a two-stage study:

Stage 1 will comprise an open label single arm exploratory study of 10 patients suffering from post AD SUDD investigating oral Cur-Berberine (Coptis) therapy for induction of clinical response.

Stage 2: If clinical response is achieved in ≥ 3 patients and no significant safety signals will emerge, the investigator will proceed to a prospective pilot randomized placebo-controlled study.

02

Conditions studied

  • Diverticulitis

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03

In context

Diverticulitis

125 studies on the registry are indexed under Diverticulitis; 22 are open to participants now.

This study's planned enrollment of 40 is below the median of 120 across 63 interventional studies indexed under Diverticulitis.

Browse Diverticulitis studies →

Lead sponsor

This is the only study on the registry with Dr. Adi Lahat as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Established diagnosis of previous acute diverticulitis (AD) and on-going abdominal symptoms comprising a SUDD (left abdominal pain and/or change in bowel habits and bloating)
  2. Having an active SUDD defined by Diverticular Clinical Score (DICS) score ≥10.
  3. Age 18-80 years.
  4. Able and willing to give written consent

Exclusion criteria

-

Exclusion Criteria:

  1. Patient with non-controlled renal or liver disease, hypertension, cardiovascular disease, cerebrovascular disease, chronic pancreatitis, diabetes mellitus, gallstone disease, uncontrolled migraines or neurological disorders
  2. Patients with significant laboratory abnormalities, including anemia with \<10, leucopenia (WBC\<4k/mcl), thrombocytopenia (Plt\<100K/mcl), abnormal coagulation tests (, PTT), or elevation of liver or kidney function tests above the normal values.
  3. Patient with active infection, sepsis or pneumonia.
  4. Pregnant or nursing women.
  5. Unable or unwilling to receive Curcumin-Berberine (Coptis) therapy
  6. Known allergy to either curcumin or Berberine (Coptis)

    -

Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Curcumin-Berberine (coptis) therapy

    Cur-Berberine (Coptis) treatment will consist: 2 capsules of 500 mg Berberine (Coptis) before breakfast (a total of 1.0gr Berberine) and 3 capsules of 500mg curcumin before dinner (a total of 1.5gr curcumin).

    Combination Product: Curcumin-Berberine (coptis)

  • Placebo comparator
    Placebo

    2 capsules of 500 mg placebo before breakfast and 3 capsules of 500mg placebo before dinner.

    Combination Product: Placebo

Interventions

  • Combination productCurcumin-Berberine (coptis)

    dietary supplement

  • Combination productPlacebo

    Placebo

06

What researchers measure

Primary outcomes

  1. Percentage of patients reaching clinical response after initiation of therapy.

    Clinical response is defined as a drop of ≥3 points of the DICS score.

    Time frame: 8 weeks

Secondary outcomes

  1. Percentage of patients who had a clinical remission after initiation of therapy.

    Clinical remission is defined as DICS score ≤ 5 within 4 weeks.

    Time frame: 8 weeks

  2. Percentage of patients who had a rapid clinical response after induction of therapy.

    Clinical response is defined as a drop of ≥3 points of the DICS score

    Time frame: 8 weeks

  3. Percentage of patients who achieve normalization and/or >50% improvement of CRP and/or calprotectin levels (computed out of patients with abnormal values at baseline for these indices).

    Calculation of the percentage of patients who achieve improvement of CRP

    Time frame: 8 weeks

  4. Time-to-response defined as number of days to achieve a drop of ≥3 points of the DICS score.

    Within how many days the patient achieved drop of points in the DICS questionnaire

    Time frame: 8 weeks

  5. The percentage of patients in clinical remission at day 7 after induction of therapy.

    Calculation of the percentage of patients achieved clinical remission at day 7

    Time frame: Within 7 days

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Aug 2022 (actual). Primary completion is estimated for Sep 2024, 25 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 18, 2022
First posted
Oct 27, 2022
StartActual
Aug 14, 2022
Primary completionEst.
Sep 2024
CompletionEst.
May 2025
Last update
Dec 8, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 8, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05596214
Lead sponsor
Dr. Adi Lahat
Responsible party
Dr. Adi Lahat (Principal Investigator, Sheba Medical Center) — Sponsor-investigator
First posted
Oct 27, 2022
Start date
Aug 14, 2022
Primary completion
Sep 2024 (estimated)
Completion
May 2025 (estimated)
Last update
Dec 8, 2023

Study contacts

Adi Lahat-Zok, MD
Contact
Adi.Lahat@sheba.health.gov.il
+97235307072
Revital Dvir
Contact
revital.dvir@sheba.health.gov.il
+97235307072
Adi Lahat-Zok, MD
principal investigator · Gastroenterology department, Sheba Medical Center

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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