ClinicalTrials.gg
RecruitingNCT07820046Updated Nov 9, 2026

Nitazoxanide as Adjunct Therapy in Mild-to-Moderate Ulcerative Colitis

A Phase 2/3 interventional study of Nitazoxanide (NTZ) in Ulcerative Colitis (UC), sponsored by Tanta University. Recruiting at 2 sites in Egypt. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Tanta University · Phase 2/3, Interventional, and Treatment

Updated Nov 9, 2026Now RecruitingFirst site in Egypt+4 moreGo to Updates ↓
Phase
Phase 2/3
Study type
Interventional
Enrollment
44
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Ulcerative colitis (UC) is a chronic inflammatory bowel disease characterized by relapsing inflammation of the colonic mucosa. Despite advances in therapeutic options, many patients experience incomplete remission or treatment resistance. Emerging evidence suggests that intestinal barrier dysfunction, microbiota dysbiosis, and immune dysregulation play central roles in UC pathogenesis.

Nitazoxanide is a broad-spectrum antiparasitic agent with demonstrated antimicrobial, anti-inflammatory, and immunomodulatory effects, including inhibition of NF-κB signaling and improvement of intestinal barrier integrity. Preclinical studies suggest potential benefit in experimental colitis models; however, clinical evidence remains limited.

This randomized, double-blind, placebo-controlled trial aims to evaluate the efficacy and safety of nitazoxanide as an adjunct to standard therapy in patients with mild-to-moderate ulcerative colitis over a 12-week treatment period.

02

Conditions studied

  • Ulcerative Colitis (UC)

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03

In context

Colitis, Ulcerative

1,853 studies on the registry are indexed under Colitis, Ulcerative; 472 are open to participants now.

This study's planned enrollment of 44 is below the median of 70 across 1,236 interventional studies indexed under Colitis, Ulcerative.

Browse Colitis, Ulcerative studies →

Lead sponsor

Tanta University is the lead sponsor of 1,010 studies on the registry; 321 are open to participants now.

Of its 15 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria

  • Age 18-65 years
  • Confirmed ulcerative colitis ≥ 6 months
  • Mild-to-moderate active disease (Mayo score 3-10)
  • Stable UC therapy ≥ 8 weeks before enrollment Exclusion Criteria
  • Severe/fulminant UC requiring hospitalization or surgery
  • Active intestinal infection (e.g., C. difficile)
  • Antibiotics/probiotics/ drugs within 4 weeks
  • Recent biologic initiation or dose change
  • Severe hepatic, renal, cardiovascular disease, or
  • Pregnancy or lactation
  • Known to nitazoxanide
Terms in these criteria, in plain language(3)

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
44 participants (estimated)

Study arms

  • Placebo comparator
    Arm 1

    : Placebo + Standard Therapy Standard ulcerative colitis therapy Placebo tablets twice daily fo

    Drug: Nitazoxanide (NTZ)

  • Active comparator
    Arm 2:

    Nitazoxanide + Standard Therapy Nitazoxanide 500 mg orally twice daily Standard ulcerative colitis therapy Duration: 12 weeks

    Drug: Nitazoxanide (NTZ)

Interventions

06

What researchers measure

Primary outcomes

  1. Change in Mayo Score (Mayo Scoring System for Ulcerative Colitis)

    Change in Mayo Score (Mayo Scoring System for Ulcerative Colitis). The Mayo Score ranges from 0 to 12, with higher scores indicating worse disease activity. Therefore, a decrease in score represents clinical improvement.

    Time frame: 12 weeks

07

Study locations

2 of 2 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Nov 9, 2026
Sites
2 sites added — first site in Egypt
Show 2 added (2 Egypt)
  • Tanta university hospital · Tanta, Egypt
  • Tanta University Hospital · Tanta, Egypt
Nov 9, 2026
Start date
Jan 1, 2027→Oct 25, 2026 (actual)
Nov 9, 2026
Primary completion
Jan 1, 2028→Jun 1, 2027
Nov 9, 2026
Study completion
Jan 1, 2028→Jun 1, 2027
Nov 9, 2026
Show all 1 update
  1. Nov 9, 2026
    Not yet recruiting→Recruiting
    2 sites added — first site in Egypt
    Show 2 added (2 Egypt)
    • Tanta university hospital · Tanta, Egypt
    • Tanta University Hospital · Tanta, Egypt
    Start date Jan 1, 2027→Oct 25, 2026 (now actual)
    Primary completion Jan 1, 2028→Jun 1, 2027
    Study completion Jan 1, 2028→Jun 1, 2027
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07820046
Lead sponsor
Tanta University
Responsible party
Khadija Ahmed Mhrose Glal (Director, Tanta University) — Principal investigator
First posted
Sep 15, 2026
Start date
Oct 25, 2026
Primary completion
Jun 1, 2027 (estimated)
Completion
Jun 1, 2027 (estimated)
Last update
Nov 9, 2026

Study contacts

Khadija Glal
Contact
khadija.ahmed@pharm.tanta.edu.eg
+201118969649

Oversight

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

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