About this trial
Evaluate the effects of PEA supplementation on disease activity, health-related quality of life (HRQoL) and inflammatory biomarkers in patients with active mild-to-moderate UC.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Confirmed diagnosis of ulcerative colitis (UC) by established clinical and endoscopic criteria.
Active mild-to-moderate UC patients defined by a SCCAI score ≥ 5 and < 12 at screening not responding to 5-aminosalicylates (5-ASA) defined as persistent rectal bleeding beyond 2 weeks or failure to achieve sustained symptom relief after 40 days of appropriate 5-ASA therapy (Harbord et al., 2017), receiving a combination of 5-ASAs and corticosteroids.
Disqualifiers
Pregnancy or breastfeeding.
Alcohol or drug abuse.
Allergy or known hypersensitivity to palmitoylethanolamide.
Active infection (enteric or systemic).
Trial design
Parallel
Treatments tested in this trial
Palmitoylethanolamide (PEA)
Dietary supplementPalmitoylethanolamide (PEA) is an endocannabinoid-like bioactive lipid mediator which belongs to the family of N-acylethanolamine (NAE) fatty acid amides. It exerts anti-inflammatory, antioxidant, antimicrobial, analgesic, immunomodulatory and neuroprotective actions through acting at different sites like: PPAR-α, G-protein coupled receptor 55 (GPR55), cannabinoid receptors 1 and 2 (CB1 and CB2) and transient receptor potential vanilloid receptor 1 (TRPVR1) channels. PEA is a commercially available supplement mainly used to alleviate chronic neuropathic pain and persistent musculoskeletal pain. PEA has proven to be safe and tolerable across multiple studies with very rare cases reporting mild side effects like: intermittent headache, nausea, constipation, urticaria and fatigue. It will be given in this study at a dose of 600 mg/day
Placebo
Other interventionPlacebo capsules matching the active treatment
Treatment groups
Trial outcomes
Primary outcomes
Clinical response
The percentage of patients who achieved clinical response or improvement defined by a drop of ≥ 3 points in the Simple Clinical Colitis Activity Index (SCCAI) score
Secondary outcomes
Clinical remission
The percentage of patients who achieved clinical remission defined by a Simple Clinical Colitis Activity Index (SCCAI) score ≤ 2
Change in disease activity
The change in the Simple Clinical Colitis Activity Index (SCCAI) score (The score ranges from 0-19, where higher scores indicate increased disease activity and vice versa)
Serum C-reactive protein (CRP)
The change in serum C-reactive protein (CRP)
Serum pentraxin-3 (PTX-3)
The change in serum pentraxin-3 (PTX-3)
Sponsors and contacts
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