Status:

COMPLETED

Minocycline in Primary Sclerosing Cholangitis (PSC)

Lead Sponsor:

Mayo Clinic

Conditions:

Primary Sclerosing Cholangitis

Eligibility:

All Genders

18-75 years

Phase:

PHASE1

Brief Summary

The purpose of the study is to see how safe and effective minocycline is in the treatment of Primary Sclerosing Cholangitis (PSC).

Detailed Description

The purpose of the study is to determine the safety profile of minocycline in patients with PSC and to compare the effects of minocycline on the baseline values of the following parameters: symptoms o...

Eligibility Criteria

Inclusion

  • Both genders
  • Females of childbearing age must have negative pregnancy test within 48 hours of participation and agreement to practice contraception for the duration of the study.
  • Age 18 years old and \< than 75 years old.
  • History of chronic cholestatic disease of at least 6 months duration.
  • Serum alkaline phosphatase level at least 1.5 times the upper limit of normal.
  • Cholangiography demonstrating intrahepatic and/or extrahepatic biliary obstruction, beading, or narrowing consistent with PSC.
  • Liver biopsy consistent with the diagnosis of PSC.
  • Patient's informed consent for study participation.

Exclusion

  • Treatment with tetracyclines, ursodeoxycholic acid, corticosteroids, colchicine, methotrexate, azathioprine, cyclosporine, chlorambucil, budesonide, pentoxifylline, pirfenidone, nicotine, tacrolimus, silymarin, vitamin E or prednisone in the preceding three months.
  • Findings highly suggestive of hepatobiliary disease of other etiology complicating PSC.
  • Anticipated need for liver transplantation in one year determined by the Mayo model with an estimate of \<75% one year survival without transplantation.
  • Recurrent variceal bleeding, presence of ascites, or encephalopathy.
  • Active drug or alcohol use.
  • Pregnancy.
  • Breast-feeding.
  • Serum creatinine over 1.5 mg/dl.
  • Prior history of allergic reactions to antibiotics belonging to the tetracycline family.
  • Any condition that, in the opinion of the investigator, would interfere with the patient's ability to complete the study safely or successfully.
  • Patients with active inflammatory bowel disease (IBD) requiring specific treatment in the preceding three months, except for maintenance therapy with 5-ASA compounds, or those individuals who have been involved in a trial evaluating any experimental drug for the treatment of IBD in the preceding three months.
  • Recurrent ascending cholangitis requiring hospitalization in the past year.

Key Trial Info

Start Date :

February 1 2003

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2007

Estimated Enrollment :

16 Patients enrolled

Trial Details

Trial ID

NCT00630942

Start Date

February 1 2003

End Date

May 1 2007

Last Update

December 7 2010

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Mayo Clinic

Rochester, Minnesota, United States, 55905