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Chondroitin Sulfate for NEC

TM
Overseen ByTroy Markel, MD
Age: < 18
Sex: Any
Trial Phase: Phase 1
Sponsor: Indiana University

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests the safety of chondroitin sulfate for newborns with necrotizing enterocolitis (NEC), a serious intestinal condition. Researchers aim to determine if this supplement can address immediate gut issues and future brain development problems associated with NEC. Babies in the trial will receive either chondroitin sulfate mixed with milk or formula, or just milk or formula as a placebo. The trial seeks infants in the NICU at Riley Hospital for Children who weigh less than 2500 grams and have Bell's Stage 2 NEC. As a Phase 1 trial, this research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this potentially groundbreaking treatment.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether participants need to stop taking their current medications.

Is there any evidence suggesting that chondroitin sulfate is likely to be safe for neonates with NEC?

Studies have shown that chondroitin sulfate, when tested in animals, reduced intestinal injury and improved weight gain. For humans, current research does not clearly establish safety information. However, the FDA has approved chondroitin sulfate for other uses, suggesting it might generally be safe. This early-phase trial primarily aims to determine if the supplement is safe for newborns with necrotizing enterocolitis (NEC). Early-phase trials often focus on safety and may not yet provide extensive information on side effects in humans.12345

Why do researchers think this study treatment might be promising for NEC?

Unlike the standard treatments for necrotizing enterocolitis (NEC), which often involve antibiotics or surgical interventions, chondroitin sulfate presents a unique approach. This treatment is derived from chondroitin sulfate, a compound naturally found in the cartilage around joints, and is administered directly through milk or formula. Researchers are excited because chondroitin sulfate might offer a gentler, non-invasive option that targets the inflammation and tissue damage at the core of NEC, potentially leading to faster recovery in neonates with fewer side effects.

What evidence suggests that chondroitin sulfate might be an effective treatment for NEC?

Research has shown that chondroitin sulfate might improve outcomes for necrotizing enterocolitis (NEC), a serious intestinal condition. In animal studies, such as those with mice, chondroitin sulfate has been linked to better weight gain, less severe illness, and reduced intestinal damage. One study found that adding chondroitin sulfate to baby formula improved health outcomes compared to no treatment for NEC. In this trial, some neonates with Bell's Stage 2 NEC will receive chondroitin sulfate, while others will receive a placebo. These findings suggest that chondroitin sulfate could be beneficial in managing NEC in humans, but more research is needed to confirm its effectiveness in newborns.15678

Are You a Good Fit for This Trial?

This trial is for newborns with a serious intestinal condition called necrotizing enterocolitis (NEC). The study will include those who meet specific health criteria, but the exact inclusion and exclusion details are not provided here.

Inclusion Criteria

NICU patient at Riley Hospital for Children
Weight of less than 2500g at time of NEC diagnosis
I have been diagnosed with Stage 2 necrotizing enterocolitis.

Exclusion Criteria

Severe cardiac or neurological congenital anomalies
I do not have any severe illness that would make me unsuitable for treatment.
Receipt of another investigational therapy
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Neonates with Bell's Stage 2 NEC receive chondroitin sulfate or placebo for 2 days

2 days
Daily administration

Short-term Follow-up

Participants are monitored for progression to surgery and systemic inflammatory markers

4 weeks
Regular monitoring

Long-term Follow-up

Neurodevelopmental outcomes are assessed at 1 and 2 years post intervention

2 years

What Are the Treatments Tested in This Trial?

Interventions

  • Chondroitin Sulfate
Trial Overview The trial is testing if chondroitin sulfate is safe for treating NEC in newborns. It's a phase 1 study where some babies will get chondroitin sulfate and others a milk or formula placebo to compare outcomes like survival, need for surgery, inflammation levels, and long-term brain development.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Chondroitin sulfateExperimental Treatment1 Intervention
Group II: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Indiana University

Lead Sponsor

Trials
1,063
Recruited
1,182,000+

Published Research Related to This Trial

A study estimated PEG exposure in children receiving PEGylated therapies for hemophilia, revealing significant annual exposure levels without any reported adverse effects, suggesting long-term safety.
For a 50 kg child on the highest prophylactic dose of FVIII, PEG exposure ranged from 40 to 21,840 mg/year, yet no adverse event patterns related to PEG were identified, indicating that PEG is likely safe for pediatric use.
Polyethylene Glycol Exposure with Antihemophilic Factor (Recombinant), PEGylated (rurioctocog alfa pegol) and Other Therapies Indicated for the Pediatric Population: History and Safety.Stidl, R., Denne, M., Goldstine, J., et al.[2020]
A 3-month study involving 96 constipated children aged 6 months to 3 years demonstrated that polyethylene glycol (PEG) 4000 is safe and well-tolerated, with no significant treatment-related changes in blood parameters compared to lactulose.
PEG 4000 showed greater improvements in stool consistency, appetite, and reduced need for additional laxatives compared to lactulose, indicating its efficacy in treating pediatric constipation.
Double-blind randomized evaluation of clinical and biological tolerance of polyethylene glycol 4000 versus lactulose in constipated children.Dupont, C., Leluyer, B., Maamri, N., et al.[2022]

Citations

Chondroitin sulfate supplementation improves clinical ...Our data suggest that although CS supplementation improved outcomes in NEC, this protection is not conferred via the eNOS pathway or alteration of microbial ...
2.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/37697223/
Chondroitin sulfate supplementation improves clinical ...Chondroitin sulfate supplementation improves clinical outcomes in a murine model of necrotizing enterocolitis. Physiol Rep. 2023 Sep;11(17):e15819.
Perinatal Administration of Chondroitin Sulfate Mitigates ...Breastfed controls underwent normal development. Pups with prenatal and postnatal CS exposure had improved weight gain, sickness scores, and histologic injury ...
Perinatal Administration of Chondroitin Sulfate Mitigates...RESULTS: Breastfed controls underwent normal development. Pups with prenatal and postnatal CS exposure had improved weight gain, sickness scores, and histologic ...
Chondroitin sulfate supplementation improves clinical ...CS supplementation in formula improved experimental NEC outcomes when compared to NEC alone. CS supplementation resulted in similar improvement in NEC in both ...
6.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/37870229/
Effect of Oral Chondroitin Sulfate Supplementation on Acute ...Mice treated with oral CS showed improved clinical outcomes, decreased intestinal injury, and attenuated microglial activation and deleterious cortical change.
Chondroitin sulfate supplementation improves clinical ...Our data suggest that although CS supplementation improved outcomes in NEC, this protection is not conferred via the eNOS pathway or alteration ...
Chondroitin Sulfate for NEC · Info for ParticipantsIs Chondroitin Sulfate safe for humans? The research articles provided do not contain specific safety data for Chondroitin Sulfate. However, they discuss the ...
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