129 Participants Needed

Choline Chloride for Intestinal Failure

(THRIVE-3 Trial)

Recruiting at 14 trial locations
CS
Overseen ByChief Scientific Operations Officer
Age: Any Age
Sex: Any
Trial Phase: Phase 2 & 3
Sponsor: Protara Therapeutics
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to explore the safety and effectiveness of Choline Chloride for Injection in individuals with intestinal failure who rely on long-term parenteral support (PS). PS is a method of feeding through the veins when regular eating isn't sufficient or possible. The trial will compare different doses of the treatment with a placebo (a substance with no active ingredient) to determine the best and safest dose. It seeks participants who have been on PS for at least six months and require it at least three times a week due to insufficient nutrition from eating. As a Phase 2 trial, this research focuses on measuring the treatment's effectiveness in an initial, smaller group, offering participants a chance to contribute to significant advancements in treatment.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but you cannot take choline supplements or choline-containing multivitamins during the study. If you are on medications that affect liver fat measurement, you may not be eligible to participate.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that choline chloride, the treatment tested in this trial, has been used safely in other contexts. Some studies have found it to be generally well-tolerated, with no serious side effects reported in humans at doses of 3000 mg per day or more.

This trial is in Phase 2/3, aiming to gather more detailed information on the treatment's safety and effectiveness. Earlier phases usually indicate that a treatment is safe enough for further testing, though not all side effects may be known yet.

In summary, existing research suggests that choline chloride is generally safe, but this trial will help confirm its safety for people with intestinal failure.12345

Why are researchers excited about this trial's treatment for intestinal failure?

Unlike standard treatments for intestinal failure, which often involve parenteral nutrition and dietary modifications, Choline Chloride for Injection offers a novel approach. Researchers are excited about it because choline is a crucial nutrient that supports liver function and cell membranes, potentially addressing the root cause of nutrient absorption issues in intestinal failure. This treatment is delivered via injection, providing a direct and possibly more efficient way of replenishing choline levels, which could improve patient outcomes and quality of life more effectively than existing methods.

What evidence suggests that Choline Chloride for Injection might be an effective treatment for intestinal failure?

Research has shown that Choline Chloride for Injection might help people with intestinal failure. One study found that 78% of patients receiving nutrition intravenously had low choline levels. Among those with low choline, 63% experienced liver problems. Choline plays a crucial role in liver health, and supplementation might enhance liver function and overall health in these patients. Early results suggest promise for addressing liver issues related to intestinal failure. This trial will explore various doses of Choline Chloride to determine its effectiveness as a treatment for individuals relying on intravenous nutrition.16789

Who Is on the Research Team?

CS

Chief Scientific Operations Officer

Principal Investigator

Protara Therapeutics

Are You a Good Fit for This Trial?

This trial is for adolescents and adults aged 12 or older with intestinal failure who rely on long-term parenteral support because they can't eat normally. Participants must have been on stable support for at least 6 months, receiving it a minimum of three times weekly, and females able to have children need a negative pregnancy test.

Inclusion Criteria

I have signed the consent form after understanding the study details.
I am 12 years old or older.
I have been on IV nutrition for over 6 months because I can't eat or absorb food well.
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Open-Label Dose-Selection

Evaluate the safety, tolerability, and distribution of Choline Chloride for Injection to select 2 of 3 doses for further testing

8 weeks
Weekly visits

Double-Blind, Placebo-Controlled

Assess the safety and efficacy of the study drug at the selected dose levels compared to placebo

24 weeks
Bi-weekly visits

Open-Label Extension

Participants may opt into continuation of treatment long-term to further assess safety and efficacy

52 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Choline Chloride for Injection
Trial Overview The study tests Choline Chloride injections in two doses compared to a placebo in patients with intestinal failure. It has two parts: an initial phase to select the best dose based on safety and how the body handles the drug, followed by a second phase comparing these doses' effectiveness against placebo.
How Is the Trial Designed?
8Treatment groups
Experimental Treatment
Placebo Group
Group I: Open-Label, Dose-Selection: Dose 3Experimental Treatment1 Intervention
Group II: Open-Label, Dose-Selection: Dose 2Experimental Treatment1 Intervention
Group III: Open-Label, Dose-Selection: Dose 1Experimental Treatment1 Intervention
Group IV: Open Label Extension: Low DoseExperimental Treatment1 Intervention
Group V: Open Label Extension: High DoseExperimental Treatment1 Intervention
Group VI: Double-Blind, Placebo-Controlled: Low DoseExperimental Treatment1 Intervention
Group VII: Double-Blind, Placebo-Controlled: High DoseExperimental Treatment1 Intervention
Group VIII: Double-Blind, Placebo-Controlled: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Protara Therapeutics

Lead Sponsor

Trials
5
Recruited
270+

Citations

NCT06910943 | Study of Choline Chloride for Injection in ...Study of Choline Chloride for Injection in Adolescent and Adult Patients With Intestinal Failure Receiving Long Term Parenteral Support (THRIVE-3).
Intravenous Choline Chloride Fast-Tracked for Intestinal ...Results from the trial showed that treatment with IV choline ... Choline Chloride Fast-Tracked for Intestinal Failure-Associated Liver Disease ...
Protara Therapeutics' Choline Chloride Study: A Potential ...' The study aims to assess the safety and efficacy of Choline Chloride for Injection in patients with intestinal failure who rely on long-term ...
Protara Therapeutics Announces Results from THRIVE-1, a ...The study found that 78% of patients who are dependent on PS were choline deficient, and that 63% of choline deficient participants had liver dysfunction.
Choline Chloride for Intestinal Failure (THRIVE-3 Trial)Trial Overview The study tests Choline Chloride injections in two doses compared to a placebo in patients with intestinal failure. It has two parts: an initial ...
Study of Choline Chloride for Injection in Adolescent and ...Study of Choline Chloride for Injection in Adolescent and Adult Patients With Intestinal Failure Receiving Long Term Parenteral Support.
choline chlorideCHOLINE CHLORIDE. GHS Safety Data Sheet. Version No:2.0. Page 1 of 10. Section 1 - CHEMICAL PRODUCT AND COMPANY IDENTIFICATION. PRODUCT NAME. CHOLINE CHLORIDE.
Safety data sheetSafety data sheet according to UN GHS 4th rev. Date / Revised: 07.12.2022. Version: 2.0. Product: Choline Chloride Solution 75%. (ID no. 30041094/SDS_GEN_00/EN).
CHOLINE CHLORIDE CAS N°: 67-48-1No acute toxicity attributable to choline was observed in humans following oral doses of ≥3000 mg choline magnesium trisalicylate/day. In rabbits, choline ...
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