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PrefoCir2, pharmacokinetics and pharmacodynamics of folate in patients with cirrhosis

Cross-over pharmacokinetic study and pharmacodynamics of 2 different folate (5-MTHF and folic acid) in patients with liver cirrhosis with viral etiology. A randomized, open-label trial. - PrefoCir2

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2011-005643-26-IT
Enrollment
Unknown
Registered
2012-03-29
Start date
2012-03-15
Completion date
Unknown
Last updated
2013-10-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

In all cases of folate deficiency due to increased demand, poor absorption, inadequate dietary intake and reduced utilization of the vitamin in patients with viral liver cirrhosis. MedDRA version: 14.1 Level: LLT Classification code 10047457 Term: Viral hepatitis C System Organ Class: 10021881 - Infections and infestations MedDRA version: 14.1 Level: LLT Classification code 10047450 Term: Viral hepatitis B System Organ Class: 10021881 - Infections and infestations

Interventions

Sponsors

ZAMBON ITALIA
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Patients with confirmed diagnosis of liver cirrhosis with viral etiology Age between 18 and 70 years Consent to participate in the study and willingness to submit to visits by the Protocol Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 10 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 2

Exclusion criteria

Exclusion criteria: Women who are pregnant or lactating Presence of cancer at enrollment or within five years preceding Presence of gastrointestinal bleeding or episodes that occurred in the four weeks prior to enrollment transplant patients Patients who have ongoing treatment with immunosuppressive or interferon Patients with a BMI more than 30 or less than 18 Patients in chronic therapy with folate, or medications / supplements containing B vitamins

Design outcomes

Primary

MeasureTime frame
Main Objective: Evaluate, through a feasibility study, the pharmacokinetic characteristics in terms of absorption, distribution, metabolism of the active form of folate (5-MTHF) and of the inactive form (folic acid), in patients with viral liver cirrhosis related to severity of the disease.;Secondary Objective: Evaluation of folates (total plasma, circulating and intraerythrocytic), hemoglobin, MCV and homocysteine ??in patients with liver cirrhosis after long-term (8 weeks) administration of 5-MTHF or folic acid. Evaluation of 5-MTHF and folic acid pharmacokinetics in patients with liver cirrhosis in relation to severity of portal hypertension. Evaluation of folate levels correlating with MTHFR possible mutation and concomitant therapies. Evaluation of the correlation between values ??of hemoglobin, MCV and homocysteine ??with folate levels (total plasma, circulating and intraerythrocytic) in patients with liver cirrhosis.;Primary end point(s): Evaluate, through a feasibility study, the pharmacokinetic characteristics in terms of absorption, distribution, metabolism of the active form of folate (5-MTHF) and of the inactive form (folic acid), in patients with viral liver cirrhosis related to severity of the disease.;Timepoint(s) of evaluation of this end point: After single dose administration, in the following 24 hours

Secondary

MeasureTime frame
Secondary end point(s): Evaluation of folates (total plasma, circulating and intraerythrocytic), hemoglobin, MCV and homocysteine ??in patients with liver cirrhosis after long-term (8 weeks) administration of 5-MTHF or folic acid. Evaluation of 5-MTHF and folic acid pharmacokinetics in patients with liver cirrhosis in relation to severity of portal hypertension. Evaluation of folate levels correlating with MTHFR possible mutation and concomitant therapies. Evaluation of the correlation between values ??of hemoglobin, MCV and homocysteine ??with folate levels (total plasma, circulating and intraerythrocytic) in patients with liver cirrhosis.;Timepoint(s) of evaluation of this end point: At baseline, in the 24 hours following one single dose administration, and after 8 weeks of long-term administration

Countries

Italy

Contacts

Public Contactdivisione di emmedi srl

SOLARIS

solaris@solaris-italy.com02.76114280

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026