Inflammatory Bowel Diseases
Conditions
Brief summary
Ulcerative colitis (UC) is an idiopathic, chronic inflammatory disease characterized by diffused inflammation of the colon and rectum mucosa, however, the exact underlying mechanisms of UC remain poorly understood.UC is strongly dependent on cellular immune reaction and exaggerated inflammatory response due to genetic, immune and environmental factors.
Interventions
metformin group will take mesalamine 1 gm three times daily plus metformin 500 mg two times daily
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 years * Both males and females will be included * Negative pregnancy test and effective contraception
Exclusion criteria
* • * Breast feeding * Significant liver and kidney function abnormalities * Diabetic patients * Colorectal cancer patients * Patients with severe UC * Patients taking rectal or systemic steroids * Patients taking immunosuppressives or biological therapies * Addiction to alcohol and / or drugs * Known allergy to the studied medications
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The primary endpoint is the change in partial mayo score index | 6 months | The Partial Mayo Score index is a non-invasive clinical scale used to assess the severity of ulcerative colitis. It is a composite of sub scores from three categories, including stool frequency, rectal bleeding, and physician's global assessment, with a total score ranging from 0-9 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The secondary endpoint is estimated by changes in serum IL-6 and TNF-alpha | 6 months | The secondary endpoint is estimated by changes in serum IL-6 and TNF-alpha |
Countries
Egypt