Could vitamin B3 tame gut inflammation?
NCT ID NCT06488625
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a special form of vitamin B3 (nicotinamide) that releases in the lower gut to treat mild to moderate ulcerative colitis. About 459 adults will receive either a low or high dose of the vitamin or a placebo. The goal is to see if it can reduce symptoms and improve gut health without serious side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- nicotinamide (vitamin B3) in a special capsule that releases it in the lower gut
- What this could lead to
- If it works, this could offer a new, well-tolerated treatment option for people with mild to moderate ulcerative colitis.
- What could go wrong
- This is an early-to-mid stage trial, so the treatment may not prove effective or safe. Results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 459 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2024
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: General: 1. Male and female patients with UC and 18 to 80 years of age (at the time of signing the informed consent). 2. Ability to understand and comply with the protocol. 3. Signed written informed consent. Disease-specific: 4. Documented diagnosis of UC, with a minimum disease duration of 3 months prior to screening and ≥ 1 relapse, clinically defined using established criteria within the last 12 months. 5. Histology supportive for the diagnosis of UC. 6. Mild to moderate disease activity (at screening): modified Mayo score (mMS) 4-7 RB ≥ 1, endoscopic score ES ≥1 and SF ≥ 1. 7. RHI \> 4 (at screening endoscopy). 8. Disease extent \>15 cm from the anal verge (at screening endoscopy). 9. Elevated level(s) of C-reactive protein (CRP) and/or faecal calprotectin during the screening period (levels above the reference range, measured by local laboratories). 10. Full colonoscopy with no signs of malignancy either during screening or within one year before screening. Medication: 11. In the case of no oral 5-ASA therapy within the last 2 weeks before entry into screening with informed consent, any prior oral 5-ASA therapy is permitted and the patient is not allowed to receive 5-ASA during the study. In the case of oral 5-ASA therapy within 2 weeks before entry into screening with informed consent, the 5-ASA therapy should have been ongoing for \> 3 months, should not be increased ≥ 4 weeks before screening endoscopy and should remain stable for ≥ 1 week before screening endoscopy at the maximum dose according to label or lower. This 5-ASA baseline medication must be kept stable in the induction period and may be reduced (but not increased again) in the maintenance period. In cases in which 5-ASA is dosed higher than the approved dose, the dose will be adjusted to the maximum approved dose at the time of randomization. Exclusion Criteria: General health and UC: 1. Diagnosis of CD, microscopic colitis, ischaemic colitis, radiation colitis or indeterminate colitis. 2. Infectious colitis, diverticulitis or segmental colitis associated with diverticulosis (SCAD) within the last 6 months before screening. 3. Current or past diagnosis of complex fistulae, intra-abdominal or peritoneal abscesses, strictures with obstructive symptoms. 4. Severe UC disease activity (modified Mayo score \>7). 5. Severe extraintestinal manifestations of UC requiring special treatment. 6. Steroid-dependent or steroid-refractory UC. 7. Foreseeable need for hospitalisation. 8. Previous colonic surgery, except for appendectomy. 9. Stools positive for enteric pathogens; Clostridium difficile toxin (CDT)-positive infection; indications for other relevant infections including cytomegalovirus colitis, each at screening. 10. Current or history of colon carcinoma, high grade colonic dysplasia or other malignancies except for completely resected basal cell carcinoma and squamous cell carcinoma of the skin. 11. Moderate to severe anaemia (haemoglobin \<9 g/dL) at screening. 12. Moderate to severe renal impairment (glomerular filtration rate \<60) at screening. 13. Relevant bleeding or thrombotic disorders. 14. Alcohol or drug abuse within the last 2 years. Medications: 15. Rectal topical 5-ASA and/or rectal budesonide therapy (enemas, foams or suppositories) ≤ 2 weeks prior to screening endoscopy (up to 3 single doses allowed). 16. Use of oral corticosteroids and/or oral budesonide ≤ 4 weeks prior to screening endoscopy. 17. Previous use of immunosuppressants, Janus kinase inhibitors, sphingoside-1-phosphate receptor modulators or biologics. 18. Use of antibiotics for the treatment of UC or probiotic medication within 6 weeks prior to screening endoscopy. 19. Any need of parenteral therapies for the therapy of UC (except iron infusions). 20. Known hypersensitivity towards any component of the CICR-NAM or placebo tablets. Regulatory requirements 21. Participation in a clinical trial within 4 weeks prior to screening for this trial or intake of an investigational medicinal product (IMP) within the last 8 weeks or 5 half-lives (whichever is longer) prior to screening (or longer if necessary in the investigator's discretion). 22. Patients under legal supervision or guardianship, including patients, who are committed to an institution by virtue of an order issued either by the judicial or the administrative authorities. 23. Patients who are dependent on the investigator or the sponsor. Other: 24. Pregnant or breastfeeding women. 25. Women of childbearing potential (WoCBP) not using highly effective contraception till at least 1 month after last dosing of IMP. 26. Male participants with female partners of childbearing potential who are not willing to use a highly effective contraception till at least 1 month after last dosing of IMP. 27. Indications that the patient may be unable to comply with the trial procedures, e.g. language barriers precluding adequate understanding or cooperation. 28. Any circumstances or medical conditions which could contradict a trial participation and lead the investigator to assess the patient as unsuitable for trial participation for any other reason.
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Get notified about this study
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Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
25 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Agaplesion Frankfurter Diakonie Kliniken gGmbH
RECRUITINGFrankfurt am Main, 60431, Germany
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Charite Universitaetsmedizin Berlin KöR
RECRUITINGBerlin, 10117, Germany
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Charite Universitaetsmedizin Berlin KöR
RECRUITINGBerlin, 12203, Germany
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DRK Kliniken Berlin
RECRUITINGBerlin, 12559, Germany
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Evangelisches Krankenhaus Kalk gGmbH
RECRUITINGCologne, 51103, Germany
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Gastroenterologie am Herrengarten
RECRUITINGDarmstadt, 64293, Germany
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Gastroenterologische Schwerpunktpraxis Prof. Dr. Ludwig & Dr. med. Güthle
RECRUITINGDornstadt, 89160, Germany
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Gastropraxis Magdeburg
RECRUITINGMagdeburg, 39104, Germany
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Gastropraxis an der St. Barbara-Klinik
RECRUITINGHamm, 59073, Germany
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Gesundheit Nord gGmbH Klinikverbund Bremen
RECRUITINGBremen, 28205, Germany
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Goethe University Frankfurt
RECRUITINGFrankfurt, 60590, Germany
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Martin-Luther-Universitaet Halle-Wittenberg
RECRUITINGHalle, 06120, Germany
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Medical Care Unit Dachau
WITHDRAWNDachau, 85221, Germany
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Practice for Gastroenterology
RECRUITINGHanover, 30449, Germany
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Private Practice for Gastroenterology
RECRUITINGHeidelberg, 69115, Germany
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Sozialstiftung Bamberg
RECRUITINGBamberg, 96049, Germany
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St. Marien Und St. Annastiftskrankenhaus
RECRUITINGLudwigshafen, 67067, Germany
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Universitaet Muenster
NOT_YET_RECRUITINGMünster, 48149, Germany
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Universitaetsklinikum Aachen AöR
NOT_YET_RECRUITINGAachen, 52074, Germany
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Universitaetsklinikum Augsburg
RECRUITINGAugsburg, 86156, Germany
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Universitaetsklinikum Carl Gustav Carus Dresden an der Technischen Universitaet Dresden AöR
RECRUITINGDresden, 01307, Germany
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Universitaetsklinikum Schleswig-Holstein AöR
RECRUITINGKiel, Schleswig-Holstein, 24105, Germany
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Universitaetsklinikum Schleswig-Holstein AöR
RECRUITINGLübeck, 23538, Germany
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Universitaetsklinikum Ulm AöR
RECRUITINGUlm, 89081, Germany
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Universitat Heidelberg
RECRUITINGMannheim, 68167, Germany
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University Medical Center Hamburg-Eppendorf
NOT_YET_RECRUITINGHamburg, 20246, Germany
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