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NCT00915681

Intravenous Milk Thistle (Silibinin-Legalon) for Hepatic Failure Induced by Amatoxin/Amanita Mushroom Poisoning

Terminated Phase 2 Results posted Last updated 7 April 2022
What this trial tests

Phase 2 trial testing Silibinin in Amatoxin Poisoning in 148 participants. Terminated before completion.

Timeline
10 November 2009
Primary endpoint
10 April 2020
10 April 2020

Quick facts

Lead sponsorMylan Specialty, LP
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment148
Start date10 November 2009
Primary completion10 April 2020
Estimated completion10 April 2020
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Mylan Specialty, LP

Who can join

Eligibility, any sex, with Amatoxin Poisoning or Amanita Poisoning. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Legalon® SIL will be administered to patients with amatoxin poisoning diagnosed by history, gastrointestinal symptoms, elevated liver enzymes, and/or diagnostic assay (should one become available). Patients may or may not also demonstrate abnormalities in bilirubin and/or creatinine. Treatment consists of a 5 mg/kg loading dose followed by 20 mg/kg/day via continuous infusion. The treating physician is expected to administer supportive therapy of his/her choosing but consistent with best practices. Legalon® SIL will be stopped when coagulopathy is no longer present, and when liver function tests have returned significantly towards the normal range. Patients will be followed 7-14 days after the end of Legalon® SIL therapy with follow up lab studies.

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Hepatoprotective and antiviral functions of silymarin components in hepatitis C virus infection.
    Polyak SJ, Ferenci P, Pawlotsky JM. · · 2013 · cited 78× · PMID 23213025 · DOI 10.1002/hep.26179
  2. Mycetism: a review of the recent literature.
    Graeme KA. · · 2014 · cited 39× · PMID 24573533 · DOI 10.1007/s13181-013-0355-2
  3. Amanita phalloides Mushroom Poisonings - Northern California, December 2016.
    Vo KT, Montgomery ME, Mitchell ST, Scheerlinck PH, et al · · 2017 · cited 21× · PMID 28570504 · DOI 10.15585/mmwr.mm6621a1
  4. Milk thistle: early seeds of potential.
    Siegel AB, Stebbing J. · · 2013 · cited 18× · PMID 23993379 · DOI 10.1016/s1470-2045(13)70414-5
  5. Novel Strategies Enhancing Bioavailability and Therapeutical Potential of Silibinin for Treatment of Liver Disorders.
    Selc M, Macova R, Babelova A. · · 2024 · cited 11× · PMID 39444787 · DOI 10.2147/dddt.s483140
  6. Mycetismus: a review.
    Smith MR, Davis RL. · · 2016 · cited 10× · PMID 26637206 · DOI 10.1093/gastro/gov062

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Other trials of Silibinin

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