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NCT00915681
Intravenous Milk Thistle (Silibinin-Legalon) for Hepatic Failure Induced by Amatoxin/Amanita Mushroom Poisoning
Phase 2 trial testing Silibinin in Amatoxin Poisoning in 148 participants. Terminated before completion.
10 April 2020
Quick facts
| Lead sponsor | Mylan Specialty, LP |
|---|---|
| Phase | Phase 2 |
| Status | Terminated |
| Study type | INTERVENTIONAL |
| Allocation | na |
| Design | single group |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 148 |
| Start date | 10 November 2009 |
| Primary completion | 10 April 2020 |
| Estimated completion | 10 April 2020 |
| Sites | 2 locations across United States |
Drugs / interventions tested
- Silibinin — full drug profile →
Conditions studied
- Amatoxin Poisoning — all drugs for Amatoxin Poisoning →
- Amanita Poisoning — all drugs for Amanita Poisoning →
- Mushroom Poisoning — all drugs for Mushroom Poisoning →
- Liver Failure — all drugs for Liver Failure →
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):
-
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 -
Mycetism: a review of the recent literature.
Graeme KA. · · 2014 · cited 39× · PMID 24573533 · DOI 10.1007/s13181-013-0355-2 -
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 -
Milk thistle: early seeds of potential.
Siegel AB, Stebbing J. · · 2013 · cited 18× · PMID 23993379 · DOI 10.1016/s1470-2045(13)70414-5 -
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 -
Mycetismus: a review.
Smith MR, Davis RL. · · 2016 · cited 10× · PMID 26637206 · DOI 10.1093/gastro/gov062
Verify or expand the search:
- PubMed search for NCT00915681
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
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- NCT03687073 — Trial of Indole-3-Carbinol and Silibinin · Phase 1 · completed
Other Mylan Specialty, LP trials
Trials by the same sponsor.
- NCT05317312 — Study of MR-107A-02 in the Treatment of Post Surgical Dental Pain. · Phase 2 · completed
Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT00915681 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Mylan Specialty, LP
- Last refreshed: 7 April 2022
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00915681.
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