Clinical trial Recruiting at 2 sites Phase 2 Interventional Ages 18 to 65

Evaluating the effects of silymarin in patients with ulcerative colitis

Official title: Clinical Study Evaluating the Possible Beneficial Effect of Silymarin in Patients With Ulcerative Colitis

Run by Tanta University · NCT06213857 · Data updated 2026-11-12

This study is testing if adding silymarin to the usual treatment for ulcerative colitis can help adults feel better and improve their symptoms.

More Ulcerative Colitis trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment44 (estimated)
SponsorTanta University
Academic / other
Locations2 sites (Asyut and 1 other locations)
StatusRecruiting
StartedFebruary 1, 2025
Main results expectedMay 2025
Study endsJune 2025
Registry record updatedMarch 5, 2025
Trial IDNCT06213857 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 to 65 with a confirmed diagnosis of ulcerative colitis and normal kidney and liver functions.

Probably not a fit

Patients with significant renal or hepatic impairment, those who are pregnant or breastfeeding, and individuals taking corticosteroids or biological therapy may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial aims to assess the beneficial effects of silymarin in adult patients with ulcerative colitis who are already receiving mesalamine. A total of 44 participants will be randomized into two groups: one receiving mesalamine and azathioprine, and the other receiving the same treatment plus silymarin for three months. The primary outcome will be measured by a decrease in the Mayo score, while secondary outcomes will include changes in fecal calprotectin levels. The trial will be conducted at outpatient clinics in Assiut, Egypt.

Why it matters

Potential benefit: If successful, this study could provide a new adjunctive treatment option for patients with ulcerative colitis, potentially improving their clinical outcomes.

How similar studies have gone: While the specific use of silymarin in ulcerative colitis is less explored, similar studies investigating adjunctive therapies in inflammatory bowel disease have shown promising results.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Adults of both sexes aged from 18 years to 65 years.
2. Adults with normal kidney and liver functions.
3. Patients who sign the consent and willing to participate in the study.
4. Patients with UC according to American College of Gastroenterology Clinical Guidelines for diagnosis Ulcerative Colitis having clinical signs and symptoms with a completed medical workup, colonoscopy, pathological and laboratory data confirming UC

Exclusion Criteria:

1. Previous hypersensitivity or anaphylactic reaction to silymarin.
2. Significant renal and hepatic impairment.
3. Patients who refuse to participate.
4. Pregnant women, breastfeeding women and smokers.
5. Patients taking corticosteroids or biological therapy.
6. Patients taking any other antioxidants.
7. Patients having other concomitant diseases where oxidative stress is involved in the etiology such as chronic liver disease, pulmonary infection.

Where it's running

  • Mabarra Hospital
    Asyut, Egypt
    Recruiting
  • Rajhy Hospital
    Asyut, Egypt
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.