Chronic Pancreatitis Clinical Trial
Official title:
Acetyl-L-carnitine as Pain Therapy in Chronic Pancreatitis
An open label pilot study will determine the effect of the amino acid nutritional supplement acetyl-L-carnitine (ALC) on pain, quality of life, well-being, and serum pro-inflammatory mediator and oxidative stress levels in volunteers with chronic pancreatitis. The ALC is given to all participants for 3 months, and assessments will occur at intake and after 3 months.
This is an open label pilot study to determine the effect of the amino acid nutritional
supplement acetyl-L-carnitine (ALC) on chronic pancreatitis. ALC is an acetylated form of
naturally occurring amino acid L-carnitine ((R)-3-Acetyloxy-4-trimethylammonio-butanoate)
found in red meat and is readily commercially available. Supplementation with ALC may
decrease pain and improve overall health based on our preclinical treatment studies in rats
with high fat and alcohol induced pancreatitis. In rats, ALC reduces pain measures, improves
glucose tolerance, decreases lipid peroxidation, and Ki67 cellular injury biomarker, and
improves pancreatic histopathology. The measurable outcomes of this clinical study are
patients' questionnaire scores for:
pain, quality of life, well-being, and serum pro-inflammatory mediator and oxidative stress
levels in volunteers with chronic pancreatitis. The questionnaires are given at intake and
at experiment end (3 months). Participants will receive ALC for 3 months. These findings
will indirectly determine the effect of ALC on the function and inflammatory state of the
pancreas. Currently, there is no specific therapy for chronic pancreatitis, and its
pathophysiology is still poorly understood. It is known that chronic pancreatitis is caused
by ongoing inflammation in the pancreas, yet, no pharmacological intervention exists that
optimally addresses this. The broad actions of ALC as an antioxidant and anti-inflammatory
agent as well as its ability to reduce side-effects of alcohol cessation make it a perfect
compound to pursue for the treatment of pancreatitis.
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