title: Managing ulcerative colitis in remission phase: usefulness of Casperome®, an innovative lecithin-based delivery system of Boswellia serrata extract.
abstract: Boswellia serrata extracts (BSE) have been traditionally used for the treatment of several inflammatory diseases. The aim of this study was to evaluate the efficacy of a novel delivery form of BSE (Casperome®) in Ulcerative Colitis (UC) during minimally symptomatic remission phase.
  
  
  
  In this open-label, observational, registry study, informed participants with UC in remission phase (n = 43) freely decided to receive the oral daily Casperome® supplementation (n = 22) or no supplementation (n = 21) for 4 weeks. Several parameters associated with minimally symptomatic UC in remission were evaluated at the inclusion and the end of the study.
  
  
  
  A significant beneficial effect of Casperome® was observed for all the parameters evaluated, namely: diffuse intestinal pain, evident and occult blood in stools, bowel movements and cramps, watery stools, malaise, anemia, rectal involvement, number of white blood cells as well as need for concomitant drugs and medical attention. Faecal concentration of calprotectin, a marker of bowel inflammation, resulted ameliorated in Casperome® supplemented patients.
  
  
  
  Our study showed that Casperome® supplementation attenuates symptoms associated with mild UC in remission, reducing the use of drugs and medical consultations. Therefore, our study suggests that Casperome® supplementation could represent a promising alternative approach to manage minimally symptomatic UC and maintain the remission phase.
authors.affiliation: Department SMO Biotech, Irvine3 Labs, Circulation Sciences, Chieti-Pescara University, Italy. Federico.franceschi@indena.com.
authors.forename: L
authors.initials: L
authors.lastname: Pellegrini
authors.forename: E
authors.initials: E
authors.lastname: Milano
authors.forename: F
authors.initials: F
authors.lastname: Franceschi
authors.forename: G
authors.initials: G
authors.lastname: Belcaro
authors.forename: G
authors.initials: G
authors.lastname: Gizzi
authors.forename: B
authors.initials: B
authors.lastname: Feragalli
authors.forename: M
authors.initials: M
authors.lastname: Dugall
authors.forename: R
authors.initials: R
authors.lastname: Luzzi
authors.forename: S
authors.initials: S
authors.lastname: Togni
authors.forename: R
authors.initials: R
authors.lastname: Eggenhoffner
authors.forename: L
authors.initials: L
authors.lastname: Giacomelli
mesh_terms: D029743:Boswellia; D003093:Colitis, Ulcerative / Q000188:drug therapy*; D016503:Drug Delivery Systems; D006801:Humans; D054709:Lecithins; D010936:Plant Extracts / Q000008:administration & dosage*; D012074:Remission Induction
chemical_list: D054709:Lecithins; D010936:Plant Extracts