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Trial registered on ANZCTR
Registration number
ACTRN12613001053718
Ethics application status
Approved
Date submitted
30/07/2013
Date registered
20/09/2013
Date last updated
20/09/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effectiveness of Turmeric and Kalongi in Metabolic syndrome
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Scientific title
Effect of Turmeric, Kalongi and its combination in improving the parameters of Metabolic syndrome in adults -a randomized controlled trial. – TAK-MS Trial
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Secondary ID [1]
282931
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Nil
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Universal Trial Number (UTN)
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Trial acronym
TAK-MS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Metabolic syndrome
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Condition category
Condition code
Alternative and Complementary Medicine
290081
290081
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0
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Herbal remedies
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Metabolic and Endocrine
290119
290119
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0
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Metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Four parallel groups will be given intervention or placebo for 8 weeks. Look alike capsules will be used and the dose will be administered in 2 divided doses. Compliance will be encouraged by daily phone messages and it will be measured by drug diary. Refilling will be done when patients return the blister packs of capsules on a weekly basis.
Group 1: Kalongi (Nigella Sativa) group (2 gm/day)
Group 2: Turmeric (Curcuma Longa) group (3.2 gm/day)
Group 3: Combination of Turmeric and Kalongi group (1.6 gm +1 gm/day)
Group 4: Placebo (Wheat) group (2gm /day)
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Intervention code [1]
287630
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Treatment: Other
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Intervention code [2]
287631
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Prevention
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Comparator / control treatment
The Placebo (Wheat) group (2gm /day) will receive look alike capsules just like the other 3 groups in 2 divided doses for 8 weeks.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Improvement in multiple parameters of Metabolic syndrome
( Body weight/ waist circumference reduction and Blood pressure control measured by mercury sphyngmomanometer, Triglycerides, fasting blood sugar and serum HDL measured by cobas c111)
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Assessment method [1]
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Timepoint [1]
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measured at baseline, 4 and 8 weeks
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Primary outcome [2]
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Improvement in insulin resistance measured by fasting serum insulin levels measured by ELECSYS Insulin Assay
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Assessment method [2]
290149
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Timepoint [2]
290149
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measured at baseline and 8 weeks of intervention
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Primary outcome [3]
290150
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improvement in inflammatory markers like C-reactive protein measured by cobas c111
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Assessment method [3]
290150
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Timepoint [3]
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measured at baseline and 8 weeks of intervention
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Secondary outcome [1]
303985
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body fat, muscle, bone percent (measured through bio impedence).
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Assessment method [1]
303985
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Timepoint [1]
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2, 4, 6 and 8 weeks of Randomization
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Secondary outcome [2]
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Adverse effect of treatment.
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Assessment method [2]
304022
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Timepoint [2]
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questions will be asked for any complains every week for 8 weeks monitoring adverse effects like nausea, dyspepsia, intolerance etc by a physician. participants will also be given an emergency contact number for any urgent symptoms they would like to report.
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Eligibility
Key inclusion criteria
Obese males residing and permanent residents of Hijrat colony with a waist circumference of or >90 cm with any 2 more features of Metabolic syndrome (MS) who are not on any regular medications for Diabetes (pre-Diabetic), Dyslipidemia, blood pressure (pre hypertensive) or obesity and do not require any medications as per ATP III guidelines and American Diabetic Association guidelines for control of Diabetes or Hypertension.
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
*Patients with known Diabetes, Hypertension or Coronary Heart disease or who require immediate pharmacological treatment.
*Patients with wheat allergy.
*Patients already taking Herbal supplements.
*Patients on medications for Hyperlipidemia or Obesity.
*Debilitated patients or patients on regular medications for chronic diseases like steroids, immunosuppressants and Warfarin will also be excluded.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted Block randomization
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2 / Phase 3
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
The sample size is calculated for a 5 % level of significance and a power of 80%. Assuming the population standard deviation of 3.62 from a previous study (Bhatti A, Berntorp K, Rehman F. Effect of prophetic medicine Kalonji on lipid profile of human beings, an in vivo approach. W Appl Sci J. 2009;6:1053-7), a sample of 52 in each group will be required to determine an effect size of 40%. Assuming a 20% non- participation rate, 62 subjects in each group will be approached.
Data will be entered and analyzed on SPSS version 20.0 and Graph pad prism. Means for quantitative data and frequencies, proportions and percentages for categorical data will be calculated. For quantitative data, paired and unpaired students t test will be used to compare the means within and between groups respectively. One way Anova will be used to compare the means between various groups followed by Tukey’s and Dunett’s tests for multiple comparisons. For categorical data, chi-square will be used to compare differences between groups. If the data is not normally distributed, to compare means, Wilcoxin signed rank sum test will be used for paired data and Mann Whitney U test for unpaired data. P values <0.05 will be considered statistically significant (Confidence interval of 95%).
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/07/2013
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
248
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
5254
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Pakistan
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State/province [1]
5254
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Sindh
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Funding & Sponsors
Funding source category [1]
287707
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University
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Name [1]
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Aga Khan University Medical College,
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Address [1]
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Aga Khan University Hospital, Stadium Road, Karachi-74800, Pakistan
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Country [1]
287707
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Pakistan
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Primary sponsor type
University
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Name
Aga Khan University Medical College,
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Address
Aga Khan University Hospital, Stadium Road, Karachi-74800,Pakistan.
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Country
Pakistan
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Secondary sponsor category [1]
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Individual
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Name [1]
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Professor Anwar-ul-Hassan Gilani
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Address [1]
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Professor of Pharmacology, Department of Biological and Biomedical Sciences, Aga Khan University Medical College, Stadium road, Karachi-74800,Pakistan.
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Country [1]
286437
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Pakistan
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
289664
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Ethical Review Committee (Aga Khan University Hospital)
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Ethics committee address [1]
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Aga Khan University Hospital, Stadium Road, Karachi 74800,Pakistan
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Ethics committee country [1]
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Pakistan
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Date submitted for ethics approval [1]
289664
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03/10/2011
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Approval date [1]
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11/01/2012
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Ethics approval number [1]
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2042-BBS-ERC-11
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Summary
Brief summary
The metabolic syndrome is a combination of certain metabolic abnormalities including Obesity, Diabetes, Dyslipidemia and Hypertension. These in combination are associated with increased risk of coronary heart disease, stroke, and cardiovascular mortality. South Asian countries including Pakistan contribute to the highest proportion of cardiovascular disease burden when compared with any other region globally. The management of early metabolic syndrome without overt Hypertension, Dyslipidemia and Diabetes is based on increasing physical activity and dietary modifications, which is a challenge for many patients. Complementary medicines including herbs like Turmeric and Kalongi are widely accepted and are a part of diet in many Asian countries. These can be used to prevent or as an adjuvant to control chronic diseases like Metabolic syndrome with fewer side effects, better acceptability and cost effectiveness. Therefore this study was done to determine the effectivenees of commonly used herbs like Kalongi and Turmeric in improving the parameters of Metabolic syndrome.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Faridah Amin
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Address
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Dept. Biological and Biomedical Sciences,
Aga Khan University Hospital, Stadium Road,
Karachi-74800,Pakistan.
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Country
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Pakistan
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Phone
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+92 21-34864566
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Fax
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Email
41854
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[email protected]
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Contact person for public queries
Name
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Faridah Amin
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Address
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Contact person is the principal investigator and PhD scholar in Aga Khan University.
A32/3, street 9, BathIsland, Clifton, Karachi- 75600, Pakistan
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Country
41855
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Pakistan
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Phone
41855
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+92 3212701086
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Fax
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Email
41855
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[email protected]
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Contact person for scientific queries
Name
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Faridah Amin
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Address
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Dept. Biological and Biomedical Sciences,
Aga Khan University Hospital
Stadium Road, Karachi-74800, Sindh, Pakistan
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Country
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Pakistan
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Phone
41856
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+92 21-34864566
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Fax
41856
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Email
41856
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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