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Metabolic and Therapeutic Effects of American and Korean Red Ginseng in the Treatment of Type 2 Diabetes

Primary Purpose

Diabetes Mellitus Type 2

Status
Unknown status
Phase
Phase 2
Locations
Canada
Study Type
Interventional
Intervention
American Ginseng (Panax quinquefolius L.) and Korean Red Ginseng (steamed Panax C.A. Meyer)
American Ginseng (Panax quinquefolius L.)
Wheat Bran
Sponsored by
Unity Health Toronto
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetes Mellitus Type 2

Eligibility Criteria

40 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • presence of type 2 diabetes (at least 1 year) as defined by A1c between ≥6.5% and ≤8.1%, at recruitment,
  • treatment with diet or oral hypoglycemic medication be unchanged starting at least 2 months prior to the beginning of the study (at recruitment, week -8)
  • between the age of 40 and 75 years
  • systolic blood pressure <140 and diastolic blood pressure <90
  • clinically euthyroid (measuring T3 and T4)
  • normal renal and liver functions
  • post-menopausal or non-pregnant women (Post-menopausal includes: those females with more than a year of cessation of menstruation)
  • a negative result on a pregnancy test administered at screening
  • subjects taking an effective form of birth control (example: condom, abstinence, etc.)
  • willing to comply with the study protocol and sign a consent form

Exclusion Criteria:

  • individuals with bleeding disorders
  • individuals with allergies to nitroglycerin
  • planned surgery, pregnancy or breastfeeding
  • taking insulin; clinically significant diabetes complications (retinopathy, nephropathy, or neuropathy); serum triglycerides ≥ 4.5 mmol/L
  • increased A1c level of more than 2% from baseline during the study
  • history of angina or heart attack
  • use of ginseng or any natural health products with glucose modulating and/or anti-platelet activity within 2 months
  • BMI > 35 kg/m2 including a weight fluctuation of + 2kg during treatment periods
  • smoke cigarettes; alcohol intake > 2 drinks/day
  • the presence of any conditions which, in the opinion of the investigator, might jeopardize the health and safety of the subject or study personnel or adversely affect the study results, if the subject participated in the study
  • Subjects taking Warfarin or Coumadin, prescription NSAIDs, chronic use of high-dose (>81mg) non-prescription NSAIDs, or selective serotonin reuptake inhibitors and monoamine oxidase inhibitors, or sympathomimetics or medications affecting nitric oxide levels, or any known or suspected sensitivity to any of the ingredients in the test product or placebo cannot participate in the study.

Sites / Locations

  • Clinical Nutrition and Risk Factor Modification Centre

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

1

2

3

Arm Description

American Ginseng and American Red Ginseng Capsules

American Ginseng Capsules

Placebo Capsules

Outcomes

Primary Outcome Measures

HbA1c levels and insulin sensitivity index using 3 different indices: ISI, HOMA, QUICKI

Secondary Outcome Measures

Cholesterol, triglycerides, fasting & post-prandial blood glucose and insulin, C-reactive protein, lipid peroxidation, blood pressure, endothelial function, body fat composition

Full Information

First Posted
August 1, 2008
Last Updated
July 30, 2015
Sponsor
Unity Health Toronto
Collaborators
Canadian Diabetes Association
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1. Study Identification

Unique Protocol Identification Number
NCT00728403
Brief Title
Metabolic and Therapeutic Effects of American and Korean Red Ginseng in the Treatment of Type 2 Diabetes
Official Title
Long Term Metabolic and Therapeutic Effects of Combined Treatment of American Ginseng (Panax Quinquefolius L.) Extract and Korean Red Ginseng (Steamed Panax C.A. Meyer) Extract in the Treatment of Type 2 Diabetes
Study Type
Interventional

2. Study Status

Record Verification Date
July 2015
Overall Recruitment Status
Unknown status
Study Start Date
September 2008 (undefined)
Primary Completion Date
August 2015 (Anticipated)
Study Completion Date
August 2015 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Unity Health Toronto
Collaborators
Canadian Diabetes Association

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The study is a 2 phase double blind randomized placebo control trial. The objective is to asses the metabolic and therapeutic effects of American Ginseng (Panax quinquefolius L.) extract and Korean Red Ginseng (steamed Panax C.A. Meyer) extract in the management of type 2 diabetes in a 12 week period. One Hundred and twenty subjects with type 2 diabetes (hyperglycemia key inclusion criteria: HbAlc≥6.5% - ≤ 8.1% ) will participate in the study (36 men and 36 post-menopausal women).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetes Mellitus Type 2

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
120 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
American Ginseng and American Red Ginseng Capsules
Arm Title
2
Arm Type
Experimental
Arm Description
American Ginseng Capsules
Arm Title
3
Arm Type
Placebo Comparator
Arm Description
Placebo Capsules
Intervention Type
Dietary Supplement
Intervention Name(s)
American Ginseng (Panax quinquefolius L.) and Korean Red Ginseng (steamed Panax C.A. Meyer)
Intervention Description
1.5 grams American Ginseng and 1.5 grams Korean Red Ginseng are to be taken in capsulated form. Two capsules are taken with every meal, for a total of 6 capsules per day for 12 weeks
Intervention Type
Dietary Supplement
Intervention Name(s)
American Ginseng (Panax quinquefolius L.)
Intervention Description
3 grams of American Ginseng is to be taken in capsulated form. Two capsules are taken with every meal, for a total of 6 capsules per day for 12 weeks
Intervention Type
Dietary Supplement
Intervention Name(s)
Wheat Bran
Intervention Description
3 grams of Wheat Bran is to be taken in capsulated form. Two capsules are taken with every meal, for a total of 6 capsules per day for 12 weeks
Primary Outcome Measure Information:
Title
HbA1c levels and insulin sensitivity index using 3 different indices: ISI, HOMA, QUICKI
Time Frame
Weeks -4, 0, 6, 12
Secondary Outcome Measure Information:
Title
Cholesterol, triglycerides, fasting & post-prandial blood glucose and insulin, C-reactive protein, lipid peroxidation, blood pressure, endothelial function, body fat composition
Time Frame
Weeks -4, 0, 6, 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: presence of type 2 diabetes (at least 1 year) as defined by A1c between ≥6.5% and ≤8.1%, at recruitment, treatment with diet or oral hypoglycemic medication be unchanged starting at least 2 months prior to the beginning of the study (at recruitment, week -8) between the age of 40 and 75 years systolic blood pressure <140 and diastolic blood pressure <90 clinically euthyroid (measuring T3 and T4) normal renal and liver functions post-menopausal or non-pregnant women (Post-menopausal includes: those females with more than a year of cessation of menstruation) a negative result on a pregnancy test administered at screening subjects taking an effective form of birth control (example: condom, abstinence, etc.) willing to comply with the study protocol and sign a consent form Exclusion Criteria: individuals with bleeding disorders individuals with allergies to nitroglycerin planned surgery, pregnancy or breastfeeding taking insulin; clinically significant diabetes complications (retinopathy, nephropathy, or neuropathy); serum triglycerides ≥ 4.5 mmol/L increased A1c level of more than 2% from baseline during the study history of angina or heart attack use of ginseng or any natural health products with glucose modulating and/or anti-platelet activity within 2 months BMI > 35 kg/m2 including a weight fluctuation of + 2kg during treatment periods smoke cigarettes; alcohol intake > 2 drinks/day the presence of any conditions which, in the opinion of the investigator, might jeopardize the health and safety of the subject or study personnel or adversely affect the study results, if the subject participated in the study Subjects taking Warfarin or Coumadin, prescription NSAIDs, chronic use of high-dose (>81mg) non-prescription NSAIDs, or selective serotonin reuptake inhibitors and monoamine oxidase inhibitors, or sympathomimetics or medications affecting nitric oxide levels, or any known or suspected sensitivity to any of the ingredients in the test product or placebo cannot participate in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Vladimir Vuksan, PhD
Organizational Affiliation
Clinical Nutritian and Risk Factor Modification Centre
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Alexandra Jenkins, PhD
Organizational Affiliation
Clinical Nutrition and Risk Factor Modificatrion Centre
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Lawerence Leiter, MD
Organizational Affiliation
St. Michaels Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Leanne De Souza, M.Sc.
Organizational Affiliation
Clinical Nutrition and Risk Factor Modificatrion Centre
Official's Role
Principal Investigator
Facility Information:
Facility Name
Clinical Nutrition and Risk Factor Modification Centre
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5C 1N8
Country
Canada

12. IPD Sharing Statement

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Metabolic and Therapeutic Effects of American and Korean Red Ginseng in the Treatment of Type 2 Diabetes

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