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Dose-response Study of Carduus Marianus in Centesimal Scale for Dyslipidemia in Climacteric Overweighed or Obese Women.

Primary Purpose

Dyslipidemia, Menopause, Obesity

Status
Terminated
Phase
Phase 2
Locations
Mexico
Study Type
Interventional
Intervention
Carduus marianus 6cH
Carduus marianus 12cH
Carduus marianus 30cH
Placebo
Exercise
Diet
Sponsored by
Hospital Nacional Homeopático, Mexico
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dyslipidemia focused on measuring Homeopathy, Carduus marianus, Dyslipidemia, Climacteric, Obesity, Triglycerides, Cholesterol, Insulin resistance, LDL-cholesterol, HDL-cholesterol

Eligibility Criteria

40 Years - 65 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. women 40-65 years in early or late transition to menopause or postmenopause according to STRAW classification
  2. hypertriglyceridemia [>150 <1000 mg/dL], and/or hypercholesterolemia [>200mg/dL]
  3. overweight or obesity [BMI >25 Kg/m2]
  4. fasting glucose <126mg/dL
  5. glycosylated hemoglobin <6.5%
  6. be willing and capable to follow study procedures.

Exclusion Criteria:

  1. history of cardiovascular disease or coronary risk equivalents
  2. secondary hyperlipidemia caused by diabetes mellitus, renal, liver or thyroid diseases
  3. hypolipidemic agents, antidiabetic medication, hormone replacement therapy, tamoxifen, raloxifene, danazol, isotretinoin, acitretin, cyclosporin, azathioprine, protease inhibitors (amprenavir, indinavir, nelfinavir, ritonavir, saquinavir), antipsychotics (clozapine), seizure medication (carbamazepine, valproic acid, phenobarbital, phenytoin) either on-going or any time in the previous 2 months
  4. any other clinically significant illness that, in the opinion of the investigator, might put the patient at risk of harm during the study or might adversely affect the interpretation of the study data
  5. pregnancy or breastfeeding.

Sites / Locations

  • Hospital Nacional Homeopático

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Diet + exercise + Carduus marianus 6cH

Diet + exercise + Carduus marianus 12cH

Diet + exercise + Carduus marianus 30cH

Diet + exercise + placebo

Arm Description

Diet (1600 cal/day) + aerobic exercise (30 min daily) + Carduus marianus 6cH, 24 drops diluted in 20 ml of water, by mouth, every 8 hours for 8 weeks.

Diet (1600 cal/day) + aerobic exercise (30 min daily) + Carduus marianus 12cH, 24 drops diluted in 20 ml of water, by mouth, every 8 hours for 8 weeks.

Diet (1600 cal/day) + aerobic exercise (30 min daily) + Carduus marianus 30c, 24 drops diluted in 20 ml of water, by mouth, every 8 hours for 8 weeks.

Diet (1600 cal/day) + aerobic exercise (30 min daily) + placebo (87°alcohol), 24 drops diluted in 20 ml of water, by mouth, every 8 hours for 8 weeks.

Outcomes

Primary Outcome Measures

Change from baseline level of triglycerides at 4 and 8 weeks.
Change from baseline level of total cholesterol at 4 and 8 weeks.

Secondary Outcome Measures

Change from baseline level of LDL cholesterol at 4 and 8 weeks.
Change from baseline level of HDL cholesterol at 4 and 8 weeks.
Change from baseline level of fasting glucose at 4 and 8 weeks.
Change from baseline level of glycosylated hemoglobin at 4 and 8 weeks.
Change from baseline [HOMA-IR=insulin(mU/ml) X glucose (mg/dl)/405] at 4 and 8 weeks.
Change from baseline weight (kg) at 4 and 8 weeks.
Change from baseline body mass index (Kg/m2) at 4 and 8 weeks.
Change from baseline waist circumference (cm) at 4 and 8 weeks.
Adverse events
Untoward medical occurrence associated with the use of a drugs in humans, whether or not considered drug related.
Adverse events
Untoward medical occurrence associated with the use of a drugs in humans, whether or not considered drug related.

Full Information

First Posted
May 9, 2016
Last Updated
February 26, 2019
Sponsor
Hospital Nacional Homeopático, Mexico
Collaborators
Laboratorio Similia, México
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1. Study Identification

Unique Protocol Identification Number
NCT02775448
Brief Title
Dose-response Study of Carduus Marianus in Centesimal Scale for Dyslipidemia in Climacteric Overweighed or Obese Women.
Official Title
Dose-response Study of the Efficacy and Safety of Carduus Marianus in Centesimal Scale for Dyslipidemia in Overweighed or Obese Women in Peri- and Postmenopause: a Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
February 2019
Overall Recruitment Status
Terminated
Why Stopped
Difficulties in recruiting process
Study Start Date
February 2016 (Actual)
Primary Completion Date
August 2017 (Actual)
Study Completion Date
September 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Hospital Nacional Homeopático, Mexico
Collaborators
Laboratorio Similia, México

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Metabolic disorders including hypercholesterolemia and hypertriglyceridemia are present in climacteric women. Carduus marianus is a homeopathic medicine that traditionally has been used for hepatic diseases. It has been used for reducing hypercholesterolemia and hypertriglyceridemia also. The aim of this study is to investigate the most effective dose of Carduus marianus in centesimal scale (6cH, 12cH, 30cH, placebo) plus diet and exercise for reducing hypertriglyceridemia and/or hypercholesterolemia in climacteric women.
Detailed Description
The prevalence of metabolic disorders including dyslipidemia increases as women transition from premenopause to postmenopause. This increases the risk for morbidity and mortality from cardiovascular diseases. Carduus marianus is a homeopathic medicine that traditionally has been used for hepatic diseases. Silymarin, isolated from Carduus marianus, owe its therapeutic and hepatoprotective effects to its strong antioxidant and anti-inflammatory properties. Carduus marianus is frequently used in clinical practice and reduces plasma level of triglycerides, total cholesterol and LDL in humans with dyslipidemia. Not all homeopaths agree on dosage and potency when prescribing homeopathic medicines. The aim of this study is to assess: (1) the most effective dose of Carduus marianus in centesimal scale for reducing hypertriglyceridemia and/or hypercholesterolemia in climacteric women; (2) the effect of Carduus marianus in other metabolic parameters (glucose, glycosylated hemoglobin, insulin resistance, weight, body mass index, waist circumference). This is a 8-week, double-blind, randomized, parallel, four-group, dose-response study to assess the safety and efficacy of Carduus marianus in 6cH, 12cH, 30cH and placebo plus diet and exercise, for reducing hypertriglyceridemia and/or hypercholesterolemia in climacteric women.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dyslipidemia, Menopause, Obesity
Keywords
Homeopathy, Carduus marianus, Dyslipidemia, Climacteric, Obesity, Triglycerides, Cholesterol, Insulin resistance, LDL-cholesterol, HDL-cholesterol

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
62 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Diet + exercise + Carduus marianus 6cH
Arm Type
Experimental
Arm Description
Diet (1600 cal/day) + aerobic exercise (30 min daily) + Carduus marianus 6cH, 24 drops diluted in 20 ml of water, by mouth, every 8 hours for 8 weeks.
Arm Title
Diet + exercise + Carduus marianus 12cH
Arm Type
Experimental
Arm Description
Diet (1600 cal/day) + aerobic exercise (30 min daily) + Carduus marianus 12cH, 24 drops diluted in 20 ml of water, by mouth, every 8 hours for 8 weeks.
Arm Title
Diet + exercise + Carduus marianus 30cH
Arm Type
Experimental
Arm Description
Diet (1600 cal/day) + aerobic exercise (30 min daily) + Carduus marianus 30c, 24 drops diluted in 20 ml of water, by mouth, every 8 hours for 8 weeks.
Arm Title
Diet + exercise + placebo
Arm Type
Placebo Comparator
Arm Description
Diet (1600 cal/day) + aerobic exercise (30 min daily) + placebo (87°alcohol), 24 drops diluted in 20 ml of water, by mouth, every 8 hours for 8 weeks.
Intervention Type
Drug
Intervention Name(s)
Carduus marianus 6cH
Intervention Type
Drug
Intervention Name(s)
Carduus marianus 12cH
Intervention Type
Drug
Intervention Name(s)
Carduus marianus 30cH
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Type
Behavioral
Intervention Name(s)
Exercise
Intervention Description
aerobic exercise, 30 minutes, daily
Intervention Type
Other
Intervention Name(s)
Diet
Intervention Description
1600 calories
Primary Outcome Measure Information:
Title
Change from baseline level of triglycerides at 4 and 8 weeks.
Time Frame
4 and 8 weeks after randomization
Title
Change from baseline level of total cholesterol at 4 and 8 weeks.
Time Frame
4 and 8 weeks after randomization
Secondary Outcome Measure Information:
Title
Change from baseline level of LDL cholesterol at 4 and 8 weeks.
Time Frame
4 and 8 weeks after randomization
Title
Change from baseline level of HDL cholesterol at 4 and 8 weeks.
Time Frame
4 and 8 weeks after randomization
Title
Change from baseline level of fasting glucose at 4 and 8 weeks.
Time Frame
4 and 8 weeks after randomization
Title
Change from baseline level of glycosylated hemoglobin at 4 and 8 weeks.
Time Frame
4 and 8 weeks after randomization
Title
Change from baseline [HOMA-IR=insulin(mU/ml) X glucose (mg/dl)/405] at 4 and 8 weeks.
Time Frame
4 and 8 weeks after randomization
Title
Change from baseline weight (kg) at 4 and 8 weeks.
Time Frame
4 and 8 weeks after randomization
Title
Change from baseline body mass index (Kg/m2) at 4 and 8 weeks.
Time Frame
4 and 8 weeks after randomization
Title
Change from baseline waist circumference (cm) at 4 and 8 weeks.
Time Frame
4 and 8 weeks after randomization
Title
Adverse events
Description
Untoward medical occurrence associated with the use of a drugs in humans, whether or not considered drug related.
Time Frame
4 weeks after randomization
Title
Adverse events
Description
Untoward medical occurrence associated with the use of a drugs in humans, whether or not considered drug related.
Time Frame
8 weeks after randomization

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: women 40-65 years in early or late transition to menopause or postmenopause according to STRAW classification hypertriglyceridemia [>150 <1000 mg/dL], and/or hypercholesterolemia [>200mg/dL] overweight or obesity [BMI >25 Kg/m2] fasting glucose <126mg/dL glycosylated hemoglobin <6.5% be willing and capable to follow study procedures. Exclusion Criteria: history of cardiovascular disease or coronary risk equivalents secondary hyperlipidemia caused by diabetes mellitus, renal, liver or thyroid diseases hypolipidemic agents, antidiabetic medication, hormone replacement therapy, tamoxifen, raloxifene, danazol, isotretinoin, acitretin, cyclosporin, azathioprine, protease inhibitors (amprenavir, indinavir, nelfinavir, ritonavir, saquinavir), antipsychotics (clozapine), seizure medication (carbamazepine, valproic acid, phenobarbital, phenytoin) either on-going or any time in the previous 2 months any other clinically significant illness that, in the opinion of the investigator, might put the patient at risk of harm during the study or might adversely affect the interpretation of the study data pregnancy or breastfeeding.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Emma del Carmen Macias-Cortes, PhD
Organizational Affiliation
Hospital Nacional Homeopático
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hospital Nacional Homeopático
City
Mexico City
Country
Mexico

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Dose-response Study of Carduus Marianus in Centesimal Scale for Dyslipidemia in Climacteric Overweighed or Obese Women.

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