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Exploring the Efficacy and Safety of Herbal Medicine on Korean Obese Women With or Without Metabolic Syndrome Risk Factors - A Study Protocol for a Double-blind, Randomised, Multi-center, Placebo-controlled Clinical Trial

Primary Purpose

Obesity, Metabolic Syndrome

Status
Completed
Phase
Not Applicable
Locations
Korea, Republic of
Study Type
Interventional
Intervention
GGT
Placebo
Sponsored by
Gachon University Gil Oriental Medical Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Obesity focused on measuring Obesity, Metabolic syndrome, Traditional Korean Medicine, Galgeun-tang

Eligibility Criteria

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

Inclusion Criteria:

  • Female aged 19 to 65 years

    • Subject must included at least one or more of the following symptoms below;

      • BMI of 30 kg/㎡ or more;
      • BMI between 27 and 29.9kg/㎡ with non-insulin-dependent diabetes mellitus, taking medication or fasting blood glucose > 126mg/dL at the screening visit
      • BMI between 27 and 29.9kg/㎡ with hyperlipidemia, taking medication or total cholesterol ≥ 200mg/dL or Triglyceride ≥ 150mg/dL at screening visit
  • Agreed to low-calorie diet during the trial
  • Written informed consent of the trial

Exclusion Criteria:

  • Subjects who had experience with allergic reaction on investigational drug(any ingredients of IP)

    • Subjects who has diabetes as comorbidity, had experienced the elevation of blood glucose by ephedrine
    • Subjects who had experienced rash, rubefaction, or itchiness by GGT administration
    • Subjects who usually feel fatigue due to hyperhidrosis
    • Subjects who experienced other allergic reactions
  • Subjects who had 10 percent reduction in body weight over 6 months
  • Subjects who decided to quit smoking over the last 3 months or have irregular smoking habits
  • Subjects who have endocrine diseases associated with weight gain, such as hypothyroidism, Cushing's syndrome, etc.
  • Subjects who have heart disease (heart failure, angina pectoris, myocardial infarction)
  • Subjects who have uncontrolled hypertension despite the use of antihypertensive drugs (SBP > 145 mmHg or DBP > 95 mmHg)
  • Subjects who have uncontrolled diabetes despite the use of drugs (FBS>7.8 mmol/L (140 mg/dL))
  • Subjects who have severe renal disability (SCr > 2.0 mg/dL)
  • Subjects who have severe liver disability (2.5 fold of normal high range value on Alanine Aminotransferase [ALT], Aspartate Aminotransferase [AST], alkaline phosphatase [ALP])
  • Subjects who have poor digestion(anorexia, stomach discomfort, nausea, vomiting etc) or have the history of eating disorder such as anorexia nervosa or bulimia nervosa, etc.(KEAT-26 < 20)
  • Use of medication that can affect on weight within last 3 months (appetite suppressant, laxative, oral steroid, thyroid hormone, amphetamine, cyproheptadine, phenothiazine or medications can affect on absorption, metabolism, excretion)
  • Use of CNS stimulant medication for weight loss
  • Subjects who had a use of drugs that can increase blood pressure or heart rate within a week, such as, Decongestants, cough, cold, allergy treatments that include the ingredients of phenylpropanolamine, ephedrine, pseudoephedrine
  • Forbidden treatment (Insulin, hypoglycemic agent, antidepressant, antiserotonin agent, barbiturate, antipsychotic, medication concerns of abuse)
  • Subjects who have diseases that may occur hypokalemia (hypomagnesemia, Bartter syndrome, Gitelman syndrome, diseases that can cause high aldosteronism etc.) or have cardiac dysrhythmia
  • Difficult to measure anthropometric dimensions because of anatomical change such as resection
  • History of weight loss surgery, such as bariatric surgery, etc.
  • Edema or dysuria
  • Malignant tumour or lung disease
  • Cholelithiasis
  • History of narrow angle glaucoma
  • Subjects who have nervous or psychological medical history or presently suffer from the following diseases: depression, manic disorder, bipolar disorder, schizophrenia, epilepsy, alcoholism, anorexia, hyperphagia, etc.
  • Subjects who have history of stroke or temporary ischemic cardioplegia
  • Subjects who are judged to be inappropriate for the clinical study by the researchers
  • Women who were pregnant, lactating or have the chances of pregnancy who do not agree to proper contraception (birth-control pill, hormone implant, IUD, spermicide, condom, abstinence, etc.)
  • Use of other investigational product within last 1 month

Sites / Locations

  • Gachon University Gil Oriental Medical Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

GGT group

Placebo group

Arm Description

Usage: 3g, three times a day, each taken before or between meals for 12 weeks Manufacturing company: HANPOONG PHARM & FOODS Co. Ltd.

Usage: 3g, three times a day, each taken before or between meals for 12 weeks Manufacturing company: HANPOONG PHARM & FOODS Co. Ltd.

Outcomes

Primary Outcome Measures

Changes from baseline in body weight
Estimated mean changes from baseline in body weight after 12 weeks of treatment.

Secondary Outcome Measures

Changes from baseline in body fat percentage
Estimated mean changes from baseline in body fat percentage at different time points during treatment period
Changes from baseline in fat mass
Estimated mean changes from baseline in fat mass at different time points during treatment period
Changes from baseline in Waist circumference
Estimated mean changes from baseline in Waist circumference at different time points during treatment period
Changes from baseline in Waist/hip ratio
Estimated mean changes from baseline in Waist/hip ratio at different time points during treatment period
Changes from baseline in Body mass index
Estimated mean changes from baseline in Body mass index at different time points during treatment period
Changes from baseline in Lipid profile
Estimated mean changes from first visit in Lipid profile after 12 weeks of treatment.
Changes from baseline in C-reactive protein (CRP)
Estimated mean changes from baseline in C-reactive protein (CRP) after 12 weeks of treatment.
Changes from baseline in blood glucose
Estimated mean changes from first visit in blood glucose after 12 weeks of treatment.
European Quality of life 5 Dimension(EQ5D)
EQ-5D is a tool developed for health-related quality of life (HRQoL) assessment, and is widely used in the health care sector. Scores range from -1, 'health worse than death' to 1, 'perfect health'. EQ-5D-5L has 5 dimensions covering current health status and functionality: mobility (M), self care (SC), usual activities (UA), pain/discomfort (PD), and anxiety/depression (AD), to be rated out of 5 grades (1, no problem; 2, slight problem; 3, some/moderate problem; 4, severe problem; 5, extreme problem).
Changes from baseline in serum leptin
Estimated mean changes from first visit in serum leptin after 12 weeks of treatment.
Korean version of Western Ontario and McMasters Universities Oateoarthritis Index
Determination of patient's knee function and pain
cost per QALY(Quality Adjusted Life Years) gained
The cost per QALY gained is calculated according to normal health-economic evaluation models.
Economic evaluation (medical costs)
Economic evaluation of medical costs will be performed to assess cost-effectiveness of the 2 groups.
Economic evaluation (time-related costs)
Economic evaluation of time-related costs will be performed to assess cost-effectiveness of the 2 groups.
Economic evaluation (lost productivity costs)
Economic evaluation of lost productivity costs will be performed to assess cost-effectiveness of the 2 groups.

Full Information

First Posted
March 21, 2018
Last Updated
April 9, 2021
Sponsor
Gachon University Gil Oriental Medical Hospital
Collaborators
DongGuk University, Wonkwang University Guangju Medical Center, Dongsin University Oriental Hospital, Kyunghee University Medical Center
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1. Study Identification

Unique Protocol Identification Number
NCT03479346
Brief Title
Exploring the Efficacy and Safety of Herbal Medicine on Korean Obese Women With or Without Metabolic Syndrome Risk Factors - A Study Protocol for a Double-blind, Randomised, Multi-center, Placebo-controlled Clinical Trial
Official Title
Exploring the Efficacy and Safety of Herbal Medicine on Korean Obese Women With or Without Metabolic Syndrome Risk Factors - A Study Protocol for a Double-blind, Randomised, Multi-center, Placebo-controlled Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
April 2021
Overall Recruitment Status
Completed
Study Start Date
April 28, 2018 (Actual)
Primary Completion Date
October 1, 2020 (Actual)
Study Completion Date
December 1, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Gachon University Gil Oriental Medical Hospital
Collaborators
DongGuk University, Wonkwang University Guangju Medical Center, Dongsin University Oriental Hospital, Kyunghee University Medical Center

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The Purpose of this trial is to investigate the efficacy and safety of GGT on Korean obese Women with or without metabolic syndrome Risk factors

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Obesity, Metabolic Syndrome
Keywords
Obesity, Metabolic syndrome, Traditional Korean Medicine, Galgeun-tang

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
140 (Actual)

8. Arms, Groups, and Interventions

Arm Title
GGT group
Arm Type
Experimental
Arm Description
Usage: 3g, three times a day, each taken before or between meals for 12 weeks Manufacturing company: HANPOONG PHARM & FOODS Co. Ltd.
Arm Title
Placebo group
Arm Type
Placebo Comparator
Arm Description
Usage: 3g, three times a day, each taken before or between meals for 12 weeks Manufacturing company: HANPOONG PHARM & FOODS Co. Ltd.
Intervention Type
Drug
Intervention Name(s)
GGT
Other Intervention Name(s)
Galgeun-tang
Intervention Description
Usage: 3g, three times a day, each taken before or between meals for 12 weeks Manufacturing company: HANPOONG PHARM & FOODS Co. Ltd.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Usage: 3g, three times a day, each taken before or between meals for 12 weeks Manufacturing company: HANPOONG PHARM & FOODS Co. Ltd.
Primary Outcome Measure Information:
Title
Changes from baseline in body weight
Description
Estimated mean changes from baseline in body weight after 12 weeks of treatment.
Time Frame
baseline, 12 weeks
Secondary Outcome Measure Information:
Title
Changes from baseline in body fat percentage
Description
Estimated mean changes from baseline in body fat percentage at different time points during treatment period
Time Frame
baseline, 4,8,12 weeks
Title
Changes from baseline in fat mass
Description
Estimated mean changes from baseline in fat mass at different time points during treatment period
Time Frame
baseline, 4,8,12 weeks
Title
Changes from baseline in Waist circumference
Description
Estimated mean changes from baseline in Waist circumference at different time points during treatment period
Time Frame
baseline, 4,8,12 weeks
Title
Changes from baseline in Waist/hip ratio
Description
Estimated mean changes from baseline in Waist/hip ratio at different time points during treatment period
Time Frame
baseline, 4,8,12 weeks
Title
Changes from baseline in Body mass index
Description
Estimated mean changes from baseline in Body mass index at different time points during treatment period
Time Frame
baseline, 4,8,12 weeks
Title
Changes from baseline in Lipid profile
Description
Estimated mean changes from first visit in Lipid profile after 12 weeks of treatment.
Time Frame
Screening visit, 12 weeks
Title
Changes from baseline in C-reactive protein (CRP)
Description
Estimated mean changes from baseline in C-reactive protein (CRP) after 12 weeks of treatment.
Time Frame
baseline, 12 weeks
Title
Changes from baseline in blood glucose
Description
Estimated mean changes from first visit in blood glucose after 12 weeks of treatment.
Time Frame
Screening visit, 12 weeks
Title
European Quality of life 5 Dimension(EQ5D)
Description
EQ-5D is a tool developed for health-related quality of life (HRQoL) assessment, and is widely used in the health care sector. Scores range from -1, 'health worse than death' to 1, 'perfect health'. EQ-5D-5L has 5 dimensions covering current health status and functionality: mobility (M), self care (SC), usual activities (UA), pain/discomfort (PD), and anxiety/depression (AD), to be rated out of 5 grades (1, no problem; 2, slight problem; 3, some/moderate problem; 4, severe problem; 5, extreme problem).
Time Frame
baseline, 12 weeks
Title
Changes from baseline in serum leptin
Description
Estimated mean changes from first visit in serum leptin after 12 weeks of treatment.
Time Frame
baseline, 12 weeks
Title
Korean version of Western Ontario and McMasters Universities Oateoarthritis Index
Description
Determination of patient's knee function and pain
Time Frame
baseline, 12, 16 weeks
Title
cost per QALY(Quality Adjusted Life Years) gained
Description
The cost per QALY gained is calculated according to normal health-economic evaluation models.
Time Frame
6 months or 1 year
Title
Economic evaluation (medical costs)
Description
Economic evaluation of medical costs will be performed to assess cost-effectiveness of the 2 groups.
Time Frame
baseline, 4,8,12,16,20,24 weeks
Title
Economic evaluation (time-related costs)
Description
Economic evaluation of time-related costs will be performed to assess cost-effectiveness of the 2 groups.
Time Frame
baseline, 4,8,12,16,20,24 weeks
Title
Economic evaluation (lost productivity costs)
Description
Economic evaluation of lost productivity costs will be performed to assess cost-effectiveness of the 2 groups.
Time Frame
baseline, 4,8,12,16,20,24 weeks
Other Pre-specified Outcome Measures:
Title
Changes from baseline in Kellgren-Lawrence grade
Description
Determination of patient's knee condition
Time Frame
baseline, 12 weeks

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Female aged 19 to 65 years Subject must included at least one or more of the following symptoms below; BMI of 30 kg/㎡ or more; BMI between 27 and 29.9kg/㎡ with non-insulin-dependent diabetes mellitus, taking medication or fasting blood glucose > 126mg/dL at the screening visit BMI between 27 and 29.9kg/㎡ with hyperlipidemia, taking medication or total cholesterol ≥ 200mg/dL or Triglyceride ≥ 150mg/dL at screening visit Agreed to low-calorie diet during the trial Written informed consent of the trial Exclusion Criteria: Subjects who had experience with allergic reaction on investigational drug(any ingredients of IP) Subjects who has diabetes as comorbidity, had experienced the elevation of blood glucose by ephedrine Subjects who had experienced rash, rubefaction, or itchiness by GGT administration Subjects who usually feel fatigue due to hyperhidrosis Subjects who experienced other allergic reactions Subjects who had 10 percent reduction in body weight over 6 months Subjects who decided to quit smoking over the last 3 months or have irregular smoking habits Subjects who have endocrine diseases associated with weight gain, such as hypothyroidism, Cushing's syndrome, etc. Subjects who have heart disease (heart failure, angina pectoris, myocardial infarction) Subjects who have uncontrolled hypertension despite the use of antihypertensive drugs (SBP > 145 mmHg or DBP > 95 mmHg) Subjects who have uncontrolled diabetes despite the use of drugs (FBS>7.8 mmol/L (140 mg/dL)) Subjects who have severe renal disability (SCr > 2.0 mg/dL) Subjects who have severe liver disability (2.5 fold of normal high range value on Alanine Aminotransferase [ALT], Aspartate Aminotransferase [AST], alkaline phosphatase [ALP]) Subjects who have poor digestion(anorexia, stomach discomfort, nausea, vomiting etc) or have the history of eating disorder such as anorexia nervosa or bulimia nervosa, etc.(KEAT-26 < 20) Use of medication that can affect on weight within last 3 months (appetite suppressant, laxative, oral steroid, thyroid hormone, amphetamine, cyproheptadine, phenothiazine or medications can affect on absorption, metabolism, excretion) Use of CNS stimulant medication for weight loss Subjects who had a use of drugs that can increase blood pressure or heart rate within a week, such as, Decongestants, cough, cold, allergy treatments that include the ingredients of phenylpropanolamine, ephedrine, pseudoephedrine Forbidden treatment (Insulin, hypoglycemic agent, antidepressant, antiserotonin agent, barbiturate, antipsychotic, medication concerns of abuse) Subjects who have diseases that may occur hypokalemia (hypomagnesemia, Bartter syndrome, Gitelman syndrome, diseases that can cause high aldosteronism etc.) or have cardiac dysrhythmia Difficult to measure anthropometric dimensions because of anatomical change such as resection History of weight loss surgery, such as bariatric surgery, etc. Edema or dysuria Malignant tumour or lung disease Cholelithiasis History of narrow angle glaucoma Subjects who have nervous or psychological medical history or presently suffer from the following diseases: depression, manic disorder, bipolar disorder, schizophrenia, epilepsy, alcoholism, anorexia, hyperphagia, etc. Subjects who have history of stroke or temporary ischemic cardioplegia Subjects who are judged to be inappropriate for the clinical study by the researchers Women who were pregnant, lactating or have the chances of pregnancy who do not agree to proper contraception (birth-control pill, hormone implant, IUD, spermicide, condom, abstinence, etc.) Use of other investigational product within last 1 month
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yun-Kyung Song, PhD
Organizational Affiliation
Gachon University Gil Oriental Medical Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Gachon University Gil Oriental Medical Hospital
City
Incheon
Country
Korea, Republic of

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Exploring the Efficacy and Safety of Herbal Medicine on Korean Obese Women With or Without Metabolic Syndrome Risk Factors - A Study Protocol for a Double-blind, Randomised, Multi-center, Placebo-controlled Clinical Trial

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