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Clinical Trial to Investigate the Efficacy and Safety of LN-OS-22 on Oxidative Stress and Systemic Inflammation in Overweight and Obese Population.

Primary Purpose

Oxidative Stress

Status
Completed
Phase
Not Applicable
Locations
India
Study Type
Interventional
Intervention
LN-OS-22
Maltodextrin
Sponsored by
Vedic Lifesciences Pvt. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Oxidative Stress

Eligibility Criteria

30 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Males and females aged ≥30 -≤60 years.
  2. No history of systemic infection as assessed by normal total leucocyte count.
  3. Overweight and obese participants (at high risk of oxidative stress and inflammation) identified as BMI ≥ 25.0 kg/m2 and ≤ 34.9 kg/m2
  4. Individuals having a risk of metabolic syndrome as indicated by three or more of the following five criteria:

    a Waist circumference more than 102 cm for males or 88 cm for females b Blood pressure of more than 130/85 mmHg c Fasting triglyceride (TG) level ≥ 150 mg/dl d Fasting high-density lipoprotein cholesterol level ≤ 40 mg/dl for males or 50 mg/dl for females e Fasting blood glucose ≥ 100 mg/dl.

  5. Individuals physically inactive for 1/3rd of the wake time as per the Longitudinal Aging Study Amsterdam (LASA) sedentary behavior questionnaire
  6. Non-smokers (Past smokers can be allowed if they have abstinence for a minimum of 2 years)
  7. Able to comply and perform the procedures requested by the protocol (including dietary restrictions, consumption of study interventions, blood and urine sample collection procedures, and study visit schedule)
  8. Participants who are literate enough to read and understand the consent form and provide voluntary consent.
  9. Participants who can give written informed consent and willing to participate in the study and comply with its procedures.

Exclusion Criteria:

  1. Known sensitivity to the investigational product or any excipients of the drug product.
  2. Known case of lactose intolerance.
  3. Known case of type I diabetes.
  4. Presence of uncontrolled type II diabetes mellitus (indicated by HbA1c ≥ 6.5).
  5. Presence of uncontrolled hypertension (defined as Systolic Blood Pressure (SBP) ≥ 140 mm Hg and/or Diastolic Blood Pressure (DBP) ≥ 90 mm Hg).
  6. Presence thyroid dysfunction (defined as thyroid stimulating hormone (TSH) level < 0.4 to > 4.2 mIU/L).
  7. Participants with moderate to severe anemia defined as hemoglobin <10 gm/dL- in the case of females and < 11 gm/dL- in the case of males will be excluded from the study.
  8. Consumption of any herbal preparation, supplements, nutritional therapy, etc. which is expected to reduce oxidative stress within 1 month prior to screening and throughout the study period.
  9. History of any significant neurological and psychiatric condition which may affect the participation and inference of the study's endpoints.
  10. History of use of anti-inflammatory therapies for any ailments within 7 days prior to randomization.
  11. Participation in other clinical trials in the last 3 months prior to screening
  12. Participants with substance abuse problems (within 2 years) defined as:

    a Use of recreational drugs (such as cocaine, methamphetamine, marijuana, etc.)/Nicotine dependence.

    b High-risk drinking as defined by the consumption of 4 or more alcohol-containing beverages on any day or 8 or more alcohol-containing beverages per week for women and 5 or more alcohol-containing beverages on any day or 15 or more alcohol-containing beverages per week for men.

  13. Participants who have a clinically significant disorder such as cardiovascular, endocrine, respiratory, gastrointestinal, hepatobiliary, kidney, urinary, hematological, immunity, neuropsychiatric, musculoskeletal, inflammatory, and/or tumors.
  14. Females who are pregnant/planning to be pregnant/lactating or taking any oral contraceptives.
  15. Any condition that could, in the opinion of the investigator, preclude the participant's ability to successfully and safely complete the study or that may confound study outcomes

Sites / Locations

  • Ayush Nursing Home
  • Dr. Awate's Clinic
  • Metabol-Lifestyle metabolic syndrome clinic

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

LN-OS-22

Maltodextrin

Arm Description

2 capsules orally once a day for 56 days

2 capsules orally once a day for 56 days

Outcomes

Primary Outcome Measures

Oxidative stress
To measure the oxidative stress 8-iso-PGF2α which is considered the best biomarker of oxidative stress will be assessed in the serum of the participants enrolled in the study. The blood sample will then be sent to the laboratory for analysis of serum levels of 8-iso-PGF2α by sandwich ELISA technique using GENLISATM ELISA kits. The normal reference range of 8-iso-PGF2α is 2-34 pg/ml (median). oxidative stress as assessed by change in serum levels of 8-isoprostane

Secondary Outcome Measures

Systemic inflammation CRP and IL - 6
blood sample will then be sent to the laboratory for estimation of CRP by RHELAX-CRP slide test based on the principle of agglutination. Serum IL-6 will be estimated by using GENLISATM ELISA kits. The normal reference range of CRP is <10 mg/L and that of IL-6 is 0-50 pg/mL.
Metabolic endotoxemia
The samples will be sent to the laboratory for the assessment of LPS by sandwich ELISA technique using GENLISATM ELISA kits. Reference range: Median (IQR) = 18.4 (8.6-56.8) μg/ml. Metabolic endotoxemia as assessed by change in plasma lipopolysaccharide levels post high-fat diet from baseline compared to placebo.
Body weight
Participants will be weighed on a calibrated digital weighing scale (with minimal clothing and bare feet) on the screening visit, day 0, and monthly follow-up visits before taking breakfast. The body weight measurement will be taken twice, and if the difference between the two readings is greater than 1 kg, then a third measurement will be taken. Higher the body weight represents the worst scoring , lower the body weight represents best scoring
Waist circumference
The waist circumference will be measured (in cm) at the midpoint between the lower margin of the last palpable rib and the top of the iliac crest, using stretch-resistant tape. The measurement will be taken twice, and if the difference between the two readings is greater than 1 cm, then a third measurement will be taken. Higher the waist circumference represents the worst scoring , lower the body weight represents best scoring
Impact of Weight on Quality of Life-Lite-Clinical Trials
Quality of life as assessed by change in the scores of Impact of Weight on Quality of Life-Lite-Clinical Trials Version from baseline. The higher the score, the greater will be impairment in quality of life.85

Full Information

First Posted
May 30, 2022
Last Updated
April 5, 2023
Sponsor
Vedic Lifesciences Pvt. Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05404217
Brief Title
Clinical Trial to Investigate the Efficacy and Safety of LN-OS-22 on Oxidative Stress and Systemic Inflammation in Overweight and Obese Population.
Official Title
A Randomized, Double-blind, Placebo-controlled Parallel-group Clinical Trial to Investigate the Efficacy and Safety of LN-OS-22 on Oxidative Stress and Systemic Inflammation in Overweight and Obese Population.
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Completed
Study Start Date
June 16, 2022 (Actual)
Primary Completion Date
March 13, 2023 (Actual)
Study Completion Date
March 13, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Vedic Lifesciences Pvt. Ltd.

4. Oversight

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

5. Study Description

Brief Summary
The present clinical investigation has been proposed to further substantiate the evidence of the antioxidant and anti-inflammatory activity of the extract in the healthy adult population with BMI ranging from ≥25.0 kg/m2 and ≤ 34.9 kg/m2 . The antioxidant effect of the 56 days of oral administration of the extract (1000 mg/day) will be primarily assessed by change in the level of 8-isoprostane from baseline to the end of the study and the anti-inflammatory activity of the extract will be investigated by the change in the level of CRP and IL-6. In addition, the effect on lipid peroxidation and DNA damage will be assessed by serum level of MDA before and after 2 months of extract administration. Further, metabolic endotoxemia will be assessed by the change in the plasma level of lipopolysaccharides. Weight and waist circumference are included as secondary outcomes as the clinical indicators of reduction in oxidative stress and inflammation. Overweight and obesity significantly impact the health-related quality of life31 in the affected individuals and flavonoids have previously been shown to improve the quality of life in controlled clinical studies therefore, Investigator included health-related quality of life as a secondary objective of the study. The safety of the 2-month administration of the extract will be examined by a change in the vitals, liver, and kidney function biomarkers (SGOT, SGPT, ALP, and creatinine).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Oxidative Stress

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Randomized, double-blind, placebo-controlled parallel-group
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
64 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LN-OS-22
Arm Type
Active Comparator
Arm Description
2 capsules orally once a day for 56 days
Arm Title
Maltodextrin
Arm Type
Placebo Comparator
Arm Description
2 capsules orally once a day for 56 days
Intervention Type
Other
Intervention Name(s)
LN-OS-22
Intervention Description
2 capsules orally once a day to be taken with a glass of milk after breakfast for 56 days
Intervention Type
Other
Intervention Name(s)
Maltodextrin
Intervention Description
2 capsules orally once a day to be taken with a glass of milk after breakfast for 56 days
Primary Outcome Measure Information:
Title
Oxidative stress
Description
To measure the oxidative stress 8-iso-PGF2α which is considered the best biomarker of oxidative stress will be assessed in the serum of the participants enrolled in the study. The blood sample will then be sent to the laboratory for analysis of serum levels of 8-iso-PGF2α by sandwich ELISA technique using GENLISATM ELISA kits. The normal reference range of 8-iso-PGF2α is 2-34 pg/ml (median). oxidative stress as assessed by change in serum levels of 8-isoprostane
Time Frame
days 0, day 28, and day 56.
Secondary Outcome Measure Information:
Title
Systemic inflammation CRP and IL - 6
Description
blood sample will then be sent to the laboratory for estimation of CRP by RHELAX-CRP slide test based on the principle of agglutination. Serum IL-6 will be estimated by using GENLISATM ELISA kits. The normal reference range of CRP is <10 mg/L and that of IL-6 is 0-50 pg/mL.
Time Frame
days 0, day 28, and day 56.
Title
Metabolic endotoxemia
Description
The samples will be sent to the laboratory for the assessment of LPS by sandwich ELISA technique using GENLISATM ELISA kits. Reference range: Median (IQR) = 18.4 (8.6-56.8) μg/ml. Metabolic endotoxemia as assessed by change in plasma lipopolysaccharide levels post high-fat diet from baseline compared to placebo.
Time Frame
days 0, and day 56.
Title
Body weight
Description
Participants will be weighed on a calibrated digital weighing scale (with minimal clothing and bare feet) on the screening visit, day 0, and monthly follow-up visits before taking breakfast. The body weight measurement will be taken twice, and if the difference between the two readings is greater than 1 kg, then a third measurement will be taken. Higher the body weight represents the worst scoring , lower the body weight represents best scoring
Time Frame
days 0, day 28, and day 56.
Title
Waist circumference
Description
The waist circumference will be measured (in cm) at the midpoint between the lower margin of the last palpable rib and the top of the iliac crest, using stretch-resistant tape. The measurement will be taken twice, and if the difference between the two readings is greater than 1 cm, then a third measurement will be taken. Higher the waist circumference represents the worst scoring , lower the body weight represents best scoring
Time Frame
days 0, day 28, and day 56.
Title
Impact of Weight on Quality of Life-Lite-Clinical Trials
Description
Quality of life as assessed by change in the scores of Impact of Weight on Quality of Life-Lite-Clinical Trials Version from baseline. The higher the score, the greater will be impairment in quality of life.85
Time Frame
days 0, day 28, and day 56.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
30 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Males and females aged ≥30 -≤60 years. No history of systemic infection as assessed by normal total leucocyte count. Overweight and obese participants (at high risk of oxidative stress and inflammation) identified as BMI ≥ 25.0 kg/m2 and ≤ 34.9 kg/m2 Individuals having a risk of metabolic syndrome as indicated by three or more of the following five criteria: a Waist circumference more than 102 cm for males or 88 cm for females b Blood pressure of more than 130/85 mmHg c Fasting triglyceride (TG) level ≥ 150 mg/dl d Fasting high-density lipoprotein cholesterol level ≤ 40 mg/dl for males or 50 mg/dl for females e Fasting blood glucose ≥ 100 mg/dl. Individuals physically inactive for 1/3rd of the wake time as per the Longitudinal Aging Study Amsterdam (LASA) sedentary behavior questionnaire Non-smokers (Past smokers can be allowed if they have abstinence for a minimum of 2 years) Able to comply and perform the procedures requested by the protocol (including dietary restrictions, consumption of study interventions, blood and urine sample collection procedures, and study visit schedule) Participants who are literate enough to read and understand the consent form and provide voluntary consent. Participants who can give written informed consent and willing to participate in the study and comply with its procedures. Exclusion Criteria: Known sensitivity to the investigational product or any excipients of the drug product. Known case of lactose intolerance. Known case of type I diabetes. Presence of uncontrolled type II diabetes mellitus (indicated by HbA1c ≥ 6.5). Presence of uncontrolled hypertension (defined as Systolic Blood Pressure (SBP) ≥ 140 mm Hg and/or Diastolic Blood Pressure (DBP) ≥ 90 mm Hg). Presence thyroid dysfunction (defined as thyroid stimulating hormone (TSH) level < 0.4 to > 4.2 mIU/L). Participants with moderate to severe anemia defined as hemoglobin <10 gm/dL- in the case of females and < 11 gm/dL- in the case of males will be excluded from the study. Consumption of any herbal preparation, supplements, nutritional therapy, etc. which is expected to reduce oxidative stress within 1 month prior to screening and throughout the study period. History of any significant neurological and psychiatric condition which may affect the participation and inference of the study's endpoints. History of use of anti-inflammatory therapies for any ailments within 7 days prior to randomization. Participation in other clinical trials in the last 3 months prior to screening Participants with substance abuse problems (within 2 years) defined as: a Use of recreational drugs (such as cocaine, methamphetamine, marijuana, etc.)/Nicotine dependence. b High-risk drinking as defined by the consumption of 4 or more alcohol-containing beverages on any day or 8 or more alcohol-containing beverages per week for women and 5 or more alcohol-containing beverages on any day or 15 or more alcohol-containing beverages per week for men. Participants who have a clinically significant disorder such as cardiovascular, endocrine, respiratory, gastrointestinal, hepatobiliary, kidney, urinary, hematological, immunity, neuropsychiatric, musculoskeletal, inflammatory, and/or tumors. Females who are pregnant/planning to be pregnant/lactating or taking any oral contraceptives. Any condition that could, in the opinion of the investigator, preclude the participant's ability to successfully and safely complete the study or that may confound study outcomes
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dr Shalini Srivastava, MD medicine
Organizational Affiliation
Vedic Lifesciences Pvt. Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
Ayush Nursing Home
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400067
Country
India
Facility Name
Dr. Awate's Clinic
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400067
Country
India
Facility Name
Metabol-Lifestyle metabolic syndrome clinic
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400086
Country
India

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Clinical Trial to Investigate the Efficacy and Safety of LN-OS-22 on Oxidative Stress and Systemic Inflammation in Overweight and Obese Population.

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