Protocol summary

Study aim
Evaluation of effectiveness of Golnar Capsule and its comparison with transaxamic acid
Design
Clinical trial with interventional and control group, parallel groups, double blind, randomized blocks, with sample size of 40 people per group and 3 month study for each person. At first, 90 capsules are given, and for the next two months, a medication is given at the time of the referral of the patient.
Settings and conduct
Arash Hospital, Tehran University of Medical Sciences. In the intervention group, 500 mg Golnar capsule was taken every 8 hours from the first day of menstruation for three consecutive cycles and in the control group 500 mg of tranexamic acid every 8 hours from one to fifth day of Menstruation is prescribed for three consecutive cycles. For blindness in the control group, after the fifth day, placebo capsules are used. Medications can be differentiated only through codes A and B. The person and the researcher are not aware of the concept of codes.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Women 18-50 years old; Natural pap smear; Regular menstrual cycle; Endometrium thickness less than 10 mm; Severe or prolonged menstruation; Normal Gynology Examination Exclusion criteria: Pregnancy, Decision to pregnancy in the next three months, Lactation, Coagulation disorder, Systsmic diseases; Disorder in FSH and LH; hemoglobin less than 10; endometrial disorder, Uterus cancer ;leiomyoma and fibroids more than 4 cm; endometriosis; Hemoglobinopathy; hormonal drugs, anti-fibrinolytic، IUD; HTN; undisabling menstrual bleeding
Intervention groups
In the intervention group, Golnar capsules 500 mg every 8 hours from the beginning of the menstrual period to the end of the cycle and in the control group, Tranexamic acid,500 mg, every 8 hours from the first day of the menstrual period to 5 days, for 3 cycle
Main outcome variables
Menstrual bleeding; Quality of life;

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20180622040186N1
Registration date: 2018-06-26, 1397/04/05
Registration timing: prospective

Last update: 2018-06-26, 1397/04/05
Update count: 0
Registration date
2018-06-26, 1397/04/05
Registrant information
Name
Somayeh Es.haghee Ashtiany
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 7719 1254
Email address
s-eshaghee@razi.tums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2018-07-06, 1397/04/15
Expected recruitment end date
2019-01-05, 1397/10/15
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Evaluation of a Capsule of Golnar in Dysfunctional Uterine Bleeding and Comparison with Tranexamic acid
Public title
The effect of Golnar Capsule (Punica Grantum) in treatment of Abnormal Uterine Bleeding
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Women from 18 years old to 50 years old Normal Pap smear Regular Menstruation Bleeding Endometrial thickness is less than 10 mm Severe Menstruation (According to PBAC: Score>100, 80 cc) or Prolonged Menstruation (More than 7 Days ) Normal Gynecological Examination
Exclusion criteria:
Pregnancy, Plan to become pregnant in the next three months Coagulation Disorders, Systemic Diseases such as Hepatic, Renal, Thyroid, Diabetes and Chronic Inflamatory diseases FSH And LH Disorders Hemoglobin less than 10 Endometrial Disorder, Hyperplasy, Cervical, Uterine and Ovary Cancers Leiomyom and subcutaneous or internal fibroids greater than 4 cm Endometriosis Known Hemoglobinopathy Treatment with Hormonal drugs, Anti-Fibrinolytics and IUD Patients with Hypertension Patients with severe menstrual bleeding without diseases disorders
Age
From 18 years old to 50 years old
Gender
Female
Phase
3
Groups that have been masked
  • Participant
  • Investigator
Sample size
Target sample size: 80
Randomization (investigator's opinion)
Randomized
Randomization description
Allocation of patients to study groups is done using random block method. Samples were randomly divided into two intervention and control groups based on the random sequence generated by the statistic counselor.
Blinding (investigator's opinion)
Double blinded
Blinding description
The tested drug (Gelnar product) and the control drug (Transxamic Acid) are identical in terms of appearance and packaging, only through the proprietary A and B codes assigned by a person outside the research group on the box of medication labels are differentiated. The patient and pharmacist prescribing expert are not aware of the concept of codes. Study outcomes of the study are also known by the researcher who are unaware of the grouping and are blind to the groups and type of medication. During each cycle, the herbal drug is used from the first day of the cycle to the end of the cycle (ie, the patient takes the drug for 3 consecutive months). But the control drug is only used from the beginning of the cycle for 5 days per cycle. For blinding in each group, each patient receives two packets of medicine with codes A1, A2 or B1 and B2. A1 and B1 codes are used from the first day of the cycle for up to 5 days, and codes A2 and B2 are used from the sixth Day cycle to the end of the cycle. In the Gelnar Group, all of 1 and 2 are medicines and in the control group, the numbers of 1 are 1 tranexamic acid and the 2nds are placebo.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Tehran University of Medical Sciences
Street address
No. 28, Zahra Ave., Niroo Daryaee Ave; Resalat Sq
City
Tehran
Province
Tehran
Postal code
1676996913
Approval date
2018-05-18, 1397/02/28
Ethics committee reference number
IR.TUMS.VCR.REC.1397.144

Health conditions studied

1

Description of health condition studied
DUB
ICD-10 code
N92.1
ICD-10 code description
Excessive and frequent menstruation with irregular cycle

Primary outcomes

1

Description
Menstrual bleeding score
Timepoint
One month before and one, two and three months after the intervention
Method of measurement
Pictorial Blood Loss Assessment Chart

2

Description
Quality of Life
Timepoint
One month before the intervention and 3 months after the intervention
Method of measurement
Aberdeen Menorrhagia Questionnaire

Secondary outcomes

1

Description
Age
Timepoint
The beginning of the entry
Method of measurement
Question from sample

2

Description
The numbers of menstruation days
Timepoint
The number of bleeding days in 3 cycles of menstruation
Method of measurement
Day

Intervention groups

1

Description
Intervention group: Persian medicine capsule based on Persian Golnar 500 mg every 8 hours, from the beginning of the menstrual period to the end of the cycle
Category
Treatment - Drugs

2

Description
Control group: Tranexamic Acid Capsule, 500 mg every 8 hours from the first day of menstruation for up to 5 days
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Arash Hospital
Full name of responsible person
Somayeh Es.haghee Ashtiany
Street address
No. 28, Zahra Ave., Niroo Daryaee Ave., Resalat Squ
City
Tehran
Province
Tehran
Postal code
1676996913
Phone
+98 21 7719 1254
Email
s-eshaghee@razi.tums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Somayeh Es.haghee Ashtiany
Street address
No 28; Zahra Ave; Niroo Daryaee Ave; Resalat Squ
City
Tehran
Province
Tehran
Postal code
1676996913
Phone
+98 21 7719 1254
Email
s-eshaghee@razi.tums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Tehran University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

2

Sponsor
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Somayeh Es.haghee Ashtiany
Street address
No 28; Zahra Ave; Niroo Daryaee Ave; Resalat Squ
City
Tehran
Province
Tehran
Postal code
1676996913
Phone
+98 21 7719 1254
Email
s-eshaghee@razi.tums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Tehran University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Somayeh Es.haghee Ashtiany
Position
Assistant
Latest degree
Ph.D.
Other areas of specialty/work
Traditional Medicine
Street address
No 28; Zahra Ave; Niroo Daryaee Ave; Resalat Squ
City
Tehran
Province
Tehran
Postal code
1676996913
Phone
+98 21 7719 1254
Email
s-eshaghee@razi.tums.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Dr Marzieh Vahid Dastjerdi
Position
Professor
Latest degree
Specialist
Other areas of specialty/work
Gynecology and Obstetrics
Street address
Office of Hospital Head, Arash Hospital, Next to Police Station 126, Baghdarnia St.; South Rashid St.; The Second Square of Tehranpars,Tehran
City
Tehran
Province
Tehran
Postal code
1653915981
Phone
+98 21 7788 3283
Email
mdastgerdi@razi.tums.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Somayeh Es.haghee Ashtiany
Position
Assistsnt
Latest degree
Ph.D.
Other areas of specialty/work
Traditional Medicine
Street address
No 28; Zahra Ave; Niroo Daryaee Ave; Resalat Squ
City
Tehran
Province
Tehran
Postal code
1676996913
Phone
+98 21 7719 1254
Email
s-eshaghee@razi.tums.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
Expression of the procedure and drug used and treatment results
When the data will become available and for how long
Six months after completing the results analysis
To whom data/document is available
Data will be available to researchers working in academic and academic institutions
Under which criteria data/document could be used
Analysis on the data with the permission of the investigating officer is preventable.
From where data/document is obtainable
E-mail, Dr. Somayeh Eshaghee Ashtiany
What processes are involved for a request to access data/document
Six months after data analysis
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