Protocol summary

Study aim
Comparison of the effectiveness of Sophora alopecuroides var. alopecuroides and placebo in the treatment of heroin withdrawal symptoms
Design
Phase 3 clinical trial having parallel placebo group, triple-blind, randomized by blocking using computer generated random numbers table and sequentially numbered containers each representing a block consisting of ten patients, single-center with 100 heroin addict patients is performed.
Settings and conduct
The trial setting: Izad Mehr Setayesh addiction treatment camp. Protocol: fifty patients take three 400 mg capsules of the plant's seed extract and 50 patients take 3 placebo capsules once daily for 8 days. Before intervention and 8 days after intervention, the groups' scores of clinical opiate withdrawal scale and blood levels of aspartate aminotransferase, alanine aminotransferase and creatinine are compared. Blinding: letters A or B are labeled on drug or placebo containers. Other specifications on the labels are completely identical. Physician, nurse, patient, data collector and those who evaluate the outcome are unaware of the nature and meaning of the letters A or B on the labels. Only the main investigator knows the nature of the labels. Patients are not aware of the type of group they are in.
Participants/Inclusion and exclusion criteria
Inclusion criteria: patients who according to the DSM-V criteria are dependent on heroin for at least 1 year. Exclusion criteria: individuals who besides heroin abuse other substances except for tobacco.
Intervention groups
Fifty patients use three 400 mg capsules of the plant's seed extract and 50 patients use 3 placebo capsules once orally every 24 hours for 8 days.
Main outcome variables
Primary outcome variable: score of clinical opiate withdrawal scale. Secondary outcome variables: blood levels of aspartate aminotransferase, alanine aminotransferase and creatinine.

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20090804002288N16
Registration date: 2020-02-15, 1398/11/26
Registration timing: prospective

Last update: 2020-02-15, 1398/11/26
Update count: 0
Registration date
2020-02-15, 1398/11/26
Registrant information
Name
Saeed Kianbakht
Name of organization / entity
Iranian Academic Center for Education, Culture and Research Institute of Medicinal Plants
Country
Iran (Islamic Republic of)
Phone
+98 26147640109
Email address
kianbakht@imp.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2020-02-20, 1398/12/01
Expected recruitment end date
2021-02-19, 1399/12/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of the effect of Sophora alopecuroides var. alopecuroides and placebo on the clinical opiate withdrawal scale in heroin addicts: a clinical trial
Public title
Effects of Sophora alopecuroides var. alopecuroides on the heroin withdrawal symptoms
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Iranian male outpatients who according to the DSM-V criteria are dependent on heroin for at least 1 year Patients whose urinalysis result for detection of 6-acetylmorphine is positive Patients aged 18 to 70 years Patients whose heroin dose has been constant for at least one month before study Patients residing in addiction treatment camp Patients who have not used heroin for at least 5 hours before arrival in camp
Exclusion criteria:
Individuals who besides heroin abuse other substances except for tobacco Patients who have other psychiatric diseases Individuals who have other important diseases like cardiac, renal and hepatic disease Individuals who have organic brain disease Individuals who have mental retardation
Age
From 18 years old to 70 years old
Gender
Male
Phase
3
Groups that have been masked
  • Participant
  • Care provider
  • Outcome assessor
  • Data analyser
  • Data and Safety Monitoring Board
Sample size
Target sample size: 100
Randomization (investigator's opinion)
Randomized
Randomization description
Block randomization using computer generated random numbers and sequentially numbered containers each representing a block of ten patients is used for treatment assignment.
Blinding (investigator's opinion)
Triple blinded
Blinding description
Letters A or B are labeled on herbal drug or placebo containers. Other specifications on the labels are completely identical. Physician, nurse, patient, data collector and those who evaluate the outcome are unaware of the nature and meaning of the letters A or B on the labels. Only the main investigator knows the nature of the labels. Patients are aware that they are either in the drug or in the placebo group, but they are not aware of the type of group they are in.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Iran University of Medical Sciences
Street address
Hemmat Highway between Chamran and Sheykh Fazlallah Iran University of Medical Sciences Central Headquarters Fifth Floor
City
Tehran
Province
Tehran
Postal code
1449614535
Approval date
2020-02-08, 1398/11/19
Ethics committee reference number
IR.IUMS.REC.1398.1128

Health conditions studied

1

Description of health condition studied
Heroin addiction
ICD-10 code
F11.23
ICD-10 code description
Opioid dependence with withdrawal

Primary outcomes

1

Description
Score of clinical opiate withdrawal scale
Timepoint
Before intervention and 3 and 8 days after intervention
Method of measurement
Clinical Opiate Withdrawal Scale

2

Description
Patient global impression regarding efficacy of treatment
Timepoint
Eight days after intervention
Method of measurement
Visual analog scale (ten centimeter ruler)

Secondary outcomes

1

Description
Blood level of aspartate aminotransferase
Timepoint
Before intervention and 8 days after intervention
Method of measurement
Spectrophotometer

2

Description
Blood level of alanine aminotransferase
Timepoint
Before intervention and 8 days after intervention
Method of measurement
Spectrophotometer

3

Description
Blood level of alkaline phosphatase
Timepoint
Before intervention and 8 days after intervention
Method of measurement
Spectrophotometer

4

Description
Blood level of total bilirubin
Timepoint
Before intervention and 8 days after intervention
Method of measurement
Spectrophotometer

5

Description
Blood level of direct bilirubin
Timepoint
Before intervention and 8 days after intervention
Method of measurement
Spectrophotometer

6

Description
Blood level of indirect bilirubin
Timepoint
Before intervention and 8 days after intervention
Method of measurement
Spectrophotometer

7

Description
Prothrombin time
Timepoint
Before intervention and 8 days after intervention
Method of measurement
chronometer

8

Description
Blood level of creatinine
Timepoint
Before intervention and 8 days after intervention
Method of measurement
Spectrophotometer

9

Description
Level of blood urea nitrogen
Timepoint
Before intervention and 8 days after intervention
Method of measurement
Spectrophotometer

Intervention groups

1

Description
Intervention group: fifty patients use three 400 mg capsules of the Sophora alopecuroides var. alopecuroides seed hydro-alcoholic extract once orally every 24 hours for 8 days. The extract is produced in the Institute of Medicinal Plants affiliated to the Iranian Academic Center for Education, Culture and Research. The patients do not receive any other drug or treatment.
Category
Treatment - Drugs

2

Description
Control group: fifty patients use three 400 mg placebo capsules containing maltodextrin once orally every 24 hours for 8 days. The placebo is produced in the Institute of Medicinal Plants affiliated to the Iranian Academic Center for Education, Culture and Research. The patients do not receive any other drug or treatment.
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Izad Mehr Setayesh addiction treatment camp
Full name of responsible person
Dr. Mohammad Mehdi Mirjalili
Street address
Valad Abad
City
Karaj
Province
Alborz
Postal code
2701566251
Phone
+98 26 3619 1519
Email
mmmirjalili@yahoo.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Vice Chancellor for Research, Research Institute for Islamic and Complementary Medicine
Full name of responsible person
Dr. Ali Ghobadi
Street address
Number 9, Pirnia Alley, Lalehzar Shomali Street, Jomhoori Eslami Avenue
City
Tehran
Province
Tehran
Postal code
1145847111
Phone
+98 21 3397 2108
Email
ghobadi.a@iums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Vice Chancellor for Research, Research Institute for Islamic and Complementary Medicine
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
Iranian academic center for education culture and research
Full name of responsible person
Dr. Saeed Kianbakht
Position
Assistant professor
Latest degree
Ph.D.
Other areas of specialty/work
Pharmacology
Street address
Institute of Medicinal Plants, ACECR Complex, Supa Boulevard, Poleh Kordan
City
Karaj
Province
Alborz
Postal code
3365166571
Phone
+98 26 3476 4010
Email
kianbakht@imp.ac.ir
Web page address
http://www.imp.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Iranian academic center for education culture and research
Full name of responsible person
Dr. Saeed Kianbakht
Position
Assistant professor
Latest degree
Ph.D.
Other areas of specialty/work
Pharmacology
Street address
Institute of Medicinal Plants, ACECR Complex, Supa Boulevard, Poleh Kordan
City
Karaj
Province
Alborz
Postal code
3365166571
Phone
+98 26 3476 4010
Email
kianbakht@imp.ac.ir
Web page address
http://www.imp.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Iranian academic center for education culture and research
Full name of responsible person
Dr. Saeed Kianbakht
Position
Assistant professor
Latest degree
Ph.D.
Other areas of specialty/work
Pharmacology
Street address
Institute of Medicinal Plants, ACECR Complex, Supa Boulevard, Poleh Kordan
City
Karaj
Province
Alborz
Postal code
3365166571
Phone
+98 26 3476 4010
Email
kianbakht@imp.ac.ir
Web page address
http://www.imp.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
No - There is not a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
No - There is not a plan to make this available
Data Dictionary
No - There is not a plan to make this available
Title and more details about the data/document
All collected deidentified IPD are to be shared.
When the data will become available and for how long
Access period starting 6 months after publication for 1 year.
To whom data/document is available
Researchers working in university and scientific and industrial institutes.
Under which criteria data/document could be used
Only statistical analyses mentioned in the article resulting from the study for personal knowledge are permitted. Written request for access to data and documents and its aim must be certified by the highest ranking official of the work place of the requester.
From where data/document is obtainable
Dr. Saeed Kianbakht with the address ACECR Institute of Medicinal plants, P.O. Box: 31375-369, Iran.
What processes are involved for a request to access data/document
Written request should be sent to the address Dr. Saeed Kianbakht, ACECR Institute of Medicinal Plants, P.O. Box: 31375-369, Iran. The documents or data file will be sent to the requester by email.
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