Protocol summary

Study aim
Determining the effect of Rheum Palmatum syrup (traditional medicine product) with diet and exercise in comparison with diet and exercise alone on liver enzymes in patients with non-alcoholic fatty liver
Design
Two arm parallel groups randomized controlled trial on 50 patients, random allocation software was used for randomization.
Settings and conduct
Fifty patients referred to the Liver and Gastroenterology Clinic of Imam Khomeini Hospital who suffer from non-alcoholic fatty liver are randomly assigned to one of the two intervention or control groups. At the end of the treatment period, the drug will be discontinued and liver tests will be repeated and recorded. The patients will be followed up for another three months without receiving medication, and at the end of three months, liver and sono tests will be repeated.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Age between 18 and 60 years and also fatty liver disease based on high liver enzymes with the diagnosis of a gastroenterologist and exclusion criteria includes: type 1 and type 2 diabetes require medication, positive serology for viral hepatitis B and C, Liver and kidney disease, Blood pressure-requiring medication (BP>130/85 mmhg), Liver cirrhosis, Pregnancy and lactation, Hyperlipidemia requiring medication TG> 150 mg / dl, Taking drugs such as valproate, amiodarone, methotrexate, tamoxifen, corticosteroids, hypothyroidism require medication and active malignancy in the body.
Intervention groups
Intervention group: Receiving Rheum Palmatum syrup along with receiving diet modification training and exercise Control group: receive diet modification and exercise training
Main outcome variables
ALT level

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20211019052813N1
Registration date: 2021-11-21, 1400/08/30
Registration timing: prospective

Last update: 2021-11-21, 1400/08/30
Update count: 0
Registration date
2021-11-21, 1400/08/30
Registrant information
Name
Mina Mohebbi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 17 3358 7989
Email address
dr.m_mohebi@yahoo.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-11-22, 1400/09/01
Expected recruitment end date
2022-01-21, 1400/11/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of Rheum Palmatum syrup (traditional medicine product) with diet and exercise in comparison with diet and exercise alone on liver enzymes in patients with non-alcoholic fatty liver (NAFLD)
Public title
Rheum Palmatum syrup and NAFLD
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Age between 18 and 60 years Fatty liver disease based on high liver enzymes
Exclusion criteria:
Type 1 and type 2 diabetes (requires medication) Positive serology of viral hepatitis B and C (anti-HCV or HBsAg positive) Liver and kidney disease Blood pressure-requiring medication (BP> 85/85 mmhg) Liver cirrhosis Pregnancy and lactation Hyperlipidemia (requires medication TG> 150mg / dl) Wilson and hemochromatosis Autoimmune hepatitis Taking drugs such as valproate, amiodarone, methotrexate, tamoxifen, corticosteroids Hypothyroidism (requires medication) Active malignancy in the body
Age
From 18 years old to 60 years old
Gender
Both
Phase
2
Groups that have been masked
No information
Sample size
Target sample size: 50
Randomization (investigator's opinion)
Randomized
Randomization description
Patients will be selected according to the inclusion criteria and then randomly assigned to the experimental and control groups according to the random sequence obtained through random allocation software.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not 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
Vice Chancellor for Research, 6th Floor, Central University Organization, Corner of Ghods St, Keshavarz Blvd.
City
Tehran
Province
Tehran
Postal code
Approval date
2021-10-13, 1400/07/21
Ethics committee reference number
IR.TUMS.MEDICINE.REC.1400.749

Health conditions studied

1

Description of health condition studied
Non-alcoholic fatty liver disease
ICD-10 code
K76.0
ICD-10 code description
K76.0Fatty (change of) liver, not elsewhere classified Nonalcoholic fatty liver disease (NAFLD)

Primary outcomes

1

Description
Liver enzymes (ALT, AST)
Timepoint
Baseline, after one month and after three months from the beginning of the study
Method of measurement
Measurement of serum levels of serum enzymes quantitatively

2

Description
Body mass index
Timepoint
Baseline, after one month and after three months from the beginning of the study
Method of measurement
weight in kilograms divided by height in meters squared

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: Receiving Rheum Palmatum syrup along with receiving exercise instructions and diet modification training
Category
Treatment - Drugs

2

Description
Control group: Receiving exercise instructions and diet modification training
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Gastroenterology and Liver Clinic of Imam Khomeini Hospital
Full name of responsible person
Ebrahim Khadem Azghadi
Street address
Sarparast Ave; Taleghani St, Faculty of Persian medicine; Tehran University of Medical Sciences, Tehran, Iran.
City
Tehran
Province
Tehran
Postal code
1417653761
Phone
+98 21 6675 4167
Email
ekhadem@tums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Akbar Fotouhi
Street address
Sixth floor, Keshavrz Blvd., Ghods Ave., Tehran University of Medical Sciences
City
Tehran
Province
Tehran
Postal code
1417653761
Phone
+98 21 8163 3685
Email
vcr@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
Mina Mohebbi
Position
Assistant of Iranian medicine
Latest degree
Medical doctor
Other areas of specialty/work
Traditional Medicine
Street address
Number 110 yoosef yadi street, shaghayegh avenue, daneshjoo Blvd
City
Gonbad-E Kavus
Province
Golestan
Postal code
1417653761
Phone
+98 17 3358 7989
Fax
Email
dr.m_mohebi@yahoo.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Mina Mohebbi
Position
Assistant of Iranian medicine
Latest degree
Medical doctor
Other areas of specialty/work
Traditional Medicine
Street address
Number 110 yoosef yadi street, shaghayegh avenue, daneshjoo Blvd
City
Gonbad-E Kavus
Province
Golestan
Postal code
1417653761
Phone
+98 17 3358 7989
Fax
Email
dr.m_mohebi@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Mina Mohebbi
Position
Assistant of Iranian medicine
Latest degree
Medical doctor
Other areas of specialty/work
Traditional Medicine
Street address
Number 110 yoosef yadi street, shaghayegh avenue, daneshjoo Blvd
City
Gonbad-E Kavus
Province
Golestan
Postal code
1417653761
Phone
+98 17 3358 7989
Fax
Email
dr.m_mohebi@yahoo.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
Title and more details about the data/document
After the study, information about the main outcome will be shared
When the data will become available and for how long
6 months after the publication of the article
To whom data/document is available
Researchers
Under which criteria data/document could be used
Data and results will be available to all researchers for NAFLD research.
From where data/document is obtainable
Email to dr.m_mohebi@yahoo.com
What processes are involved for a request to access data/document
The data will be provided to the applicant within one month after reviewing and confirming the request.
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