Protocol summary

Study aim
Determining Comparison of the effect of the hydroalcoholic extract of the medicinal plant Xenian (Trachyspermumammi L.), omeprazole and their simultaneous use on the symptoms and quality of life related to the health of patients with gastro-oesophageal reflux.
Design
Clinical trial, with factorial groups, randomized, phase 3 on 120 patients
Settings and conduct
Approval of the research plan in the university ethics committee. At the beginning of the study, completion of the checklist of demographic characteristics, reflux symptom index questionnaire and Health-related quality of life - gastroesophageal reflux disease. Intervention in three groups of intervention 1 (Zenian essential oil capsules 150 mg), intervention 2 (Omeprazole capsules 20 mg) and intervention 3 (Zenian essential oil capsules 150 mg and Omeprazole capsules 20 mg at the same time), Once a day for 4 weeks. Immediately after finishing the interventions, re-completion of the reflux symptom index questionnaire and Health-related quality of life - gastroesophageal reflux disease . The place of the intervention is the gastroenterology clinic.
Participants/Inclusion and exclusion criteria
Admission requirements: 1- Age 18-60 2- Consent to participate in the study and sign the informed consent form. Conditions of non-entry: 1- Taking antibiotics or non-steroidal anti-inflammatory drugs 2 weeks before the study 2- Previous participation in studies similar to the current research.
Intervention groups
Intervention group 1: Zenian essential oil capsules 150 mg: They use it once a day for 4 weeks. Intervention group 2: Omeprazole capsules 20 mg: It will be used once a day for 4 weeks. Intervention group 3: Zenian essential oil capsules 150 mg and Omeprazole capsules 20 mg at the same time: It will be used once a day for 4 weeks.
Main outcome variables
Improvement of gastroesophageal reflux symptoms and health-related quality of life

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20220619055216N1
Registration date: 2022-11-13, 1401/08/22
Registration timing: registered_while_recruiting

Last update: 2022-11-13, 1401/08/22
Update count: 0
Registration date
2022-11-13, 1401/08/22
Registrant information
Name
Alikaram Alamdari
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 74 3322 7573
Email address
alialamdari2009@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2022-10-23, 1401/08/01
Expected recruitment end date
2023-03-19, 1401/12/28
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of the effect of the hydroalcoholic extract of the medicinal plant Xenian (Trachyspermumammi L.), omeprazole and their simultaneous use on the symptoms and quality of life related to the health of patients with gastro-oesophageal reflux.
Public title
Investigating the effect of herbal medicineTrachyspermumammi L on the symptoms of gastro-oesophageal reflux
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Being 18-60 years old Consent to participate in the study and sign the informed consent form Diagnosing gastroesophageal reflux by gastroenterologist based on ROME lll criteria Body mass index (BMI) less than 30 (BMI>30) Absence of systemic diseases Absence of neurological defects
Exclusion criteria:
Taking antibiotics or non-steroidal anti-inflammatory drugs 2 weeks before the study Previous participation in studies similar to the current research Drug or alcohol abuse Existence of gastrointestinal malignancy based on history, physical examination, laboratory tests (for example, the number of white blood cells, CRP, ESR, and upper endoscopy) Liver and kidney function disorders based on laboratory tests Pregnancy History of severe allergy to medicinal plants History of upper gastrointestinal surgery and serious diseases such as heart failure, diabetes, epilepsy, previous or current significant psychiatric disorders
Age
From 18 years old to 60 years old
Gender
Both
Phase
3
Groups that have been masked
No information
Sample size
Target sample size: 120
Randomization (investigator's opinion)
Randomized
Randomization description
Block random assignment will be done in such a way that according to the number of groups under study (three groups) including intervention 1 (Zenian essential oil capsules 150 mg), intervention 2 (Omeprazole capsules 20 mg) and intervention 3 (Zenian essential oil capsules 150 mg and Omeprazole capsules 20 mg at the same time) and calculated based on the factorial law, i.e. 3 = 1 x 2 x 6 = !3, all the possible arrangements of the subjects considering A for the intervention group 1 (Zenian essential oil capsules 150 mg), B for the intervention group 2 (Omeprazole capsules 20 mg) and C for the intervention group 3 (Zenian essential oil capsules 150 mg and Omeprazole capsules 20 mg at the same time) will be compiled based on the following table: 1 2 3 4 5 6 CBA CAB BCA BAC ACB ABC Then, since the estimated sample size was 120 people, in each block, three samples, each representative of a study group and their arrangement order was also different, from these blocks, placement sampling will be done.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Factorial
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Yasouj University of Medical Sciences
Street address
Yasuj University of Medical Sciences, Shahid Motahari Blvd., Yasuj, Kohgiluyeh and Boyer-Ahmad, Islamic Republic of Iran
City
Yasuj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
7591741417
Approval date
2022-03-20, 1400/12/29
Ethics committee reference number
IR.YUMS.REC.1400.200

Health conditions studied

1

Description of health condition studied
Patients with gastroesophageal reflux
ICD-10 code
K21
ICD-10 code description
Gastro-esophageal reflux disease

Primary outcomes

1

Description
Reflux Symptom Index
Timepoint
Before and after the intervention
Method of measurement
reflux symptom index questionnaire

2

Description
Health-related quality of life - gastroesophageal reflux disease (GERD-HRQL
Timepoint
Before and after the intervention
Method of measurement
Health-related quality of life - gastroesophageal reflux disease (GERD-HRQL)

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group 1: Zenian essential oil capsules 150 mg: They use it once a day for 4 weeks. Zenian essential oil is produced in Kashan essential oil Barich pharmaceutical company. In order to determine the safe dose and prepare herbal soft gel capsules according to the available sources, the maximum dose of essential oils studied in medicinal plants in humans for daily oral consumption for Zenian is equal to 500 mg. To prepare the ethanolic extract, the plant sample (Zenian seeds) was dried in the shade (room temperature) after collection. After it was ensured that the seeds were completely dried, they were powdered by a mill, then to prepare the ethanolic extract, 100 grams of the dried powder was mixed with 500 cc of 70% ethanol and kept for 48 hours at room temperature and in the dark (22 °C) is kept. Then, the obtained extract was filtered by filter paper and 70% alcohol solution was added to it again for another 24 hours and kept in the same conditions as before. After this time, it was filtered again by filter paper and the solution was put into a rotary evaporator at a speed of 100 revolutions per minute to remove alcohol, and finally the said solution was dried at 40 degrees Celsius in an incubator.
Category
Treatment - Drugs

2

Description
Intervention group 2: Omeprazole capsules 20 mg: It will be used once a day for 4 weeks.
Category
Treatment - Drugs

3

Description
Intervention group 3: Zenian essential oil capsules 150 mg and Omeprazole capsules 20 mg at the same time: It will be used once a day for 4 weeks.
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
مراجعه کنندگان به کلینیک های تخصصی شهر ياسوج
Full name of responsible person
Ehsan Elahinia
Street address
Luqman St, Adl Square, Yasuj, Kohgiluyeh and Boyer-Ahmad, Islamic Republic of Iran
City
Yasuj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
7591111789
Phone
+98 917 145 9930
Email
elahie93@gmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Yasouj University of Medical Sciences
Full name of responsible person
Seyed Amin Hossaini Motlagh
Street address
Yasuj University of Medical Sciences, Shahid Motahari Blvd., Yasuj, Kohgiluyeh and Boyer-Ahmad, Islamic Republic of Iran
City
Yasuj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
7591741417
Phone
+98 74 3334 6078
Fax
+98 74 3334 6079
Email
nursing@yums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
No
Title of funding source
Yasouj 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
Yasouj University of Medical Sciences
Full name of responsible person
Ehsan Elahinia
Position
Master's student of medical sciences, Yasuj
Latest degree
Bachelor
Other areas of specialty/work
Nursery
Street address
Luqman St, Adl Square, Yasuj, Kohgiluyeh and Boyer-Ahmad, Islamic Republic of Iran
City
Yasuj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
7591111789
Phone
+98 74 3322 7573
Email
elahie@93gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Yasouj University of Medical Sciences
Full name of responsible person
Ehsan Elahinia
Position
Master's student of medical sciences, Yasuj
Latest degree
Bachelor
Other areas of specialty/work
Nursery
Street address
Luqman St, Adl Square, Yasuj, Kohgiluyeh and Boyer-Ahmad, Islamic Republic of Iran
City
Yasuj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
7591741417
Phone
+98 74 3322 7573
Email
elahie93@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Yasouj University of Medical Sciences
Full name of responsible person
Ehsan Elahinia
Position
Master's student of medical sciences, Yasuj
Latest degree
Bachelor
Other areas of specialty/work
Nursery
Street address
Luqman St, Adl Square, Yasuj, Kohgiluyeh and Boyer-Ahmad, Islamic Republic of Iran
City
Yasuj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
7591111789
Phone
+98 74 3322 7573
Email
elahie93@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be 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
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