Protocol summary

Study aim
Determining the effect of "Gho­­rs-Gol-Mohammadi" on clinical symptoms of patients with functional dyspepsia with Helicobacter pylori
Design
A controlled, double-blind, randomized, trial with parallel groups, phase 3, 70 patients. A computer random number table was used for randomization.
Settings and conduct
Participants referred to Gastrointestinal Diseases Clinic of Ayatollah Rouhani Hospital, Babol University of Medical Sciences, diagnosed with functional dyspepsia with Helicobacter pylori by the gastroenterologist (based on Rome IV), are introduced to researcher and if they met the inclusion criteria and informed consent are included in the study. This is a randomized double-blind clinical trial with two intervention groups of "Gors-Gol-Mohammadi pills" and "placebo" control. In each group, 35 participants are randomly allocated. Patients, health care providers, main researcher and statistical analyst are not aware of the type of intervention. The code sequence is hidden and the drug and placebo in the same dosage form are placed in the same sealed containers.
Participants/Inclusion and exclusion criteria
Inclusion: patients aged 18 to 65 years with symptoms of functional dyspepsia, diagnosis based on ROME IV criteria by gastroenterologist, with Helicobacter pylori infection. Exclusion: endoscopy with pathological findings, underlying diseases, history of abdominal surgery; malignancy. Pregnancy and breastfeeding. NSAIDs, herbal medicine, alcohol usage, smoking, history of allergy to formulation components
Intervention groups
Drug: Gho­­rs-Gol-Mohammadi preparation consisting of Rosa damascena, licorice and Nardostachys jatamansi (2-1-1); placebo: tablets of corn starch mixed with 1% of Gho­­rs-Gol-Mohammadi powder
Main outcome variables
Severity of functional dyspepsia symptoms based on the total score of the GSRS questionnaire

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20221209056758N1
Registration date: 2023-01-01, 1401/10/11
Registration timing: prospective

Last update: 2023-01-01, 1401/10/11
Update count: 0
Registration date
2023-01-01, 1401/10/11
Registrant information
Name
Nader Behgam
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 66 4323 1675
Email address
behgam98@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-02-04, 1401/11/15
Expected recruitment end date
2023-06-20, 1402/03/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Evaluation of the effect of‏‎ the poly-herbal preparation, “Gho­­rs-Gol-Mohammadi”, ‎on clinical symptoms of patients with functional dyspepsia with H. pylori infection: a ‎double-blind randomized controlled trial
Public title
Gho­­rs-Gol-Mohammadi in functional dyspepsia
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Patients with complaints of Functional dyspepsia Diagnosis of functional dyspepsia based on ROME IV criteria by gastroenterologist Helicobacter pylori infection positive test
Exclusion criteria:
History of peptic ulcer or reflux disease Endoscopy with specific pathological findings The presence of underlying diseases including heart failure, high blood pressure, kidney failure and uremic disease, cirrhosis History of abdominal surgery Any type of malignancy, history of chemotherapy and radiotherapy or exposure to radioactive radiation Pregnancy and breastfeeding Helicobacter pylori infection negative test NSAIDs or any herbal medicine use Smoking and alcohol consumption History of any sensitivity to formulation components
Age
From 18 years old to 65 years old
Gender
Both
Phase
3
Groups that have been masked
  • Participant
  • Care provider
  • Investigator
  • Outcome assessor
  • Data analyser
Sample size
Target sample size: 70
Randomization (investigator's opinion)
Randomized
Randomization description
First, based on the computerized random number table, the statistical consultant provides a list of numbers to the person preparing the drugs. After completing the drug preparation process, in the labeling stage, the containers are coded according to the series of numbers, and the list of numbers and groups is kept confidentially by the person preparing the drug until the end of the study. Permuted blocks of 4 are used to randomly allocate participants in two interventions groups, and the preparations are placed in envelopes in the order of random allocation created.
Blinding (investigator's opinion)
Double blinded
Blinding description
The participants, the main researcher, the health care personnel who are responsible for the care of the patients, as well as the statistical analyzer, are blinded to the allocation of the two intervention groups to the drug or placebo. In this way, they are not aware of random codes, random allocation method and product type. Both products are prepared with the same dosage form and are placed in the same completely sealed containers.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Research Ethics Committee, Health Research Institute, Babol University of Medical Sciences
Street address
GanjAfrooz St; Babol University of Medical Sciences, Babol
City
Babol
Province
Mazandaran
Postal code
Approval date
2022-11-27, 1401/09/06
Ethics committee reference number
IR.MUBABOL.HRI.REC.1401.182

Health conditions studied

1

Description of health condition studied
Functional dyspepsia
ICD-10 code
K30
ICD-10 code description
Functional dyspepsia

Primary outcomes

1

Description
The effect of «Ghors-Gol-mohammadi» on the severity of Functiona dyspepsia symptoms based on the total score of the GSRS questionnaire
Timepoint
At the beginning of the study, the second, fourth, sixth and eighth weeks from the beginning of the intervention
Method of measurement
Gastrointestinal Symptom Rating Scale questionnaire

Secondary outcomes

1

Description
The effect of "Ghors-Gol-mohammadi" on the severity of gastrointestinal symptoms in each of the 5 subgroups of symptoms of the Gastrointestinal Symptom Rating Scale questionnaire and the symptoms related to postprandial distress syndrome.
Timepoint
Before starting the intervention, the second, fourth, and eighth following weeks
Method of measurement
Gastrointestinal Symptom Rating Scale

2

Description
Score of quality of life
Timepoint
before the starting the intervention and at the eighth week
Method of measurement
Persian Nepean Quality of Life Questionnaire (NDI-10)

3

Description
Helicobacter pylori infection
Timepoint
Before the starting of the study and at the sixth week
Method of measurement
Urea breath test

Intervention groups

1

Description
Intervention group: Intervention group: GHors-Golmohammadi tablet consisting of R. damascena petals and dried licorice and N. jatamansi rhizomes, with a dose of 500 mg, three times a day (after meals) for 4 weeks. The drug is prepared by a specialist pharmacist in the pharmacy laboratory of the Faculty of Traditional Medicine of Babol University of Medical Sciences. In order to prepare medicine, in each plant is dried and ground into powder. Rose, licorice and jatamansi plant powders are mixed in a weight ratio of 2:1:1 and mixed with suitable excipients and natural polymers. Then, the powder is moistened and granulated for a short time by means of a certain ratio of wetting agents. After drying and disinfecting, the granules are ground again, then, tablets are pressed. The tablet is determined by the amount of gallic acid and glycyrrhizic acid, and physicochemical and microbial control tests are performed.
Category
Treatment - Drugs

2

Description
Control group: placebo. 3 times a day, for 4 weeks. Both groups are received standard treatments. The placebo is prepared by a specialist pharmacist in the pharmacy laboratory of the Faculty of Traditional Medicine of Babol University of Medical Sciences. For the preparation of placebo, corn starch is used. In order to make its smell similar to the original medicine, it is mixed with the powder of Ghors-Gol-mohammadi at a ratio of 1%. Also, allowed and standard coloring agent is used to simulate the color of the original tablet. Each tablet contains 500 mg of powder. microbial limit tests are performed.
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Ayatollah Rohani Hospital
Full name of responsible person
Nader Behgam
Street address
GanjAfrooz St
City
Babol
Province
Mazandaran
Postal code
47176-47745
Phone
+98 919 410 4099
Email
behgam98@gmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Babol University of Medical Sciences
Full name of responsible person
Dr Mehdi RajabNia
Street address
GanjAfrooz St
City
Babol
Province
Mazandaran
Postal code
47176-47745
Phone
+98 11 3219 4728
Email
ramazan@yahoo.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Babol 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
Babol University of Medical Sciences
Full name of responsible person
Nader Behgam
Position
PhD candidate
Latest degree
Medical doctor
Other areas of specialty/work
Traditional Medicine
Street address
GanjAfrooz St
City
Babol
Province
Mazandaran
Postal code
4717647745
Phone
+98 11 3219 4728
Email
Behgam98@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Babol University of Medical Sciences
Full name of responsible person
Zahra Memariani
Position
Assistant professor
Latest degree
Ph.D.
Other areas of specialty/work
Medical Pharmacy
Street address
GanjAfrooz St
City
Babol
Province
Mazandaran
Postal code
4717647745
Phone
+98 11 3219 4728
Email
memarianiz@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Babol University of Medical Sciences
Full name of responsible person
Nader Behgam
Position
PhD candidate
Latest degree
Medical doctor
Other areas of specialty/work
Traditional Medicine
Street address
GanjAfrooz St
City
Babol
Province
Mazandaran
Postal code
47176-47745
Phone
+98 11 3219 4728
Email
behgam98@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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