Protocol summary

Study aim
Determining the effect of dried chicory root extract powder on improving the degree of fatty liver in people with non-alcoholic fatty liver disease
Design
Clinical trial with a control group, with parallel groups, double-blind, randomized, phase 3 on 220 patients. The rand function of Excel software was used for randomization.
Settings and conduct
Specialized clinics of Sayad and 5 Azar and Deziani hospitals.
Participants/Inclusion and exclusion criteria
Entry requirements: Age 18 to 60 years, male or female, liver grade 2 or 2 to 3 or 3 diagnosed by ultrasound (US) or diagnosis of NAFLD by fibroscan Exit conditions: history of allergy to herbal medicines in the composition, Presence of pregnancy and breastfeeding History of liver problems, including liver cirrhosis. Hereditary liver diseases, such as Wilson's, hemochromatosis and tumoral and parasitic liver diseases, obesity (BMI>35), diabetes and participating in another clinical study of fatty liver in 2 months before entering the present study
Intervention groups
220 people with non-alcoholic fatty liver disease, between the ages of 18 and 60 (110 men or women in each group) were referred by internists and gastroenterologists from the specialized clinics of Sayad, 5 Azar, and Deziani hospitals, to the Iranian Medical School. and Traditional Medicine Unit of Deziani Clinic under the Golestan University of Medical Sciences with the inclusion criteria, after obtaining informed consent and filling the clinical information checklist .
Main outcome variables
Main outcome: Improvement of fatty liver degree during 8 weeks of study Secondary outcome: reduction of aminotransferase levels and lipid profile; fasting sugar; ferritin; total bilirubin and BMI; WHR after week 8 and 12 of the study

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20231025059862N3
Registration date: 2024-07-27, 1403/05/06
Registration timing: prospective

Last update: 2024-07-27, 1403/05/06
Update count: 0
Registration date
2024-07-27, 1403/05/06
Registrant information
Name
Mehdi Zarvandi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 17 3325 1653
Email address
dr.zarvandi@goums.ac.ir
Recruitment status
recruiting
Funding source
Expected recruitment start date
2024-08-05, 1403/05/15
Expected recruitment end date
2025-08-06, 1404/05/15
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Investigating the effect of chicory root extract on improving the degree of fatty liver in patients with non-alcoholic fatty liver disease: a randomized clinical trial with a double-blind control group
Public title
Investigating the effect of chicory on fatty liver
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Age 18 to 60 years, male or female, liver grade 2 or 2 to 3 or 3 diagnosed by ultrasound (US) or diagnosis of NAFLD by fibroscan
Exclusion criteria:
history of allergy to herbal medicines in the composition, Presence of pregnancy and breastfeeding History of liver problems, including liver cirrhosis.Hereditary liver diseases, such as Wilson's, hemochromatosis and tumoral and parasitic liver diseases, obesity (BMI>35), diabetes participating in another clinical study of fatty liver in 2 months before entering the present study
Age
From 18 years old to 60 years old
Gender
Both
Phase
3
Groups that have been masked
  • Participant
  • Investigator
Sample size
Target sample size: 220
Randomization (investigator's opinion)
Randomized
Randomization description
The randomization process of the samples is extracted using the simple random method with the envelope method, in which the letters A (intervention group) and B (control group) are written in the envelopes, and according to the letters that come out of the sample envelopes, study groups will be assigned.
Blinding (investigator's opinion)
Double blinded
Blinding description
So that both the patients and the research doctor related to the patients are unaware of the exposure received by the patient. In other words, both the research doctor and the patients do not know whether they are taking a placebo or a drug.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Golestan University of Medical Sciences
Street address
7th floor, Phoenix building, Azar 9 Ave.
City
Gorgan
Province
Golestan
Postal code
4917613797
Approval date
2024-07-09, 1403/04/19
Ethics committee reference number
IR.GOUMS.REC.1403.144

Health conditions studied

1

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

Primary outcomes

1

Description
The main outcome is the improvement of the degree of fatty liver during 8 weeks of study.
Timepoint
Measurement of fatty liver degree before the intervention, and 8 weeks after the intervention
Method of measurement
sonography

Secondary outcomes

1

Description
decrease in the level of aminotransferases
Timepoint
Before the intervention and 8 weeks after the intervention
Method of measurement
Laboratory test

2

Description
decrease in the level of fat profile
Timepoint
Before the intervention and 8 weeks after the intervention
Method of measurement
Laboratory test

3

Description
decrease in the level of fasting sugar,
Timepoint
Before the intervention and 8 weeks after the intervention
Method of measurement
Laboratory test

4

Description
decrease in the level of ferritin
Timepoint
Before the intervention and 8 weeks after the intervention
Method of measurement
Laboratory test

5

Description
decrease in the level of total bilirubin
Timepoint
Before the intervention and 8 weeks after the intervention
Method of measurement
Laboratory test

6

Description
decrease in the BMI( Body Mass Index)
Timepoint
Before the intervention and 8 & 12 weeks after the intervention
Method of measurement
Anthropometric measures

7

Description
decrease in the WHR (Waist to hip)
Timepoint
Before the intervention and 8 & 12 weeks after the intervention
Method of measurement
Anthropometric measures

Intervention groups

1

Description
Intervention group: In the intervention group, chicory capsule (containing dried powder of chicory root extract), along with the method of use (one 300 mg capsule three times a day, fasting, between lunch and dinner meals and before bed, in the required number), It is delivered to the patient for 2 weeks. If the patient takes it regularly and there are no special complications, this procedure will be performed every two weeks until the end of the 8th week.
Category
Treatment - Other

2

Description
Control group: In the control group, placebo capsules (containing starch), along with the method of use (one 300 mg capsule three times a day, fasting, between lunch and dinner meals and before bed, as needed), for 2 weeks delivered to the patient. If the patient takes it regularly and there are no special complications, this procedure will be performed every two weeks until the end of the 8th week.
Category
Treatment - Other

Recruitment centers

1

Recruitment center
Name of recruitment center
Specialized clinic of Shahid Sayad Shirazi Hospital
Full name of responsible person
Mahdi Zarvandi
Street address
7th floor, Phoenix building, Azar 9 Aven.
City
Gorgan
Province
Golestan
Postal code
4917613787
Phone
+98 17 3224 5892
Email
dr.zarvandi@goums.ac.ir

2

Recruitment center
Name of recruitment center
Specialized clinic of 5 Azar Hospital
Full name of responsible person
Mahdi Zarvandi
Street address
7th floor, Phoenix building, Azar 9 Aven.
City
Gorgan
Province
Golestan
Postal code
4917613787
Phone
+98 17 3224 5892
Email
dr.zarvandi@goums.ac.ir

3

Recruitment center
Name of recruitment center
Deziani Specialized Clinic
Full name of responsible person
Mahdi Zarvandi
Street address
7th floor, Phoenix building, Azar 9 Aven.
City
Gorgan
Province
Golestan
Postal code
4917613787
Phone
+98 17 3224 5892
Email
dr.zarvandi@goums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Gorgan University of Medical Sciences
Full name of responsible person
Mahdi Zarvandi
Street address
7th floor, Phoenix building, Azar 9 Aven.
City
Gorgan
Province
Golestan
Postal code
4917613787
Phone
+98 17 3224 5892
Email
dr.zarvandi@goums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Gorgan 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
Gorgan University of Medical Sciences
Full name of responsible person
Mehdi Zarvandi
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Traditional Medicine
Street address
7th floor, Phoenix building, Azar 9 Aven
City
Gorgan
Province
Golestan
Postal code
4917613787
Phone
+98 17 3224 5892
Email
dr.zarvandi@goums.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Gorgan University of Medical Sciences
Full name of responsible person
Mehdi Zarvandi
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Traditional Medicine
Street address
7th floor, Phoenix building, Azar 9 Aven.
City
Gorgan
Province
Golestan
Postal code
4917613787
Phone
+98 17 3224 5892
Email
dr.zarvandi@goums.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Gorgan University of Medical Sciences
Full name of responsible person
Mehdi Zarvandi
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Traditional Medicine
Street address
7th floor, Phoenix building, Azar 9 Aven
City
Gorgan
Province
Golestan
Postal code
4917613787
Phone
+98 17 3224 5892
Email
dr.zarvandi@goums.ac.ir

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
Not applicable
Informed Consent Form
No - There is not 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
Not applicable
Data Dictionary
Not applicable
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