Protocol summary

Study aim
Determining the effectiveness of Nestern on orthostatic hypotension in people with type 2 diabetes
Design
A clinical trial with a control group, double-blind, randomized, phase 3 on 60 patients. For randomization, simple randomization method is used through Random allocation software version 2.0.
Settings and conduct
This study will be conducted in Yazd diabetes center on patients with type 2 diabetes and orthostatic hypotension. One group will receive placebo and one group will receive capsules containing Rosa canola plant extract based on the random allocation list prepared by the statistician. Drug and placebo are marked in similar packages with letters A and B, and only the pharmaceutical company knows which package is drug or placebo, and the researcher, statistical consultant, patients, and supervisor do not know about this.
Participants/Inclusion and exclusion criteria
Inclusion criteria: age over 18 years; suffering from type 2 diabetes; Suffering from orthostatic hypotension based on internal specialist's diagnosis. Exclusion criteria: recent stroke or heart attack, having heart rhythm disorders, uncontrolled blood pressure, end-stage renal disease (ESRD), neuromuscular disease, heart failure (CHF), HA1C level more than 9, GFR level less than 30, people who are treated with prazosin and tamsulosin, unwillingness to treatment
Intervention groups
People with type 2 diabetes who have orthostatic hypotension
Main outcome variables
Improvement of orthostatic hypotension in patients with type 2 diabetes

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20240726062545N1
Registration date: 2024-08-03, 1403/05/13
Registration timing: prospective

Last update: 2024-08-03, 1403/05/13
Update count: 0
Registration date
2024-08-03, 1403/05/13
Registrant information
Name
Morvarid Salamati
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 35 3822 4000
Email address
m.salamati78@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-09-05, 1403/06/15
Expected recruitment end date
2024-10-21, 1403/07/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Investigating the effect of extract of rosa canina fruit on orthostatic hypotension in people with type 2 diabetes
Public title
Investigating the effect of extract of rosa canina fruit on orthostatic hypotension
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Age above 18 years Suffering from type 2 diabetes Suffering from orthostatic hypotension based on internal specialist's diagnosis
Exclusion criteria:
Recent stroke or heart attack Having heart rhythm disorders uncontrolled blood pressure end-stage renal disease (ESRD) neuromuscular disease heart failure (CHF) HA1C level greater than 9 GFR less than 30 People who are treated with prazosin and tamsulosin
Age
From 18 years old
Gender
Both
Phase
3
Groups that have been masked
  • Participant
  • Care provider
  • Investigator
  • Outcome assessor
  • Data analyser
Sample size
Target sample size: 60
Randomization (investigator's opinion)
Randomized
Randomization description
In this study, one of the groups is denoted by the letter A and the other group by the letter B. Then, the random allocation list is prepared by using the simple randomization method and through the Random allocation software version 2.0 by the statistical consultant. In this way, it is determined which of the types of drug packages each patient will receive based on the order of entry into the study(A or B). The drug and placebo are packed in similar containers by the drug supplier and labeled with the letters A and B. Which letter indicates which intervention is determined by the drug supplier during labeling, and Until the completion of the study, no one other than her/him will be informed about this issue.
Blinding (investigator's opinion)
Double blinded
Blinding description
Patient: Capsules containing medicine and placebo are completely similar in terms of shape, color and packaging. Due to the fact that rosa canina has a pleasant smell and the drug and placebo can be distinguished by the smell, so somerosa canina essential oil will be added to the content of the placebo so that they are almost similar in smell. Principal Investigator: The concerned resident will receive identical sealed medication packages marked with the letter A or B and will not be informed of which drug/placebo is contained in each medication package. Statistical consultant: She prepares the randomization list for two letters A and B, but she will not know which letter represents the intervention and which represents the control.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Research Ethics commitee of School of Medicine -Shahid Sadoughi University of Medical Sciences
Street address
Ebne sina Blvd ,Shahid Sadoughi Hospital
City
Yazd
Province
Yazd
Postal code
8915887857
Approval date
2024-07-06, 1403/04/16
Ethics committee reference number
IR.SSU.MEDICINE.REC.1403.042

Health conditions studied

1

Description of health condition studied
orthostatic hypotension
ICD-10 code
I95.1
ICD-10 code description
Orthostatic hypotension

Primary outcomes

1

Description
orthostatic hypotension
Timepoint
Measurement of orthostatic hypotension at the beginning of the study and one month after the consumption of the rosa canina extract.
Method of measurement
Use of sphygmomanometer

2

Description
Orthostatic Intolerance* Questionnaire (OIQ) score
Timepoint
Measurement of Orthostatic Intolerance* Questionnaire (OIQ) score at the beginning of the study and one month after consumption of Rosa canina extract.
Method of measurement
Orthostatic Intolerance* Questionnaire (OIQ)

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: In addition to health recommendations such as drinking large amounts of fluids and increasing salt intake and following a diet, a 500 mg capsule containing water extract powder of Rosa canina with ID (voucher number I.SE.009), which is prepared as a capsule It is prepared from a pharmaceutical company affiliated with the Hellal Ahmar , it is used twice a day for 4 weeks. The standardization of the drug is based on total polyphenol as gallic acid.
Category
Treatment - Drugs

2

Description
Control group: In addition to health recommendations, such as drinking large amounts of fluids and increasing salt intake and following a diet, 500 mg placebo capsules containing starch powder and 1% Rosa canina essential oil are used every 12 hours for a month.
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Yazd Center for Diabetes
Full name of responsible person
Morvarid Salamati
Street address
Ebnesina Blvd, Shafid sadoughi hospital
City
Yazd
Province
Yazd
Postal code
8915887857
Phone
+98 910 230 9239
Email
m.salamti78@gmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Yazd University of Medical Sciences
Full name of responsible person
Morvarid Salamati
Street address
Ebn Sina Blvd, Shahid Sadoughi Hospital
City
Yazd
Province
Yazd
Postal code
8915887857
Phone
+98 910 230 9239
Email
m.salamati78@gmail.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Yazd 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
Yazd University of Medical Sciences
Full name of responsible person
Morvarid Salamati
Position
Resident
Latest degree
Medical doctor
Other areas of specialty/work
Internal Medicine
Street address
Ebn Sina Blvd, Shahid Sadoughi Hospital
City
Yazd
Province
Yazd
Postal code
8915887857
Phone
0003538224000
Email
m.salamati78@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Yazd University of Medical Sciences
Full name of responsible person
Morvarid Salamati
Position
Resident
Latest degree
Medical doctor
Other areas of specialty/work
Internal Medicine
Street address
Ebn Sina Blvd, Shahid Sadoughi Hospital
City
Yazd
Province
Yazd
Postal code
8915887857
Phone
000353822400
Email
m.salamati78@ gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Yazd University of Medical Sciences
Full name of responsible person
Morvarid Salamati
Position
Resident
Latest degree
Medical doctor
Other areas of specialty/work
Internal Medicine
Street address
Ebn Sina Blvd, Shahid Sadoughi Hospital
City
Yazd
Province
Yazd
Postal code
8915887857
Phone
0003538224000
Email
m.salamati78@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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