Protocol summary

Study aim
Investigating the effectiveness of the supplement containing bromelain (Anaheal 1200 GDU enteric coated) on wound healing, pain, and inflammation in patients with diabetic foot ulcers
Design
Phase 3 clinical trial is conducted on 70 patients, with a control group, with parallel groups, double-blind.
Settings and conduct
This study will be conducted on people over 18 with diabetic foot ulcers who refer to the diabetic foot ulcer center of Shariati Hospital in Tehran. The first group will receive the standard treatment along with Anaheal GDU 1200 (equals to 500 mg bromelain) supplement which contains bromelain and the second group will receive the standard treatment and placebo which contains Avicel. The informed consent form prepared in advance will also be provided to the patients so that they are fully familiar with the study process.
Participants/Inclusion and exclusion criteria
Inclusion criteria: patients over 18 years old with diabetic foot ulcers of categories 0, 1 and 2 according to the Wagner criteria Exclusion criteria: patients with allergies to certain foods (pineapple, celery, carrots, fennel), pregnant and lactating women, severe kidney and liver disorders, hemophilia, taking anticoagulants, patients with irregular heartbeat, tachycardia, asthma and other allergies that could interfere with the study.
Intervention groups
In the experimental group, 35 adults with diabetic foot ulcers will receive Anaheal 1200 GDU in addition to the standard treatment. In the control group, 35 adults with diabetic foot ulcers will receive placebo in addition to standard treatment.
Main outcome variables
Wound surface area, rate of pain, rate of inflammatory factors (ESR and CRP)

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20230629058615N6
Registration date: 2024-10-31, 1403/08/10
Registration timing: prospective

Last update: 2024-10-31, 1403/08/10
Update count: 0
Registration date
2024-10-31, 1403/08/10
Registrant information
Name
Amir Rezazadeh
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 912 729 8761
Email address
rezazadeh.am@iums.ac.ir
Recruitment status
recruiting
Funding source
Expected recruitment start date
2024-12-21, 1403/10/01
Expected recruitment end date
2025-05-20, 1404/02/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Investigating the effectiveness of the supplement containing enteric-coated bromelain (Anaheal 1200 GDU) in healing wounds, pain, and inflammation in patients over 18 years old with diabetic foot ulcers compared to placebo
Public title
Investigating the effectiveness of the supplement containing enteric-coated bromelain (Anaheal 1200 GDU) in patients with diabetic foot ulcers
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Patients over 18 years of age with diabetic foot ulcers of category 0, 1 and 2 according to the Wagner criteria Patients aware of the study process for monitoring after filling out the informed consent form
Exclusion criteria:
People who are allergic to pineapple, celery, carrot and fennel Pregnant and lactating women Severe kidney failure (GFR>30) Severe liver failure (Child Pugh B, C) Patients with hemophilia People taking anticoagulant drugs, anti-platelet and thrombolytic Patients with irregular heartbeat and tachycardia People with asthma
Age
From 18 years old
Gender
Both
Phase
3
Groups that have been masked
  • Participant
  • Care provider
  • Investigator
Sample size
Target sample size: 70
Randomization (investigator's opinion)
Randomized
Randomization description
In this study, volunteers were individually assigned into two Groups (drug and placebo) using block randomization. It should be noted that 4 sized blocks are used in this method. Block randomization was done using the "https://www.sealedenvelope.com" website and the obtained specialized codes (including two English letters and one number) were assigned to each candidate in the order of entry.
Blinding (investigator's opinion)
Double blinded
Blinding description
Block randomization is performed by an independent individual who labels the drugs and placebos based on the generated codes. The physician and the study executor administer the drug/placebo to patients using the corresponding code, without knowing the type of treatment. Similarly, patients receive treatment based on the specified code and are unaware of their treatment type. It is worth mentioning that the statistician is aware of the group allocations and uses the information provided by the independent individual to categorize patients into two groups and perform the statistical tests.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
The Research Ethics Committees of Pharmacy and Pharmaceutical Sciences, Islamic Azad University
Street address
No. 99, yasaman St., Yakhchal St, Shariati Ave.
City
Tehran
Province
Tehran
Postal code
1941933111
Approval date
2024-09-17, 1403/06/27
Ethics committee reference number
IR.IAU.PS.REC.1403.400

Health conditions studied

1

Description of health condition studied
Diabetic foot ulcer
ICD-10 code
E08.621
ICD-10 code description
Diabetes mellitus due to underlying condition with foot ulcer

Primary outcomes

1

Description
Dimensions (length and width) and wound surface area
Timepoint
At days 0, 14, 28, 42 and 56
Method of measurement
Using a Image J software

Secondary outcomes

1

Description
The amount of inflammation
Timepoint
At days 0, 28 and 56
Method of measurement
Lab test parameters of Erythrocyte Sedimentation Rate and C-reactive protein

2

Description
The amount of pain
Timepoint
At days 0, 14, 28, 42 and 56
Method of measurement
Visual Analogue Scale

3

Description
Side effects of Anaheal 1200 GDU
Timepoint
At days 0, 14, 28, 42 and 56
Method of measurement
Ask the patient

Intervention groups

1

Description
Intervention group: It includes 35 patients over 18 years old with diabetic foot ulcers of categories 0, 1 and 2 according to Wagner criteria. After checking the study's inclusion and exclusion criteria and obtaining informed consent, patients will receive two Anaheal 1200 GDU (equals to 500 mg bromelain) capsules with the intestinal coating (manufactured by Salamat Parmoon Amin Company) per day for 8 weeks in addition to the standard treatment.
Category
Treatment - Drugs

2

Description
Control group: It includes 35 patients over 18 years old with diabetic foot ulcers of categories 0, 1 and 2 according to Wagner criteria. After checking the study's inclusion and exclusion criteria and obtaining informed consent, patients will receive two placebos per day containing Avicel and having the same appearance as the original drug (manufactured by Salamat Parmoon Amin Company) for 8 weeks in addition to the standard treatment.
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Sasan hospital
Full name of responsible person
Mobina Tajdari
Street address
No. 43, Valiasr square, Keshavarz boulevard, after Palestine intersection
City
Tehran
Province
Tehran
Postal code
1415983391
Phone
+98 21 8896 5170
Email
info@sasanhospital.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Islamic Azad University
Full name of responsible person
Amir Rezazadeh
Street address
No. 99, Yakhchal Street, Shariati Avenue.
City
Tehran
Province
Tehran
Postal code
1916893813
Phone
+98 21 2264 0599
Email
rezazadeh.am@iums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
No
Title of funding source
Salamat Parmoon Amin Pharmaceutical company
Proportion provided by this source
100
Public or private sector
Private
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Industry

Person responsible for general inquiries

Contact
Name of organization / entity
Islamic Azad University
Full name of responsible person
Mobina Tajdari
Position
Pharmacy student
Latest degree
A Level or less
Other areas of specialty/work
Medical Pharmacy
Street address
No. 99, yasaman St., Yakhchal St, Shariati Ave.
City
Tehran
Province
Tehran
Postal code
1941933111
Phone
+98 21 2264 0051
Email
mobinatjdr@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
Amir Rezazadeh
Position
Assistant professor
Latest degree
Specialist
Other areas of specialty/work
Medical Pharmacy
Street address
School of Pharmacy, Shahid basarati St, shahid kabiri tameh (Shahin Shomali) St ,Hemmat Highway
City
Tehran
Province
Tehran
Postal code
1475886671
Phone
+98 21 4460 6181
Email
rezazadeh.am@iums.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Islamic Azad University
Full name of responsible person
Kamyab Andarzbakhsh
Position
Clinical cooperator of the study
Latest degree
Medical doctor
Other areas of specialty/work
Medical Pharmacy
Street address
No. 99, yasaman St., Yakhchal St, Shariati Ave.
City
Tehran
Province
Tehran
Postal code
1941933111
Phone
+98 21 2264 0052
Email
Kamyab.dr@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
The final results of scoring the condition of the wound surface area inflammation, pain, and related parameters
When the data will become available and for how long
After publishing the related article in international journals
To whom data/document is available
Researchers in the field of medicine and pharmacy
Under which criteria data/document could be used
Development of science and expand evidence related to treatment in further research
From where data/document is obtainable
Islamic Azad University, Tehran Medical Sciences Branch: Respected applicants can use the following method to receive their desired documents or data from Islamic Azad University, Tehran Medical Sciences Branch: Communication with the Research and Technology Unit: To receive information and documents related to research and clinical trials, applicants can refer to the Research and Technology Unit of the university. Postal Address: Administrative Building Address: Administrative Building of Tehran Islamic Azad University of Medical Sciences, Gol Yakh Street, Ayeneh Boulevard, Amir Pabarja Street, Qolhak , Dr. Shariati Street, Tehran, Iran. Contact Number: 26602642-3 Email: rezazadeh.am@iums.ac.ir Website: www.tms.iau.ir
What processes are involved for a request to access data/document
Request Submission and Documentation/Data Retrieval Process from the Research and Technology Department: Request Submission: Applicants must submit their request in writing, including full details (type of documents or data, purpose of request, and related supplementary information) to the university's Research and Technology Department. Method of Submission: Requests can be delivered in person to the Research and Technology Department. Postal Address: Administrative Building Address: Administrative Building of Tehran Islamic Azad University of Medical Sciences, Gol Yakh Street, Ayeneh Boulevard, Amir Pabarja Street, Qolhak , Dr. Shariati Street, Tehran, Iran. Phone Number: 26602642-3.Request Review: After receiving the request, the Research and Technology Department staff will review it. This review includes assessing the content of the request and determining if additional information is needed. If further clarification or adjustments are required, the applicant will be contacted via email or phone. Document/Data Delivery: Once prepared, the requested documents or data will be delivered to the applicant either in person or electronically. Delivery Methods: Electronic: Sent via email. Final Delivery Timeframe: 1 to 2 business days after preparation.Follow-up and Communication: Applicants can contact the Research and Technology Department at any stage of the process to follow up on the status of their request. Phone Number: 26602642-3.stimated Overall Timeframe for Receiving Documents/Data: From the time the request is submitted until the final receipt of documents or data, the process typically takes between 15 and 20 business days."
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