The Evaluation and Standardization of Ginseng and Its Components for Blood Pressure Regulation

NCT ID: NCT00730951

Last Updated: 2015-07-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-06-30

Study Completion Date

2008-03-31

Brief Summary

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While the use of herbals is increasing considerably, their efficacy and safety in the humans remains largely unknown. This surge in demand prompts a call for its evaluation. Preliminary data demonstrates that KRG can affect vascular function and our research group has previously shown that Korean Red Ginseng (KRG) can lower blood pressure (BP) in hypertensive individuals. However, it is unknown which dose is the most effective in producing a desired effect. To address this issue, we will test escalating doses of a single Korean red ginseng batch of 0.5g, 1g 3g and 6g on BP in patients with hypertension to determine the most efficacious dose. The most promising dose will be extracted and will advance to next level to be tested again on BP control. The findings of the study may result in better ginseng standardization.

Detailed Description

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Individuals will arrive at the Risk Factor Modification Centre, St. Michael's Hospital between the hours of 8:00 and 10:00am after a 10 to 12-hour fast on seven separate mornings. They will not have consumed any antihypertensive medications on the study mornings. Each visit will be separated by a minimum of a week. Since the half-life of ginsenosides in humans is less than 24-hours, to allow for a washout of approximately seven half-lives.

In each of the four studies, when individuals arrive at our clinic on a test day they will first have their weight measured and subsequently rest in the seated position. They will then have a catheter inserted into a forearm vein, which will be kept patent by saline. From this device, a registered intravenous nurse will obtain a series of 7ml blood samples. Blood will be taken at 30-min intervals. Subsequently, individuals will fill out forms detailing their pharmacological regimen for the previous 24-hours and their diet (dinner) and activity (sleep, urination, morning routine) regimen for the previous 12-hours. As well, they will detail any adverse events that they experienced since their previous visit. Individuals will then have their office BP measured with a mercury sphygmomanometer until three consecutive measurements of both SBP and DBP \<5 mmHg different are obtained. At this point, BP should be steady and subjects will be fitted with an ABPM. Measurements will be taken every 5-min for 30-min, for a total of seven measurements. After the seventh measurement (time 0-min), measurements will be taken automatically every 10-min for 180-min. At time 0-min, treatment or placebo capsules will be consumed. At time 60-min a 360-calorie EnsureĀ® breakfast will be consumed within 5-min. Blood samples will be drawn at 30-min intervals, starting at time 0-min. For 24-hours after the ingestion of treatment, a record of any side effects will be detailed by the participants and then provided to us.

Conditions

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Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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1

0.5g Korean Red Ginseng (1 capsule) 5.5g Corn Starch (11 capsules)

Group Type EXPERIMENTAL

Korean Red Ginseng

Intervention Type DIETARY_SUPPLEMENT

500mg Capsulated Ground Dried Korean Red Ginseng Root

Corn Starch

Intervention Type DIETARY_SUPPLEMENT

500mg Capsulated Corn Starch

2

1g Korean Red Ginseng (2 capsules) 5g Corn Starch (10 capsules)

Group Type EXPERIMENTAL

Korean Red Ginseng

Intervention Type DIETARY_SUPPLEMENT

500mg Capsulated Ground Dried Korean Red Ginseng Root

Corn Starch

Intervention Type DIETARY_SUPPLEMENT

500mg Capsulated Corn Starch

3

3g Korean Red Ginseng (6 capsules) 3g Corn Starch (6 capsules)

Group Type EXPERIMENTAL

Korean Red Ginseng

Intervention Type DIETARY_SUPPLEMENT

500mg Capsulated Ground Dried Korean Red Ginseng Root

Corn Starch

Intervention Type DIETARY_SUPPLEMENT

500mg Capsulated Corn Starch

4

6g Korean Red Ginseng (12 capsules)

Group Type EXPERIMENTAL

Korean Red Ginseng

Intervention Type DIETARY_SUPPLEMENT

500mg Capsulated Ground Dried Korean Red Ginseng Root

5

6g Corn Starch Control (12 capsules)

Group Type EXPERIMENTAL

Corn Starch

Intervention Type DIETARY_SUPPLEMENT

500mg Capsulated Corn Starch

Interventions

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Korean Red Ginseng

500mg Capsulated Ground Dried Korean Red Ginseng Root

Intervention Type DIETARY_SUPPLEMENT

Corn Starch

500mg Capsulated Corn Starch

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Essential Hypertension

Exclusion Criteria

* Secondary Hypertension
* Diabetes
* Chronic Kidney Disease
* Liver Disease
* Unstable Angina
* Coronary / Cerebrovascular event in the previous 6 months
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Heart and Stroke Foundation of Ontario

OTHER

Sponsor Role collaborator

Unity Health Toronto

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Vladimir Vuksan, PhD

Role: PRINCIPAL_INVESTIGATOR

Clinical Nutritian and Risk Factor Modification Centre

Locations

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Clinical Nutrition and Risk Factor Modification Centre

Toronto, Ontario, Canada

Site Status

Countries

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Canada

Other Identifiers

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107460

Identifier Type: -

Identifier Source: org_study_id

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