Efficacy of Whole Extract of Licorice in Neurological Improvement of Patients After Acute Ischemic Stroke
NCT ID: NCT02473458
Last Updated: 2015-06-16
Study Results
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Basic Information
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COMPLETED
PHASE1/PHASE2
75 participants
INTERVENTIONAL
2012-06-30
2014-06-30
Brief Summary
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Licorice, extracted from root of a plant scientifically known as Glycyrrhiza glabra, is used in food industries. Certain medical properties has been contributed to licorice and specifically to its active chemical components such as flavonoids and glycyrrhizic acid (GA). GA has been revealed to assert its anti-inflammatory effect by suppression of NF-κB, a key component of lipopolysaccharide-induced inflammatory response. Neuroprotective characteristics of GA has been widely investigated in recent studies.
In the present study, the investigators verified the efficacy and safety of oral administration of two different doses licorice extract in the patients with acute ischemic stroke, in a double-blind randomized controlled trial.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
QUADRUPLE
Study Groups
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Control
patients with acute ischemic stroke who received standard care plus placebo filled capsules,
Placebo
450 mg licorice
patients with acute ischemic stroke who received standard care plus capsules filled with 450 mg of whole extract of licorice.
Licorice whole extract
Patients randomly received one of below capsules labeled with codes during the first 24 hours after stroke attack:
1. Starch-filled capsules (as placebo)
2. 450 mg whole licorice extract capsules
3. 900 mg whole licorice extract capsules
900 mg licorice
patients with acute ischemic stroke who received standard care plus capsules filled with 900 mg of whole extract of licorice.
Licorice whole extract
Patients randomly received one of below capsules labeled with codes during the first 24 hours after stroke attack:
1. Starch-filled capsules (as placebo)
2. 450 mg whole licorice extract capsules
3. 900 mg whole licorice extract capsules
Interventions
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Licorice whole extract
Patients randomly received one of below capsules labeled with codes during the first 24 hours after stroke attack:
1. Starch-filled capsules (as placebo)
2. 450 mg whole licorice extract capsules
3. 900 mg whole licorice extract capsules
Placebo
Eligibility Criteria
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Inclusion Criteria
* ROSIER score higher than 2
* Confirmation of ischemic brain damage in CT scan
Exclusion Criteria
* Primary intracerebral hemorrhage
* Coma (level of consciousness more than 2 in NIHSS scale).
* Negative swallow test
* Patients undergoing hemicraniectomy
* History of epilepsy
* Clinical seizure at onset of stroke
* Systolic BP is \>160 mmHg, diastolic BP\>110 at onset of stroke (if a rise in blood pressure occurred in the course of study it was controlled according to medical guidelines)
* Atrial fibrillation or other tachy/bradyarrythmias at time of allocation or in the middle of intervention
* Ejection Fraction less than 45%
* Potassium less than 4 mEq/dl at onset of stroke
* Malignancy or premalignant state within 5 years
* Myocardial infarction in previous month
* Significant kidney disease (creatinine higher than 1.8 mg/dl)
* Significant liver disease (Bilirubin \> 20 mmoll/L)
* Significant lung disease (FEV1 \< 1.5 L, pO2 \< 70 in room air, pCO2 \> 45)
* Psychiatric illness requiring hospital admission
* Warfarin intake
* Digoxin intake
* Pregnancy
* Breast feeding
* Inability to have follow/up
18 Years
85 Years
ALL
No
Sponsors
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Shiraz University of Medical Sciences
OTHER
Responsible Party
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Afshin Borhani-Haghighi
Associate professor of Neurology
Locations
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Emergency Departement of Namazi hospital
Shiraz, Fars, Iran
Countries
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References
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Hinkle JL, Guanci MM. Acute ischemic stroke review. J Neurosci Nurs. 2007 Oct;39(5):285-93, 310. doi: 10.1097/01376517-200710000-00005.
Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Franco S, Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Huffman MD, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Magid D, Marcus GM, Marelli A, Matchar DB, McGuire DK, Mohler ER, Moy CS, Mussolino ME, Nichol G, Paynter NP, Schreiner PJ, Sorlie PD, Stein J, Turan TN, Virani SS, Wong ND, Woo D, Turner MB; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics--2013 update: a report from the American Heart Association. Circulation. 2013 Jan 1;127(1):e6-e245. doi: 10.1161/CIR.0b013e31828124ad. Epub 2012 Dec 12. No abstract available.
Granitto M, Galitz D. Update on stroke: the latest guidelines. Nurse Pract. 2008 Jan;33(1):39-46; quiz 47. doi: 10.1097/01.NPR.0000305977.24952.1c. No abstract available.
Ramos-Cabrer P, Campos F, Sobrino T, Castillo J. Targeting the ischemic penumbra. Stroke. 2011 Jan;42(1 Suppl):S7-11. doi: 10.1161/STROKEAHA.110.596684. Epub 2010 Dec 16.
Hwang IK, Lim SS, Choi KH, Yoo KY, Shin HK, Kim EJ, Yoon-Park JH, Kang TC, Kim YS, Kwon DY, Kim DW, Moon WK, Won MH. Neuroprotective effects of roasted licorice, not raw form, on neuronal injury in gerbil hippocampus after transient forebrain ischemia. Acta Pharmacol Sin. 2006 Aug;27(8):959-65. doi: 10.1111/j.1745-7254.2006.00346.x.
Other Identifiers
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90-01-01-4806
Identifier Type: -
Identifier Source: org_study_id
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