Effects of Botanical Microglia Modulators in Gulf War Illness

NCT ID: NCT02909686

Last Updated: 2025-01-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-07-31

Study Completion Date

2022-09-30

Brief Summary

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The overall objective of this protocol is to test if Gulf War Illness (GWI) involves chronic inflammation that cannot be measured with typical techniques. The investigators will be observing the effects of nine different botanical compounds (supplements) that are known to suppress inflammation. If one of those supplements helps the symptoms of GWI, it will give the investigators information about what is wrong in people with GWI.

Detailed Description

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There is still a poor understanding of the pain, fatigue, and other symptoms that affect approximately 250,000 veterans. The precise mechanism of Gulf War Illness (GWI) is not understood, and there is no targeted treatment for the condition. A current model for GWI points to the central nervous system, immune cells, called microglia that may be hyperactive in patients with GWI. Discovering effective treatments for this disorder is a top priority of GWI research.

Given the investigator's preliminary data, it is suspected that GWI is a form of low-level neuroinflammation that involves hypersensitivity of receptors on microglia. In order to help test that hypothesis, the investigators will be administering supplements that have been shown in vitro or animal in vivo to suppress microglia function in a way that is anti-inflammatory and neuroprotective. If any of these agents suppress symptoms in GWI, it will give the investigators important information about the disease that may allow for creation of better diagnostic tools and treatments in future research studies. Observing the effects of the selected nine anti-inflammatory botanical compounds, in this clinical study, is a strong compliment to the ongoing mechanistic GWI research.

Conditions

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Gulf War Illness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

OTHER

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Boswellia Serrata

400-800mg in capsule form by mouth every day

Group Type EXPERIMENTAL

Boswellia Serrata

Intervention Type DIETARY_SUPPLEMENT

Curcumin

1000-2000mg in capsule form by mouth every day

Group Type EXPERIMENTAL

Curcumin

Intervention Type DIETARY_SUPPLEMENT

Epimedium

1000-2000mg in capsule form by mouth every day

Group Type EXPERIMENTAL

Epimedium

Intervention Type DIETARY_SUPPLEMENT

Fisetin

200-800mg in capsule form by mouth every day

Group Type EXPERIMENTAL

Fisetin

Intervention Type DIETARY_SUPPLEMENT

Luteolin

200-400mg in capsule form by mouth every day

Group Type EXPERIMENTAL

Luteolin

Intervention Type DIETARY_SUPPLEMENT

Nettle

435-1305mg in capsule form by mouth every day

Group Type EXPERIMENTAL

Nettle

Intervention Type DIETARY_SUPPLEMENT

Pycnogenol

200-400mg in capsule form by mouth every day

Group Type EXPERIMENTAL

Pycnogenol

Intervention Type DIETARY_SUPPLEMENT

Reishi Mushroom

1600-3200mg in capsule form by mouth every day

Group Type EXPERIMENTAL

Reishi Mushroom

Intervention Type DIETARY_SUPPLEMENT

Resveratrol

200-600mg in capsule form by mouth every day

Group Type EXPERIMENTAL

Resveratrol

Intervention Type DIETARY_SUPPLEMENT

Placebo

in capsule form by mouth every day

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Interventions

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Boswellia Serrata

Intervention Type DIETARY_SUPPLEMENT

Curcumin

Intervention Type DIETARY_SUPPLEMENT

Epimedium

Intervention Type DIETARY_SUPPLEMENT

Fisetin

Intervention Type DIETARY_SUPPLEMENT

Luteolin

Intervention Type DIETARY_SUPPLEMENT

Nettle

Intervention Type DIETARY_SUPPLEMENT

Pycnogenol

Intervention Type DIETARY_SUPPLEMENT

Reishi Mushroom

Intervention Type DIETARY_SUPPLEMENT

Resveratrol

Intervention Type DIETARY_SUPPLEMENT

Placebo

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Indian frankincense Curcumasorb Turmeric extract Meriva Barrenwort Bishop's Hat Fairy Wings Horny Goat Weed Yin Yang Huo Common Nettle urtica dioica Stinging Nettle Maritime Pine Extract Pine Bark Extract Red Wine Extract

Eligibility Criteria

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Inclusion Criteria

1. Male
2. Age 39-65, inclusive
4. Present in Persian Gulf between 1990 and August 1991
5. Patient completes daily report during 2 week baseline period (at least 80% completion rate)
6. Able to receive a venous blood draw

Exclusion Criteria

1. Positive rheumatoid factor at screening
2. Positive anti-nuclear antibody at screening
3. C-reactive protein\> 3mg/L at screening
4. Erythrocyte Sedimentation Rate\> 40mm/hr at screening
5. Auto-immune disorder
6. Diagnosed Rheumatologic Condition
7. Major PTSD symptoms
8. Hypotension (under 90/60 mm Hg) or history of cardiovascular disease
9. Antihypertensive, anticoagulant medication, nitroglycerine, lithium medication use
10. Diabetes with Hemoglobin A1C \>9%
11. History of anaphylaxis to study botanical compounds
12. Current daily use of opioid medication
13. Hospital Anxiety and Depression Scale, Depression subscale score of 16 or higher at baseline
14. Current litigation of worker's compensation claim
15. Blood or clotting disorder
16. Acute infection (body temperature over 100 degrees F)
17. Current daily use of confounding-anti-inflammatory medication as part of regular medication regimen
18. Individuals that are not able to read \& understand English
Minimum Eligible Age

39 Years

Maximum Eligible Age

65 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Congressionally Directed Medical Research Programs

FED

Sponsor Role collaborator

University of Alabama at Birmingham

OTHER

Sponsor Role lead

Responsible Party

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Jarred Younger

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jarred W Younger, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Alabama at Birmingham

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Countries

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United States

References

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Younger J, Donovan EK, Hodgin KS, Ness TJ. A Placebo-Controlled, Pseudo-Randomized, Crossover Trial of Botanical Agents for Gulf War Illness: Reishi Mushroom (Ganoderma lucidum), Stinging Nettle (Urtica dioica), and Epimedium (Epimedium sagittatum). Int J Environ Res Public Health. 2021 Apr 1;18(7):3671. doi: 10.3390/ijerph18073671.

Reference Type DERIVED
PMID: 33915962 (View on PubMed)

Hodgin KS, Donovan EK, Kekes-Szabo S, Lin JC, Feick J, Massey RL, Ness TJ, Younger JW. A Placebo-Controlled, Pseudo-Randomized, Crossover Trial of Botanical Agents for Gulf War Illness: Resveratrol (Polygonum cuspidatum), Luteolin, and Fisetin (Rhus succedanea). Int J Environ Res Public Health. 2021 Mar 3;18(5):2483. doi: 10.3390/ijerph18052483.

Reference Type DERIVED
PMID: 33802381 (View on PubMed)

Donovan EK, Kekes-Szabo S, Lin JC, Massey RL, Cobb JD, Hodgin KS, Ness TJ, Hangee-Bauer C, Younger JW. A Placebo-Controlled, Pseudo-Randomized, Crossover Trial of Botanical Agents for Gulf War Illness: Curcumin (Curcuma longa), Boswellia (Boswellia serrata), and French Maritime Pine Bark (Pinus pinaster). Int J Environ Res Public Health. 2021 Mar 3;18(5):2468. doi: 10.3390/ijerph18052468.

Reference Type DERIVED
PMID: 33802272 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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CDMRP-GW130015

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

F150318011

Identifier Type: -

Identifier Source: org_study_id

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