The Effect of Ethanol Extract Physalis Angulata Linn. in Scleroderma Patients With Standard Therapy

NCT ID: NCT03141125

Last Updated: 2017-08-29

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

NA

Total Enrollment

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-31

Study Completion Date

2017-08-31

Brief Summary

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Study about the effect of ethanol extract physalis angulate in scleroderma patients with standard therapy to reduce skin fibrosis based on modified Rodnan Skin Score, reduce inflammation, immunological response and fibrosis: A Randomized Clinical Placebo ControlledTrial with a prospective cohort study on scleroderma outpatient clinic in Cipto Mangunkusumo Hospital in Jakarta and Hasan Sadikin Hospital in Bandung, from January 2016 to July 2017

Detailed Description

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Background.

Scleroderma is a systemic autoimmune disease that can not be cured, the progression of the disease still difficult to prevent and lead to increased morbidity and mortality. Disease-modifying anti-rheumatic drugs (DMARDs) as standard immunosuppressant drugs to reduce, eliminate, inhibit inflammation and fibrosis in scleroderma patient is still less effective.

Objectives.

To evaluate the effect of ethanol extract of Physalis angulate Linn to reduce skin fibrosis based on MRSS, ESR, BAFF, sCD40L, and P1NP in scleroderma patients with standard therapy

Methods.

A Randomized, Double-Blind, Placebo-Controlled Clinical Trial on scleroderma patients with standard therapy, who admitted to Cipto Mangunkusumo Hospital Jakarta and Hasan Sadikin Hospital Bandung, from January 2016 to July 2017.

Patients must be controlled every month until three months for follow up. Subjects were divided into two parallel group, one of intervention group, and one of placebo group

Conditions

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Scleroderma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Physalis angulata Linn. ethanol extract 3 x 250 mg
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Double blind randomized placebo controlled trial

Study Groups

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Physalis angulata ethanol extract

Physalis angulata ethanol extract was given with dosage 3 x 250 mg/day, orally, for 3 months.

In addition, patients also received standard therapy for scleroderma.

Group Type EXPERIMENTAL

Physalis angulata ethanol extract

Intervention Type OTHER

Ethanol extract of physalis angulate Linn with dosage of 3x250 mg/day given orally for 3 months

Placebo

Patients received standard therapy and placebo (amylum powder) for comparator at dosage 3 x 250 mg/day, orally, for 3 months.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

No active component at the same dosage of 3x250 mg/day given orally for 3 months

Interventions

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Physalis angulata ethanol extract

Ethanol extract of physalis angulate Linn with dosage of 3x250 mg/day given orally for 3 months

Intervention Type OTHER

Placebo

No active component at the same dosage of 3x250 mg/day given orally for 3 months

Intervention Type OTHER

Other Intervention Names

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Herba Ciplukan Ethanol extract of Physalis angulata Linn Ethanol extract of Physalis angulata Amylum

Eligibility Criteria

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Inclusion Criteria

1. Patients who meet the criteria of the type of limited scleroderma diagnosis / limited or diffuse type.
2. Patients who routine control in rheumatology outpatient clinics in Ciptomangunkusumo hospital Jakarta and Hasan Sadikin hospital Bandung RSHS who received standard therapy for scleroderma with a stable dose over the past 3 months.
3. The research subjects aged 15 to 60 years.
4. Subjects with modified Rodnan Skin score ≥ 5.
5. Disease duration ≥ 1 year

Exclusion Criteria

1. Impaired liver function with cirrhosis
2. Chronic Renal dysfunction (chronic kidney disease stages 4-5). Or creatinine levels\> 2 mg / dL in the last 1 month prior to randomization.
3. Other autoimmune disease/overlap syndrome.
4. Received a steroid/prednisone \>10 mg/day in the last 1 month.
5. Patients who are pregnant or breastfeeding.
6. Patients with active tuberculosis and or are being treated with anti-tuberculosis medicines.
7. Severe heart disease. (Heart Disease with impaired function according to the New York Heart Association Class III or IV)
8. History of allergies to herbal Ciplukan / Physalis angulate Linn. or a history of hypersensitivity to certain drugs.
9. Hypotension (BP \<90/60 mmHg)
10. Hypoglycemia (Glucose level \<70 mg / dL)
11. Do not want to participate in the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Netherlands: Ministry of Health, Welfare and Sports

OTHER_GOV

Sponsor Role collaborator

Indonesia University

OTHER

Sponsor Role lead

Responsible Party

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Sumartini Dewi

MD, Master of Health

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Harry Isbagio, MD, Prof.

Role: STUDY_CHAIR

Department of Internal Medicine

Locations

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Hasan Sadikin Hospital

Bandung, West Java, Indonesia

Site Status

Ciptomangunkusumo Hospital

Jakarta, , Indonesia

Site Status

Countries

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Indonesia

Other Identifiers

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UI-PAL/CCD-SSc.2016

Identifier Type: -

Identifier Source: org_study_id

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