Trial Outcomes & Findings for War-Drill Model Guided Treatment of Hemorrhoids With Nimsai Herbal (NAJ) (NCT NCT07034820)

NCT ID: NCT07034820

Last Updated: 2025-07-31

Results Overview

Hemorrhoid regression was defined as a reduction of at least one Goligher grade or a ≥75% reduction in composite hemorrhoid severity score by Day 10. (The Goligher Classification of Hemorrhoids is a 4-point scale (Grade I to IV) used for hemorrhoid severity, where higher scores indicate worse disease.)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

300 participants

Primary outcome timeframe

Day 10 (end of treatment period)

Results posted on

2025-07-31

Participant Flow

Participant milestones

Participant milestones
Measure
Nimsai Herbal Group
Participants in this arm received oral Nimsai Herbal (600 mg, one capsule per day) for 10 consecutive days. Nimsai Herbal: Oral Nimsai Herbal is a novel botanical formulation, administered as one 600 mg capsule per day for a duration of 10 consecutive days. It is specifically designed to target the underlying venous congestion hypothesized by the War-Drill Model, aiming to promote hemorrhoid regression and symptom resolution.
Placebo Group
Participants in this arm received oral placebo (identical in appearance, taste, and packaging to Nimsai Herbal) for 10 consecutive days. Nimsai Herbal: This intervention consisted of an oral placebo, formulated to be identical in appearance, taste, and packaging to Nimsai Herbal. It was administered as one capsule per day for 10 consecutive days to ensure blinding and serve as a control for comparison.
Overall Study
STARTED
150
150
Overall Study
COMPLETED
150
150
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nimsai Herbal Group
n=150 Participants
Participants in this arm received oral Nimsai Herbal (600 mg, one capsule per day) for 10 consecutive days. Nimsai Herbal: Oral Nimsai Herbal is a novel botanical formulation, administered as one 600 mg capsule per day for a duration of 10 consecutive days. It is specifically designed to target the underlying venous congestion hypothesized by the War-Drill Model, aiming to promote hemorrhoid regression and symptom resolution.
Placebo Group
n=150 Participants
Participants in this arm received oral placebo (identical in appearance, taste, and packaging to Nimsai Herbal) for 10 consecutive days. Nimsai Herbal: This intervention consisted of an oral placebo, formulated to be identical in appearance, taste, and packaging to Nimsai Herbal. It was administered as one capsule per day for 10 consecutive days to ensure blinding and serve as a control for comparison.
Total
n=300 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=150 Participants
0 Participants
n=150 Participants
0 Participants
n=300 Participants
Age, Categorical
Between 18 and 65 years
149 Participants
n=150 Participants
150 Participants
n=150 Participants
299 Participants
n=300 Participants
Age, Categorical
>=65 years
1 Participants
n=150 Participants
0 Participants
n=150 Participants
1 Participants
n=300 Participants
Age, Continuous
45.2 Years
STANDARD_DEVIATION 12.3 • n=150 Participants
45.7 Years
STANDARD_DEVIATION 12.5 • n=150 Participants
45.45 Years
STANDARD_DEVIATION 12.4 • n=300 Participants
Sex: Female, Male
Female
78 Participants
n=150 Participants
78 Participants
n=150 Participants
156 Participants
n=300 Participants
Sex: Female, Male
Male
72 Participants
n=150 Participants
72 Participants
n=150 Participants
144 Participants
n=300 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Turkey
150 Participants
n=150 Participants
150 Participants
n=150 Participants
300 Participants
n=300 Participants
Hemorrhoid Grade at Baseline
Grade 2 Hemorrhoids
105 Participants
n=150 Participants
105 Participants
n=150 Participants
210 Participants
n=300 Participants
Hemorrhoid Grade at Baseline
Grade 3 Hemorrhoids
45 Participants
n=150 Participants
45 Participants
n=150 Participants
90 Participants
n=300 Participants
Composite Severity Score at Baseline
24.8 units on a scale
STANDARD_DEVIATION 6.7 • n=150 Participants
24.5 units on a scale
STANDARD_DEVIATION 6.5 • n=150 Participants
24.65 units on a scale
STANDARD_DEVIATION 6.6 • n=300 Participants
Overall Symptom VAS Score at Baseline
6.5 units on a scale
STANDARD_DEVIATION 1.9 • n=150 Participants
6.4 units on a scale
STANDARD_DEVIATION 1.8 • n=150 Participants
6.45 units on a scale
STANDARD_DEVIATION 1.85 • n=300 Participants
Participants with War Mode Hemorrhoids (via Parola Phenomenon)
60 Participants
n=150 Participants
57 Participants
n=150 Participants
117 Participants
n=300 Participants
Diabetes (%)
15 Participants
n=150 Participants
15 Participants
n=150 Participants
30 Participants
n=300 Participants

PRIMARY outcome

Timeframe: Day 10 (end of treatment period)

Population: All randomized participants who completed the study (Full Analysis Set).

Hemorrhoid regression was defined as a reduction of at least one Goligher grade or a ≥75% reduction in composite hemorrhoid severity score by Day 10. (The Goligher Classification of Hemorrhoids is a 4-point scale (Grade I to IV) used for hemorrhoid severity, where higher scores indicate worse disease.)

Outcome measures

Outcome measures
Measure
Nimsai Herbal Group
n=150 Participants
Participants in this arm received oral Nimsai Herbal (600 mg, one capsule per day) for 10 consecutive days.
Placebo Group
n=150 Participants
Participants in this arm received oral placebo (identical in appearance, taste, and packaging to Nimsai Herbal) for 10 consecutive days.
Hemorrhoid Regression Rate
117 Participants
33 Participants

Adverse Events

Nimsai Herbal Group

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Placebo Group

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Nimsai Herbal Group
n=150 participants at risk
Participants in this arm received oral Nimsai Herbal (600 mg, one capsule per day) for 10 consecutive days.
Placebo Group
n=150 participants at risk
Participants in this arm received oral placebo (identical in appearance, taste, and packaging to Nimsai Herbal) for 10 consecutive days.
Gastrointestinal disorders
Mild GI discomfort
4.0%
6/150 • Number of events 6 • Adverse events were collected from randomization until the end of the study treatment period (Day 10), covering the entire intervention duration for each participant.
Adverse events were systematically collected at each study visit and through participant spontaneous reports. Each event's severity and relationship to the study intervention were assessed by blinded investigators, ensuring robust and unbiased safety data collection.
2.0%
3/150 • Number of events 3 • Adverse events were collected from randomization until the end of the study treatment period (Day 10), covering the entire intervention duration for each participant.
Adverse events were systematically collected at each study visit and through participant spontaneous reports. Each event's severity and relationship to the study intervention were assessed by blinded investigators, ensuring robust and unbiased safety data collection.

Additional Information

Cem Atabiner, Principal Investigator

Nimsai Academia

Phone: 05324593292

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place