Efficacy and Safety of Resveratrol in Patients With Rheumatoid Arthritis.

NCT ID: NCT07089381

Last Updated: 2025-07-28

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

RECRUITING

Clinical Phase

NA

Total Enrollment

118 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-01

Study Completion Date

2026-06-01

Brief Summary

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The aim of the current study is to evaluate the effects of resveratrol on the clinical outcome(s) of patients with moderate rheumatoid arthritis.

Objectives :

1. To investigate the effects of Resveratrol on inflammation and oxidative stress by measuring:

* Serum Sirtuin 1(SIRT1)
* Serum Myeloperoxidase (MPO)
* Serum C-reactive protein (CRP)
2. To investigate the effects of Resveratrol on disease activity by measuring the disease activity (DAS28 score).
3. To investigate the effect of Resveratrol on improving the quality of life using the Health Assessment Questionnaire Disability index (HAQ-DI).
4. To assess any adverse effects related to Resveratrol.

Patients:

Eligible patients (no=118) will be randomly assigned in a 1:1 ratio to one of two groups:

1. Control group: 59 patients will receive the standard treatment for management of RA for 3 months.
2. Resveratrol group: 59 patients will receive the standard treatment for management of RA in addition to Resveratrol 1 gm daily, (Organix Egypt) (given as one 1000 mg tablets once daily) for 3 months.

Detailed Description

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Conditions

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Rheumatic Arthritis Rheumatoid Arthritis (RA) Prevention Inflamation Antioxidant Anti Oxidative Stress Anti Aging C Reactive Protein Methotrexate Quality of Life Outcomes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Resveratrol group

59 patients will receive the standard treatment for management of RA in addition to Resveratrol 1 gm daily for three month daily.

Group Type EXPERIMENTAL

Resveratrol 1 gm.

Intervention Type DIETARY_SUPPLEMENT

59 patients will receive the standard treatment for management of RA in addition to Resveratrol 1 gm daily, (Organix, Egypt) (given as one 1000 mg tablets once daily) for 3 months.

Control arm

59 patients will receive the standard treatment for management of RA for 3 months.

Group Type ACTIVE_COMPARATOR

Methotrexate

Intervention Type DRUG

59 patients will receive the standard treatment for management of RA for 3 months

Interventions

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Resveratrol 1 gm.

59 patients will receive the standard treatment for management of RA in addition to Resveratrol 1 gm daily, (Organix, Egypt) (given as one 1000 mg tablets once daily) for 3 months.

Intervention Type DIETARY_SUPPLEMENT

Methotrexate

59 patients will receive the standard treatment for management of RA for 3 months

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult patients \> 18 years old
* Established diagnosis of RA according to American College of Rheumatology/European league Against Rheumatism (ACR/EULAR) 2010 criteria (Aletaha et al., 2010), presented with moderate to high disease activity identified as disease activity score-28 based on C-reactive protein (CRP) levels (DAS-28-CRP) \>3.2.
* Patients receiving stable regimen of one or more csDMARDs for at least the past 3 months.
* RA Patients with Moderate or high disease activity identified as disease activity score-28 based on C-reactive protein (CRP) levels (DAS-28-CRP) \>3.2.

Exclusion Criteria

* Patients receiving biologic DMARDs therapy for RA
* Patients taking any other anti-inflammatory drugs
* Patients taking any other antioxidants
* Pregnant and lactating women
* Other rheumatological, inflammatory diseases or malignancies
* Smokers
* Thyroid illnesses
* Patients with impaired liver functions (liver transaminases level ≥ three times upper normal limits), impaired kidney functions (estimated glomerular filtration rate (eGFR) \< 30 ml/min)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ain Shams University

OTHER

Sponsor Role lead

Responsible Party

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Rana El-Dash

Assistant Lecturer/Pharmacist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lamia El-Wakeel, Professor of Clinical Pharmacy

Role: STUDY_DIRECTOR

Clinical Pharmacy Department, Faculty of Pharmacy, Ain Shams University

Sarah Zaki, Professor of Clinical Pharmacy

Role: STUDY_DIRECTOR

Clinical Pharmacy Departement, Faculty of Pharmacy, Ain Shams University

Al Shymaa Farouk, Lecturer of Internal Medicine

Role: STUDY_CHAIR

Rheumatology and Clinical Immunology, Faculty of Medicine, Ain Shams University

Rana El-Dash, Assistant Lecturer

Role: PRINCIPAL_INVESTIGATOR

Clinical Pharmacy Department, Faculty of Pharmacy, Ain Shams University

Locations

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Department of Rheumatology at Ain Shams university hospital, Cairo, Egypt

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Rana El-Dash, MsC

Role: CONTACT

+201023669009

Facility Contacts

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Farouk, Doctoral Degree

Role: primary

+201005225137

References

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Wang G, Xie X, Yuan L, Qiu J, Duan W, Xu B, Chen X. Resveratrol ameliorates rheumatoid arthritis via activation of SIRT1-Nrf2 signaling pathway. Biofactors. 2020 May;46(3):441-453. doi: 10.1002/biof.1599. Epub 2019 Dec 28.

Reference Type BACKGROUND
PMID: 31883358 (View on PubMed)

Kciuk M, Garg A, Rohilla M, Chaudhary R, Dhankhar S, Dhiman S, Bansal S, Saini M, Singh TG, Chauhan S, Mujwar S, Gielecinska A, Kontek R. Therapeutic Potential of Plant-Derived Compounds and Plant Extracts in Rheumatoid Arthritis-Comprehensive Review. Antioxidants (Basel). 2024 Jun 27;13(7):775. doi: 10.3390/antiox13070775.

Reference Type BACKGROUND
PMID: 39061843 (View on PubMed)

Mousavi SE, Nejadghaderi SA, Khabbazi A, Alizadeh M, Sullman MJM, Kaufman JS, Collins GS, Safiri S. The burden of rheumatoid arthritis in the Middle East and North Africa region, 1990-2019. Sci Rep. 2022 Nov 11;12(1):19297. doi: 10.1038/s41598-022-22310-0.

Reference Type BACKGROUND
PMID: 36369238 (View on PubMed)

Poniewierska-Baran A, Bochniak O, Warias P, Pawlik A. Role of Sirtuins in the Pathogenesis of Rheumatoid Arthritis. Int J Mol Sci. 2023 Jan 12;24(2):1532. doi: 10.3390/ijms24021532.

Reference Type BACKGROUND
PMID: 36675041 (View on PubMed)

Diab A, Omar A, Maaty A, Abdalla M. Plasma and Synovial Fluid Levels of Myeloperoxidase in Patients with Rheumatoid Arthritis and Its Correlation with Disease Activity. Suez Canal University Medical Journal. 2023;26(2):0-0. doi:10.21608/scumj.2023.304689

Reference Type BACKGROUND

Garcia-Martinez BI, Ruiz-Ramos M, Pedraza-Chaverri J, Santiago-Osorio E, Mendoza-Nunez VM. Effect of Resveratrol on Markers of Oxidative Stress and Sirtuin 1 in Elderly Adults with Type 2 Diabetes. Int J Mol Sci. 2023 Apr 18;24(8):7422. doi: 10.3390/ijms24087422.

Reference Type BACKGROUND
PMID: 37108584 (View on PubMed)

Oliveira ALB, Monteiro VVS, Navegantes-Lima KC, Reis JF, Gomes RS, Rodrigues DVS, Gaspar SLF, Monteiro MC. Resveratrol Role in Autoimmune Disease-A Mini-Review. Nutrients. 2017 Dec 1;9(12):1306. doi: 10.3390/nu9121306.

Reference Type BACKGROUND
PMID: 29194364 (View on PubMed)

Khojah HM, Ahmed S, Abdel-Rahman MS, Elhakeim EH. Resveratrol as an effective adjuvant therapy in the management of rheumatoid arthritis: a clinical study. Clin Rheumatol. 2018 Aug;37(8):2035-2042. doi: 10.1007/s10067-018-4080-8. Epub 2018 Apr 3.

Reference Type BACKGROUND
PMID: 29611086 (View on PubMed)

Other Identifiers

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338

Identifier Type: -

Identifier Source: org_study_id

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