Clinical trial NCT04443790: Clinical Evaluation of Polyherbal Coded Formulation Obesecure for Leptin Regulation and Obesity Management
Official title: Obesity Control Through Leptogenic Drugs
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
Conditions: Leptin Deficiency
Obesity
Lead sponsor: Shifa Ul Mulk Memorial Hospital
Sponsor class: OTHER
Collaborators: name: Hamdard University
name: Government College University Faisalabad
First posted: 2020-06-23
Enrollment: 132
Sex: ALL
Minimum age (years): 20
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Multicentre, two arm parallel randomized controlled clinical trial
Primary purpose: TREATMENT

Brief summary: The study was designed to explore an alternative approach to reduce weight in human beings using a polyherbal formulation. A polyherbal formulation named as Obesecure was developed after screening of local medicinal flora. The formulation was further improved after pilot studies and Phase-I Clinical Trials.

Detailed description: Obesity is a common disease of developing countries including Pakistan. Obesity is a risk factor for many diseases which can be life-threatening or making the person unable to perform daily routine work. Obesity is considered a risk factor for different diseases like cardiovascular diseases, hormonal imbalance, infections, malignancies and chest problems. The leptin hormone has appetite suppressing and energy dissipation activity in the body. A screening study on animals was carried out to find out the leptin enhancing medicinal plants from locally available plants in Pakistan. This study was aimed to see the combined effects of the Leptogenic drug Obesecure on weight management.

Patients of age20 to 50 years with BMI more than 25, not taking any anti-obesity drugs one-month prior to start of study were enrolled. The Participants were randomly allocated to receive either Obesecure or placebo twice a day for three months in Shifa-ul-mulk Hospital, PRIEM Health Care Clinic (Pakistan) and Ria Eastern Medicine Clinic (Pakistan).

An acute toxicity study showed no adverse effect of taking Obesecure prior to clinical trials.

Eligibility criteria: Inclusion Criteria:

1. Patients of age20 to 50 years with BMI more than 25
2. Only those participants were included who were willing
3. Patients of any marital status were included
4. Only those participants were included who did not take any antiobesity drug one-month prior to start of study

Exclusion Criteria:

1. Taking an anti-obesity drug in the previous month
2. Pregnant
3. Allergic to laxative drugs
4. Recurrent weight gain history after antiobesity treatment
5. Liver disease
6. Taking hormonal therapy, menopausal women
7. Diabetes mellitus
8. Cardiac problem and hypertension

Primary outcomes:
measure: Leptin Level
timeFrame: 3 months
measure: BMI (kg/m²) at baseline
timeFrame: 3 Months
Secondary outcomes:
Other outcomes:
Locations:
city: Karachi
country: Pakistan
facility: clinical trial was conducted in Karachi,Islamabad and Faisalabad
state: Punjab
Study officials:
affiliation: Hamdard University
name: Ejaz Mohiuddin, Ph.D
role: STUDY_DIRECTOR
References:
citation: Wasim M, Awan FR, Najam SS, Khan AR, Khan HN. Role of Leptin Deficiency, Inefficiency, and Leptin Receptors in Obesity. Biochem Genet. 2016 Oct;54(5):565-72. doi: 10.1007/s10528-016-9751-z. Epub 2016 Jun 16.
citation: Farr OM, Gavrieli A, Mantzoros CS. Leptin applications in 2015: what have we learned about leptin and obesity? Curr Opin Endocrinol Diabetes Obes. 2015 Oct;22(5):353-9. doi: 10.1097/MED.0000000000000184.
citation: Lee JH, Lee JJ, Cho WK, Yim NH, Kim HK, Yun B, Ma JY. KBH-1, an herbal composition, improves hepatic steatosis and leptin resistance in high-fat diet-induced obese rats. BMC Complement Altern Med. 2016 Sep 13;16(1):355. doi: 10.1186/s12906-016-1265-z.