Clinical trial NCT05851599: Dose-Ranging Study of SKF7® for Obesity
Official title: Dose-ranging Study of Labisia Pumila Standardized Extract (SKF7®) for Obesity: a Randomized, Double-blind, Placebo-controlled, Phase-2 Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
Conditions: Obesity
Lead sponsor: Medika Natura Sdn Bhd
Sponsor class: INDUSTRY
Collaborators: name: Zach Biotech Depot Sdn Bhd
First posted: 2023-05-09
Enrollment: 142
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study has been designed as a randomized, double blinded, multi-centric, placebo controlled and phase II dose-ranging study. One group will receive placebo alone and the other three groups will receive IP twice daily (different dosages) for four months.

Detailed description: Labisia pumila or Kacip Fatimah, a native Malaysian plant, has been used as traditional medicine for over 400 years by both men and women for multiple treatments. Studies in animal models showed that Labisia pumila extract could regulate body weight gain and visceral fat reduction. SKF7® is a standardized extract of Labisia pumila (Kacip Fatimah) from the Myrsinaceae family.

Eligibility criteria: Inclusion Criteria:

1. Men aged 18 - 60 years.
2. Women aged 18 until before menopause.
3. BMI 30 - 37 kg/m2.
4. Waist circumference ≥ 60% of height.
5. Generally healthy or in the presence of co-morbidities of treated or untreated hypertension, diabetes or hyperlipidaemia.
6. Normotension or well-controlled mild hypertension (\< 140/90 mmHg) with stable dosage of not more than 2 class drug combination (except beta blocker and diuretic) for at least 1 month.
7. Normoglycemic or non-insulin dependent diabetes mellitus (HbA1c ≤ 8.5%) with stable dosage of not more than 2 class drug combination (except sulphonylureas, TZDs and SGLT2 inhibitors) for at least 1 month.
8. Normolipidaemia or hyperlipidaemia (LDL ≤ 4.1 mmol/L and TG ≤ 5.6 mmol/L) with stable dosage of not more than 2 class drug combination for at least 1 month.
9. Agreed to maintain their current lifestyles (no changes in their diet and physical exercise) during the clinical trial period.
10. Willing to participate in the study by signing the informed consent.
11. Ability to provide written informed consent.

Exclusion Criteria:

1. Known hypersensitivity to any herbal product.
2. Known history of allergic reaction to microcrystalline cellulose, maltodextrin, tricalcium phosphate, silicon dioxide and glyceryl monostearate.
3. Pregnant or lactating women.
4. Taking any other weight loss therapy or who have lost more than 10% of their body weight within the last 6 months.
5. Taking regular herbal drugs or any supplements unless subjects willing to stop during the study.
6. Known HIV subjects.
7. Severe liver function impairment (ALT \& AST \> 3x ULN (upper limit of normal)
8. Renal function impairment (serum creatinine \> 132.6 µmol/L)
9. Participating in other interventional clinical study or have taken other investigational drug within 30 days prior to screening.
10. Having endocrine disease that may affect weight such as hypothyroidism or Cushing's syndrome (by anamnesis).
11. Taking hormonal contraceptive within the last 3 months or planning to use it during the study.
12. Female patient of childbearing potential who is planning to get pregnant/male patient who is planning to have a child or do not agree to use non-hormonal contraception for the entire duration of the study.
13. Having heart diseases (e.g. heart failure, angina pectoris, or myocardial infarction), respiratory diseases (e.g. asthma or obstructive pulmonary disease), stroke, or ischemic heart failure.
14. Having malignant tumors within the last 5 years.
15. Participants who have narrow-angle glaucoma.
16. Participants who have cholelithiasis.
17. Participants with a neurologically or psychologically significant history of disease or who are currently suffering from the disease (e.g. schizophrenia, epilepsy, alcoholism, drug addiction, anorexia, hyperphagia, etc.).
18. Participants who have taken oral steroids (e.g. prednisone or its equivalent) within the last 3 months that may affect weight.
19. Participants who have taken b-blocker or diuretic drugs for hypertension, anorexiants, laxatives, thyroid hormone, amphetamine, cyproheptadine, phenothiazine, contraceptive or female hormones within the last 3 months that may affect weight.
20. Participants who have taken other treatments (e.g. insulin, blood thinning, antidepressants, selective serotonin reuptake inhibitors (SSRIs), barbiturate, antipsychotics, antiepileptic, or drugs concerned with abuse) within the last 5 years.
21. Participants who have anatomical condition or underwent anatomical changes which make it difficult/unable to conduct physical measurements.
22. Participants who underwent surgeries for weight reduction (e.g., gastroplasty or gastrectomy).
23. Participants who are judged as unable to comply with the study according to the findings of the clinical investigator.

Primary outcomes:
measure: Percentage of patients achieving more than or equal to 5% weight loss OR
timeFrame: Baseline Day 1 to Week 16
measure: Percentage of patients achieving more than or equal to 5 cm waist circumference reduction
timeFrame: Baseline Day 1 to Week 16
Secondary outcomes:
measure: Percentage change from baseline in body weight (kg) at week 16
timeFrame: Baseline Day 1 to Week 16
measure: Percentage change from baseline in waist circumference (cm) at week 16
timeFrame: Baseline Day 1 to Week 16
measure: Percentage change from baseline in waist to height ratio at week 16
timeFrame: Baseline Day 1 to Week 16
measure: Percentage change from baseline in BMI at week 16
timeFrame: Baseline Day 1 to Week 16
measure: Change in blood lipid concentrations.
timeFrame: Baseline Day 1 to Week 16
measure: Incidence of AEs, SAEs and AEs leading to early discontinuation
timeFrame: Up to Follow up visit Up to Week 17
Other outcomes:
Locations:
city: Ipoh
country: Malaysia
facility: Klinik Kesihatan Greentown
city: Kuang
country: Malaysia
facility: Klinik Kesihatan Kuang
city: Melaka
country: Malaysia
facility: Hospital Melaka
city: Melaka
country: Malaysia
facility: Klinik Kesihatan Masjid Tanah
city: Seremban
country: Malaysia
facility: Hospital Tuanku Jaafar
city: Seremban
country: Malaysia
facility: Klinik Kesihatan Seremban 2
Study officials:
affiliation: Hospital Melaka, Malaysia
name: Shalini Vijayasingham, MBBS, MRCPS
role: PRINCIPAL_INVESTIGATOR
References: