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Development The Potentiality of β-1,3/1,6-D-Glucan (Polysaccharide Peptide) From Mycelia Extract of Indonesia's Ganoderma Lucidum as Adjuvant Therapy in Patients With Cardiometabolic Syndrome

Phase 2
Conditions
Cardiometabolic Syndrome
Interventions
Drug: Placebo Group
Drug: β-1,3/1,6-D-Glucan From Mycelia Extract of Indonesia's Ganoderma Lucidum Group
Registration Number
NCT05079529
Lead Sponsor
University of Brawijaya
Brief Summary

The aim of this study is to determine the role and efficacy of β-1,3/1,6-D-Glucan (Polysaccharide Peptide) from mycelia extract of Indonesia's Ganoderma lucidum as an antioxidant and anti-inflammatory agent on cardiometabolic syndrome

Detailed Description

This study is held at Saiful Anwar General Hospital and General Hospital of Brawijaya University by enrolled 70 participants and using a double-blinded true experimental using a randomized control perspective method with pre-test and post-test design, to determine the effect of giving β-1,3/1,6-D-Glucan (Polysaccharide Peptide) from mycelia extract of Indonesia's Ganoderma lucidum on cardiometabolic syndrome population.

The intended target or experimental variables that will be studied in this study are blood pressure, body mass index, blood glucose profile (fasting glucose, HbA1C), lipid profile (total cholesterol, High-Density Lipoprotein, Low-Density Lipoprotein, and triglyceride), renal function profile (urea and creatinine), heart function from echocardiography examination, inflammation parameter (Interleukin 6, Tumor Necrosis Factor-Alpha, and high sensitivity C-Reactive Protein), stress oxidative parameter (superoxide dismutase and malondialdehyde), endothelial function parameter (nitric oxide), and quality of life that conducted by completion of the SF-36 questionnaire.

Hypothesis of this study is β-1,3/1,6-D-Glucan (Polysaccharide Peptide) from mycelia extract of Indonesia's Ganoderma lucidum can acts as a chronic anti-inflammatory and antioxidant agent in cardiometabolic syndrome patients by contributing in blood pressure control, body mass index control, blood glucose improvement, lipid profile improvement, renal function profile improvement, heart function improvement, and better quality of life. Beside that, the investigators hope that there will be a change of inflammation, stress oxidative, and endothelial function parameter in which shift to the good level.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
70
Inclusion Criteria
  • Age more or same than 18 years old
  • Defined as metabolic syndrome patients based on NCEP-ATP III Criteria with modified of obesity classification (waist measurement) for Asian population
  • Agreed to participate in this study
Exclusion Criteria
  • Allergic to Ganoderma lucidum
  • Pregnant woman
  • Participate in another drug or medical device study
  • Waiting for an organ transplantation or have undergone a transplant
  • Cancer patients who undergoing a chemotherapy or radiotherapy
  • People with organ failure
  • Could not be randomized and participate in this study by clinical judgement

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo GroupPlacebo GroupThis group will receive empty capsule which will be taken 3 times daily for 90 days
β-1,3/1,6-D-Glucan From Mycelia Extract of Indonesia's Ganoderma Lucidum Groupβ-1,3/1,6-D-Glucan From Mycelia Extract of Indonesia's Ganoderma Lucidum GroupThis group will receive capsule contains 180 mg of β-1,3/1,6-D-Glucan From Mycelia Extract of Indonesia's Ganoderma lucidum which will be taken 3 times daily for 90 days
Primary Outcome Measures
NameTimeMethod
Change in Quality of Life from completion of SF-36 questionnaire0 and 90 days

Quality of Life is assessed by Indonesia validated Short Formm 36 questionnaire. This questionnaire consist of 36 items/questions that evaluate quality of life in some elements. The elements are consisted of changes in health (1 item), general health perception (5 items), energy/fatique (4 items), mental health (5 items), social functioning (2 items), pain (2 items), physical functioning (10 items), role limitations due to emotional problems (3 items) and role limitations due to physical problems (4 items).

The score from each question will be summed. Minimum score is 36 and maximum score is 138. Higher score indicates higher quality of life and lower score indicates lower quality of life. Higher score after intervention in post-test examination represents a positive outcome

Secondary Outcome Measures
NameTimeMethod
Change of urea blood level0 and 90 days

Urea level is obtained from laboratory blood test

Change of inflammation status parameter (TNF-alpha) level0 and 90 days

Level of TNF-alpha is obtained from laboratory blood plasma test

Change of body weight and body height measurement0 and 90 days

Body weight is measured by body weight scale and body height is measured by body height scale, then will be combined to determine BMI in kg/m\^2

Change of total cholesterol level status0 and 90 days

Total cholesterol level is obtained from laboratory blood test

Change of creatinine blood level0 and 90 days

Creatinine level is obtained from laboratory blood test

Change of endothelial function (NO) parameter level0 and 90 days

Level of NO is obtained from laboratory blood plasma test

Change of fasting glucose level0 and 90 days

Fasting glucose level is obtained from laboratory blood test

Change of HbA1C serum level0 and 90 days

HbA1C serum level is obtained from laboratory blood test

Change of oxidative stress parameter (SOD) level0 and 90 days

Level of SOD is obtained from laboratory blood plasma test

Change of inflammation status parameter (IL-6) level0 and 90 days

Level of IL-6 is obtained from laboratory blood plasma test

Change of inflammation status parameter (hs-CRP) level0 and 90 days

Level of hs-CRP is obtained from laboratory blood plasma test

Change of waist circumference measurement0 and 90 days

Waist circumference is measured by tape to determine abdominal obesity

Change of triglicyride level status0 and 90 days

Triglyceride level is obtained from laboratory blood test

Change of oxidative stress parameter (MDA) level0 and 90 days

Level of MDA is obtained from laboratory blood plasma test

Change of blood pressure0 and 90 days

Blood pressure is measured using manual sphygmomanometer

Change of HDL level status0 and 90 days

HDL level is obtained from laboratory blood test

Change of LDL level status0 and 90 days

LDL level is obtained from laboratory blood test

Trial Locations

Locations (1)

General Hospital of Brawijaya University (Rumah Sakit Universitas Brawijaya)

🇮🇩

Malang, East Java, Indonesia

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