MedPath

Safety of Ginkgo Biloba Leaf Extract

Phase 2
Conditions
Healthy
Interventions
Dietary Supplement: Gingko Biloba Extract
Dietary Supplement: Placebo
Registration Number
NCT03004508
Lead Sponsor
IRCCS San Raffaele
Brief Summary

Primary objective: The primary objective of this study is to assess the effect of Ginkgo biloba L. leaf extract (IDN 5933) in comparison to placebo in human subjects treated at therapeutic doses for 6 months on the level of DNA damage and genomic instability, measured with the Comet Assay and the Micronucleus assay, respectively .

Secondary objective:

The secondary objective of this study is to provide a preliminary assessment of the safety of Ginkgo biloba L. leaf extract (IDN 5933) in human subjects treated at therapeutic doses in term of adverse drug reaction, hepatotoxicity, genotoxicity.

Detailed Description

The study will be a randomised clinical trial comparing subjects receiving twice-daily doses of either 120-mg of Ginkgo biloba L. leaf extract (IDN 5933) or placebo for a 6 months period.

Primary Endpoints:

* DNA Damage assessed with the Comet assay as proportion of DNA in the tail.

* Micronucleus frequency (MN) in peripheral blood lymphocytes (Frequency per 1000 binucleated cells).

Secondary Endpoints:

* Complete clinical assessment at the beginning and at the end of the study.

* Occurrence of Adverse drug reactions in individuals treated with GBE or placebo.

* Liver functions will be monitored according to biological laboratory examinations and clinical symptoms. A subgroup of individuals will be monitored also for genetic parameters concerning expression patterns of genes putatively associated to early events of HCC carcinogenesis Clinical and biological parameters will be measured in the study groups at the beginning (T0) and at the end of the study (T2).

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
66
Inclusion Criteria
  • Male and female senior, residents of nursing homes, with no known clinically significant pathology as assessed by the investigator
  • Life expectancy of greater than 1 year
  • Subjects must have given written informed consent in accordance with ICH-GCP (International Conference on Harmonization - Good Clinical Practice) and local laws and regulations

To perform the experiment in a typical population treated with Ginkgo biloba L. leaf extract ( IDN 5933) the study will be performed among the residents of nursing homes among the structures of the San Raffaele network, i.e., The San Raffaele Montecompatri, the San Raffaele Rocca di Papa and the San Raffaele Sabaudia . The use of institutionalised subjects will allow a good compliance to the treatment, which will be administered by the nursing homes nurses.

Subjects meeting inclusion criteria and signing the informed consent will be randomised to receive 120-mg/twice per day of Ginkgo biloba L. leaf extract ( IDN 5933) or placebo.

Exclusion Criteria
  • Life expectancy of less than 1 year
  • Treatment with anticoagulant and antiplatelet drugs in subjects with previous report of increased bleeding tendency
  • Cognitive impairment
  • Refuse to sign the informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Gingko biloba ExtractGingko Biloba Extract-
PlaceboPlacebo-
Primary Outcome Measures
NameTimeMethod
Micronucleus frequencythrough study completion, an average of 1 year

Micronucleus frequency (MN) in peripheral blood lymphocytes (Frequency per 1000 binucleated cells)

DNA Damagethrough study completion, an average of 1 year

DNA Damage assessed with the Comet assay as proportion of DNA in the tail

Secondary Outcome Measures
NameTimeMethod
Clinical assessmentthrough study completion, an average of 1 year

Complete clinical assessment at the beginning and at the end of the study by physiological parameters

Liver functionsthrough study completion, an average of 1 year

Liver functions will be monitored according to biological laboratory examinations and clinical symptoms

Gene ExpressionA subgroup of individuals will be monitored also through study completion, an average of 1 year

Expression patterns of genes putatively associated to early events of HCC carcinogenesis

Adverse drug reactionsthrough study completion, an average of 1 year

Occurrence of Adverse drug reactions in individuals treated with GBE or placebo

Trial Locations

Locations (1)

IRCCS San Raffaele Pisana

🇮🇹

Rome, Italy

© Copyright 2025. All Rights Reserved by MedPath