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Clinical Evaluation of Fenugreek Seed Extract, a Nutraceutical in Patients With Type- 2 Diabetes

Not Applicable
Completed
Conditions
Type-2 Diabetes Mellitus
Interventions
Drug: Oral hypoglycemic agents (pre-specified) [Metformin, Sulfonylurea]
Dietary Supplement: Fenugreek Seed extract
Registration Number
NCT02693392
Lead Sponsor
All India Institute of Medical Sciences, Bhubaneswar
Brief Summary

In the proposed study, hydroalcoholic Fenugreek seed extract will used add-on to the existing therapy in patients with type-2 diabetes. The efficacy and safety of the extract will be evaluated using standard methodology.

Detailed Description

Trigonella foenum-graecum, commonly known as Fenugreek, is a plant that has been extensively used as a source of antidiabetic compounds, from its seeds, leaves and extracts in different systems of medicine in asia. Fenugreek is traditionally used in India, especially in the Ayurvedic and Unani systems. Preliminary animal and human studies suggest possible hypoglycemic and anti-hyperlipidemic properties of fenugreek seed powder taken orally. In a randomized placebo controlled study conducted by Gupta et al showed that two month treatment with the hydro-alcoholic extract of fenugreek seeds improved glycemic control in 12 non-insulin dependent diabetes mellitus patients. In addition, there was improvement in insulin sensitivity and plasma lipid profile. Fenugreek extract was also well tolerated in diabetic patients.

In the proposed study, hydroalcoholic Fenugreek seed extract will used add-on to the existing therapy in patients with type-2 diabetes. The efficacy and safety of the extract will be evaluated using standard methodology.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Patients suffering from Type-2 Diabetes of less than 10 years duration
  • Patients with HbA1c >7.0%
  • Patients with fasting plasma glucose not exceeding 180 mg/dL
  • Patients with Negative Urine sugar
  • Patients who are on oral hypoglycaemic agents containing either Metformin or Sulfonylurea or both
  • There should not be any change their in anti-diabetic treatment for at least one month
Exclusion Criteria
  • Patients with diabetes other than type-2 diabetes mellitus
  • Patients with evidence of renal disease (S. Creatinine > 1.5mg/dL)
  • Patients with evidence of liver disease (AST/ALT >3 times of normal
  • Pregnant and lactating mothers and women intending pregnancy
  • Patients who participated in any other clinical trial within the last 30 days
  • Patients with history of any hemoglobinopathy
  • History of intolerance or hypersensitivity to Fenugreek

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ControlOral hypoglycemic agents (pre-specified) [Metformin, Sulfonylurea]One hundred type-2 diabetes patients with standard oral hypoglycemic drugs (metformin +/- sulfonylurea) will be recruited and followed up without add-on fenugreek extract.
FenugreekFenugreek Seed extractOne hundred type-2 diabetes patients with standard oral hypoglycemic drugs (metformin +/- sulfonylurea) will be recruited and followed up with add-on fenugreek extract.
FenugreekOral hypoglycemic agents (pre-specified) [Metformin, Sulfonylurea]One hundred type-2 diabetes patients with standard oral hypoglycemic drugs (metformin +/- sulfonylurea) will be recruited and followed up with add-on fenugreek extract.
Primary Outcome Measures
NameTimeMethod
Glycosylated hemoglobin (HbA1c)Change from baseline HbA1c over 12 weeks

HbA1c will be evaluated using Hb variant (HPLC)

Secondary Outcome Measures
NameTimeMethod
Renal Function TestChange from baseline Renal function test over 12 weeks

by Spectrophotometry

Liver Function TestChange from baseline Liver function test over 12 weeks

by Spectrophotometry

Hematology (whole blood cell count)Change from baseline Hematology over 12 weeks

Automated particle cell counter and microscopy

Urinary sugarChange from baseline Urinary over 12 weeks

Semi-quantitative Biochemical test

Fasting blood glucoseChange from baseline Fasting Blood Glucose over 12 weeks

METHOD : SPECTROPHOTOMETRY HEXOKINASE

Serum InsulinChange from baseline Serum Insulin over 12 weeks

by CHEMILUMINESCENCE method

Serum C-PeptideChange from baseline Serum C-Peptide over 12 weeks

by CHEMILUMINESCENCE method

Post-prandial Blood GlucoseChange from baseline post-prandial Blood Glucose over 12 weeks

METHOD: SPECTROPHOTOMETRY HEXOKINASE

Trial Locations

Locations (1)

Department of Medicine and Department of Pharmacology, AIIMS

🇮🇳

Bhubaneswar, Odisha, India

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