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Effects of Green Tea Extracts on Gastric Mucosal Protection

Not Applicable
Completed
Conditions
Functional Dyspepsia
Registration Number
NCT04742985
Lead Sponsor
Pusan National University Yangsan Hospital
Brief Summary

The investigators conduct a randomized, double-blind, placebo-controlled pilot study to investigate the effects of a combined extract of green tea seed (saponins) and green tea leaves (epigallocatechin-3-gallate) on gastric mucosal protection in adults with functional dyspepsia for 8 weeks.

Detailed Description

A previous study has indicated that combined extract of green tea seed (saponins) and green tea leaves (epigallocatechin-3-gallate) may improve gastric mucosal status in rat with alcohol-induced gastritis.Therefore, the investigators conduct a randomized, double-blind, placebo-controlled pilot study to investigate the effects of a combined extract of green tea seed (saponins) and green tea leaves (epigallocatechin-3-gallate) on gastric mucosal protection in adults with functional dyspepsia for 8 weeks; the safety of the compound are also evaluated. The Investigators examine C-reactive protein, IFN-γ, TNF-α, gastrin, malondialdehyde, 8-hydroxy-2' -deoxyguanosine, and questionnaires (Gastrointestinal Symptom Rating Scale, Nepean dyspepsia index-Korean version, Nepean dyspepsia index-Korean version QOL questionnaire, Gastrointestinal symptom scale) at baseline and after 8 weeks of intervention. Twenty four adults were administered either 320 mg of combined extracts of green tea seed (saponins) and green tea leaves (epigallocatechin-3-gallate) or a placebo each day for 8 weeks.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
24
Inclusion Criteria
  • The Rome IV criteria define dyspepsia as any combination of 4 symptoms: postprandial fullness, early satiety, epigastric pain, and epigastric burning that are severe enough to interfere with the usual activities and occur at least 3 days per week over the last 3 months
Exclusion Criteria
  • Patients complaining of severe gastrointestinal symptoms requiring immediate medication
  • Those with a history of gastric acid hypersecretion such as Zollinger-Ellison Syndrome
  • Those who received Helicobacter pylori eradication therapy within 4 weeks
  • Those who have taken nonsteroidal anti-inflammatory drugs, steroid drugs or antibiotics, aspirin or antithrombotic drugs, or gastric acid suppressants within 4 weeks
  • Those who have a history of upper gastrointestinal tract surgery, stenosis, bleeding, esophageal dilatation, gastric mucosal resection, etc. within the past 1 year
  • Patients with gastric ulcer (active or healing), duodenal ulcer (active or healing), reflux esophagitis (LA B or higher), or malignant tumors from gastroscopy performed within the last 6 months
  • Abnormal liver or renal function (more than twice the normal upper limit of the research institute)
  • Uncontrolled diabetes mellitus (>160 mg/dL of fasting blood sugar)
  • History of fracture during the previous year
  • Uncontrolled hypertension (>160/100 mmHg)
  • Uncontrolled thyroid diseases.
  • History of serious cerebro-cardiovascular diseases or cancer such as angina or myocardial infarction within 6 months
  • History of any central bone fracture within 1 year
  • History of medication for psychiatric diseases such as severe depression, schizophrenia, drug intoxication.
  • Alcohol abuser
  • Allergic reaction to Ishige Okamurae
  • Those who participated in other drug clinical trials within 1 month from the screening date.
  • Severe gastrointestinal symptoms such as heartburn and indigestion
  • Those who are pregnant, lactating, or plan to become pregnant during the clinical trial
  • Those who are judged to be unsuitable by the PI for other reasons

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Gastrointestinal Symptom Rating Scale (score)8 weeks

Gastrointestinal Symptom Rating Scale - questionnaire evaluated at baseline and after 8 weeks. It ranges from the minimum of 0 to the maximum of 75. A higher score indicates a worse outcome.

Secondary Outcome Measures
NameTimeMethod
concentration of 8-hydroxy-2' -deoxyguanosine (ng/100 mg of protein)8 weeks

8-hydroxy-2' -deoxyguanosine (ng/100 mg of protein) measured at baseline and after 8 weeks

Gastrointestinal symptom scale (score)8 weeks

Gastrointestinal symptom scale questionnaire evaluated at baseline and after 8 weeks. It ranges from the minimum of 0 to the maximum of 40. A higher score indicates a worse outcome.

concentration of interferon-γ (pg/mL)8 weeks

interferon-γ (pg/mL) measured at baseline and after 8 weeks

concentration of gastrin (pg/mL)8 weeks

gastrin (pg/mL) measured at baseline and after 8 weeks

Nepean dyspepsia index-Korean version (score)8 weeks

Nepean dyspepsia index-Korean version - questionnaire evaluated at baseline and after 8 weeks. It ranges from the minimum of 0 to the maximum of 195. A higher score indicates a worse outcome.

concentration of high-sensitivity C-reactive protein (mg/L)8 weeks

high-sensitivity C-reactive protein (mg/L) measured at baseline and after 8 weeks

concentration of tumor necrosis factor-α (pg/mL)8 weeks

interferon-γ (pg/mL) measured at baseline and after 8 weeks measured at baseline and after 8 weeks

Nepean dyspepsia index-Korean version QOL questionnaire (score)8 weeks

Nepean dyspepsia index-Korean version QOL questionnaire evaluated at baseline and after 8 weeks. It ranges from the minimum of 0 to the maximum of 125. A higher score indicates a worse outcome.

concentration of malondialdehyde (mic·mol/L)8 weeks

malondialdehyde (mic·mol/L) measured at baseline and after 8 weeks

Trial Locations

Locations (1)

Pusan National University Yangsan Hospital

🇰🇷

Yangsan, Gyeungsangnam-do, Korea, Republic of

Pusan National University Yangsan Hospital
🇰🇷Yangsan, Gyeungsangnam-do, Korea, Republic of

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