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Evaluating the Efficacy of Channa Striata in Stabilizing eNOS in Patients With Septic.

Phase 3
Completed
Conditions
Sepsis
Interventions
Dietary Supplement: Albumin Channa Striata Extract
Registration Number
NCT05596942
Lead Sponsor
Universitas Sebelas Maret
Brief Summary

Sepsis is an inflammation response produced by the host's immune system, which is agrravated by oxidative stress. One of the adjuvant therapy according to Surviving Sepsis Campaign Guideline is albumin, which has anti-inflammatory and anti-oxidant effects. However, human albumin is quite expensive, and other forms with similar potency and less costs are needed, one of which is Channa striata extract. Therefore, this study is conducted to compare albumin and human albumin, specifically their anti- inflammatory and anti-oxidant properties by assessing the eNOS marker, neutrophil/lymphocyte ratio (NLR) and platelet/lymphocyte ratio (PLR) in patient with sepsis.

Detailed Description

In summary, this study showed that Channa striata extract has a better outcome in stabilizing eNOS level in patient with sepsis than human albumin 20%, and it has a potential benefit in stabilizing NLR values. However, further studies with a larger sample and a more advanced phase of sepsis are needed.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
42
Inclusion Criteria
  • patients sepsis who met the qSOFA criteria ≧ 2 [two of which: unconsciousness (Glasgow Coma Scale ≤14)
  • respiratory rate > 22 and systolic blood pressure ≤ 100 mmHg],
  • aged ≧ 18 years
  • admitted to intensive care unit and high care unit at Dr. Moewardi General Hospital
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Exclusion Criteria
  • patients with severe trauma
  • blood loss in stage three or higher
  • stress ulcers
  • a history of nephrotic syndrome
  • refusal to participate
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Human AlbuminAlbumin Channa Striata Extract-
Albumin Chana Striata ExtractAlbumin Channa Striata Extract-
Primary Outcome Measures
NameTimeMethod
Endothelial Nitric Oxide Synthasethree days after treatment

Measured before and three days after treatment, and the examiners compare the three markers statistically.

Secondary Outcome Measures
NameTimeMethod
Neutrophil-Lymphocyte Ratiothree days after treatment

Measured before and three days after treatment, and the examiners compare the three markers statistically

Platelet-Lymphocyte Ratiothree days after treatment

Measured before and three days after treatment, and the examiners compare the three markers statistically

Trial Locations

Locations (1)

Moewardi General Hospital

🇮🇩

Sukoharjo, Central Jave, Indonesia

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