NCT02008864

Brief Summary

Uremic pruritus remains one of the most frustrating and potentially disabling symptoms in patients with end stage renal disease. It affect up to 90 percent of patients with end stage renal disease. Several hypotheses have been postulated for the possible underlying etiology, but none is conclusive. Aside from kidney transplantation, which is only definitive treatment, therapeutic approaches have largely been empirical, and no firm evident-base treatments are available. The main goal of therapy remains to minimize severity of pruritus. In Iranian traditional medicine Cassia senna L. is used for healing uremic pruritus . In this study investigators considered to evaluate effect of Cassia senna L. in uremic pruritus by a double blind placebo control clinical trial. It is hypothesized that oral Cassia senna L. may attenuate uremic pruritus by decreasing serum IL-2, IFN-γ and TNF-α.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2011

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2012

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

December 1, 2013

Completed
10 days until next milestone

First Posted

Study publicly available on registry

December 11, 2013

Completed
Last Updated

April 1, 2015

Status Verified

March 1, 2015

Enrollment Period

1.1 years

First QC Date

December 1, 2013

Last Update Submit

March 30, 2015

Conditions

Keywords

End stage renal diseasesHemodialysisUremic pruritusIranian traditional medicineCassia angustifolia

Outcome Measures

Primary Outcomes (1)

  • Severity of Pruritis, as measured by a visual analogue scale

    A '0' score represented absence of pruritus and a '10' represented the greatest severity of symptoms.

    3 months

Secondary Outcomes (1)

  • Serum IL-2 level

    3 months

Study Arms (2)

Placebo

PLACEBO COMPARATOR

Wheat

Drug: Placebo

Senna

ACTIVE COMPARATOR

Senna

Drug: Senna

Interventions

SennaDRUG

(7.5 mg of sennosoides A and B) Senna tablet/ 2 times per day

Senna

Placebo tablet/ 2 times per day

Placebo

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Hemodialysis patients
  • Suffering from pruritus for at least 6 weeks
  • Have not responded to other drugs

You may not qualify if:

  • Dermatological disease
  • Liver disease
  • Metabolic disease

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Hercz D, Jiang SH, Webster AC. Interventions for itch in people with advanced chronic kidney disease. Cochrane Database Syst Rev. 2020 Dec 7;12(12):CD011393. doi: 10.1002/14651858.CD011393.pub2.

MeSH Terms

Conditions

Kidney Failure, ChronicPruritus

Interventions

Sennosides

Condition Hierarchy (Ancestors)

Renal Insufficiency, ChronicRenal InsufficiencyKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsSkin DiseasesSkin and Connective Tissue DiseasesSkin ManifestationsSigns and Symptoms

Intervention Hierarchy (Ancestors)

Senna ExtractAnthraquinonesAnthronesAnthracenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsQuinonesPolycyclic CompoundsGlycosidesCarbohydratesPlant ExtractsPlant PreparationsBiological ProductsComplex Mixtures

Study Officials

  • Jamshid Roozbeh, MD

    Shiraz University of Medical Sciences

    STUDY CHAIR
  • Abdolali Mohagheghzadeh, PhD

    Shiraz University of Medical Sciences

    PRINCIPAL INVESTIGATOR
  • Mohammad Mehdi Sagheb, MD

    Shiraz University of Medical Sciences

    PRINCIPAL INVESTIGATOR
  • Arian Kamali-Sarvestani, Pharm D

    Shiraz University of Medical Sciences

    STUDY DIRECTOR
  • Pouya Faridi, PhD

    Shiraz University of Medical Sciences

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr.

Study Record Dates

First Submitted

December 1, 2013

First Posted

December 11, 2013

Study Start

August 1, 2011

Primary Completion

September 1, 2012

Last Updated

April 1, 2015

Record last verified: 2015-03