NCT03428568

Brief Summary

The aim of the study is to use Melanole, a herbal extract from Nigella sativa, for treatment of gastritis. The effect of Melanole will be compared between participants (including H. pylori and non-H.pylori infected patients), with the triple therapy and Standard of care treatment of gastritis, respectively. All participants will be examined before and after the administration of Melanole. The results showing a relief of gastritis symptoms for non-H. pylori patients and partial or complete eradication of H. pylori for H.pylori infected patients will be evaluated.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
132

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Mar 2018

Status
unknown

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

First Submitted

Initial submission to the registry

January 14, 2018

Completed
26 days until next milestone

First Posted

Study publicly available on registry

February 9, 2018

Completed
20 days until next milestone

Study Start

First participant enrolled

March 1, 2018

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2019

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2020

Completed
Last Updated

February 9, 2018

Status Verified

December 1, 2017

Enrollment Period

1 year

First QC Date

January 14, 2018

Last Update Submit

February 4, 2018

Conditions

Keywords

Herbal MelaninH.Pylori

Outcome Measures

Primary Outcomes (1)

  • Number of participants cured from acidity symptoms and H.Pylori -induced gastritis

    Investigators hypothesize that HM is an effective candidate that can decrease stomach acidity and eradicate H.Pylori by working as Proton Pump Inhibitor(PPI) and/or antibacterial agent, respectively. Investigators suggest the role of HM in activation of Toll like Receptor 4 (TLR4)/Cycloxygenase2(COX2)/ProstaglandinE2( PGE2) as one underlying mechanism.

    6 months

Secondary Outcomes (2)

  • Number of Participants cured with herbal melanin as compared to number of participants cured with standard of care for gastritis and H.Pylori-induced gastritis

    6 months

  • Number of Participants between study groups having high expression of TLR4 and COX2 as assessed by Western blots procedure.

    6 months

Study Arms (6)

Herbal Melanin

EXPERIMENTAL

Herbal melanin 1800 milligram(mg) orally thrice a day with meals (300mgx2 capsules)

Other: Herbal Melanin

Nexium

ACTIVE COMPARATOR

omeprazole 40 mg once per day for one month.

Drug: Nexium

H-Pylori infected : Herbal Melanin

EXPERIMENTAL

Herbal melanin 1800 mg orally thrice a day(TID) with meals (300 mg x2 capsules)

Other: Herbal Melanin

nexium+ amoxil+clarithromycin

ACTIVE COMPARATOR

omeprazole40 mg P.O. Twice per Day(BID) for one month + Amoxil 1000mg P.O. BID for 2 weeks+ Clarithromycin500 mg PO BID for two weeks. Omeprazole+Amoxil+clarithromycin is the standard triple therapy given

Drug: NexiumDrug: AmoxilDrug: Clarithromycin

nexium +Herbal melanin

EXPERIMENTAL

omeprazole 40 mg P.O. BID for one month +1800 mg Herbal melanin PO TID (300mg x2 capsules) Omeprazole + Herbal melanin will be tested

Other: Herbal MelaninDrug: Nexium

Herbal melanin+amoxil+ clarithromycin

EXPERIMENTAL

Amoxil 1000mg P.O. BID for 2 weeks+ Clarithromycin500 mg PO BID for two weeks +1800 mg Herbal melanin PO TID(300 mg X 2 capsules) Herbal melanin+Amoxil+Clarithromycin will be tested

Other: Herbal MelaninDrug: AmoxilDrug: Clarithromycin

Interventions

Herbal melanin extracted from Nigella sativa seeds

Also known as: Melanole
H-Pylori infected : Herbal MelaninHerbal MelaninHerbal melanin+amoxil+ clarithromycinnexium +Herbal melanin
NexiumDRUG

omeprazole

Also known as: Aciloc
Nexiumnexium +Herbal melaninnexium+ amoxil+clarithromycin
AmoxilDRUG

Antibiotic

Herbal melanin+amoxil+ clarithromycinnexium+ amoxil+clarithromycin

Antibiotic

Also known as: Klacid
Herbal melanin+amoxil+ clarithromycinnexium+ amoxil+clarithromycin

Eligibility Criteria

Age18 Years - 60 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Males or Females between 18- 60 years
  • Willing to sign Informed Consent Form (ICF)
  • Women of Child bearing age will be asked to conduct a pregnancy test before enrolling in the study and offered contraceptives for the duration of the study participation
  • Clinical Pictures of Gastritis.
  • Histologically confirmed H- Pylori Gastritis or Non H- Pylori by one week from enrollment.

You may not qualify if:

  • Patients with disturbed gastrointestinal physiology (gastric surgery, vagotomy, Zollinger-Ellison syndrome)
  • Patients who have been treated with antibiotics or bismuth containing drugs 1 month prior enrolling in the study
  • Patient with pyloric stenosis
  • Patient with Hematologic disorder
  • Patient with congestive heart disease
  • Women who are pregnant or lactating
  • Current or past history of malignancy
  • Drug abuser and chronic alcoholism
  • Patients currently participating in any other clinical trial of any kind

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (29)

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    PMID: 16635740BACKGROUND
  • Biotechnological Method for Production of Melanin Pigments. Patent, award by Swedish PRV Patent office-Stockholm 2011 and United Nations PCT-WIPO 2011. Registered in US &Canada

    BACKGROUND
  • Extraction of melanin from Nigella sativa L. Patent No. 451, Khartoum, Sudan. 1998.

    BACKGROUND
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    BACKGROUND
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  • Ayala G, Escobedo-Hinojosa WI, de la Cruz-Herrera CF, Romero I. Exploring alternative treatments for Helicobacter pylori infection. World J Gastroenterol. 2014 Feb 14;20(6):1450-69. doi: 10.3748/wjg.v20.i6.1450.

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  • Hawkins C, Hanks GW. The gastroduodenal toxicity of nonsteroidal anti-inflammatory drugs: a review of the literature. J Pain Symptom Manage. 2000 Aug;20(2):140-51. doi: 10.1016/s0885-3924(00)00175-5.

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  • El-Tahir, K. E. H.; Hassib, A. M.; El-Hag, H.; Ponten, F.; Westermark, B. El- Obeid Adila (2009). Anti-ulcerogenic effects of Nigella sativa Melanin. Sudan Patent No. 1683.

    BACKGROUND
  • Mimura T, Maeda K, Tsujibo H, Satake M, Fujita T. Studies on biological activities of melanin from marine animals. II. Purification of melanin from Octopus vulgaris Cuvier and its inhibitory activity on gastric juice secretion in rats. Chem Pharm Bull (Tokyo). 1982 Apr;30(4):1508-12. doi: 10.1248/cpb.30.1508. No abstract available.

    PMID: 7105266BACKGROUND
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    PMID: 4053227BACKGROUND
  • El-Dakhakhny M, Barakat M, El-Halim MA, Aly SM. Effects of Nigella sativa oil on gastric secretion and ethanol induced ulcer in rats. J Ethnopharmacol. 2000 Sep;72(1-2):299-304. doi: 10.1016/s0378-8741(00)00235-x.

    PMID: 10967486BACKGROUND
  • Kanter M, Demir H, Karakaya C, Ozbek H. Gastroprotective activity of Nigella sativa L oil and its constituent, thymoquinone against acute alcohol-induced gastric mucosal injury in rats. World J Gastroenterol. 2005 Nov 14;11(42):6662-6. doi: 10.3748/wjg.v11.i42.6662.

    PMID: 16425361BACKGROUND
  • Seniuk OF, Gorovoj LF, Beketova GV, Savichuk HO, Rytik PG, Kucherov II, Prilutskay AB, Prilutsky AI. Anti-infective properties of the melanin-glucan complex obtained from medicinal tinder bracket mushroom, Fomes fomentarius (L.: Fr.) Fr. (Aphyllophoromycetideae). Int J Med Mushrooms. 2011;13(1):7-18. doi: 10.1615/intjmedmushr.v13.i1.20.

    PMID: 22135899BACKGROUND
  • Peterson WL. The role of antisecretory drugs in the treatment of Helicobacter pylori infection. Aliment Pharmacol Ther. 1997 Apr;11 Suppl 1:21-5. doi: 10.1046/j.1365-2036.11.s1.4.x.

    PMID: 9146787BACKGROUND
  • Salem EM, Yar T, Bamosa AO, Al-Quorain A, Yasawy MI, Alsulaiman RM, Randhawa MA. Comparative study of Nigella Sativa and triple therapy in eradication of Helicobacter Pylori in patients with non-ulcer dyspepsia. Saudi J Gastroenterol. 2010 Jul-Sep;16(3):207-14. doi: 10.4103/1319-3767.65201.

    PMID: 20616418BACKGROUND
  • Poelmans J, Feenstra L, Demedts I, Rutgeerts P, Tack J. The yield of upper gastrointestinal endoscopy in patients with suspected reflux-related chronic ear, nose, and throat symptoms. Am J Gastroenterol. 2004 Aug;99(8):1419-26. doi: 10.1111/j.1572-0241.2004.30066.x.

    PMID: 15307853BACKGROUND
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    PMID: 11449097BACKGROUND
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    PMID: 16534670BACKGROUND
  • Schmausser B, Andrulis M, Endrich S, Muller-Hermelink HK, Eck M. Toll-like receptors TLR4, TLR5 and TLR9 on gastric carcinoma cells: an implication for interaction with Helicobacter pylori. Int J Med Microbiol. 2005 Jun;295(3):179-85. doi: 10.1016/j.ijmm.2005.02.009.

    PMID: 16044857BACKGROUND
  • Schmausser B, Andrulis M, Endrich S, Lee SK, Josenhans C, Muller-Hermelink HK, Eck M. Expression and subcellular distribution of toll-like receptors TLR4, TLR5 and TLR9 on the gastric epithelium in Helicobacter pylori infection. Clin Exp Immunol. 2004 Jun;136(3):521-6. doi: 10.1111/j.1365-2249.2004.02464.x.

    PMID: 15147355BACKGROUND
  • El-Obeid A, Hassib A, Ponten F, Westermark B. Effect of herbal melanin on IL-8: a possible role of Toll-like receptor 4 (TLR4). Biochem Biophys Res Commun. 2006 Jun 16;344(4):1200-6. doi: 10.1016/j.bbrc.2006.04.035. Epub 2006 May 2.

    PMID: 16650380BACKGROUND
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    BACKGROUND
  • Wada A, Ogushi K, Kimura T, Hojo H, Mori N, Suzuki S, Kumatori A, Se M, Nakahara Y, Nakamura M, Moss J, Hirayama T. Helicobacter pylori-mediated transcriptional regulation of the human beta-defensin 2 gene requires NF-kappaB. Cell Microbiol. 2001 Feb;3(2):115-23. doi: 10.1046/j.1462-5822.2001.00096.x.

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MeSH Terms

Conditions

Gastritis

Interventions

EsomeprazoleAmoxicillinClarithromycin

Condition Hierarchy (Ancestors)

GastroenteritisGastrointestinal DiseasesDigestive System DiseasesStomach Diseases

Intervention Hierarchy (Ancestors)

Omeprazole2-PyridinylmethylsulfinylbenzimidazolesSulfoxidesSulfur CompoundsOrganic ChemicalsPyridinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsBenzimidazolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingAmpicillinPenicillin GPenicillinsbeta-LactamsLactamsAmidesErythromycinMacrolidesPolyketidesLactones

Study Officials

  • Adila SA Elobeid, PhD

    Ministry of National Guard

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Adila SA Elobeid, PhD

CONTACT

khizra sultana, Masters

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 14, 2018

First Posted

February 9, 2018

Study Start

March 1, 2018

Primary Completion

March 1, 2019

Study Completion

March 1, 2020

Last Updated

February 9, 2018

Record last verified: 2017-12