Clinical Trial to Assess the Efficacy of µSmin® Plus
Randomized, Double-blind, Placebo-controlled Clinical Trial to Assess the Efficacy of µSmin® Plus (Dietary Supplement) in Chronic Venous Insufficiency Symptoms Relief
1 other identifier
interventional
73
1 country
1
Brief Summary
This study evaluates treatment with the dietary supplement µSmin® Plus in a group of patients suffering from chronic venous insufficiency in comparison with a similarly-sized group of patients receiving placebo evaluated by quality of life questionnaires, VAS pain scale, CVI symptomatology, and change in the circumference of the affected leg at calf level
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Nov 2019
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 20, 2019
CompletedFirst Posted
Study publicly available on registry
September 24, 2019
CompletedStudy Start
First participant enrolled
November 15, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 24, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
April 24, 2020
CompletedJune 25, 2020
June 1, 2020
5 months
September 20, 2019
June 23, 2020
Conditions
Outcome Measures
Primary Outcomes (2)
Quality of life assessed
Quality of life is assessed by ChronIc Venous Insuficiency quality of life Questionnaire ( CIVIQ-20 questionnaire ). The 20-item questionnaire, provides a global index and an outline of 4 quality-of-life dimensions-"pain" (4 items), "physical" (4 items), "psychological" (9 items), and "social" (3 items). Items on the CIVIQ-20 scale were scored from 1 to 5. There are 20 questions in the CIVIQ-20, each with 5 possible answers (1 to 5), the minimum possible score being 20 and the maximum 100. In order to calculate the GIS, the difference between the final score and the minimum possible score is to be divided by the difference between the theoretical maximum and minimum scores (100-20=80), multiplied by 100. A low score will correspond to greater patient comfort.
56 days
Change in the circumference of each affected leg
To evaluate the efficacy of the dietary supplement µSmin® Plus on ameliorating the symptoms of Chronic Venous Insufficiency in terms of change in the circumference of affected legs and quality of life, in comparison with placebo, from baseline to week 8 visit; The unit for this measurement is centimeter.
56 days
Secondary Outcomes (9)
Visual Analogue Scale ( VAS scale ) from 0 to 10 for pain measurements
56 days
Symptoms relief assessed by Venous Clinical Severity Score (VCSS) questionnaire
56 days
Investigator Global Assessment of the efficacy by scoresproduct
56 days
Patient Global Assessment of the efficacy by scores
56 days
Percentage of subjects who would want to continue with µSmin® Plus.
56 days
- +4 more secondary outcomes
Study Arms (2)
µSmin® Plus
OTHERµSmin® Plus is a new Micronized Diosmin Formulation for oral administration. Diosmin is extremely well tolerated and safe to use. Diosmin is safe for most people when used short-term for up to 6 months. During the 8 weeks of the clinical investigation, the subject will administer 1 tablet of µSMIN® Plus (corresponding to 450 mg of micronized diosmin) or placebo per day.
Placebo
PLACEBO COMPARATORIt will be supplied by the Sponsor in an amount enough for the duration of the study. The subject will administer 1 tablet per day
Interventions
µSmin® Plus is a new Micronized Diosmin Formulation for oral administration. Diosmin is extremely well tolerated and safe to use. Diosmin is safe for most people when used short-term for up to 6 months. During the 8 weeks of the clinical investigation, the subject will administer 1 tablet of µSMIN® Plus (corresponding to 450 mg of micronized diosmin) or placebo per day.
It will be supplied by the Sponsor in an amount enough for the duration of the study. The subject will administer 1 tablet per day
Eligibility Criteria
You may qualify if:
- Male or female with age ≥18 and ≤60 with chronic venous insufficiency;
- The chronic venous insufficiency must be graded between C2-C4 on the Clinical-Etiology-Anatomy-Pathophysiology (CEAP) classification system;
- Able to communicate adequately with the investigator and to comply with the requirements for the entire study;
- Capable of and freely willing to provide written informed consent prior to participating in the study;
- Light smokers (\<10 cigarettes per day).
You may not qualify if:
- Patients suffering from other or associated vascular diseases, diabetes or bleeding disorders;
- Oedema of the lower limbs of cardiac, renal or hepatic origin;
- Presence of symptoms and/or trophic disorders of arterial, metabolic, neurological or orthopedic origin including traumas, arthritis, neuropathy;
- One or more factors likely to affect venous symptoms such as recent childbirth, recent stripping, or deep or superficial venous thrombosis of the lower limbs during the previous 6 months;
- Obese subjects (BMI \> 30);
- Hypersensitivity to active principles contained in the tested food supplement (diosmin);
- Patients considered smokers (≥10 cigarettes/day);
- Patients with concomitant or history of addiction to alcohol, spices or drug abuse;
- Pregnant women, nursing mothers, or women (only if childbearing potential) not using adequate methods of contraception;
- Participation in an interventional clinical study in the previous 30 days;
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Giellepi S.p.Alead
- Opera CRO, a TIGERMED Group Companycollaborator
Study Sites (1)
SCM Gados
Timișoara, Timiș County, 300425, Romania
Related Publications (20)
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PMID: 18467617BACKGROUNDOnida S, Davies AH. Predicted burden of venous disease. Phlebology. 2016 Mar;31(1 Suppl):74-9. doi: 10.1177/0268355516628359.
PMID: 26916773BACKGROUNDCarpentier PH, Maricq HR, Biro C, Poncot-Makinen CO, Franco A. Prevalence, risk factors, and clinical patterns of chronic venous disorders of lower limbs: a population-based study in France. J Vasc Surg. 2004 Oct;40(4):650-9. doi: 10.1016/j.jvs.2004.07.025.
PMID: 15472591BACKGROUNDMalone PC, Agutter PS. To what extent might deep venous thrombosis and chronic venous insufficiency share a common etiology? Int Angiol. 2009 Aug;28(4):254-68.
PMID: 19648868BACKGROUNDRusso R, Mancinelli A, Ciccone M, Terruzzi F, Pisano C, Severino L. Pharmacokinetic Profile of microSMIN Plus, a new Micronized Diosmin Formulation, after Oral Administration in Rats. Nat Prod Commun. 2015 Sep;10(9):1569-72.
PMID: 26594761BACKGROUNDRusso R, Chandradhara D, De Tommasi N. Comparative Bioavailability of Two Diosmin Formulations after Oral Administration to Healthy Volunteers. Molecules. 2018 Aug 29;23(9):2174. doi: 10.3390/molecules23092174.
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PMID: 31096120BACKGROUNDRabe E, Guex JJ, Morrison N, Ramelet AA, Schuller-Petrovic S, Scuderi A, Staelens I, Pannier F. Treatment of chronic venous disease with flavonoids: recommendations for treatment and further studies. Phlebology. 2013 Sep;28(6):308-19. doi: 10.1177/0268355512471929. Epub 2013 May 6.
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PMID: 28620474BACKGROUNDBakhtiari M, Panahi Y, Ameli J, Darvishi B. Protective effects of flavonoids against Alzheimer's disease-related neural dysfunctions. Biomed Pharmacother. 2017 Sep;93:218-229. doi: 10.1016/j.biopha.2017.06.010. Epub 2017 Jun 20.
PMID: 28641164BACKGROUNDMilano G, Leone S, Fucile C, Zuccoli ML, Stimamiglio A, Martelli A, Mattioli F. Uncommon serum creatine phosphokinase and lactic dehydrogenase increase during diosmin therapy: two case reports. J Med Case Rep. 2014 Jun 16;8:194. doi: 10.1186/1752-1947-8-194.
PMID: 24934505BACKGROUNDHeinen M, Borm G, van der Vleuten C, Evers A, Oostendorp R, van Achterberg T. The Lively Legs self-management programme increased physical activity and reduced wound days in leg ulcer patients: Results from a randomized controlled trial. Int J Nurs Stud. 2012 Feb;49(2):151-61. doi: 10.1016/j.ijnurstu.2011.09.005. Epub 2011 Sep 28.
PMID: 21959100BACKGROUNDMartinez-Zapata MJ, Vernooij RW, Uriona Tuma SM, Stein AT, Moreno RM, Vargas E, Capella D, Bonfill Cosp X. Phlebotonics for venous insufficiency. Cochrane Database Syst Rev. 2016 Apr 6;4(4):CD003229. doi: 10.1002/14651858.CD003229.pub3.
PMID: 27048768BACKGROUNDKakkos SK, Nicolaides AN. Efficacy of micronized purified flavonoid fraction (Daflon(R)) on improving individual symptoms, signs and quality of life in patients with chronic venous disease: a systematic review and meta-analysis of randomized double-blind placebo-controlled trials. Int Angiol. 2018 Apr;37(2):143-154. doi: 10.23736/S0392-9590.18.03975-5. Epub 2018 Jan 31.
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PMID: 1614993BACKGROUNDFreag MS, Elnaggar YS, Abdallah OY. Lyophilized phytosomal nanocarriers as platforms for enhanced diosmin delivery: optimization and ex vivo permeation. Int J Nanomedicine. 2013;8:2385-97. doi: 10.2147/IJN.S45231. Epub 2013 Jul 3.
PMID: 23861584BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
Doina Rosu, MD
SCM Dr. Rosu
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 20, 2019
First Posted
September 24, 2019
Study Start
November 15, 2019
Primary Completion
April 24, 2020
Study Completion
April 24, 2020
Last Updated
June 25, 2020
Record last verified: 2020-06