NCT04161404

Brief Summary

This study is a phase 1, open label, randomized, three-way crossover, single dose, oral- administration of Andrographis paniculata and Metformin in healthy volunteers under fasting condition. The study will demonstrate the pharmacokinetics profile and pharmacodynamic through metabolic pathway analysis for Andrographis paniculata and Metformin.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
18

participants targeted

Target at P25-P50 for phase_1

Timeline
Completed

Started Aug 2019

Geographic Reach
1 country

1 active site

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

Study Start

First participant enrolled

August 21, 2019

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

November 4, 2019

Completed
9 days until next milestone

First Posted

Study publicly available on registry

November 13, 2019

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2019

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2020

Completed
Last Updated

December 26, 2019

Status Verified

December 1, 2019

Enrollment Period

4 months

First QC Date

November 4, 2019

Last Update Submit

December 23, 2019

Conditions

Keywords

PharmacometabolomicMetforminAndrographis paniculataMetabolomicsPhase 1Healthy volunteersHerbal Medicine

Outcome Measures

Primary Outcomes (6)

  • Area under the plasma concentration-time curve (AUC) of Andrographis paniculata

    Area under the plasma concentration curve of Andrographis paniculata from administration to 24 hours

    0-24 hours

  • Cmax of Andrographis paniculata

    Maximum plasma concentration of Andrographis paniculata after single dose oral administration.

    0-24 hours

  • Tmax of Andrographis paniculata

    Time until Cmax of Andrographis paniculata is reached after single dose oral administration.

    0-24 hours

  • Area under the plasma concentration-time curve (AUC) of Metformin

    Area under the plasma concentration curve of Metformin from administration to 24 hours

    0-24 hours

  • Cmax of Metformin

    Maximum plasma concentration of Metformin after single dose oral administration.

    0-24 hours

  • Tmax of Metformin

    Time until Cmax of Metformin is reached after single dose oral administration.

    0-24 hours

Secondary Outcomes (3)

  • Metabolic pathway of Andrographis paniculata

    24 hours

  • Metabolic pathway of Metformin

    24 hours

  • Adverse drug reaction

    3 weeks

Study Arms (3)

Period 1

EXPERIMENTAL

Subjects will randomized to either of the intervention drug in a ratio of 1:1:1 following three period, cross-over study design.

Drug: Brand name: Andrographis paniculata (Shine Hempedu Bumi) 1000mg capsulesDrug: Brand name: Andrographis paniculata (Shine Hempedu Bumi) 2000mgDrug: Metformin (Glucophage) 1000mg

Period 2

EXPERIMENTAL

Subjects will randomized to either of the intervention drug in a ratio of 1:1:1 following three period, cross-over study design.

Drug: Brand name: Andrographis paniculata (Shine Hempedu Bumi) 1000mg capsulesDrug: Brand name: Andrographis paniculata (Shine Hempedu Bumi) 2000mgDrug: Metformin (Glucophage) 1000mg

Period 3

EXPERIMENTAL

Subjects will randomized to either of the intervention drug in a ratio of 1:1:1 following three period, cross-over study design.

Drug: Brand name: Andrographis paniculata (Shine Hempedu Bumi) 1000mg capsulesDrug: Brand name: Andrographis paniculata (Shine Hempedu Bumi) 2000mgDrug: Metformin (Glucophage) 1000mg

Interventions

Andrographis paniculata or hempedu bumi capsule is a traditional medicinal product registered under Ministry of Health Malaysia for general wealth being. It is traditionally used for anti-diabetic, anti-bacterial, anti-pyretic, anti-malarial, anti-inflammatory, antidiarrhoeal and other effects.

Also known as: Product name: Shine Hempedu Bumi
Period 1Period 2Period 3

Andrographis paniculata or hempedu bumi capsule is a traditional medicinal product registered under Ministry of Health Malaysia for general wealth being. It is traditionally used for anti-diabetic, anti-bacterial, anti-pyretic, anti-malarial, anti-inflammatory, antidiarrhoeal and other effects.

Also known as: Product name: Shine Hempedu Bumi
Period 1Period 2Period 3

Metformin is an oral glucose-lowering drug of the biguanides class. Drug: Period 1 Subjects

Also known as: Brand name: Glucophage
Period 1Period 2Period 3

Eligibility Criteria

Age18 Years - 45 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Sex: male
  • to 45 years of age (inclusive both)
  • BMI 18.5 - 29.5 kg/m2 (inclusive both) with minimum weight of 50kg
  • Non-smokers
  • Legible and willing to provide written informed consent.

You may not qualify if:

  • Volunteers suffering from any chronic illness such as arthritis, asthma, etc.
  • History of pre-existing bleeding disorder.
  • Clinically relevant abnormalities in the results of the laboratory screening evaluation.
  • Clinically significant abnormal electrocardiogram (ECG).
  • Positive HIV or positive hepatitis B or C in screening test or no known other hepatitis infection.
  • History of significant blood loss due to any reason, including blood donation in the past 3 months.
  • Participation in any study within past 3 months
  • History of alcohol or drug abuse
  • History of consumption of prescribed medication since last 14 days or Over-the-counter medication/ herbal remedies since last 7 days before beginning of the study.
  • Systolic blood pressure less than 100 mmHg or more than 139 mmHg and diastolic blood pressure less than 60 mmHg or more than 89 mmHg.
  • Pulse rate less than 60/minutes or more than 100/minute unless deem not clinically significant by investigator.
  • Oral temperature more than 37.5 degree Celsius.
  • History of allergy to the investigational product or any drug chemically similar to the drug under investigation.
  • Recent history of kidney or liver dysfunction.
  • Volunteers suffering from any psychiatric (acute or chronic) disorder.
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Clinical Investigation Centre, University Malaya Medical Centre

Kuala Lumpur, Kuala Lumpur, 59100, Malaysia

RECRUITING

Related Links

MeSH Terms

Interventions

Metformin

Intervention Hierarchy (Ancestors)

BiguanidesGuanidinesAmidinesOrganic Chemicals

Study Officials

  • Khim Boon Tee

    University of Malaya

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Krisna Veni Balakrishnan

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
CROSSOVER
Model Details: Open label, block-randomized, three-period, crossover, single dose oral administration of investigational products. Subjects will undergo at least 7 days washout period.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 4, 2019

First Posted

November 13, 2019

Study Start

August 21, 2019

Primary Completion

December 31, 2019

Study Completion

December 31, 2020

Last Updated

December 26, 2019

Record last verified: 2019-12

Data Sharing

IPD Sharing
Will share

We will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions by Medical Research Ethics Committee, University Malaya Medical Centre.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
Time Frame
The information is available approximately in December 2020 or when the study is published. The data is available for 2 years.
Access Criteria
Kindly email to Tee Khim Boon for the above information.

Locations