NCT07123259

Brief Summary

Pomegranate (Punica granatum L.) peel powder, known for its potent antioxidant, anti-inflammatory, and antimicrobial properties, has shown promise in the dietary management of gastrointestinal disorders. In recent clinical observations, incorporating pomegranate peel powder into muffins consumed by patients with gastric ulcers demonstrated potential anti-ulcerative colitis activity. The bioactive compounds in the peel, such as polyphenols (punicalagins, ellagic acid), help reduce oxidative stress and modulate inflammatory pathways in the gut. Patients consuming these enriched muffins reported improvements in gastrointestinal symptoms, reduced mucosal inflammation, and enhanced mucosal healing, suggesting a supportive role of pomegranate peel as a functional food ingredient in managing gastric and colitis-related conditions.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
82

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Aug 2024

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

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 10, 2024

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 10, 2024

Completed
2 days until next milestone

Study Completion

Last participant's last visit for all outcomes

October 12, 2024

Completed
10 months until next milestone

First Submitted

Initial submission to the registry

August 7, 2025

Completed
7 days until next milestone

First Posted

Study publicly available on registry

August 14, 2025

Completed
Last Updated

August 19, 2025

Status Verified

August 1, 2024

Enrollment Period

2 months

First QC Date

August 7, 2025

Last Update Submit

August 13, 2025

Conditions

Keywords

Punica granatumGastric UlcerUlcerative ColitisHelicobacter pylori

Outcome Measures

Primary Outcomes (2)

  • Pepsinogen I and II Levels

    Pepsinogen I and II levels were measured using an enzyme-linked immunosorbent assay (ELISA). These biomarkers were assessed to evaluate gastric mucosal integrity, with elevated levels indicating gastric inflammation and aiding in the diagnosis and monitoring of ulcer severity and progression (Zhang et al., 2024).

    8 WEEKS

  • Helicobacter pylori Test

    Pepsinogen I and II levels were measured using an enzyme-linked immunosorbent assay (ELISA). These biomarkers were assessed to evaluate gastric mucosal integrity, with elevated levels indicating gastric inflammation and aiding in the diagnosis and monitoring of ulcer severity and progression (Zhang et al., 2024).

    8 WEEKS

Secondary Outcomes (3)

  • Complete blood count

    8 Weeks

  • Liver function assay

    8 Weeks

  • Barium Test

    8 Weeks

Study Arms (3)

Treatment 1 group: Whole wheat muffin enriched with pomegranate peel powder (PPP=1.5g)

ACTIVE COMPARATOR
Combination Product: 1.5g enriched pomegranate muffins

Treatment 2 group: Whole wheat muffin enriched with pomegranate peel powder (PPP=3g)

ACTIVE COMPARATOR
Combination Product: 3g enriched pomegranate muffins

Group T0: Whole wheat muffin

PLACEBO COMPARATOR

400g whole wheat flour was used to formulate the muffins

Dietary Supplement: WHOLE WHEAT MUFFIN

Interventions

WHOLE WHEAT MUFFINDIETARY_SUPPLEMENT

400g whole wheat flour was used for the development of muffins

Group T0: Whole wheat muffin

1.5 g of pomegranate peel powder (PPP), alongside conventional medical therapy

Treatment 1 group: Whole wheat muffin enriched with pomegranate peel powder (PPP=1.5g)

3 g of pomegranate peel powder (PPP), alongside conventional medical therapy

Treatment 2 group: Whole wheat muffin enriched with pomegranate peel powder (PPP=3g)

Eligibility Criteria

Age40 Years - 60 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Both male and female patients aged 45-60 years with confirmed Helicobacter pylori
  • infection verified through a stool antigen test (pH 7.0-7.5)
  • elevated levels of pepsinogen I and II

You may not qualify if:

  • pregnancy or lactation
  • history of gastric surgery
  • current use of proton pump inhibitors (PPIs)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Sana Noreen

Lahore, 54000, Pakistan

Location

Related Publications (1)

  • Kamali M, Tavakoli H, Khodadoost M, Daghaghzadeh H, Kamalinejad M, Gachkar L, Mansourian M, Adibi P. Efficacy of the Punica granatum peels aqueous extract for symptom management in ulcerative colitis patients. A randomized, placebo-controlled, clinical trial. Complement Ther Clin Pract. 2015 Aug;21(3):141-6. doi: 10.1016/j.ctcp.2015.03.001. Epub 2015 Apr 1.

    PMID: 26256131BACKGROUND

MeSH Terms

Conditions

Peptic UlcerStomach UlcerColitis, Ulcerative

Condition Hierarchy (Ancestors)

Duodenal DiseasesIntestinal DiseasesGastrointestinal DiseasesDigestive System DiseasesStomach DiseasesColitisGastroenteritisInflammatory Bowel DiseasesColonic Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

August 7, 2025

First Posted

August 14, 2025

Study Start

August 10, 2024

Primary Completion

October 10, 2024

Study Completion

October 12, 2024

Last Updated

August 19, 2025

Record last verified: 2024-08

Data Sharing

IPD Sharing
Will share

We plan to share the Individual Participant Data (IPD) collected during the study with other qualified researchers upon reasonable request. The shared data will include de-identified participant-level data related to baseline characteristics, intervention, outcomes, and adverse events.

Shared Documents
STUDY PROTOCOL, CSR

Locations