NCT07316400

Brief Summary

The goal of this randomized controlled clinical trial is to evaluate whether polysaccharide peptide (PsP) supplementation from Ganoderma lucidum can modulate biomarkers of oxidative stress, inflammation, nicotine exposure, and stress response in adults exposed to cigarette smoke. The study is conducted in adults aged 20-50 years with active or passive exposure to cigarette smoke. The main questions it aims to answer are:

  • Does PsP supplementation change serum malondialdehyde (MDA) and superoxide dismutase (SOD) levels over 8 weeks?
  • Does PsP supplementation affect serum interleukin-6 (IL-6), nitric oxide (NO), cotinine, nicotinic acetylcholine receptor (nAChR), and cortisol levels? Researchers will compare participants receiving PsP supplementation with those receiving a placebo to evaluate differences in changes in the specified biomarkers. Participants will:
  • Be randomly assigned to receive PsP capsules (500 mg/day) or placebo for 8 weeks
  • Provide fasting blood samples at baseline and at the end of the intervention
  • Maintain usual lifestyle habits while avoiding antioxidant supplements during the study period

Trial Health

87
On Track

Trial Health Score

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

Enrollment
200

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Sep 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

September 1, 2024

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 26, 2024

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

November 30, 2024

Completed
1 year until next milestone

First Submitted

Initial submission to the registry

December 3, 2025

Completed
1 month until next milestone

First Posted

Study publicly available on registry

January 5, 2026

Completed
Last Updated

January 5, 2026

Status Verified

December 1, 2025

Enrollment Period

2 months

First QC Date

December 3, 2025

Last Update Submit

December 18, 2025

Conditions

Keywords

Peptide Polysaccharide (PsP)Ganoderma lucidumβ-GlucanOxidative StressInflammationSmokers

Outcome Measures

Primary Outcomes (2)

  • Change in Serum Malondialdehyde (MDA) Levels

    Serum MDA concentration (nmol/mL) will be measured to assess oxidative stress status in participants receiving PsP compared with the control group

    Baseline to 8 weeks

  • Change in Serum Superoxide Dismutase (SOD) Levels

    Serum SOD concentration (U/mL) will be measured to assess oxidative stress status in participants receiving PsP compared with the control group

    Baseline to 8 weeks

Secondary Outcomes (5)

  • Change in Serum Interleukin-6 (IL-6) Levels

    Baseline to 8 weeks

  • Change in Serum Nitric Oxide (NO) Levels

    Baseline to 8 weeks

  • Change in Serum Cotinine Levels

    Baseline to 8 weeks

  • Change in Serum Nicotinic acetylcholine receptors (nAChRs) Levels

    Baseline to 8 weeks

  • Change in Serum Cortisol Levels

    Baseline to 8 weeks

Study Arms (2)

Smoker Control Group (No Supplementation)

NO INTERVENTION

Participants in this arm are smokers who do not receive any investigational product. They continue with their usual daily habits without additional supplements or treatments. This group serves as the control for evaluating the effects of PsP Ganoderma lucidum.

Smokers Receiving PsP Ganoderma lucidum Supplementation

EXPERIMENTAL

Participants in this arm are smokers who receive PsP Ganoderma lucidum as the investigational intervention. They follow the assigned PsP supplementation regimen for the full study duration to assess its effects compared with the control group.

Dietary Supplement: PsP

Interventions

PsPDIETARY_SUPPLEMENT

PsP is a freeze dried Ganoderma lucidum Polysaccharide Peptide extract from mycelium cell wall. Each capsule contains 250 mg of Polysaccharide Peptide, which it equal to 180 mg β-1,3/1,6-D-Glucan.

Smokers Receiving PsP Ganoderma lucidum Supplementation

Eligibility Criteria

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

You may qualify if:

  • Male or female adults aged 18 to 60 years.
  • Has smoked regularly for at least the past 12 months.
  • Able and willing to provide written informed consent.
  • Agrees to maintain usual smoking habits during the study period.
  • Able to comply with study procedures and visits.

You may not qualify if:

  • Current use of antioxidant supplements, vitamins, herbal supplements, or mushroom- derived products within the last 4 weeks.
  • Diagnosis of chronic inflammatory disease, autoimmune disease, diabetes mellitus, cardiovascular disease, chronic kidney disease, chronic liver disease, or cancer.
  • Acute illness, infection, or fever within the last 14 days.
  • Regular use of anti-inflammatory drugs (NSAIDs, corticosteroids) within the last 4 weeks.
  • Participation in another clinical study within the past 30 days.
  • Pregnant or breastfeeding.
  • Known allergy to Ganoderma lucidum or mushroom-derived compounds.
  • Alcohol dependence or substance abuse other than tobacco.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Brawijaya

Malang, East Java, 65145, Indonesia

Location

Related Publications (3)

  • Kumboyono K, Chomsy IN, Hakim AK, Sujuti H, Hariyanti T, Srihardyastutie A, Wihastuti TA. Detection of Vascular Inflammation and Oxidative Stress by Cotinine in Smokers: Measured Through Interleukin-6 and Superoxide Dismutase. Int J Gen Med. 2022 Sep 16;15:7319-7328. doi: 10.2147/IJGM.S367125. eCollection 2022.

    PMID: 36147199BACKGROUND
  • Kumboyono K, Nurwidyaningtyas W, Chomsy IN, Wihastuti TA. Early Detection of Negative Smoking Impacts: Vascular Adaptation Deviation Based on Quantification of Circulated Endothelial Activation Markers. Vasc Health Risk Manag. 2021 Mar 23;17:103-109. doi: 10.2147/VHRM.S296293. eCollection 2021.

    PMID: 33790567BACKGROUND
  • Wihastuti TA, Heriansyah T. The inhibitory effects of polysaccharide peptides (PsP) of Ganoderma lucidum against atherosclerosis in rats with dyslipidemia. Heart Int. 2017 Apr 12;12(1):e1-e7. doi: 10.5301/heartint.5000234. eCollection 2017 Jan-Dec.

    PMID: 29114382BACKGROUND

Related Links

MeSH Terms

Conditions

InflammationCigarette Smoking

Condition Hierarchy (Ancestors)

Pathologic ProcessesPathological Conditions, Signs and SymptomsTobacco SmokingSmokingBehaviorTobacco Use

Study Officials

  • Titin A Wihastuti, Professor

    Brawijaya University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
Participants were blinded to group allocation, with PsP and placebo capsules identical in appearance and packaging. Investigators conducting laboratory analyses were also blinded to group assignments.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: A two-arm parallel design in which adult smokers are randomly assigned to either a control group (smokers without supplementation) or an intervention group (smokers receiving peptide polysaccharide supplementation). Both groups are followed concurrently throughout the study period.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator (Professor)

Study Record Dates

First Submitted

December 3, 2025

First Posted

January 5, 2026

Study Start

September 1, 2024

Primary Completion

October 26, 2024

Study Completion

November 30, 2024

Last Updated

January 5, 2026

Record last verified: 2025-12

Data Sharing

IPD Sharing
Will not share

Individual participant data (IPD) will not be shared because the study does not include a data-sharing plan in the ethics approval or informed consent. Data contain sensitive biomarker and smoking-related information that may pose a re-identification risk for participants. Therefore, IPD will not be made publicly available.

Locations