NCT07386210

Brief Summary

This study assessed the antihypertensive effect of rosemary tea through a placebo-controlled clinical study, angiotensin-converting enzyme (ACE) inhibition analysis, and in silico evaluation of interactions between rosemary bioactive compounds and the AT1R (Angiotensin II Type 1 Receptor). A randomized, double-blind, placebo-controlled trial was conducted in 54 male patients with mild hypertension. Participants were assigned to receive either rosemary infusion (n = 27) or placebo (n = 23) for 45 days. Ambulatory blood pressure monitoring wass used to evaluate blood pressure parameters. Serum ACE activity was measured at baseline and after the intervention using FAPGG hydrolysis. Molecular docking simulations were performed using the Dock 4.2 software.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
54

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Mar 2023

Typical duration for not_applicable

Geographic Reach
1 country

2 active sites

Status
completed

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

Study Start

First participant enrolled

March 20, 2023

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 28, 2025

Completed
1 day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 29, 2025

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

January 11, 2026

Completed
24 days until next milestone

First Posted

Study publicly available on registry

February 4, 2026

Completed
Last Updated

February 4, 2026

Status Verified

January 1, 2026

Enrollment Period

2.4 years

First QC Date

January 11, 2026

Last Update Submit

January 27, 2026

Conditions

Keywords

Rosmarinus officinalis Lmale hypertensive patientshypertensioninfusion

Outcome Measures

Primary Outcomes (1)

  • Measurement of ambulatory blood pressure

    ABPM was utilized to improve the accuracy of the clinical trial while minimizing the required number of participants. Blood pressure mea- surements were taken at the brachial artery using a Holter SunTech Medical Oscar 2 device (INC S07Air Port Blvd, Suite 117, Morrisville, NC, USA) to monitor BP over a 24-hour period. The device was set to record BP every 30 min during the day and every hour at night. The cuff was placed on the non-dominant arm, enabling the participants to carry on with their normal activities. They were instructed to stay still during cuff inflation. The sleep and wake times for programming the Holter device were established based on a question asked to the subjects during their visit. These measurements were recorded on Day 0 (D0) and Day 45 (D45) to assess the impact of the rosemary infusion on blood pressure. We assessed the following blood pressure parameters: 24-h, daytime, and nighttime SBP and DBP, mean blood pressure (MBP), heart rate (HR), and nocturnal d

    6 weeks

Secondary Outcomes (3)

  • Determination of serm angiotensin-converting enzyme activity

    6 weeks

  • Biochemical Analysis and Assessment

    6 weeks

  • Evaluation Perceived Benefits of Rosemary infusion

    6 weeks

Other Outcomes (1)

  • Binding affinity of rosemary phenolic compounds to hypertension target proteins assessed by molecular docking

    15 days

Study Arms (2)

Bras 1 rosemary infusion

EXPERIMENTAL

Infusion prepared from 2g of rosemary leaves. Administered orally, 1 cup (100 mL) per day. Duration: 6 weeks.

Dietary Supplement: Rosemary extract infusion

bras 2: placebo

PLACEBO COMPARATOR

Infusion with color and taste similar to rosemary, without active extract Administered orally, 1 cup (100 mL) per day Duration: 6 weeks

Dietary Supplement: Placebo

Interventions

Rosemary extract infusionDIETARY_SUPPLEMENT

Infusion prepared from 2g of rosemary leaves Administered orally, 1 cup (100 mL) per day Duration: 6 weeks

Bras 1 rosemary infusion
PlaceboDIETARY_SUPPLEMENT

Infusion with color and taste similar to rosemary, without active extract Administered orally, 1 cup (100 mL) per day Duration: 6 weeks

bras 2: placebo

Eligibility Criteria

Age18 Years - 65 Years
Sexmale(Gender-based eligibility)
Gender Eligibility Detailsmen with mild hypertension
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male participants aged 28-65 years
  • Mild hypertension, defined as systolic blood pressure (SBP) 140-159 mmHg and/or diastolic blood pressure (DBP) 90-99 mmHg, according to ESC/ESH 2018 guidelines
  • No history of chronic diseases
  • Not currently taking antihypertensive medications, other drugs, or dietary supplements
  • Body mass index (BMI) within the screening range at recruitment
  • Provided written informed consent

You may not qualify if:

  • Secondary hypertension
  • History of cardiovascular disease, diabetes mellitus, renal failure, autoimmune disease, or major gastrointestinal disorders
  • Current use of medications affecting blood pressure
  • Extreme body mass index (BMI) values
  • Significant dietary changes or irregular physical activity in the previous six months
  • Alcohol consumption or use of illicit drugs
  • Inability or unwillingness to maintain usual diet and lifestyle during the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Faculty of Medicine of Sousse

Sousse, 4023, Tunisia

Location

Sassi

Sousse, Tunisia

Location

MeSH Terms

Conditions

Hypertension

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
PHD Assistant Professor at the Private Higher Institute of Nursing Sciences

Study Record Dates

First Submitted

January 11, 2026

First Posted

February 4, 2026

Study Start

March 20, 2023

Primary Completion

August 28, 2025

Study Completion

August 29, 2025

Last Updated

February 4, 2026

Record last verified: 2026-01

Data Sharing

IPD Sharing
Will not share

Locations