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CTRI Number  CTRI/2024/01/062052 [Registered on: 30/01/2024] Trial Registered Prospectively
Last Modified On: 10/01/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A clinical study to evaluate anti-hypertensive and other health benefits of Moringa oleifera leaf extract in patients with essential hypertension 
Scientific Title of Study   Anti-hypertensive and pleiotropic effects of Moringa oleifera leaf extract as an add-on therapy in patients with essential hypertension - A randomized double blind placebo controlled trial. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Harivenkatesh Natarajan 
Designation  Additional Professor 
Affiliation  Jawaharlal Institute of Postgraduate Medical Education & Research 
Address  Room No.4025, Department of Pharmacology, 3rd floor, Institute block, JIPMER, Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  9968856995  
Fax    
Email  dr.harivenkatesh82@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Harivenkatesh Natarajan 
Designation  Additional Professor 
Affiliation  Jawaharlal Institute of Postgraduate Medical Education & Research 
Address  Room No.4025, Department of Pharmacology, 3rd floor, Institute block, JIPMER, Puducherry


PONDICHERRY
605006
India 
Phone  9968856995  
Fax    
Email  dr.harivenkatesh82@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sadish M 
Designation  Junior Resident 
Affiliation  Jawaharlal Institute of Postgraduate Medical Education & Research 
Address  Department of pharmacology, JIPMER, Gorimedu, Dhanvantari Nagar, Puducherry.

Pondicherry
PONDICHERRY
605006
India 
Phone  8220221876  
Fax    
Email  sadishakash2002@gmail.com  
 
Source of Monetary or Material Support  
Jawaharlal Institute of Postgraduate Medical Education & Research(JIPMER), Puducherry (Intra-mural Research Fund) 
 
Primary Sponsor  
Name  JIPMER Puducherry 
Address  Jawaharlal Institute of Postgraduate Medical Education & Research(JIPMER), Gorimedu, Puducherry 605006 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sadish M   Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Puducherry  Medicine OPD, Hypertensive Clinic, Department of Pharmacology, JIPMER, Puducherry
Pondicherry
PONDICHERRY 
8220221876

sadishakash2002@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Instituitional Ethics Committee for Interventional Studies,JIPMER,Puducherry  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I10||Essential (primary) hypertension,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Identical Placebo  Identical Placebo 600 mg capsule thrice daily orally in addition to background standard antihypertensive agents for a period of 3 months 
Intervention  Moringa oleifera leaf extract   Moringa oleifera leaf extract 600 mg capsule thrice daily orally in addition to background standard antihypertensive agents for a period of 3 months 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Patients with essential hypertension aged ≥ 18 years, irrespective of gender, with or without other comorbidities, who fulfill the following criteria:

Patients on treatment with stable dose of antihypertensive agents for atleast 1 month and has not yet attained target blood pressure goals (130 mm Hg of systolic and 80 mm Hg of diastolic blood pressure) and not requiring dose escalation or addition of new anti-hypertensive agent according to clinical judgment of the treating physician.
 
 
ExclusionCriteria 
Details  Patients with secondary hypertension.
Patients with resistant hypertension.
Patients with hypertensive urgency or emergency.
Patients not on stable dose of oral hypoglycemic drugs or insulin for past 1 month.
Pregnant and lactating women, women in reproductive age group not practicing contraceptive measures.
Patients with hepatic impairment (elevated liver enzymes more than 2 times upper normal limit)
Patients with renal impairment (serum Creatinine more than 1.2 mg per dl)
Patients with recent history of coronary artery disease
Patients with peripheral vascular disease.
Patients who had participated in other trials in the past three months.
Patients on other herbal medications. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Mean change from baseline in systolic blood pressure at the end of 3 months  3 months 
 
Secondary Outcome  
Outcome  TimePoints 
Mean change from baseline in diastolic blood pressure, HbA1c level, oxidative stress marker and antioxidant level, hs-CRP, liver and renal function, lipid profile, serum uric acid level and endothelial function using plethysmography at the end of 3 months  3 months 
Safety of Moringa oleifera leaf extract in essential hypertension patients  3 months 
 
Target Sample Size   Total Sample Size="150"
Sample Size from India="150" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   01/02/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This study is a randomized double blind placebo controlled trial to evaluate the effect of Moringa oleifera leaf extract as an add on treatment in patients with essential hypertension.  The study will have two arms- the intervention arm and the placebo arm.  The study will be conducted with 150 participants, 75 in each group, all of whom will be recruited from JIPMER, Puducherry.  The participants will receive either the intervention or placebo capsules at a dose of 600 mg thrice daily for a period of three months.  At the end of three months, the participants will be assessed for mean reduction in systolic blood pressure, mean reduction in diastolic blood pressure, oxidative stress marker and antioxidant level, HbA1c level, liver and renal function test, lipid profile, hs-CRP, serum uric acid level and endothelial function using plethysmography and will be compared to baseline. 
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