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Trial registered on ANZCTR
Registration number
ACTRN12615001236583
Ethics application status
Approved
Date submitted
20/08/2015
Date registered
11/11/2015
Date last updated
11/11/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effects of Tualang honey on oxidative stress status, inflammation and lipid profiles in chronic smokers
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Scientific title
Effects of Tualang honey on oxidative stress status, inflammation and lipid profiles in chronic male smokers
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Secondary ID [1]
287318
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None
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Universal Trial Number (UTN)
U1111-1173-3896
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic smokers
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Condition category
Condition code
Alternative and Complementary Medicine
296235
296235
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0
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Other alternative and complementary medicine
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Respiratory
296789
296789
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0
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Other respiratory disorders / diseases
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Cardiovascular
296792
296792
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0
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Tualang honey supplementation 20 g daily orally for 12 weeks.
Honey is in liquid form packed in a sachet (20 g per sachet).
Honey must be taken alone before meal in the morning.
Participants are required to return the empty sachet to ensure or monitor compliance.
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Intervention code [1]
292639
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Treatment: Other
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Intervention code [2]
293087
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Lifestyle
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Comparator / control treatment
Phase 1: Healthy non smoker (without honey).
To compare all the baseline parameters (oxidative stress status, inflammation, lipid profiles) between non-smokers and smokers.
Phase 2: Smoker with no treatment (without honey)
To assess the parameters (oxidative stress status, inflammation, lipid profiles) in smoker without honey and smoker with honey after 12 weeks of the study.
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Control group
Active
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Outcomes
Primary outcome [1]
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oxidatives stress status by plasma assays for F2-isoprostanes and total antioxidant status and erythrocyte assays for superoxide dismutase, glutathione peroxidase, catalase enzymes.
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Assessment method [1]
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Timepoint [1]
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Baseline and at 12 weeks after intervention
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Primary outcome [2]
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inflammation by plasma assays for TNF-alpha, IL-6 and hsCRP.
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Assessment method [2]
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Timepoint [2]
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Baseline and at 12 weeks after intervention
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Primary outcome [3]
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lipid profiles by serum assays for total cholesterol, low density lipoprotein (LDL), high density lipoprotein (HDL) and triglyceride (TG).
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Assessment method [3]
295898
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Timepoint [3]
295898
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Baseline and at 12 weeks after intervention
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Secondary outcome [1]
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none
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Assessment method [1]
316883
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Timepoint [1]
316883
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none
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Eligibility
Key inclusion criteria
For Non-smoker group
- no history of smoking
- no history of exposure to environmental tobacco smoke
For smoker group
- smoke at least 10 cigarettes/day for more than 5 years or 2.5 pack-years
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Minimum age
20
Years
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Maximum age
50
Years
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Sex
Males
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
- Regular consumption of multivitamins and/or dietary supplements 3 months before participation in the study
- presence of diabetes mellitus, hypertension, hyperlipidemia or cardiovascular diseases
- obese (BMI>30kg/m2)
- taking alcohol
- presence of severe infection
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomization using a randomization table created by computer software (Random Allocation Software version 1.0)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Sample size calculation for each group was calculated using Power and Sample Size Calculation Software version 3.0.10. for all parameters with a power of 80% and statistical significance of 0.05. Considering the nonresponse rate of 20%, 36 subjects were recruited for each arm of the study. However, the final number of subjects for each arm was 32 for each arm after excluding the dropped out subjects.
The data were analysed using SPSS version PASW20.
Phase 1: Data were analysed using Independent t-test to compare the difference of baseline or pre-intervention parameters between non-smokers and smokers.
Phase 2: The baseline and changes of parameters after 12 week intervention period in each smoker group (smokers without honey and smokers with honey groups) were analysed by paired t-test and Wilcoxon signed-rank test for normal and non-normal distributed data, respectively. A value of p<0.05 was considered to be statistically significant.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
3/09/2012
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Date of last participant enrolment
Anticipated
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Actual
18/09/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
72
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Accrual to date
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Final
64
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Recruitment outside Australia
Country [1]
7110
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Malaysia
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State/province [1]
7110
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Kelantan
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Universiti Sains Malaysia Short Term Grant(Grant Number: 304/PPSP/61312025 and Grant number: 304/PPSP/61312034)
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Address [1]
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Universiti Sains Malaysia, 11800 Gelugor, Penang, Malaysia
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Country [1]
291886
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Malaysia
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Primary sponsor type
University
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Name
Universiti Sains Malaysia
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Address
Universiti Sains Malaysia, 11800 Gelugor, Penang, Malaysia
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Country
Malaysia
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Secondary sponsor category [1]
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None
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Name [1]
290551
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Address [1]
290551
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Country [1]
290551
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
293393
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Human Research Ethics Committee of Universiti Sains Malaysia
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Ethics committee address [1]
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Human Research Ethics Committee USM, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia
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Ethics committee country [1]
293393
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Malaysia
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Date submitted for ethics approval [1]
293393
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22/08/2011
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Approval date [1]
293393
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24/11/2011
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Ethics approval number [1]
293393
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JEPeM [243.3.(5) and JEPeM [243.3.(6)
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Summary
Brief summary
Elevated oxidative stress, inflammation and alteration in lipid profiles in smokers have been proposed as among the major factors that contribute to the development of smoking-related cardiovascular disease. However, the possible beneficial effect of Tualang honey that has antioxidant, anti-inflammatory and antilipid properties among smokers has yet been reported. The aims of this study, therefore, to determine the effects of Tualang Honey supplementation on oxidative stress markers, inflammatory markers and lipid profiles in chronic smokers.
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Trial website
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Trial related presentations / publications
1. ‘Honey Supplementation Improves Erythrocyte Antioxidant Enzyme Activities among Chronic Smokers’ presented at International Conference on Medical & Health Sciences (ICMHS) on 22nd May2013. 2. ‘Honey Supplementation Improves Oxidative Stress Status among Chronic Smokers’ presented at 27th Scientific Meeting of Malaysian Pharmacology and Physiology 2013 (MSPP2013) on 7th September 2013. 3. ‘Honey Supplementation Improves Lipid Profile Among Chronic Smokers’ presented at International Conference on Natural Products 2014 (ICNP2014) on 18-19th March 2014. 4. ‘Effects of Tualang Honey on Inflammatory Markers among Chronic Smokers’ presented at International Conference on Natural Products 2014 (ICNP2014) on 18-19th March 2014.
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Public notes
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Contacts
Principal investigator
Name
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Dr Mahaneem Mohamed
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Address
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Department of Physiology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
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Country
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Malaysia
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Phone
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+6097676158
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Mahaneem Mohamed
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Address
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Department of Physiology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
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Country
59675
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Malaysia
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Phone
59675
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+6097676158
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Fax
59675
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Email
59675
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[email protected]
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Contact person for scientific queries
Name
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Mahaneem Mohamed
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Address
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Department of Physiology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
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Country
59676
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Malaysia
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Phone
59676
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+6097676158
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Fax
59676
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Email
59676
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Effects of honey supplementation on inflammatory markers among chronic smokers: A randomized controlled trial.
2017
https://dx.doi.org/10.1186/s12906-017-1703-6
N.B. These documents automatically identified may not have been verified by the study sponsor.
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