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Trial registered on ANZCTR
Registration number
ACTRN12619001296123
Ethics application status
Approved
Date submitted
6/06/2019
Date registered
19/09/2019
Date last updated
19/09/2019
Date data sharing statement initially provided
19/09/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effect of Milk Thistle extract (Silibinin) On circulating unconJugated bilirubin levels and markers for Oxidative stress and inflammation: MOJO study
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Scientific title
Effect of Milk Thistle extract (Silibinin) On circulating unconJugated bilirubin levels and markers for Oxidative stress and inflammation in healthy volunteers.
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Secondary ID [1]
298433
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None
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Universal Trial Number (UTN)
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Trial acronym
MOJO
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Oxidative stress and Inflammation
313170
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Cardiovascular Disease
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Condition category
Condition code
Cardiovascular
311632
311632
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0
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Other cardiovascular diseases
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Alternative and Complementary Medicine
312849
312849
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0
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Herbal remedies
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
1 capsule, 3 times a day of Legalon (equivalent of 140mg silimarin) for 14 days with crossover to placebo.
Washout period between cross over of (28 days (males) or 42 days (females).
Compliance will be measured by a pill count at end of each study arm.
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Intervention code [1]
314682
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Treatment: Other
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Comparator / control treatment
crossover study with active and placebo,
Placebo treatment contains mannitol which is the same dispersant used in the active
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Change in circulating total bilirubin levels (>5µM). This will be done through assessment of free and conjugated plasma bilirubin.
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Assessment method [1]
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Timepoint [1]
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14 days after starting each intervention arm
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Secondary outcome [1]
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Change in antioxidant status (Ferric Reducing Ability of plasma),
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Assessment method [1]
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Timepoint [1]
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14 days
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Secondary outcome [2]
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plasma Inflammation (hsCRP),
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Assessment method [2]
371453
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Timepoint [2]
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14 days
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Secondary outcome [3]
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plasma lipid profile (LDL:HDL ratio / profile)
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Assessment method [3]
371454
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Timepoint [3]
371454
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14 days
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Secondary outcome [4]
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platelet aggregation
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Assessment method [4]
371455
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Timepoint [4]
371455
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14 days
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Secondary outcome [5]
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plasma Uric acid levels
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Assessment method [5]
371456
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Timepoint [5]
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14 days
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Eligibility
Key inclusion criteria
1. Adults of any gender between the age of 18 and 65
2. Normal Liver Function result (LFT)
3. Normal Full Blood count (FBC)
4. Random Fasting Blood Glucose level (3.0-7.7 mmol/L.)
5. BMI between 18.5 -29.9
6. Are not pregnant or breast feeding
7. Able to give informed consent
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. History of Liver Disease
2. History of Alcohol abuse
3. History of Type II Diabetes
4. A history of psychological illness or condition which interferes with their ability to understand or comply with the requirements of the study
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Study design
Purpose of the study
Prevention
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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)
Randomisation will occur through the selection of a sealed opaque envelopes that will contain a number. This number will correspond to a medication pack. Patients will be randomised to one of two treatment groups in equal proportion
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Patients will be randomised to one of two treatment groups in equal proportion, crossover after 14 days with washout period dependent on gender (28 days for males; 42 days for females). Capsules for active and placebo are colour matched.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
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Intervention assignment
Crossover
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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
Both the Primary and Secondary Outcomes will be analysed with respect to a change from baseline using Analysis of Variance (ANOVA).
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
1/12/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
65
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Accrual to date
30
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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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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Endeavour College of Natural Health
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Address [1]
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105 Scarborough Street, Southport, Queensland, 4215, Australia
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Endeavour College of Natural Health
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Address
105 Scarborough Street, Southport, Queensland, 4215, Australia
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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None
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Address [1]
302940
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Country [1]
302940
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Other collaborator category [1]
280730
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University
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Name [1]
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Griffith University
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Address [1]
280730
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Parklands Dr
Southport, Qld
4215
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Country [1]
280730
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Griffith University HREC
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Ethics committee address [1]
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Parklands Dr Southport, Qld 4215
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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10/02/2017
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Approval date [1]
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27/07/2017
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Ethics approval number [1]
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2017/173
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Summary
Brief summary
Milk Thistle has been used in medical remedies for 2000 years as a therapeutic herbal medicine in the treatment of acute and chronic liver diseases. Some of its effects have been shown to due to an antioxidant and anti-inflammatory effect. There is also evidence that an active constituent within Milk Thistle called Silibinin inhibits an enzyme that works on the bile pigment called bilirubin which allows its excretion from the body. Inhibition of this enzyme would allow bilirubin levels to rise to produce a condition called ‘mild hyperbilirubinemia’. Many clinical studies demonstrate a dramatic reduction in cardiovascular disease (CVD) and atherosclerosis in patients that is directly attributed to elevated bilirubin levels in the blood. This effect is in part due to the powerful anti-oxidant properties of bilirubin. The aim of this study is to see if taking Milk Thistle extract will increase bilirubin levels and over time, may provide protection from heart disease.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Michael Watson
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Address
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Endeavour College of Natural Health
105 Scarborough Street, Southport, Queensland, 4215
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Country
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Australia
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Phone
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+61 7 5634 8492
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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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Michael Watson
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Address
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Endeavour College of Natural Health
105 Scarborough Street, Southport, Queensland, 4215
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Country
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Australia
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Phone
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+61 7 5634 8492
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Michael Watson
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Address
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Endeavour College of Natural Health
105 Scarborough Street, Southport, Queensland, 4215
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Country
93996
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Australia
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Phone
93996
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+61 7 5634 8492
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Fax
93996
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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
Effect of Silymarin Treatment on Circulating Bilirubin and Cardiovascular Disease Risk Factors in Healthy Men: A Single-Blind, Randomized Crossover Trial.
2021
https://dx.doi.org/10.1002/cpdd.962
N.B. These documents automatically identified may not have been verified by the study sponsor.
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