The effect of moringa oleifera leaf extract on the inflammation status of breast cancer patients receiving hormonal therapy

ISRCTN ISRCTN11510869
DOI https://doi.org/10.1186/ISRCTN11510869
Submission date
30/11/2022
Registration date
01/12/2022
Last edited
19/07/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
In postmenopausal women who are positive for hormone receptors, an Aromatase Inhibitor (AI) to lower estrogen levels by stopping an enzyme in fat tissue (called aromatase) from changing other hormones into estrogen. Significant joint and muscular problems are frequently complained about and linked as side effects of AI therapy. The hands, wrists, and knees are the most commonly involved region in this illness also known as Aromatase Inhibitor - Associated Musculoskeletal Syndrome (AIMSS).
The aim of this study is to identify novel substances produced from medicinal plants and use them to develop analgesic and anti-inflammatory molecules.

Who can participate?
Breast cancer patients, post menopause, receiving an aromatase inhibitor and suffer from AIMSS.

What does the study involve?
Participants will be randomly allocated to receive the moringa oleifera leaf extract on a daily basis, or placebo for 30 days.

What are the possible benefits and risks of participating?
Benefits: Improvement from Aromatase Inhibitor - Associated Musculoskeletal Syndrome (AIMSS)
Risks: None

Where is the study run from?
Diponegoro University (Indonesia)

When is the study starting and how long is it expected to run for?
December 2021 to Spetember 2022

Who is funding the study?
Diponegoro University Research Fund (Indonesia)

Who is the main contact?
Dr Yan Wisnu, SpB(K)Onk, yanprajoko7519@gmail.com

Contact information

Dr Yan Wisnu Prajoko
Principal Investigator

Jl. Willis 18 Semarang
Semarang
50231
Indonesia

ORCiD logoORCID ID 0000-0003-2659-9923
Phone +62 812-2904-279
Email yanwisnuprajoko@lecturer.undip.ac.id
Dr Yan Wisnu Prajoko
Scientific

Jl. Willis 18 Semarang
Semarang
50231
Indonesia

Phone +62 812-2904-279
Email yanprajoko7519@gmail.com
Dr Yan wisnu Prajoko
Public

Jl. Willis 18 Semarang
Semarang
50231
Indonesia

Phone +62 812-2904-279
Email yanwisnuprajoko@lecturer.undip.ac.id

Study information

Study designSingle center interventional double blinded randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeQuality of life
Participant information sheet Not available in web format, please use contact details to request a participant information sheet.
Scientific titleThe effect of moringa oleifera leaf extract on the inflammation status of breast cancer patients receiving aromatase inhibitor therapy
Study hypothesisMoringa Oleifera leaf extract reduces inflammation status of breast cancer patients with estrogen receptor (+) and estrogen receptor (+) receiving Aromatase Inhibitor Therapy
Ethics approval(s)Approved 10/05/2022, Dr Kariadi hospital research ethics committee (Jl. DR. Sutomo No.16, Randusari, Kec. Semarang Sel., Kota Semarang, Jawa Tengah 50244; +62 24 8413476; info@rskariadi.co.id), ref: 1126/EC/KEPK-RSDK/2022
ConditionMoringa Oleifera leaf extract reduces inflammation status of breast cancer patients with estrogen receptor (+) and estrogen receptor (+) receiving Aromatase Inhibitor Therapy
InterventionThe research sample was divided into 2 groups: control and treatment groups.

The treatment group received a 300 mg capsule of Moringa leaf extract with a daily dose of 600 mg and diclofenac sodium 100 mg/day for analgesia, and the control group received a placebo capsule (2 capsules/day) and sodium diclofenac 100 mg/day for analgesia. Additionally, information was gathered on the subjects’ ESR, CRP, CPK, and ANA levels. This information was collected from the subjects’ medical records. Data on the levels of ESR, CRP, CPK, and ANA were gathered after the therapy was administered in accordance with the study group for 30 days.
Intervention typeSupplement
Primary outcome measureInflammation status is measured using data on the levels of ESR, CRP, CPK, and ANA. Data is gathered pre-treatment and after treatment (30 days)
Secondary outcome measuresMeasured using blood test:
1. Erythrocyte Sedimentation rate (ESR) measured at pre-treatment and after treatment (30 days)
2. C-Reactive Protein (CRP) measured at pre-treatment and after treatment (30 days)
3. Anti-Nuclear Antibody (ANA) measured at pre-treatment and after treatment (30 days)
4. Creatine Phosphokinase (CPK) measured at pre-treatment and after treatment (30 days)
Overall study start date10/12/2021
Overall study end date28/09/2022

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants70
Total final enrolment78
Participant inclusion criteria1. Breast cancer patient
2. Post menopause
3. Imunohistokimia Estrogen receptor (+), Progesteron receptor (+)
4. Received aromatase inhibitor
5. Patient with Aromatase Inhibitor-Associated Musculoskeletal Syndrome
Participant exclusion criteria1. Emergency condition that needs operation
2. Visceral metastasis
3. History of previous degenerative joint and soft tissue disease (osteoarthritis/rheumatoid arthritis).
4. History of fracture during the last 6 months
Recruitment start date01/06/2022
Recruitment end date28/08/2022

Locations

Countries of recruitment

  • Indonesia

Study participating centre

Dr Kariadi hospital
Jl. Dr. Sutomo No. 16
Semarang
Jawa Tengah
Semarang
50244
Indonesia

Sponsor information

Diponegoro University
University/education

Jl. Prof. Sudarto
Tembalang
Kec. Tembalang
Kota Semarang
Jawa Tengah
Semarang
50275
Indonesia

Phone +62 24 76928010
Email dean@fk.undip.ac.id
Website https://fk.undip.ac.id
ROR logo "ROR" https://ror.org/056bjta22

Funders

Funder type

University/education

Universitas Diponegoro
Government organisation / Local government
Alternative name(s)
undip, Universitas Diponegoro (UNDIP, Universitas Diponegoro (UNDIP) (Semarang, Indonesia), Universitas Diponegoro (UNDIP) Semarang, UNIVERSITAS DIPONEGORO The Excellent Research University, Diponegoro University, UNDIP
Location
Indonesia

Results and Publications

Intention to publish date31/12/2023
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe data-sharing plans for the current study are unknown and will be made available at a later date

Editorial Notes

19/07/2023: The intention to publish date was changed from 01/01/2023 to 31/12/2023.
01/12/2022: Trial's existence confirmed by Dr Kariadi hospital research ethics committee