- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04374006
Effects of Sulawesi Propolis Extract on Lesion Growth, Apoptotic and Inflammatory Activity of the Rat Endometriosis Tissue
Effects of Tetragonula Aff. Biroi Propolis Extract on Lesion Growth, Apoptotic and Inflammatory Activity of the Rat Endometriosis Tissue
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Propolis has known of having various efficacy. The main benefits are as antimicrobial, antioxidant, anti-inflammatory, immunomodulatory and antiapoptotic.Propolis has even been shown to have an antibacterial effect in vitro, without requiring human immunological reactions.
The immunological effect of propolis is generated through immune suppression directly and decreasing cytokine production which stimulates immune process. Although proven to have a various efficacy, propolis can't be used as a therapeutic drug due to the difficulty of obtaining standard chemical composition as a requirement to be the drug's substances. Therefore, it is necessary to have biological composition in each propolis prepartions written down before comparing the efficacy.
Anti tumor activity by propolis, which has been tested in animal previously, showed that propolis can inhibit DNA synthesis in tumor cells, induce cell apoptosis and activate macrophage to produce factors which regulate the function of B, T, as well as NK cell.
Dienogest, is the next choice of progestin drug class. It has high selectivity binding in progesterone receptors, inhibits cytokine secretion in endometriosis stroma cell and induces apoptosis in endometriosis cell. Dienogest also has slight inhibitory effect against estradiol, so it can deminisce the symptoms due to hypoestrogenic such as decresing in bone mass density.
Study Type
Enrollment (Actual)
Phase
- Early Phase 1
Contacts and Locations
Study Locations
-
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Capital Special Region
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Jakarta, Capital Special Region, Indonesia
- Animal Laboratory of Indonesia University
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- female ratus rat type
- having normal estrus cycle
Exclusion Criteria:
- nothing
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: propolis 50
we do sonde everyday to the rat that given treatment of 50mg/kg propolis for 2, 4, and 6 weeks
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The propolis contains 20 mg in each ml.
So, each rat we given 0,2 ml for 50mg/kg propolis treatment and 0,4 ml for 100mg/kg propolis treatment
Other Names:
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Experimental: propolis 100
we do sonde everyday to the rat that given treatment of 100mg/kg propolis for 2, 4, and 6 weeks
|
The propolis contains 20 mg in each ml.
So, each rat we given 0,2 ml for 50mg/kg propolis treatment and 0,4 ml for 100mg/kg propolis treatment
Other Names:
|
Active Comparator: dienogest
we do sonde everyday to the rat that given treatment of 25mg/kg dienogest for 2, 4, and 6 weeks
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1mg/kg BW/day based on the study by Katayama et al.
A DNG in 0,5% carboxymethylcellulose suspension was given orally with metal sound daily 0,2-0,4 mL per day
Other Names:
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Placebo Comparator: water
we do sonde everyday to the rat that given 0,2 ml water placebo for 2, 4, and 6 weeks
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we gave 0,2 ml to each rat everyday to negative control groups, and we gave no treatment to sham groups
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Sham Comparator: sham group
after the 2nd laparotomy, we do nothing about sonde, just giving food and drink everyday
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we gave 0,2 ml to each rat everyday to negative control groups, and we gave no treatment to sham groups
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
mRNA expressions of Bax, Bcl, Cleaved Caspase 3, IL-1B, and PGE 2
Time Frame: through study completion, an average of 6 months
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The expression of Bax, Bcl-2, ad Caspase 3, IL-1B, PGE2 mRNA was carried out by isolating the RNA samples of endometriosis tissue based on the modified QIAamp RNA Blod Mini Handbook protocol.
RNA spectrophotometric measurments and cDNA synthesis were carried out based on the Instruction Manual ReverTra Ace qPCR RT Master Mix with gDNA Remover protocol (Toyobo 2017: 2).
In real-time PCR examination, the melting temperature (Tm) was determined to perform Quantitative Real-time PCR (Q-PCR) based on the QuantiTech SYBR Green PCR Handbook protocol (Qiagen 2011: 11) using a 3-step cycling cycle.
The results were then compared with the standard curve and analyzed
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through study completion, an average of 6 months
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Mollecular docking
Time Frame: during the procedure
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Twenty-three compounds contained in Propolis were tested by screening using rule of 5 (Lipinski's rule), screening results determine which compounds can enter the body and can work in endometriosis tissue.
Furthermore, the three-dimensional shape is made of compounds which have passed the first stage.
This process was created using the Marvin Sketch program.
Furthermore, the compound that has been formed is stored as a ligand with extension pdb (protein data bank).
Look for NFĸB receptor proteins, estrogen A, estrogen B, progesterone A and progesterone B in the protein data bank, which will be stored as protein.
Ligands and proteins are tested using standard Lamarckian algorithms in the Autodock program.
The results obtained are in the form of bond energy (ΔG), where smaller results indicate a higher likelihood of interaction
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during the procedure
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Lession size
Time Frame: during the procedure
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In the second laparotomy (before the treatment are given) the investigators take a picture of the lession (as the beginning lession).
Then the investigators give the treatment.
After the treatment are done, the investigators do the necropsy to take a picture after the treatment was given to compare it with the beginning
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during the procedure
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The normality of estrus cycle after the treatment
Time Frame: during the procedure
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Vaginal discharge of the rat obtained through vaginal lavage was fixed using 90% alcohol solution and stained using Giemsa.
The specimen was examined microscopically to determined its estrous cycle
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during the procedure
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Organs morpholgy after the treatment
Time Frame: through study completion, an average of 6 months
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In the necropsy, the investigators take ovarium, uterus, and peritonium to see if there's any change in morphology after the treatment was given
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through study completion, an average of 6 months
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Wachyu Hadisaputra, Prof, dr, SpOG, Lecturer at Obgyn Department, Indonesia University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Endometriosis
- Physiological Effects of Drugs
- Anti-Infective Agents
- Antineoplastic Agents
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Hormone Antagonists
- Contraceptive Agents, Hormonal
- Contraceptive Agents
- Reproductive Control Agents
- Contraceptives, Oral
- Contraceptive Agents, Female
- Contraceptives, Oral, Hormonal
- Contraceptive Agents, Male
- Dienogest
- Propolis
Other Study ID Numbers
- 19-10-1269'
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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