Trial Outcomes & Findings for Effect of Ursolic Acid Administration on Insulin Sensitivity and Metabolic Syndrome (NCT NCT02337933)

NCT ID: NCT02337933

Last Updated: 2020-10-08

Results Overview

The insulin sensitivity was calculated at baseline and at week 12. The value reported corresponds at week 12 with Matsuda index. Matsuda Index value is used to indicate insulin resistance on diabetes. Insulin sensitivity was calculated with Matsuda index \[10,000 / √glucose 0' x insulin 0') (mean glucose oral glucose tolerance test (OGTT) x mean insulin OGTT)\]. The entered values reflect the insulin sensitivity

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

24 participants

Primary outcome timeframe

Week 12

Results posted on

2020-10-08

Participant Flow

Participant milestones

Participant milestones
Measure
Ursolic Acid
Ursolic acid capsules, 150 mg, once a day before breakfast during 12 weeks Ursolic acid: Ursolic acid capsules of 150 mg extracted from rosemary, once a day before breakfast
Placebo
Calcined magnesia capsules, 150 mg, once a day before breakfast during 12 weeks Placebo: Calcined magnesia capsules of 150 mg, once a day before breakfast
Overall Study
STARTED
12
12
Overall Study
COMPLETED
12
12
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of Ursolic Acid Administration on Insulin Sensitivity and Metabolic Syndrome

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ursolic Acid
n=12 Participants
Ursolic acid capsules, 150 mg, once a day before breakfast during 12 weeks Ursolic acid: Ursolic acid capsules of 150 mg extracted from rosemary, once a day before breakfast
Placebo
n=12 Participants
Calcined magnesia capsules, 150 mg, once a day before breakfast during 12 weeks Placebo: Calcined magnesia capsules of 150 mg, once a day before breakfast
Total
n=24 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Age, Categorical
Between 18 and 65 years
12 Participants
n=39 Participants
12 Participants
n=41 Participants
24 Participants
n=35 Participants
Age, Categorical
>=65 years
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Age, Continuous
43.7 years
STANDARD_DEVIATION 8.5 • n=39 Participants
46.5 years
STANDARD_DEVIATION 8.7 • n=41 Participants
45.1 years
STANDARD_DEVIATION 8.6 • n=35 Participants
Sex: Female, Male
Female
10 Participants
n=39 Participants
10 Participants
n=41 Participants
20 Participants
n=35 Participants
Sex: Female, Male
Male
2 Participants
n=39 Participants
2 Participants
n=41 Participants
4 Participants
n=35 Participants
Region of Enrollment
Mexico
12 participants
n=39 Participants
12 participants
n=41 Participants
24 participants
n=35 Participants
Total Insulin Sensitivity
3.1 index
STANDARD_DEVIATION 1.1 • n=39 Participants
3.1 index
STANDARD_DEVIATION 0.6 • n=41 Participants
3.1 index
STANDARD_DEVIATION 0.8 • n=35 Participants
Waist Circumference
93 cm
STANDARD_DEVIATION 9 • n=39 Participants
97 cm
STANDARD_DEVIATION 10 • n=41 Participants
95 cm
STANDARD_DEVIATION 10 • n=35 Participants
Fasting Glucose
6.0 mmol/L
STANDARD_DEVIATION 0.5 • n=39 Participants
5.8 mmol/L
STANDARD_DEVIATION 0.9 • n=41 Participants
5.9 mmol/L
STANDARD_DEVIATION 0.7 • n=35 Participants
Triglycerides
2.0 mmol/L
STANDARD_DEVIATION 0.6 • n=39 Participants
2.5 mmol/L
STANDARD_DEVIATION 0.1 • n=41 Participants
2.3 mmol/L
STANDARD_DEVIATION 0.4 • n=35 Participants
High Density Lipoprotein cholesterol (HDL-c)
1.6 mmol/L
STANDARD_DEVIATION 0.6 • n=39 Participants
1.8 mmol/L
STANDARD_DEVIATION 0.7 • n=41 Participants
1.7 mmol/L
STANDARD_DEVIATION 0.7 • n=35 Participants
Systolic Blood Pressure
125 mmHg
STANDARD_DEVIATION 13 • n=39 Participants
128 mmHg
STANDARD_DEVIATION 20 • n=41 Participants
127 mmHg
STANDARD_DEVIATION 17 • n=35 Participants
Diastolic Blood Pressure
77 mmHg
STANDARD_DEVIATION 12 • n=39 Participants
80 mmHg
STANDARD_DEVIATION 10 • n=41 Participants
78 mmHg
STANDARD_DEVIATION 11 • n=35 Participants
Body Weight
75.7 kg
STANDARD_DEVIATION 11.5 • n=39 Participants
81.5 kg
STANDARD_DEVIATION 14.0 • n=41 Participants
78.6 kg
STANDARD_DEVIATION 12.8 • n=35 Participants
Body Mass Index
29.9 kg/m^2
STANDARD_DEVIATION 3.6 • n=39 Participants
31.7 kg/m^2
STANDARD_DEVIATION 4.2 • n=41 Participants
30.8 kg/m^2
STANDARD_DEVIATION 3.9 • n=35 Participants
Total Cholesterol
6.0 mmol/L
STANDARD_DEVIATION 1.4 • n=39 Participants
6.0 mmol/L
STANDARD_DEVIATION 2.0 • n=41 Participants
6.0 mmol/L
STANDARD_DEVIATION 1.7 • n=35 Participants
Low Density Lipoproteins cholesterol (LDL-c)
3.7 mmol/L
STANDARD_DEVIATION 1.1 • n=39 Participants
3.5 mmol/L
STANDARD_DEVIATION 2.1 • n=41 Participants
3.6 mmol/L
STANDARD_DEVIATION 1.6 • n=35 Participants
Creatinine
61.1 µmol/L
STANDARD_DEVIATION 18.6 • n=39 Participants
68.1 µmol/L
STANDARD_DEVIATION 15.0 • n=41 Participants
64.6 µmol/L
STANDARD_DEVIATION 16.8 • n=35 Participants
Uric acid
243.9 µmol/L
STANDARD_DEVIATION 53.5 • n=39 Participants
291.5 µmol/L
STANDARD_DEVIATION 71.4 • n=41 Participants
267.7 µmol/L
STANDARD_DEVIATION 62.5 • n=35 Participants

PRIMARY outcome

Timeframe: Week 12

The insulin sensitivity was calculated at baseline and at week 12. The value reported corresponds at week 12 with Matsuda index. Matsuda Index value is used to indicate insulin resistance on diabetes. Insulin sensitivity was calculated with Matsuda index \[10,000 / √glucose 0' x insulin 0') (mean glucose oral glucose tolerance test (OGTT) x mean insulin OGTT)\]. The entered values reflect the insulin sensitivity

Outcome measures

Outcome measures
Measure
Ursolic Acid
n=12 Participants
Ursolic acid capsules, 150 mg, once a day before breakfast during 12 weeks Ursolic acid: Ursolic acid capsules of 150 mg extracted from rosemary, once a day before breakfast
Placebo
n=12 Participants
Calcined magnesia capsules, 150 mg, once a day before breakfast during 12 weeks Placebo: Calcined magnesia capsules of 150 mg, once a day before breakfast
Total Insulin Sensitivity
4.2 index
Standard Deviation 1.2
2.6 index
Standard Deviation 1.4

PRIMARY outcome

Timeframe: Week 12

Waist circumference was evaluated at baseline and at week 12 with a flexible tape and the entered values reflect the waist circumference measure at week 12

Outcome measures

Outcome measures
Measure
Ursolic Acid
n=12 Participants
Ursolic acid capsules, 150 mg, once a day before breakfast during 12 weeks Ursolic acid: Ursolic acid capsules of 150 mg extracted from rosemary, once a day before breakfast
Placebo
n=12 Participants
Calcined magnesia capsules, 150 mg, once a day before breakfast during 12 weeks Placebo: Calcined magnesia capsules of 150 mg, once a day before breakfast
Waist Circumference
83 cm
Standard Deviation 9
96 cm
Standard Deviation 8

PRIMARY outcome

Timeframe: Week 12

The fasting glucose levels were evaluated at baseline and week 12 with enzymatic/colorimetric techniques and the entered values reflect the fasting glucose level at week 12

Outcome measures

Outcome measures
Measure
Ursolic Acid
n=12 Participants
Ursolic acid capsules, 150 mg, once a day before breakfast during 12 weeks Ursolic acid: Ursolic acid capsules of 150 mg extracted from rosemary, once a day before breakfast
Placebo
n=12 Participants
Calcined magnesia capsules, 150 mg, once a day before breakfast during 12 weeks Placebo: Calcined magnesia capsules of 150 mg, once a day before breakfast
Fasting Glucose
4.7 mmol/L
Standard Deviation 0.4
5.7 mmol/L
Standard Deviation 0.7

PRIMARY outcome

Timeframe: Week 12

The triglycerides were evaluated at baseline and week 12 with enzymatic-colorimetric techniques and the entered values reflect the triglycerides level at week 12

Outcome measures

Outcome measures
Measure
Ursolic Acid
n=12 Participants
Ursolic acid capsules, 150 mg, once a day before breakfast during 12 weeks Ursolic acid: Ursolic acid capsules of 150 mg extracted from rosemary, once a day before breakfast
Placebo
n=12 Participants
Calcined magnesia capsules, 150 mg, once a day before breakfast during 12 weeks Placebo: Calcined magnesia capsules of 150 mg, once a day before breakfast
Triglycerides
1.8 mmol/L
Standard Deviation 0.8
2.5 mmol/L
Standard Deviation 1.3

PRIMARY outcome

Timeframe: Week 12

The HDL-c levels were evaluated at baseline and week 12 with enzymatic/colorimetric techniques and the entered values reflect the c-HDL level at week 12

Outcome measures

Outcome measures
Measure
Ursolic Acid
n=12 Participants
Ursolic acid capsules, 150 mg, once a day before breakfast during 12 weeks Ursolic acid: Ursolic acid capsules of 150 mg extracted from rosemary, once a day before breakfast
Placebo
n=12 Participants
Calcined magnesia capsules, 150 mg, once a day before breakfast during 12 weeks Placebo: Calcined magnesia capsules of 150 mg, once a day before breakfast
High Density Lipoprotein Cholesterol (HDL-c)
1.8 mmol/L
Standard Deviation 0.9
1.8 mmol/L
Standard Deviation 0.7

PRIMARY outcome

Timeframe: Week 12

The systolic blood pressure was evaluated at baseline and week 12 with a digital sphygmomanometer and the entered values reflect the systolic blood pressure at week 12

Outcome measures

Outcome measures
Measure
Ursolic Acid
n=12 Participants
Ursolic acid capsules, 150 mg, once a day before breakfast during 12 weeks Ursolic acid: Ursolic acid capsules of 150 mg extracted from rosemary, once a day before breakfast
Placebo
n=12 Participants
Calcined magnesia capsules, 150 mg, once a day before breakfast during 12 weeks Placebo: Calcined magnesia capsules of 150 mg, once a day before breakfast
Systolic Blood Pressure
120 mmHg
Standard Deviation 8
124 mmHg
Standard Deviation 15

PRIMARY outcome

Timeframe: Week 12

The diastolic blood pressure was evaluated at baseline and week 12 with a digital sphygmomanometer and the entered values reflect the diastolic blood pressure at week 12

Outcome measures

Outcome measures
Measure
Ursolic Acid
n=12 Participants
Ursolic acid capsules, 150 mg, once a day before breakfast during 12 weeks Ursolic acid: Ursolic acid capsules of 150 mg extracted from rosemary, once a day before breakfast
Placebo
n=12 Participants
Calcined magnesia capsules, 150 mg, once a day before breakfast during 12 weeks Placebo: Calcined magnesia capsules of 150 mg, once a day before breakfast
Diastolic Blood Pressure
76 mmHg
Standard Deviation 6
76 mmHg
Standard Deviation 7

SECONDARY outcome

Timeframe: Week 12

The body weight was measured at baseline and week 12 with a bioimpedance balance and the entered values reflect the weight at week 12

Outcome measures

Outcome measures
Measure
Ursolic Acid
n=12 Participants
Ursolic acid capsules, 150 mg, once a day before breakfast during 12 weeks Ursolic acid: Ursolic acid capsules of 150 mg extracted from rosemary, once a day before breakfast
Placebo
n=12 Participants
Calcined magnesia capsules, 150 mg, once a day before breakfast during 12 weeks Placebo: Calcined magnesia capsules of 150 mg, once a day before breakfast
Body Weight
71 kg
Standard Deviation 11
81 kg
Standard Deviation 15

SECONDARY outcome

Timeframe: Week 12

The Body Mass index was calculated at baseline and at week 12 with the Quetelet index and the entered values reflect the body mass index at week 12

Outcome measures

Outcome measures
Measure
Ursolic Acid
n=12 Participants
Ursolic acid capsules, 150 mg, once a day before breakfast during 12 weeks Ursolic acid: Ursolic acid capsules of 150 mg extracted from rosemary, once a day before breakfast
Placebo
n=12 Participants
Calcined magnesia capsules, 150 mg, once a day before breakfast during 12 weeks Placebo: Calcined magnesia capsules of 150 mg, once a day before breakfast
Body Mass Index
24.9 kg/m^2
Standard Deviation 1.2
32.1 kg/m^2
Standard Deviation 3.9

SECONDARY outcome

Timeframe: Week 12

The total cholesterol was estimated by standardized techniques at baseline and week 12 and the entered values reflect the total cholesterol level at week 12

Outcome measures

Outcome measures
Measure
Ursolic Acid
n=12 Participants
Ursolic acid capsules, 150 mg, once a day before breakfast during 12 weeks Ursolic acid: Ursolic acid capsules of 150 mg extracted from rosemary, once a day before breakfast
Placebo
n=12 Participants
Calcined magnesia capsules, 150 mg, once a day before breakfast during 12 weeks Placebo: Calcined magnesia capsules of 150 mg, once a day before breakfast
Total Cholesterol
5.2 mmol/L
Standard Deviation 1.2
6.4 mmol/L
Standard Deviation 1.9

SECONDARY outcome

Timeframe: Week 12

The LDL-c levels were measured at baseline and at week 12 with standardized techniques and the entered values reflect the c-LDL levels at week 12

Outcome measures

Outcome measures
Measure
Ursolic Acid
n=12 Participants
Ursolic acid capsules, 150 mg, once a day before breakfast during 12 weeks Ursolic acid: Ursolic acid capsules of 150 mg extracted from rosemary, once a day before breakfast
Placebo
n=12 Participants
Calcined magnesia capsules, 150 mg, once a day before breakfast during 12 weeks Placebo: Calcined magnesia capsules of 150 mg, once a day before breakfast
Low Density Lipoproteins Cholesterol (LDL-c)
2.8 mmol/L
Standard Deviation 1.2
4.3 mmol/L
Standard Deviation 2.3

SECONDARY outcome

Timeframe: Week 12

The creatinine levels were measured at baseline and at week 12 with standardized techniques and the entered values reflect the creatinine levels at week 12

Outcome measures

Outcome measures
Measure
Ursolic Acid
n=12 Participants
Ursolic acid capsules, 150 mg, once a day before breakfast during 12 weeks Ursolic acid: Ursolic acid capsules of 150 mg extracted from rosemary, once a day before breakfast
Placebo
n=12 Participants
Calcined magnesia capsules, 150 mg, once a day before breakfast during 12 weeks Placebo: Calcined magnesia capsules of 150 mg, once a day before breakfast
Creatinine
0.06 mmol/L
Standard Deviation 0.02
0.06 mmol/L
Standard Deviation 0.02

SECONDARY outcome

Timeframe: Week 12

The uric acid levels were measured at baseline and at week 12 with standardized techniques and the entered values reflect the uric acid levels at week 12

Outcome measures

Outcome measures
Measure
Ursolic Acid
n=12 Participants
Ursolic acid capsules, 150 mg, once a day before breakfast during 12 weeks Ursolic acid: Ursolic acid capsules of 150 mg extracted from rosemary, once a day before breakfast
Placebo
n=12 Participants
Calcined magnesia capsules, 150 mg, once a day before breakfast during 12 weeks Placebo: Calcined magnesia capsules of 150 mg, once a day before breakfast
Uric Acid
249.8 µmol/L
Standard Deviation 53.5
422.3 µmol/L
Standard Deviation 124.9

Adverse Events

Ursolic Acid

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Ursolic Acid
n=12 participants at risk
Ursolic acid capsules, 150 mg, once a day before breakfast during 12 weeks Ursolic acid: Ursolic acid capsules of 150 mg extracted from rosemary, once a day before breakfast
Placebo
n=12 participants at risk
Calcined magnesia capsules, 150 mg, once a day before breakfast during 12 weeks Placebo: Calcined magnesia capsules of 150 mg, once a day before breakfast
Gastrointestinal disorders
Abdominal distention
25.0%
3/12 • Number of events 3 • Throughout the study (12 weeks)
16.7%
2/12 • Number of events 2 • Throughout the study (12 weeks)
Gastrointestinal disorders
Diarrhea
0.00%
0/12 • Throughout the study (12 weeks)
16.7%
2/12 • Number of events 2 • Throughout the study (12 weeks)
Gastrointestinal disorders
Flatulence
8.3%
1/12 • Number of events 1 • Throughout the study (12 weeks)
16.7%
2/12 • Number of events 2 • Throughout the study (12 weeks)

Additional Information

DR. MANUEL GONZALEZ ORTIZ

INSTITUTO DE TERAPEUTICA EXPERIMENTAL Y CLINICA, UNIVERSITY OF GUADALAJARA

Phone: +52 3310585200

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place