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一项评估油棕酚类物质(OPP)在健康志愿者中安全性和耐受性的I期随机双盲安慰剂对照临床试验。

A Phase I, Randomized, Double-Blind, Placebo-Controlled Clinical Trial to Evaluate the Safety and Tolerance of Oil Palm Phenolics (OPP) in Healthy Volunteers.

作者信息

Muhammad Ismail Tadj Nur Balqis, Ibrahim Nurul 'Izzah, Haji Mohd Saad Qodriyah, Tg Abu Bakar Sidik Tg Mohd Ikhwan, Leow Soon-Sen, Fairus Syed, Naina Mohamed Isa

机构信息

Pharmacoepidemiology and Drug Safety Unit, Department of Pharmacology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.

Malaysian Palm Oil Board (MPOB), Kajang, Malaysia.

出版信息

Front Pharmacol. 2022 Jun 20;13:893171. doi: 10.3389/fphar.2022.893171. eCollection 2022.

Abstract

: Oil palm aqueous by-products rich in phenolic content are known as oil palm phenolics (OPP), and pre-clinical research has shown that OPP has great potential to be further developed as an anti-hyperlipidemic agent. Hence, in order to introduce OPP into market, its safety profile needs to be established by undergoing a phase I clinical trial on healthy humans. : A parallel, placebo-controlled, randomized, and double-blinded clinical trial was conducted for 2 months on 100 healthy subjects aged 20-40 years old. This trial was registered at clinicaltrials.gov (NCT04164446). The subjects were randomly allocated to four treatment arms with 25 participants each: placebo, 250, 1,000, and 1,500 mg of OPP. During the trial, subjects were required to consume four capsules simultaneously per day. Withdrawal of fasting blood for hematology, liver and renal function analysis, and medical examination were conducted at baseline (day 1), day 30, and day 60. For monitoring, vital signs (blood pressure and pulse rate) and weight measurements were taken during each visit. : Minor adverse events (AEs) were reported in all groups especially at high dose (1,500 mg) but none were serious adverse events (SAEs). Fasting blood parameters between control and all OPP-treated groups demonstrated no statistically significant difference from baseline to day 60. : With no major AEs and SAEs reported and no abnormal findings in biochemistry and hematology results, OPP supplementation in capsule form is safe to be taken up to 1,500 mg a day.

摘要

富含酚类物质的油棕水相副产品被称为油棕酚类化合物(OPP),临床前研究表明,OPP具有作为抗高血脂药物进一步开发的巨大潜力。因此,为了将OPP推向市场,需要通过对健康人进行I期临床试验来确定其安全性。

对100名年龄在20至40岁之间的健康受试者进行了为期2个月的平行、安慰剂对照、随机双盲临床试验。该试验已在clinicaltrials.gov(NCT04164446)注册。受试者被随机分为四个治疗组,每组25人:安慰剂组、250毫克OPP组、1000毫克OPP组和1500毫克OPP组。在试验期间,要求受试者每天同时服用四粒胶囊。在基线期(第1天)、第30天和第60天采集空腹血样进行血液学、肝肾功能分析,并进行医学检查。为进行监测,每次就诊时测量生命体征(血压和脉搏率)并测量体重。

所有组均报告了轻微不良事件(AE),尤其是高剂量(1500毫克)组,但均无严重不良事件(SAE)。从基线期到第60天,对照组和所有OPP治疗组之间的空腹血液参数无统计学显著差异。

由于未报告重大AE和SAE,且生化和血液学结果无异常发现,因此,每天服用高达1500毫克胶囊形式的OPP是安全的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a867/9251303/d4a29ef269a5/fphar-13-893171-g001.jpg

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