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A 3 month clinical trial of herbal medicine combination intended for topical application in patients with leg symptoms complaints due to chronic venous insufficiency: a double-blind randomized controlled trial

Herbal medicine combination containing acetyl salicylic acid and asiaticoside plus acemannan in topical gel formulation for chronic venous insufficiency: a 3 month double-blind randomized placebo-controlled trial among Thai patients diagnosed as mild-to-moderate chronic venous insufficiency

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN54360155
Enrollment
150
Registered
2016-01-14
Start date
2016-02-01
Completion date
Unknown
Last updated
2022-01-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic venous insufficiency Circulatory System Venous insufficiency (chronic) (peripheral)

Interventions

Current interventions as of 15/12/2017: Participants fulfilling the eligibility criteria were randomly allocated into one of two arms. 1. Active treatment arm: each par

Sponsors

National Research University Project, Office of the Higher Education Commission (WCU-58-034-AS)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Current inclusion criteria as of 15/12/2017: Patients seeking advice at the surgery ambulatory clinics with at least 5 of the following symptoms: 1. Heavy leg 2. Pain in the leg 3. Sensation of leg swelling 4. Night cramp 5. Itching leg 6. Sensation of burning 7. Sensation of pins/needle in the leg 8. Presence of superficial varicose vein 9. Presence of spider veins 10. Presence of blood-clotting. And must have been accurately diagnosed as chronic venous insufficiency by physician as per WHO- ICD10 Criteria and also being graded as appropriate staging of the chronic venous insufficiency stage as per the CEAP Criteria. Previous inclusion criteria: Patients seeking advice at the surgery ambulatory clinics with at least 5 of the following symptoms: 1. Heavy leg 2. Pain in the leg 3. Sensation of leg swelling 4. Night cramp 5. Itching leg 6. Sensation of burning 7. Sensation of pins/needle in the leg 8. Presence of superficial varicose vein 9. Presence of spider veins 10. Presence of blood-clotting. Plus these patients must have at least one risk factor as follows : 1. Sibling history with presence of swollen leg, spider & varicose veins and ankle/leg ulcer 2. Long hours standing per day (=3 hours) 3. Long hours sitting per day (=3 hours) 4. No regular exercise 5. Smoker 6. Taking hormone replacement therapy and/or contraceptive (oral/injectable) And must have been accurately diagnosed as chronic venous insufficiency by physician as per WHO- ICD10 Criteria and also being graded as appropriate staging of the chronic venous insufficiency stage as per the CEAP Criteria.

Exclusion criteria

Exclusion criteria: Patients with known history of: 1. ASA-exacerbated respiratory disease (AERD) and/or asthma 2. ASA-sensitivity and Rhinitis/Nasal Polyps 3. ASA and NSAIDs induce cutaneous reactions with Urticaria, Angioedema 4. ASA-induced anaphylactoid reactions with Hypotension, swelling, laryngeal edema, generalized pruritus, tachypnea also: 5. Patients with known sensitivity or allergic to centenella asiaticosa or asiaticoside. 6. Patients with known sensitivity or allergic to acemannan and the aloe vera products

Design outcomes

Primary

MeasureTime frame
Current primary outcome measure as of 21/02/2019: Venous disease severity, assessed by the venous clinical severity score (VCSS) measured at baseline, week 4, week 8 and week 12 Previous primary outcome measure: Venous disease severity, assessed by the venous clinical severity score (VCSS) measured at baseline, week 1, week 2, week 3, week 4, week 8 and week 12

Secondary

MeasureTime frame
Current secondary outcome measures as of 21/02/2019: 1. Physician-rated disability, assessed by the Physician Rated Symptom Perception Score (PRSPS) at baseline, week 1, week 2, week 3, week 4, week 8 and week 12 2. Quality of life, assessed by the Chronic Venous Insufficiency Quality of Life Scale International Collaboration 14 questionnaires ( CIVIQ-14) and the Health-related Quality of Life Score Assessed with a Short-form 12-item Health Related Questionnaire Self-Administered Survey (SF-12). Measured at baseline and week 12 3. Patient-rated disability, assessed by the Patient Self-Rated Symptom Score (PSSS) at baseline, week 1, week 2, week 3, week 4, week 8 and week 12 4. Symptoms reported by patients, assessed by the Patients Self-Rated Symptoms Scale (VAS) in a weekly diary report Previous secondary outcome measures: 1. Disability caused by venous disease, assessed by the Venous Disease Disability Score (VDDS), measured at baseline, week 1, week 2, week 3, week 4, week 8 and week 12 2. Quality of life, assessed by the Chronic Venous Insufficiency Quality of Life Scale International Collaboration 14 questionnaires ( CIVIQ-14) and the Health-related Quality of Life Score Assessed with a Short-form 12-item Health Related Questionnaire Self-Administered Survey (SF-12). Measured at baseline and week 12 3. Assessment of overall physical functions, measured at baseline, week 1, week 2, week 3, week 4, week 8 and week 12 4. Laboratory blood chemistry and alanine aminotransferase enzyme assessments, measured at baseline, week 1, week 2, week 3, week 4, week 8 and week 12 5. Symptoms reported by patients, assessed by the Patients Self-Rated Symptoms Scale (VAS) in a weekly diary report

Countries

Thailand

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 21, 2026