Obesity
Conditions
Keywords
Actiponin, Obesity, Abdominal fat
Brief summary
Obesity is a major health issue worldwide; there is a constant raise in obesity related death each year. In vitro and animal studies elucidated Actiponin as a novel anti-obesity agent. However, the efficacy and safety of Actiponin supplementation on body weight regulation in humans are lacking.
Detailed description
The primary aim of the study was to investigate the effect of Actiponin in Korean subjects on body weight and fat loss along with changes in metabolic markers based on 12 week, randomized, double-blind, placebo-controlled clinical trial. Eighty obesity subjects with BMI \> 25kg/m2 and waist-hip ratio (WHR) ≥ 0.90 for men and ≥ 0.85 for women were randomly divided into either Actiponin (n=40, 450mg/day) or placebo group (n=40, 450mg/day) for 12weeks.
Interventions
The dried leaves of G. pentaphyllum leaves were extracted with 50% ethanol and filtered; the filtrate was concentrated under high pressure and high temperature. Damulin An and B, analytical marker of Actiponin, exist more 2.49% and 1.06% respectively in raw material.
Amount and calorie of placebo are same with Actiponin.
Sponsors
Study design
Eligibility
Inclusion criteria
* BMI ≥ 25kg/m2 and WHR ≥ 0.90(men), WHR ≥ 0.85(women)
Exclusion criteria
* Significant variation in weight(more 10%) in the past 3 months * Cardiovascular disease, e.g. arrhythmia, heart failure, myocardial infarction, and patient with pacemaker * History of disease that could interfere with the test products or impede theire absorption, such as gastrointestinal disease or gastrointestinal surgery * Participation in any other clinical trials within past 2 months * Abdominal hepatic liver function * Renal disease, e.g. acute/chronic renal failure, nephritic syndrome * Used antipsychosis drugs therapy within past 2 months * Laboratory test, medical or psychological conditions deemed by the investigators to interfere with successful participation in the study * Pregnancy or breast feeding * History of alcohol or substance abuse * Allergic or hypersensitive to any of the ingredients in the test products
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Body Fat Mass. | study visit 1(0 week), visit 2(4 week), visit 3(8 week) and visit 4(12 week) | Body fat mass was measured in study visit 1(0 week), visit 2(4 week), visit 3(8 week) and visit 4(12 week). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Abdominal Total Fat Area. | study visit 1(0 week), visit 4(12 week) | Abdominal total fat area was measured in study visit 1(0 week) and visit 4(12 week). |
| Changes in Body Weight. | study visit 1(0 week), visit 2(4 week), visit 3(8 week), and visit 4(12 week) | Body weight was measured in study visit 1(0 week), visit 2(4 week), visit 3(8 week) and visit 4(12 week). |
| Changes in Body Mss Index(BMI) | study visit 1(0 week), visit 2(4 week), visit 3(8 week) and visit 4(12 week) | BMI was measured in study visit 1 (0 week), visit 2 (4 week), visit 3 (8 week) and visit 4 (12 week). |
Participant flow
Recruitment details
The study subjects were recruited from Clinical Trial Center for Functional Food in Chonbuk National University Hospital during the 2009. Only those subjects who were obese\[both BMI≥25kg/m2 and WHR≥0.90(men), WHR≥0.85(women)\] and were not diagnosed with any disease were included in this study.
Pre-assignment details
Among the 105 subjets screened, 25 subjects had anthropometric and/or laboratory tests results that were in the exclusion criteria category, hence they were excluded from the study.
Participants by arm
| Arm | Count |
|---|---|
| Actiponin Actiponin(extract of Gynostema pentaphyllum, 450mg/day) for 12weeks
Actiponin : The dried leaves of G. pentaphyllum leaves were extracted with 50% ethanol and filtered; the filtrate was concentrated under high pressure and high temperature. Damulin An and B, analytical marker of Actiponin, exist more 2.49% and 1.06% respectively in raw material. | 40 |
| Placebo Placebo(450mg/day) for 12weeks
Placebo : Amount and calorie of placebo are same with Actiponin. | 40 |
| Total | 80 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Protocol Violation | 1 | 1 |
| Overall Study | Withdrawal by Subject | 3 | 1 |
Baseline characteristics
| Characteristic | Placebo | Actiponin | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 40 Participants | 40 Participants | 80 Participants |
| Age, Continuous | 40.05 years STANDARD_DEVIATION 11.58 | 40.10 years STANDARD_DEVIATION 9.67 | 40.08 years STANDARD_DEVIATION 10.6 |
| Gender Female | 30 Participants | 18 Participants | 48 Participants |
| Gender Male | 10 Participants | 22 Participants | 32 Participants |
| Region of Enrollment Korea, Republic of | 40 participants | 40 participants | 80 participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 0 | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 | 0 / 0 |
Outcome results
Changes in Body Fat Mass.
Body fat mass was measured in study visit 1(0 week), visit 2(4 week), visit 3(8 week) and visit 4(12 week).
Time frame: study visit 1(0 week), visit 2(4 week), visit 3(8 week) and visit 4(12 week)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Actiponin | Changes in Body Fat Mass. | 0 week | 22.65 kg | Standard Error 3.12 |
| Actiponin | Changes in Body Fat Mass. | 4 week | 22.28 kg | Standard Error 3.45 |
| Actiponin | Changes in Body Fat Mass. | 8 week | 21.89 kg | Standard Error 3.35 |
| Actiponin | Changes in Body Fat Mass. | 12 week | 21.4 kg | Standard Error 3.62 |
| Placebo | Changes in Body Fat Mass. | 12 week | 23.32 kg | Standard Error 3.82 |
| Placebo | Changes in Body Fat Mass. | 0 week | 23.04 kg | Standard Error 3.55 |
| Placebo | Changes in Body Fat Mass. | 8 week | 23.15 kg | Standard Error 3.8 |
| Placebo | Changes in Body Fat Mass. | 4 week | 23.17 kg | Standard Error 3.61 |
Changes in Abdominal Total Fat Area.
Abdominal total fat area was measured in study visit 1(0 week) and visit 4(12 week).
Time frame: study visit 1(0 week), visit 4(12 week)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Actiponin | Changes in Abdominal Total Fat Area. | Pre | 332.24 cm^2 | Standard Error 10.65 |
| Actiponin | Changes in Abdominal Total Fat Area. | Post | 311.35 cm^2 | Standard Error 9.04 |
| Placebo | Changes in Abdominal Total Fat Area. | Pre | 335.36 cm^2 | Standard Error 7.24 |
| Placebo | Changes in Abdominal Total Fat Area. | Post | 333.05 cm^2 | Standard Error 8.36 |
Changes in Body Mss Index(BMI)
BMI was measured in study visit 1 (0 week), visit 2 (4 week), visit 3 (8 week) and visit 4 (12 week).
Time frame: study visit 1(0 week), visit 2(4 week), visit 3(8 week) and visit 4(12 week)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Actiponin | Changes in Body Mss Index(BMI) | 0 week | 27.8 kg/m^2 | Standard Error 1.21 |
| Actiponin | Changes in Body Mss Index(BMI) | 4 week | 27.69 kg/m^2 | Standard Error 1.17 |
| Actiponin | Changes in Body Mss Index(BMI) | 8 week | 27.44 kg/m^2 | Standard Error 1.28 |
| Actiponin | Changes in Body Mss Index(BMI) | 12 week | 27.31 kg/m^2 | Standard Error 1.24 |
| Placebo | Changes in Body Mss Index(BMI) | 12 week | 27.55 kg/m^2 | Standard Error 1.54 |
| Placebo | Changes in Body Mss Index(BMI) | 0 week | 27.55 kg/m^2 | Standard Error 1.27 |
| Placebo | Changes in Body Mss Index(BMI) | 8 week | 27.54 kg/m^2 | Standard Error 1.45 |
| Placebo | Changes in Body Mss Index(BMI) | 4 week | 27.61 kg/m^2 | Standard Error 1.36 |
Changes in Body Weight.
Body weight was measured in study visit 1(0 week), visit 2(4 week), visit 3(8 week) and visit 4(12 week).
Time frame: study visit 1(0 week), visit 2(4 week), visit 3(8 week), and visit 4(12 week)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Actiponin | Changes in Body Weight. | 4 week | 76.26 kg | Standard Error 8.35 |
| Actiponin | Changes in Body Weight. | 12 week | 75.21 kg | Standard Error 8.2 |
| Actiponin | Changes in Body Weight. | 8 week | 75.57 kg | Standard Error 8.18 |
| Actiponin | Changes in Body Weight. | 0 week | 76.56 kg | Standard Error 8.31 |
| Placebo | Changes in Body Weight. | 12 week | 73.33 kg | Standard Error 10.17 |
| Placebo | Changes in Body Weight. | 0 week | 73.41 kg | Standard Error 9.79 |
| Placebo | Changes in Body Weight. | 8 week | 73.33 kg | Standard Error 9.98 |
| Placebo | Changes in Body Weight. | 4 week | 73.53 kg | Standard Error 9.79 |