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Centella asiatica is a traditional herbal medicine widely used in China and Southeast Asia for treating various conditions. Preclinical studies have shown that madecassic acid glycosides, including asiaticoside and madecassoside, can significantly reduce body weight gain, adipose tissue mass, and serum triglyceride levels in high-fat diet-induced obese mice. These compounds also improve hepatic steatosis and insulin resistance. This exploratory, interventional study aims to evaluate the clinical efficacy of orally administered asiaticoside tablets in adults with overweight or obesity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Arm | Experimental | Participants take Asiaticoside tablets 60mg tid for 12 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Asiaticoside tablets | Drug | Asiaticoside tablets 60mg tid for 12 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Metabolic Rate | Metabolic rate will be assessed using indirect calorimetry in a metabolic chamber (whole-room indirect calorimetry) at baseline and Week 4 after taking Asiaticoside tablets. | Baseline to Week 4 |
| Change in Body Weight | Body weight will be measured using a calibrated digital scale at baseline and Week 12 after taking Asiaticoside tablets. | Baseline to Week 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Body Mass Index (BMI) | Body mass index (BMI) will be calculated as weight (kg) divided by height squared (m²). This outcome assesses changes in BMI from baseline to Week 12. | Baseline to Week 12 |
| Change in Body Fat Percentage |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jingjing JIANG, MD, PhD | Contact | 86-021-64041990 | jiang.jingjing@zs-hospital.sh.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zhongshan Hospital, Fudan University | Recruiting | Shanghai | Shanghai Municipality | 200030 | China |
All IPD that underlie results in a publication
After publication.
IPD and supporting information will be avaible to researchers upon reasonable request (e.g. with a practical and meaningful research proposal).
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| ID | Term |
|---|---|
| D050177 | Overweight |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
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| ID | Term |
|---|---|
| C004446 | asiaticoside |
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Body fat percentage will be evaluated using dual-energy X-ray absorptiometry (DEXA) at baseline and Week 12 after taking Asiaticoside tablets.
| Baseline to Week 12 |
| Change in waist circumference | Waist circumference will be measured using standardized anthropometric methods at baseline and Week 12 after taking Asiaticoside tablets. | From baseline to Week 12 |
| Change in Blood Pressure | Systolic and diastolic blood pressure will be assessed at baseline and Week 12 after taking Asiaticoside tablets. | Baseline to Week 12 |
| Change in Lipid profile | Fasting lipid profile (TC, TG, LDL-C, HDL-C) will be assessed at baseline and Week 12 after taking Asiaticoside tablets. | Baseline to Week 12 |
| Change in HbA1c | Hemoglobin A1c will be assessed at baseline and Week 12 after taking Asiaticoside tablets. | Baseline to Week 12 |
| Change in Insulin Sensitivity (HOMA-IR) | HOMA-IR will be calculated at baseline and Week 12 after taking Asiaticoside tablets. HOMA-IR is calculated using the following equation: HOMA-IR = fasting plasma glucose in mmol/L×fasting insulin in μU/ml/22.5. | Baseline to Week 12 |
| Change in Leptin Levels | Serum leptin levels will be measured at baseline and Week 12 after taking Asiaticoside tablets. | Baseline to Week 12 |
| Change in High-Sensitivity C-Reactive Protein (hs-CRP) | High-sensitivity C-reactive protein levels will be measured at baseline and Week 12 after taking Asiaticoside tablets. | Baseline to Week 12 |
| Change in Liver Fat Content | Liver fat content will be represented by the Controlled Attenuation Parameter (CAP) with FibroScan at baseline and Week 12 after taking Asiaticoside tablets. | Baseline to Week 12 |
| Change in Liver Stiffness | Liver stiffness will be represented by Liver Stiffness Measurement (LSM) with FibroScan at baseline and Week 12 after taking Asiaticoside tablets. | Baseline to Week 12 |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |