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Trial registered on ANZCTR
Registration number
ACTRN12625000247471
Ethics application status
Approved
Date submitted
26/03/2025
Date registered
4/04/2025
Date last updated
16/06/2025
Date data sharing statement initially provided
4/04/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
An examination into the safety and efficacy of Khapregesic®, a Khaya senegalensis preparation, on vasomotor, physical, and psychological wellbeing in women experiencing perimenopause and menopause
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Scientific title
An examination into the safety and efficacy of Khapregesic®, a Khaya senegalensis preparation, on vasomotor, physical, and psychological wellbeing in women experiencing perimenopause and menopause: a randomised, double-blind, placebo-controlled trial.
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Secondary ID [1]
314044
0
None
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Universal Trial Number (UTN)
U1111-1320-8593
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Trial acronym
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Linked study record
This is a separate study
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Health condition
Health condition(s) or problem(s) studied:
Menopausal symptoms
336788
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Condition category
Condition code
Reproductive Health and Childbirth
333279
333279
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0
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Menstruation and menopause
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Alternative and Complementary Medicine
333280
333280
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0
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Herbal remedies
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Khaya Senegalensis Dry Stem Bark (Khapregesic) (2 tablets taken orally, two times daily, with or without food, delivering 2000 mg a day for 28 days). Adherence to tablet intake will be measured by a daily record of tablet intake using a daily questionnaire and a tablet count by the participants at the end of the study.
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Intervention code [1]
330625
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Treatment: Other
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Comparator / control treatment
A matching placebo (microcrystalline cellulose) tablet in terms of taste and appearance and containing all ingredients/excipients except the active ingredient (Khaya Senegalensis).
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Menopausal symptoms
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Assessment method [1]
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Greene Climacteric Scale: Total Score
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Timepoint [1]
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Days 0 (pre-commencement of intervention), 14, and 28 (primary endpoint) post-intervention commencement
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Secondary outcome [1]
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Hot flushes
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Assessment method [1]
445270
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HFRS night sweats score
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Timepoint [1]
445270
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Days 0 (pre-commencement of intervention), 14, and 28 post-intervention commencement
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Secondary outcome [2]
445267
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Vasomotor symptoms
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Assessment method [2]
445267
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Greene Climacteric Scale: Vasomotor Score
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Timepoint [2]
445267
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Days 0 (pre-commencement of intervention), 14, and 28 post-intervention commencement
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Secondary outcome [3]
445266
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Physical symptoms
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Assessment method [3]
445266
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Greene Climacteric Scale: Physical Score
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Timepoint [3]
445266
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Days 0 (pre-commencement of intervention), 14, and 28 post-intervention commencement
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Secondary outcome [4]
445269
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Hot flushes
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Assessment method [4]
445269
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HFRS frequency of hot flushes score
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Timepoint [4]
445269
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Days 0 (pre-commencement of intervention), 14, and 28 post-intervention commencement
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Secondary outcome [5]
445265
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Psychological symptoms
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Assessment method [5]
445265
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Greene Climacteric Scale: Psychological Score
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Timepoint [5]
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Days 0 (pre-commencement of intervention), 14, and 28 post-intervention commencement
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Secondary outcome [6]
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Global Improvment
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Assessment method [6]
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Patient Global Impression of Change
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Timepoint [6]
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Days 14, and 28 post-interevention commencement
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Secondary outcome [7]
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Gastrointestinal symptoms
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Assessment method [7]
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Birmingham IBS Symptom Questionnaire Total Score
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Timepoint [7]
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Days 0 (pre-commencement of intervention), 14, and 28 post-intervention commencement
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Secondary outcome [8]
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Renal function profile (safety measure)
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Assessment method [8]
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Blood test
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Timepoint [8]
445276
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Days 0 (pre-commencement of intervention) and 28 post-intervention commencement
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Secondary outcome [9]
445271
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Sleep quality
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Assessment method [9]
445271
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PROMIS Sleep disturbance score
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Timepoint [9]
445271
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Days 0 (pre-commencement of intervention), 14, and 28 post-intervention commencement
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Secondary outcome [10]
445268
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Hot flushes
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Assessment method [10]
445268
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Hot Flush Rating Scale (HFRS) mean problem rating score
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Timepoint [10]
445268
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Days 0 (pre-commencement of intervention), 14, and 28 post-intervention commencement
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Secondary outcome [11]
445275
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Liver function profile (safety measure)
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Assessment method [11]
445275
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Blood test
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Timepoint [11]
445275
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Days 0 (pre-commencement of intervention) and 28 post-intervention commencement
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Secondary outcome [12]
445272
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Sleep quality
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Assessment method [12]
445272
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PROMIS Sleep-related impairment score
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Timepoint [12]
445272
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Days 0 (pre-commencement of intervention), 14, and 28 post-intervention commencement
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Secondary outcome [13]
445273
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Fatigue
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Assessment method [13]
445273
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Functional Assessment of Chronic Illness Therapy - Fatigue Scale (FACIT-Fatigue)
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Timepoint [13]
445273
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Days 0 (pre-commencement of intervention), 14, and 28 post-intervention commencement
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Secondary outcome [14]
448776
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Stool form
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Assessment method [14]
448776
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Bristol Stool Scale
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Timepoint [14]
448776
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Days 0 (pre-commencement of intervention), 14, and 28 post-intervention commencement
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Secondary outcome [15]
445277
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Complete blood count profile (safety measure)
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Assessment method [15]
445277
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Blood test
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Timepoint [15]
445277
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Days 0 (pre-commencement of intervention) and 28 post-intervention commencement
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Eligibility
Key inclusion criteria
1. Women aged 42 to 62 years
2. Women with an intact uterus and ovaries
3. Presence of menopausal/ climactic symptoms for at least 3 months
4. A score greater than or equal to 12 on the Greene Climacteric Scale
5. Has not experienced menses in the last 12 months; or for at least 3 months has experienced changes in the menstrual cycle (e.g., bleeding days, heaviness of bleeding, or days between menses)
6. Non-smoker
7. BMI between 18 and 30 kg/m2
8. No plan to commence new treatments over the study period.
9. Understand, willing and able to comply with all study procedures.
10. Willing to provide a personally signed and dated informed consent form detailing all pertinent aspects of the trial.
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Minimum age
42
Years
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Maximum age
62
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Suffering from recently diagnosed or unmanaged medical conditions including but not limited to: diabetes, hypertension, cardiovascular disease, gastrointestinal disease requiring regular use of medications, biliary disease, autoimmune disease, cancer/malignancy, endocrine disease, or chronic/acute pain condition.
2. Diagnosis of a neurological or psychiatric condition including but not limited to: psychiatric disorder (other than mild-to-moderate depression or anxiety), Parkinson’s disease, Alzheimer’s disease, intracranial haemorrhage, or head injury.
3. In the last 3 months, commenced, or changed pharmaceutical medications likely to affect treatment outcomes or an expectation to change during the study duration
4. In the last 3 months, commenced, or changed nutritional or herbal supplements likely to affect treatment outcomes or an expectation to change during the study duration
5. Planned major lifestyle change in the next 2 months.
6. Alcohol intake greater than 14 standard drinks per week
7. Current or 12-month history of regular illicit drug use
8. Pregnant women, women who are breastfeeding, or women who intend to fall pregnant during the study period.
9. In the last year has had a significant surgery that affects general health or daily function, or a planned surgery in the next 2 months
10. Participation in any other clinical trial in the last month
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Opaque numbered containers
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software (i.e. computerised sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
2/06/2025
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Actual
5/06/2025
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Date of last participant enrolment
Anticipated
3/10/2025
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Actual
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Date of last data collection
Anticipated
31/10/2025
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Actual
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Sample size
Target
140
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Accrual to date
7
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,WA,VIC
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Funding & Sponsors
Funding source category [1]
318551
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Commercial sector/Industry
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Name [1]
318551
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Bioactive Natural Health Pty Ltd
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Address [1]
318551
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Country [1]
318551
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Bioactive Natural Health Pty Ltd
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Address
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Country
Australia
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Secondary sponsor category [1]
320948
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Commercial sector/Industry
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Name [1]
320948
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Clinical Research Australia
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Address [1]
320948
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Country [1]
320948
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
317151
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National Institute of Integrative Medicine Human Research Ethics Committee
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Ethics committee address [1]
317151
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https://niim.com.au/research/niim-human-research-ethics-committee
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Ethics committee country [1]
317151
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Australia
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Date submitted for ethics approval [1]
317151
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04/03/2025
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Approval date [1]
317151
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15/04/2025
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Ethics approval number [1]
317151
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0154E_2025
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Summary
Brief summary
In this randomised, double-blind, placebo-controlled study, 140 women aged 42 to 62 years experiencing menopausal symptoms will be randomly assigned to receive 2 grams daily of a proprietary preparation of pure Khaya Senegalensis Dry Stem Bark (Khapregesic) or a placebo for 28 days. Changes in menopausal symptoms, sleep, and fatigue will be assessed before, during, and after the intake of the investigational product. It is hypothesised that compared to the placebo, Khaya Senegalensis will be associated with greater improvements in menopausal symptoms, sleep and fatigue.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Adrian Lopresti
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Address
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Clinical Research Australia, 38 Arnisdale Road Duncraig WA 6023
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Country
140170
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Australia
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Phone
140170
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+61 08 94487376
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Fax
140170
0
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Email
140170
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[email protected]
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Contact person for public queries
Name
140171
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Adrian Lopresti
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Address
140171
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Clinical Research Australia, 38 Arnisdale Road Duncraig WA 6023
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Country
140171
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Australia
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Phone
140171
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+61 08 94487376
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Fax
140171
0
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Email
140171
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[email protected]
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Contact person for scientific queries
Name
140172
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Adrian Lopresti
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Address
140172
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Clinical Research Australia, 38 Arnisdale Road Duncraig WA 6023
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Country
140172
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Australia
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Phone
140172
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+61 08 94487376
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Fax
140172
0
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Email
140172
0
[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
Yes
Will there be any conditions when requesting access to individual participant data?
Persons/groups eligible to request access:
•
Case-by-case basis at the discretion of the study sponsor
Conditions for requesting access:
•
Yes, conditions apply:
•
Requires review on a case-by-case basis by the trial custodian, sponsor or data sharing committee
What individual participant data might be shared?
•
De-identified individual participant data:
•
All outcomes data
•
Published results
•
Primary outcome(s)
•
Safety data
What types of analyses could be done with individual participant data?
•
Systematic reviews and meta-analyses
When can requests for individual participant data be made (start and end dates)?
From:
After publication of main results
To:
A finite period of:
5
years
Where can requests to access individual participant data be made, or data be obtained directly?
•
Email of trial custodian, sponsor or committee:
Access is subject to approvals by Principal Investigator (
[email protected]
)
Are there extra considerations when requesting access to individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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