Honey in Chronic Immune Thrombocytopenia
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Purpose
Based on the assumption that honey may have an immunomodulatory effect, the aim of our present study will be to verify whether the intake of honey, as a natural substance, in patients with chronic Immune Thrombocytopenia (ITP) could affect the platelet number and hence could affect the bleeding severity. Thirty patients suffering from chronic ITP will be recruited from the Hematology Clinic of the Pediatric Hospital of Ain Shams University, Cairo, Egypt. The diagnosis of ITP will be based on the presence of isolated thrombocytopenia with a peripheral blood platelet count less than 100 x 109/L, and absence of any obvious initiating and/or underlying cause of the thrombocytopenia. Chronic ITP is defined as ITP for at least 12 months. The age of the patients will range from 5 to 15 years, and they will be of both sexes. This study was approved by the local Ethics Committee of the Pediatric Department of Ain Shams University, and an informed consent to participate in this study will be obtained from at least one parent of each patient. Furthermore, an ascent form will be obtained from each patient above 7 years of age.
| Condition | Intervention | Phase |
|---|---|---|
|
Chronic Thrombocytopenic Purpura |
Dietary Supplement: honey |
Phase 2 |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Crossover Time Perspective: Prospective |
| Official Title: | Effect of Honey Bee Honey Intake on Children With Chronic Immune Thrombocytopenia |
- Bleeding severity [ Time Frame: up to 24 weeks ] [ Designated as safety issue: Yes ]Bleeding severity will be assessed clinically at least twice weekly and whenever indicated through telephone contact with parents or guardian At least twice weekly for 24 weeks
- Platelet count [ Time Frame: up to 24 weeks ] [ Designated as safety issue: Yes ]Both bleeding severity and platelet count will be assessed at least twice weekly and whenever indicated through telephone contact with parents or guardian At least twice weekly for 24 weeks
| Estimated Enrollment: | 30 |
| Study Start Date: | January 2012 |
| Estimated Study Completion Date: | June 2012 |
| Estimated Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
| honey, no honey |
Dietary Supplement: honey
A crossover design (two 12-weeks intervention periods) will be used to measure treatment effects. The subjects will be randomized into two groups (intervention to control [I/C] and control to intervention [C/I] groups). Each study group will have 15 subjects. The subjects in the I/C group will consume 2 ml honey/kg/dose (maximum 50 ml/dose), twice weekly in the first 12-week period (period 1) while the subjects in the C/I group will not receive honey as a Control in period 1. After period 1 the subjects of each group will exchange their protocol for the following 12-week period (period 2).
|
Detailed Description:
Study design:
A crossover design (two 12-weeks intervention periods) will be used to measure treatment effects. The subjects will be randomized into two groups (intervention to control [I/C] and control to intervention [C/I] groups). Each study group will have 15 subjects. The subjects in the I/C group will consume 2 ml honey/kg/dose (maximum 50 ml/dose), twice weekly in the first 12-week period (period 1) while the subjects in the C/I group will not receive honey as a Control in period 1. After period 1 the subjects of each group will exchange their protocol for the following 12-week period (period 2). This design will allow the treatment effects to be measured between the study groups (namely between the different subjects) in the same study period, or period 1, as well as in the same subjects in a crossover comparison of periods 1 and 2.
Eligibility| Ages Eligible for Study: | 5 Years to 15 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Thirty patients suffering from chronic immune thrombocytopenic purpura (ITP) will be recruited from the Hematology Clinic of the Pediatric Hospital of Ain Shams University,Egypt. The age of the patients will range from 5 to 15 years, and they will be of both sexes.
Inclusion Criteria:
- Patients with chronic ITP who did not receive any treatment specific for ITP within the past 3 months
- Who did not receive bee honey or any medication that may affect platelet number or function within the past 3 months and
- In whom the bleeding severity will range from 1 to 3 (mild to moderate bleeding) according to Buchanan and Adix (2002).
Exclusion Criteria:
- Grade 4 bleeding severity, according Buchanan and Adix (2002) and
- Presence of diabetes mellitus.
Contacts and Locations| Contact: mamdouh abdulrhman, Professor | 00201006208547 |
| Egypt | |
| Pediatric Department, Faculty of Medicine, Ain Shams University | Not yet recruiting |
| Cairo, Egypt | |
| Contact: Mamdouh Abdulrhman, Professor 00201006208547 mamdouh565@hotmail.com | |
| Principal Investigator: Mamdouh Abdulrhman, Professor | |
| Principal Investigator: | Mamdouh Abdulrhman, Prof | professor |
| Principal Investigator: | Mohsen El Alfy, prof | professor |
| Principal Investigator: | Abeer Abdulmaksoud, MD | Assistant Professor |
| Principal Investigator: | Abeer Saad, MD | Assistant professor |
| Principal Investigator: | May Said | Resident |
More Information
Additional Information:
No publications provided
| Responsible Party: | mamdouh abdulmaksoud abdulrhman, professor of pediatrics, faculty of medicine, ain shams university, Ain Shams University |
| ClinicalTrials.gov Identifier: | NCT01462916 History of Changes |
| Other Study ID Numbers: | ITP 123 |
| Study First Received: | October 21, 2011 |
| Last Updated: | October 31, 2011 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Ain Shams University:
|
honey mucositis bee products |
Additional relevant MeSH terms:
|
Purpura Purpura, Thrombocytopenic Thrombocytopenia Blood Coagulation Disorders Hematologic Diseases Hemorrhage |
Pathologic Processes Skin Manifestations Signs and Symptoms Thrombotic Microangiopathies Blood Platelet Disorders Immune System Diseases |
ClinicalTrials.gov processed this record on June 17, 2013