title: Double-blind, placebo-controlled, randomised cross-over clinical trial of NIPRISAN in patients with Sickle Cell Disorder.
abstract: The study was undertaken to determine the safety and efficacy of NIPRISAN, a phytomedicine, developed for the management of patients with Sickle Cell Disorder (SCD). The study design is a placebo-controlled double blind cross-over trial. Eighty-two (82) patients with SCD were recruited and randomised into two groups. An initial 4 month pre-trial study was undertaken to determine the similarity of the groups. The main study was conducted over a twelve-month period with crossover at six months. Safety of the drug was assessed clinically and biochemically. NIPRISAN significantly (P < 0.01) reduced the frequency of SCD crisis associated with severe pains. Acute toxicity to the liver assessed by the activities of liver enzymes, indicate that NIPRISAN is safe. Renal function assessed by the serum levels of creatinine and blood urea nitrogen remained normal. Both the clinical and laboratory results of the present phase IIB (pivot) clinical study suggest that NIPRISAN is a safe and efficacious phytomedicine for the management of patients with Sickle Cell Disorder.
authors.affiliation: NIPRD Clinic, National Institute for Pharmaceutical Research & Development (NIPRD), Abuja, Nigeria. wambebecharles@hotmail.com
authors.forename: C
authors.initials: C
authors.lastname: Wambebe
authors.forename: H
authors.initials: H
authors.lastname: Khamofu
authors.forename: J A
authors.initials: JA
authors.lastname: Momoh
authors.forename: M
authors.initials: M
authors.lastname: Ekpeyong
authors.forename: B S
authors.initials: BS
authors.lastname: Audu
authors.forename: O S
authors.initials: OS
authors.lastname: Njoku
authors.forename: E A
authors.initials: EA
authors.lastname: Bamgboye
authors.forename: R N
authors.initials: RN
authors.lastname: Nasipuri
authors.forename: O O
authors.initials: OO
authors.lastname: Kunle
authors.forename: J I
authors.initials: JI
authors.lastname: Okogun
authors.forename: M N
authors.initials: MN
authors.lastname: Enwerem
authors.forename: J G
authors.initials: JG
authors.lastname: Audam
authors.forename: K S
authors.initials: KS
authors.lastname: Gamaniel
authors.forename: O O
authors.initials: OO
authors.lastname: Obodozie
authors.forename: B
authors.initials: B
authors.lastname: Samuel
authors.forename: G
authors.initials: G
authors.lastname: Fojule
authors.forename: O
authors.initials: O
authors.lastname: Ogunyale
mesh_terms: D000293:Adolescent; D000328:Adult; D000755:Anemia, Sickle Cell / Q000188:drug therapy*; D002648:Child; D002675:Child, Preschool; D018592:Cross-Over Studies; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000188:drug therapy*; D008517:Phytotherapy; D010936:Plant Extracts / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: C445122:Niprisan; D010936:Plant Extracts