Actively Recruiting

Phase 4
Age: 18Years - 45Years
All Genders
ID07128979

Efficacy and Safety Evaluation of Ruscus Aculeatus L in Patients With Hemorrhoids: A Randomized, Double-blind Phase IV Clinical Trial

Led by Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey · Updated on 2025-08-19

250

Participants Needed

1

Research Sites

13 weeks

Total Duration

On this page

Sponsors

S

Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey

Lead Sponsor

A

Atabay Kimya Sanayi Ticaret A.S.

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying the effects of Ruscus aculeatus L., a plant known for its vasoconstrictor, diuretic, anti-inflammatory, and venotonic properties, on patients with stage II-III hemorrhoidal disease. Hemorrhoidal disease involves deterioration of vascular cushions in the anal canal, causing symptoms like bleeding, discomfort, and pain. This research aims to provide scientific evidence on a new herbal treatment option for hemorrhoids. The study compares the use of Neoven 225 mg capsules containing Ruscus aculeatus L. with a placebo. Participants will take one capsule twice daily with meals for 42 days, receiving a total of 84 capsules. The active capsules contain a mixture of ruscogenin and neoruscogenin compounds. Capsule use will be monitored by phone calls on days 7 and 14, and pill counts at the end of treatment. Participants will be evaluated for quality of life using the Hemorrhoid Severity Score at the end of 42 days. Additional assessments include the Hemorrhoidal Disease Symptom Score and a Visual Analog Scale for symptoms. Researchers will monitor adherence to treatment and the safety of the herbal product throughout the study period, which is led by Sultan Abdulhamid Han Training and Research Hospital.

CONDITIONS

Brief Title

Efficacy and Safety Evaluation of Ruscus Aculeatus L in Patients With Hemorrhoids

Who Can Participate

Age: 18Years - 45Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients aged 18 to 45 years
  • Patients with symptomatic stage II or III hemorrhoids confirmed by physical examination within the last 4 weeks
  • Patients who have signed the informed consent form
Not Eligible

You will not qualify if you...

  • Patients younger than 18 or older than 45 years
  • Patients with stage I or IV hemorrhoids
  • Patients who have had hemorrhoid surgery at any time
  • Patients who received injection treatment for multiple hemorrhoids in the last 3 years
  • Patients with perianal sepsis, inflammatory bowel disease, colorectal cancer, or sphincter injury within the last 3 years
  • Patients with anal fissures or perianal fistulas detected during examination

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 42 days

Participants take Neoven 225 mg capsules or placebo capsules orally twice a day with meals to evaluate the efficacy and safety of the treatment for hemorrhoidal disease.

Phone calls on Day 7 and Day 14; 1 final in-person visit at the end of treatment

Trial Site Locations

Total: 1 location

1

Sultan Abdulhamid Training and Research Hospital

Istanbul, Turkey (Türkiye)

Actively Recruiting

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Research Team

H

Haluk Kerim Karakullukcu, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Systematic literature review and network Meta-analysis of sulodexide and other drugs in chronic venous disease.

Giuseppe Pompilio, Andrew Nicolaides, Stavros K Kakkos...

https://pubmed.ncbi.nlm.nih.gov/33983078