CClinicalTrials.gg
Status unknownNCT03004508GiBiExUpdated Dec 30, 2016

Safety of Ginkgo Biloba Leaf Extract

A Phase 2 interventional study of Gingko Biloba Extract and Placebo in Healthy, sponsored by IRCCS San Raffaele. Status unknown at 1 site in Italy. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2016-12-30.

Sponsored by IRCCS San Raffaele · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Dec 2016), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
65 Years and older
Sex
All
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Study summary

Primary objective: The primary objective of this study is to assess the effect of Ginkgo biloba L. leaf extract (IDN 5933) in comparison to placebo in human subjects treated at therapeutic doses for 6 months on the level of DNA damage and genomic instability, measured with the Comet Assay and the Micronucleus assay, respectively .

Secondary objective:

The secondary objective of this study is to provide a preliminary assessment of the safety of Ginkgo biloba L. leaf extract (IDN 5933) in human subjects treated at therapeutic doses in term of adverse drug reaction, hepatotoxicity, genotoxicity.

Read the detailed description

The study will be a randomised clinical trial comparing subjects receiving twice-daily doses of either 120-mg of Ginkgo biloba L. leaf extract (IDN 5933) or placebo for a 6 months period.

Primary Endpoints:

  • DNA Damage assessed with the Comet assay as proportion of DNA in the tail.
  • Micronucleus frequency (MN) in peripheral blood lymphocytes (Frequency per 1000 binucleated cells).

Secondary Endpoints:

  • Complete clinical assessment at the beginning and at the end of the study.
  • Occurrence of Adverse drug reactions in individuals treated with GBE or placebo.
  • Liver functions will be monitored according to biological laboratory examinations and clinical symptoms. A subgroup of individuals will be monitored also for genetic parameters concerning expression patterns of genes putatively associated to early events of HCC carcinogenesis Clinical and biological parameters will be measured in the study groups at the beginning (T0) and at the end of the study (T2).
02

Conditions studied

  • Healthy

Keywords

  • Ginkgo Biloba Extract
  • Safety
  • Genomic Stability
  • DNA cell maintenance
03

In context

Lead sponsor

IRCCS San Raffaele is the lead sponsor of 443 studies on the registry; 234 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male and female senior, residents of nursing homes, with no known clinically significant pathology as assessed by the investigator
  • Life expectancy of greater than 1 year
  • Subjects must have given written informed consent in accordance with ICH-GCP (International Conference on Harmonization - Good Clinical Practice) and local laws and regulations

To perform the experiment in a typical population treated with Ginkgo biloba L. leaf extract ( IDN 5933) the study will be performed among the residents of nursing homes among the structures of the San Raffaele network, i.e., The San Raffaele Montecompatri, the San Raffaele Rocca di Papa and the San Raffaele Sabaudia . The use of institutionalised subjects will allow a good compliance to the treatment, which will be administered by the nursing homes nurses.

Subjects meeting inclusion criteria and signing the informed consent will be randomised to receive 120-mg/twice per day of Ginkgo biloba L. leaf extract ( IDN 5933) or placebo.

Exclusion criteria

Exclusion Criteria:

  • Life expectancy of less than 1 year
  • Treatment with anticoagulant and antiplatelet drugs in subjects with previous report of increased bleeding tendency
  • Cognitive impairment
  • Refuse to sign the informed consent
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
66 participants (actual)

Study arms

  • Experimental
    Gingko biloba Extract

    Dietary Supplement: Gingko Biloba Extract

  • Placebo comparator
    Placebo

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementGingko Biloba Extract

    120mg/day, twice a day, 6 month

    Also known as: IDN 5933

  • Dietary supplementPlacebo

    120mg/day, twice a day, 6 month

06

What researchers measure

Primary outcomes

  1. DNA Damage

    DNA Damage assessed with the Comet assay as proportion of DNA in the tail

    Time frame: through study completion, an average of 1 year

  2. Micronucleus frequency

    Micronucleus frequency (MN) in peripheral blood lymphocytes (Frequency per 1000 binucleated cells)

    Time frame: through study completion, an average of 1 year

Secondary outcomes

  1. Clinical assessment

    Complete clinical assessment at the beginning and at the end of the study by physiological parameters

    Time frame: through study completion, an average of 1 year

  2. Liver functions

    Liver functions will be monitored according to biological laboratory examinations and clinical symptoms

    Time frame: through study completion, an average of 1 year

  3. Gene Expression

    Expression patterns of genes putatively associated to early events of HCC carcinogenesis

    Time frame: A subgroup of individuals will be monitored also through study completion, an average of 1 year

  4. Adverse drug reactions

    Occurrence of Adverse drug reactions in individuals treated with GBE or placebo

    Time frame: through study completion, an average of 1 year

07

Study locations

1 site
  • IRCCS San Raffaele Pisana
    Rome, 00166, Italy
08

References and documents

Publications

  • National Toxicology Program. Toxicology and carcinogenesis studies of Ginkgo biloba extract (CAS No. 90045-36-6) in F344/N rats and B6C3F1/N mice (Gavage studies). Natl Toxicol Program Tech Rep Ser. 2013 Mar;(578):1-183. PubMed 23652021 ↗
  • Russo P, Frustaci A, Del Bufalo A, Fini M, Cesario A. Multitarget drugs of plants origin acting on Alzheimer's disease. Curr Med Chem. 2013;20(13):1686-93. doi: 10.2174/0929867311320130008. PubMed 23410167 ↗
  • Heinonen T, Gaus W. Cross matching observations on toxicological and clinical data for the assessment of tolerability and safety of Ginkgo biloba leaf extract. Toxicology. 2015 Jan 2;327:95-115. doi: 10.1016/j.tox.2014.10.013. Epub 2014 Nov 11. PubMed 25446328 ↗
  • Luo Y, Smith JV, Paramasivam V, Burdick A, Curry KJ, Buford JP, Khan I, Netzer WJ, Xu H, Butko P. Inhibition of amyloid-beta aggregation and caspase-3 activation by the Ginkgo biloba extract EGb761. Proc Natl Acad Sci U S A. 2002 Sep 17;99(19):12197-202. doi: 10.1073/pnas.182425199. Epub 2002 Sep 4. PubMed 12213959 ↗
  • Bonassi S, Znaor A, Ceppi M, Lando C, Chang WP, Holland N, Kirsch-Volders M, Zeiger E, Ban S, Barale R, Bigatti MP, Bolognesi C, Cebulska-Wasilewska A, Fabianova E, Fucic A, Hagmar L, Joksic G, Martelli A, Migliore L, Mirkova E, Scarfi MR, Zijno A, Norppa H, Fenech M. An increased micronucleus frequency in peripheral blood lymphocytes predicts the risk of cancer in humans. Carcinogenesis. 2007 Mar;28(3):625-31. doi: 10.1093/carcin/bgl177. Epub 2006 Sep 14. PubMed 16973674 ↗
  • Collins A, Koppen G, Valdiglesias V, Dusinska M, Kruszewski M, Moller P, Rojas E, Dhawan A, Benzie I, Coskun E, Moretti M, Speit G, Bonassi S; ComNet project. The comet assay as a tool for human biomonitoring studies: the ComNet project. Mutat Res Rev Mutat Res. 2014 Jan-Mar;759:27-39. doi: 10.1016/j.mrrev.2013.10.001. Epub 2013 Oct 31. PubMed 24184488 ↗
  • Bonassi S, Prinzi G, Lamonaca P, Russo P, Paximadas I, Rasoni G, Rossi R, Ruggi M, Malandrino S, Sanchez-Flores M, Valdiglesias V, Benassi B, Pacchierotti F, Villani P, Panatta M, Cordelli E. Clinical and genomic safety of treatment with Ginkgo biloba L. leaf extract (IDN 5933/Ginkgoselect(R)Plus) in elderly: a randomised placebo-controlled clinical trial [GiBiEx]. BMC Complement Altern Med. 2018 Jan 22;18(1):22. doi: 10.1186/s12906-018-2080-5. PubMed 29357859 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 30, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03004508
Lead sponsor
IRCCS San Raffaele
Collaborators
Indena S.p.A
Responsible party
Stefano Bonassi (Head, Clinical and Molecular Epidemiology, IRCCS San Raffaele) — Principal investigator
First posted
Dec 29, 2016
Start date
Jul 2015
Primary completion
Dec 2016 (estimated)
Completion
Jan 2017 (estimated)
Last update
Dec 30, 2016

Study contacts

Stefano Bonassi, PhD
principal investigator · IRCCS San Raffaele

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Dec 2016. You cannot join it, but the record below documents what was studied.

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