ClinicalTrials.gg
TerminatedNCT03463018Updated Mar 24, 2022

Echinacea Angustifolia (AnxioCalm) in Anxiety

A Phase 2 interventional study of Echinacea angustifolia and Placebo in Generalized Anxiety Disorder, sponsored by EuroPharma, Inc.. Terminated at 1 site in Georgia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-03-24.

Sponsored by EuroPharma, Inc. · Phase 2, Interventional, and Treatment

Why this study was terminated
Recruitment error; Inclusion criteria not met
Phase
Phase 2
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study evaluates whether Echinacea angustifolia (AnxioCalm) is a safe and effective treatment for mild to moderate Generalized Anxiety Disorder (GAD) symptoms. Half the participants will receive Echinacea angustifolia and half will receive placebo.

Read the detailed description

Echinacea angustifolia root extract (AnxioCalm), standardized for the content of echinacoside and its alkamide profile, is intended to be used for 'amelioration of sub-threshold and mild anxiety which are risk factors in the development of Generalized Anxiety Disorder (GAD) and depression' in symptomatic people 'who are not eligible for anxiolytic medication.' Existing medical interventions, which require long periods of repeated administration, have significant safety concerns.

02

Conditions studied

  • Generalized Anxiety Disorder

Keywords

  • Echinacea, Subthreshold Anxiety
03

In context

Generalized Anxiety Disorder

517 studies on the registry are indexed under Generalized Anxiety Disorder; 124 are open to participants now.

This study's enrollment of 100 is above the median of 83 across 439 interventional studies indexed under Generalized Anxiety Disorder.

Browse Generalized Anxiety Disorder studies →

Lead sponsor

EuroPharma, Inc. is the lead sponsor of 8 studies on the registry; 1 is open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Men and women 18 years of age (all races and ethnicity)
  • Meet (DSM IV) any criteria for Generalized Anxiety Disorder (GAD from 5 to 9)
  • mild to moderate symptom severity on the Beck Anxiety Inventory (BAI from 8 to 15)
  • Hamilton Anxiety Rating Scale (HAM-A) score from 14 to 17
  • Hospital Anxiety and Depression Scale (HADS-A) [hospital anxiety and depression scale - anxiety subscale] - 8-10
  • Participants score 45-57 points of above on either the state or trait anxiety subscale of the State and Trait Anxiety Inventory of Speilberger (STAI)
  • Able to understand and provide signed
  • Able to participate in a 5-week study

Exclusion criteria

Exclusion Criteria:

  • Any diagnosed Axis II disorder
  • Current DSM IV Axis I diagnosis of Major Depressive Disorder in the 6 month that precede the study. [to exclude confounding psychiatric factors]
  • Danger of suicidality
  • Treatment with Echinacea preparations in the 3 month that precede the study
  • Psychotropic medication (especially anxiolytics) in the 3 month that precede the study
  • Psychotherapy in the 3 month that precede the study
  • Allergic reactions to plants of the Asteraceae family (Echinacea species, etc.)
  • Treatment for AIDS or cancer
  • Pregnant or lactating women
  • Unstable medical condition (e.g., hypothyroidism, hypertension, myocardial infarction within 1 month, neoplastic condition)
  • Alcohol or drug dependence within 3 months
  • Allergy to Echinacea preparation
  • Allergy to plants of the Asteraceae family (e.g., ragweed, asters, chrysanthemum)
  • Allergy to mugwort, radioallergosorbent test (RAST), or birch tree pollen Concurrent tranquilizer, antidepressant or mood stabilizer therapy;
  • Subjects receiving anti-anxiety medication (e.g., benzodiazepine, venlafaxine, buspirone, or SSRI)
  • Concurrent use of over-the-counter anti-anxiety and/or antidepressant preparations (e.g., chamomile, St. John's Wort, Kava kava)
  • Women of not willing to employ a medically proven form of (e.g., condoms, oral contraceptives, etc)
  • Any other condition that precludes participation according to the judgement of the investigator
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

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

Study arms

  • Experimental
    Echinacea angustifolia

    20 mg tablet of Echinacea angustifolia root extract standardized for a specific alkamide profile, two tablets twice daily (total daily dose of 80 mg) for two weeks

    Dietary Supplement: Echinacea angustifolia

  • Placebo comparator
    Placebo

    Identical excipients as in the experimental arm, without the active ingredient

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementEchinacea angustifolia

    20 mg tablet of Echinacea angustifolia, standardized for echinacoside (not less than 3%) and alkamides (not less than 0.8%)

  • Dietary supplementPlacebo

    Placebo tablet containing matching excipients to the active intervention

06

What researchers measure

Primary outcomes

  1. Hamilton Anxiety Rating (HAM-A)

    The Hamilton Anxiety Rating Scale (HAM-A) is a physician rating scale consisting of 14 items measuring psychic and somatic anxiety. Each item is scored on a scale of 0 (none) to 4 (severe) where a total score of 14-17 = Mild Anxiety, 18-24 = Moderate Anxiety, 25-30 = Severe Anxiety. The primary outcome is the change over time in the baseline HAM-A score rating for AnxioCalm versus placebo.

    Time frame: 14 days

  2. State-Trait Anxiety Inventory (STAI)

    The State-Trait Anxiety Inventory (Form Y, 6 item) is a six item patient rating scale consisting of anxiety present and anxiety absent items. Each item is rated from 1 (not at all) to 4 (very much). For scoring, positive items (calm, relaxed, content) are reverse scored \[1=4, 2=3, 3=2, 4=1\], the six scores are totaled, and multiplied by 20/6. A normal score is approximately 34-36.The primary outcome is the change over time in the baseline STAI score for AnxioCalm versus placebo.

    Time frame: 14 days

07

Study locations

1 site
  • Simon Skechinashvili University Hospital
    Tbilisi, Georgia
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 24, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03463018
Lead sponsor
EuroPharma, Inc.
Collaborators
Simon Khechinashvili University
Responsible party
Sponsor
First posted
Mar 13, 2018
Start date
Jun 6, 2018
Primary completion
Oct 3, 2020
Completion
Dec 15, 2021
Last update
Mar 24, 2022

Study contacts

Marina Janelidze, PhD MD
principal investigator · Simon Khechinashvili University Hospital, I.Chavchavadze 33, 0162, Tbilisi, Georgia

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.

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